Xospata (gilteritinib) vs Vanflyta (quizartinib)
Xospata (gilteritinib) vs Vanflyta (quizartinib)
Xospata (gilteritinib) and Vanflyta (quizartinib) are both oral medications used to treat adults with relapsed or refractory acute myeloid leukemia (AML) with a specific genetic mutation known as FLT3. Xospata is an FDA-approved FLT3/AXL inhibitor that has shown efficacy in clinical trials, offering a potential treatment option for patients with limited alternatives. Vanflyta, also a FLT3 inhibitor, has demonstrated promising results in clinical studies, but as of my knowledge cutoff date, it has not received FDA approval and may be available in certain regions under different regulatory statuses or through clinical trials, thus the availability and choice between the two may depend on the patient's location and specific medical circumstances.
Difference between Xospata and Vanflyta
Metric | Xospata (gilteritinib) | Vanflyta (quizartinib) |
---|---|---|
Generic name | Gilteritinib | Quizartinib |
Indications | Acute myeloid leukemia (AML) with a FLT3 mutation | Relapsed or refractory AML with FLT3-ITD mutations |
Mechanism of action | FLT3/AXL inhibitor | FLT3 inhibitor |
Brand names | Xospata | Vanflyta |
Administrative route | Oral | Oral |
Side effects | Myalgia, fatigue, fever, dyspnea, edema, rash, diarrhea, etc. | QT prolongation, anemia, thrombocytopenia, neutropenia, etc. |
Contraindications | Hypersensitivity to gilteritinib or any component of the formulation | Hypersensitivity to quizartinib or any component of the formulation |
Drug class | Kinase inhibitor | Kinase inhibitor |
Manufacturer | Astellas Pharma | Daiichi Sankyo |
Efficacy
Xospata (Gilteritinib) Efficacy in Treating Leukemia
Xospata, known by its generic name gilteritinib, is a medication specifically approved for the treatment of adult patients who have relapsed or refractory acute myeloid leukemia (AML) with a FLT3 mutation as detected by an FDA-approved test. The efficacy of Xospata was demonstrated in a clinical trial that involved several hundred participants with relapsed or refractory AML. In this study, patients treated with Xospata experienced a significant improvement in overall survival compared to those who received chemotherapy. The response rates, including complete remission (CR) and partial remission (PR), were also higher in the Xospata group, indicating its effectiveness in targeting leukemia cells with the FLT3 mutation.
Furthermore, Xospata has shown efficacy in improving event-free survival, which is the length of time during and after medication that a patient with leukemia lives without any signs or symptoms of that cancer. It has also been noted for reducing the need for subsequent chemotherapy and stem cell transplant, which are common in the treatment of AML. However, the response to Xospata can vary, and not all patients may achieve complete remission. The presence of the FLT3 mutation is a critical factor in determining the potential efficacy of Xospata in individual patients.
Vanflyta (Quizartinib) Efficacy in Treating Leukemia
Vanflyta, with the generic name quizartinib, is another targeted therapy for the treatment of adult patients with relapsed or refractory AML who have the FLT3-ITD mutation. The efficacy of Vanflyta was evaluated in clinical trials where it was compared to salvage chemotherapy. Results from these trials indicated that Vanflyta significantly improved overall survival in patients with the FLT3-ITD mutation. The drug was found to be particularly effective in inducing remission in a subset of patients, with a notable percentage achieving complete remission or complete remission with partial hematologic recovery.
Vanflyta's role in improving the quality of life for AML patients has also been recognized, as it may reduce the symptoms associated with leukemia and decrease the frequency of hospital visits and treatments. It is important to note that like Xospata, the efficacy of Vanflyta is closely linked to the presence of the FLT3-ITD mutation, and its use is contingent upon confirmation of the mutation through an appropriate diagnostic test. While Vanflyta has shown promise, it is essential for patients to discuss the potential benefits and risks of this medication with their healthcare provider.
Regulatory Agency Approvals
Xospata
Vanflyta
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