Xospata (gilteritinib) vs Ezharmia (valemetostat tosilate)

Xospata (gilteritinib) vs Ezharmia (valemetostat tosilate)

Xospata (gilteritinib) is an oral medication specifically approved for the treatment of adult patients with relapsed or refractory acute myeloid leukemia (AML) with a FLT3 mutation, which is a specific genetic alteration. Ezharmia (valemetostat tosilate), on the other hand, is an investigational agent and not yet approved for any indication; it targets EZH1 and EZH2, which are enzymes involved in epigenetic regulation and may be relevant in various malignancies, including hematologic cancers. When deciding between these medications, it is crucial to consider the specific genetic and molecular characteristics of the cancer, the drug's approval status, and the guidance of a healthcare professional who can evaluate the appropriateness of each treatment based on individual patient factors and the latest clinical evidence.

Difference between Xospata and Ezharmia

Metric Xospata (gilteritinib) Ezharmia (valemetostat tosilate)
Generic name Gilteritinib Valemetostat tosilate
Indications Acute myeloid leukemia (AML) with a FLT3 mutation Currently under investigation for hematological malignancies
Mechanism of action FLT3/AXL tyrosine kinase inhibitor Dual inhibitor of EZH1 and EZH2 methyltransferase
Brand names Xospata Ezharmia
Administrative route Oral Oral
Side effects Fatigue, elevated liver enzymes, musculoskeletal pain, fever, rash, etc. Not fully characterized; clinical trials are ongoing
Contraindications Hypersensitivity to gilteritinib or any component of the formulation Not fully established; currently in clinical trials
Drug class Tyrosine kinase inhibitor EZH methyltransferase 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 with 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 included patients with relapsed or refractory AML with a FLT3 mutation. In this study, patients treated with Xospata experienced a combined complete remission rate (CR+CRi) that was significantly higher compared to those who did not receive the drug. Furthermore, a subset of these patients also showed a substantial duration of remission, indicating that Xospata can be an effective treatment option for this specific patient population.

It is important to note that the presence of the FLT3 mutation should be confirmed through diagnostic testing before initiating treatment with Xospata. The FLT3 mutation is known to be associated with a poor prognosis in AML, and the introduction of Xospata as a targeted therapy has provided a valuable option for patients who harbor this mutation. The drug's mechanism of action involves the inhibition of the FLT3 receptor signaling, which can promote the proliferation of leukemic cells, thereby reducing the disease burden and potentially leading to remission.

Ezharmia (Valemetostat Tosilate) Efficacy in Treating Leukemia

Ezharmia, with the active ingredient valemetostat tosilate, is an investigational drug that is being studied for its potential use in the treatment of various hematological malignancies, including leukemia. As of the knowledge cutoff date, valemetostat tosilate is not yet approved for clinical use, and its efficacy in treating leukemia is being evaluated in ongoing clinical trials. The drug is a dual inhibitor of EZH1 and EZH2 methyltransferase activities, which are enzymes that can influence gene expression and are implicated in the pathogenesis of certain types of leukemia.

Early-phase clinical trials have shown promising results with valemetostat tosilate in patients with relapsed or refractory hematologic malignancies, including leukemia. These studies suggest that valemetostat tosilate may have a favorable safety profile and demonstrate antileukemic activity in a subset of patients. However, it is essential to wait for the results of larger, more definitive clinical trials to fully understand the efficacy and safety of Ezharmia in the treatment of leukemia. Until such data is available and regulatory approvals are granted, the use of valemetostat tosilate in leukemia remains experimental and should be conducted under clinical trial protocols.

Regulatory Agency Approvals

Xospata
  • European Medical Agency (EMA), European Union
  • Food and Drug Administration (FDA), USA
  • Health Canada
  • Therapeutic Goods Administration (TGA), Australia
Ezharmia
  • Pharmaceuticals and Medical Devices Agency (PMDA), Japan

Access Xospata or Ezharmia today

If Xospata or Ezharmia are not approved or available in your country (e.g. due to supply issues), you can access them via Everyone.org.

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