Daurismo (glasdegib) vs Scemblix (asciminib)

Daurismo (glasdegib) vs Scemblix (asciminib)

Daurismo (glasdegib) is a hedgehog pathway inhibitor approved for the treatment of newly diagnosed acute myeloid leukemia (AML) in adult patients who are 75 years or older or who have comorbidities that preclude the use of intensive induction chemotherapy. Scemblix (asciminib), on the other hand, is a STAMP inhibitor specifically designed to target the ABL myristoyl pocket, approved for the treatment of adult patients with Philadelphia chromosome-positive chronic myeloid leukemia (CML) in chronic phase who have received two or more prior lines of tyrosine kinase inhibitor therapy, or who have the T315I mutation. The choice between Daurismo and Scemblix would depend on the specific type of leukemia a patient has, their overall health, previous treatments, and the presence of specific genetic mutations.

Difference between Daurismo and Scemblix

Metric Daurismo (glasdegib) Scemblix (asciminib)
Generic name Glasdegib Asciminib
Indications Acute myeloid leukemia (AML) Chronic myeloid leukemia (CML)
Mechanism of action Hedgehog pathway inhibitor ABL myristoyl pocket binder
Brand names Daurismo Scemblix
Administrative route Oral Oral
Side effects Anemia, fatigue, hemorrhage, febrile neutropenia, musculoskeletal pain Thrombocytopenia, neutropenia, anemia, musculoskeletal pain, rash
Contraindications Hypersensitivity to glasdegib or any component of the formulation Hypersensitivity to asciminib or any component of the formulation
Drug class Hedgehog pathway inhibitor Tyrosine kinase inhibitor
Manufacturer Pfizer Novartis

Efficacy

Efficacy of Daurismo (Glasdegib) in Leukemia

Daurismo, with the active ingredient glasdegib, has been approved by the U.S. Food and Drug Administration (FDA) for the treatment of newly-diagnosed acute myeloid leukemia (AML) in adult patients who are 75 years of age or older, or who have comorbidities that preclude the use of intensive induction chemotherapy. Clinical trials have demonstrated that when glasdegib is used in combination with low-dose cytarabine (LDAC), a chemotherapy medication, there is a significant improvement in overall survival compared to LDAC alone. The efficacy of Daurismo was established in a randomized clinical trial where the median overall survival for patients treated with Daurismo plus LDAC was significantly longer than for those treated with LDAC alone. This indicates that Daurismo can be an effective treatment option for a specific subset of AML patients who are not candidates for more intensive chemotherapy regimens.

Efficacy of Scemblix (Asciminib) in Leukemia

Scemblix, containing the active substance asciminib, is a newer medication approved by the FDA for the treatment of Philadelphia chromosome-positive chronic myeloid leukemia (Ph+ CML) in adults. It is specifically indicated for patients who have previously received two or more tyrosine kinase inhibitor (TKI) therapies, or for those with the T315I mutation, which is associated with resistance to other TKIs. In clinical trials, asciminib has shown efficacy in achieving hematologic remission and reducing the number of leukemia cells in the blood and bone marrow. For patients with the T315I mutation, Scemblix offers a targeted treatment approach, addressing a previously unmet need in CML therapy. Its efficacy in this population highlights the potential of asciminib as a valuable treatment option for patients with resistant forms of Ph+ CML.

It is important to note that the efficacy of both Daurismo and Scemblix in the treatment of leukemia is based on clinical trials and real-world evidence. These medications represent advancements in the targeted therapy approach for leukemia, offering hope for patients with specific genetic mutations or those who are unable to tolerate more aggressive treatment protocols. However, the efficacy of any medication can vary among individuals, and treatment decisions should always be made in consultation with a healthcare professional, considering the unique circumstances and health status of each patient.

In conclusion, Daurismo and Scemblix have shown efficacy in the treatment of different types of leukemia, providing new options for patients with challenging cases of the disease. Their targeted mechanisms of action and the clinical trial results supporting their use mark significant progress in the management of leukemia, particularly for those with limited treatment options due to age, comorbidities, or resistance to other therapies.

Regulatory Agency Approvals

Daurismo
  • European Medical Agency (EMA), European Union
  • Food and Drug Administration (FDA), USA
  • Health Canada
Scemblix
  • Food and Drug Administration (FDA), USA

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If Daurismo or Scemblix 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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