Besponsa (inotuzumab ozogamicin) vs Truxima (rituximab)
Besponsa (inotuzumab ozogamicin) vs Truxima (rituximab)
Besponsa (inotuzumab ozogamicin) is an antibody-drug conjugate specifically targeting CD22, a protein commonly found on the surface of cancer cells in B-cell precursor acute lymphoblastic leukemia (ALL), leading to the delivery of a cytotoxic agent directly to the cancer cells. Truxima (rituximab), a biosimilar to Rituxan, is a monoclonal antibody that targets the CD20 antigen on B-cells and is used in the treatment of non-Hodgkin lymphoma, chronic lymphocytic leukemia, and rheumatoid arthritis, among other conditions. When deciding between Besponsa and Truxima, it is crucial to consider the specific type of blood cancer being treated, as each medication is designed to target different antigens and is approved for use in different conditions.
Difference between Besponsa and Truxima
Metric | Besponsa (inotuzumab ozogamicin) | Truxima (rituximab) |
---|---|---|
Generic name | Inotuzumab ozogamicin | Rituximab |
Indications | Acute lymphoblastic leukemia (ALL) | Non-Hodgkin's lymphoma, Chronic lymphocytic leukemia, Rheumatoid arthritis, Granulomatosis with polyangiitis, Microscopic polyangiitis |
Mechanism of action | Antibody-drug conjugate targeting CD22 | Monoclonal antibody targeting CD20 |
Brand names | Besponsa | Truxima, Rituxan, MabThera |
Administrative route | Intravenous | Intravenous |
Side effects | Fever, headache, nausea, liver toxicity, low blood cell counts | Infusion reactions, infections, body aches, fatigue, cytopenias |
Contraindications | Hypersensitivity to inotuzumab ozogamicin or its excipients | Hypersensitivity to rituximab or its excipients, active severe infections |
Drug class | Antibody-drug conjugate | Monoclonal antibody |
Manufacturer | Pfizer | Celltrion Healthcare, Teva Pharmaceuticals, Genentech (a member of the Roche Group) |
Efficacy
Besponsa (Inotuzumab Ozogamicin) Efficacy in Leukemia
Besponsa, known generically as inotuzumab ozogamicin, is an antibody-drug conjugate specifically indicated for the treatment of adults with relapsed or refractory B-cell precursor acute lymphoblastic leukemia (ALL). The efficacy of Besponsa was primarily demonstrated in a key phase 3 clinical trial, INO-VATE ALL, which showed that patients treated with Besponsa had a higher complete remission (CR) rate compared to those who received standard chemotherapy. The CR rates were significantly higher in the Besponsa group, and patients also showed a higher percentage of achieving minimal residual disease (MRD) negativity, indicating a deeper remission.
Furthermore, the trial revealed an improvement in progression-free survival (PFS) and overall survival (OS) in patients treated with Besponsa compared to the standard therapy group. These results suggest that Besponsa can be an effective treatment option for individuals with relapsed or refractory B-cell precursor ALL, offering them a chance for remission and potentially a bridge to stem cell transplantation, which can be curative for some patients.
Truxima (Rituximab) Efficacy in Leukemia
Truxima, a biosimilar to the original rituximab, is used in the treatment of various types of blood cancers, including certain forms of leukemia such as chronic lymphocytic leukemia (CLL). Rituximab is a monoclonal antibody that targets the CD20 antigen on B lymphocytes and is often used in combination with chemotherapy. In clinical studies, rituximab has shown to improve outcomes for patients with CLL when added to chemotherapy regimens. The addition of rituximab to standard chemotherapy has been associated with prolonged PFS and OS in patients with CLL.
The efficacy of rituximab in leukemia has been well established through numerous studies and its use is considered a standard of care in the treatment of CLL. It has been demonstrated to induce remissions, reduce the risk of disease progression, and extend survival in patients with this type of leukemia. It is important to note that while Truxima is a biosimilar and is expected to have no clinically meaningful differences from the reference product, rituximab, its efficacy in leukemia should be supported by clinical data specific to the biosimilar product.
Regulatory Agency Approvals
Besponsa
Truxima
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