Besponsa (inotuzumab ozogamicin) vs Daurismo (glasdegib)

Besponsa (inotuzumab ozogamicin) vs Daurismo (glasdegib)

Besponsa (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), targeting the CD22 antigen on B cells. Daurismo (glasdegib) is a hedgehog pathway inhibitor used in combination with low-dose cytarabine for the treatment of newly-diagnosed acute myeloid leukemia (AML) in adults who are 75 years or older or who have comorbidities that preclude the use of intensive induction chemotherapy. The choice between Besponsa and Daurismo would largely depend on the specific type of leukemia a patient has, their age, overall health, and treatment goals, as these medications are not directly interchangeable due to their different mechanisms of action and approved indications.

Difference between Besponsa and Daurismo

Metric Besponsa (inotuzumab ozogamicin) Daurismo (glasdegib)
Generic name Inotuzumab ozogamicin Glasdegib
Indications Acute lymphoblastic leukemia (ALL) Acute myeloid leukemia (AML)
Mechanism of action Antibody-drug conjugate targeting CD22 Hedgehog pathway inhibitor
Brand names Besponsa Daurismo
Administrative route Intravenous Oral
Side effects Thrombocytopenia, neutropenia, infection, anemia, fatigue Anemia, fatigue, hemorrhage, febrile neutropenia, muscle pain
Contraindications Hypersensitivity to active substance or excipients Hypersensitivity to glasdegib or any component of the formulation
Drug class Antineoplastic agent Antineoplastic agent
Manufacturer Pfizer Pfizer

Efficacy

Besponsa (Inotuzumab Ozogamicin) Efficacy in Leukemia

Besponsa (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 established through a pivotal phase 3 clinical trial known as INO-VATE ALL. In this study, patients treated with Besponsa demonstrated a higher rate of complete remission (CR) compared to those who received standard chemotherapy. The CR rates with Besponsa were approximately 80.7%, with a median duration of remission of 4.6 months, which significantly improved the outcomes for patients with this aggressive type of leukemia.

Furthermore, Besponsa has shown to improve overall survival in patients with relapsed or refractory ALL. In the INO-VATE ALL trial, the median overall survival was 7.7 months for patients treated with Besponsa compared to 6.7 months for those treated with standard therapy. This improvement in survival is particularly notable given the poor prognosis of patients with relapsed or refractory B-cell precursor ALL.

Daurismo (Glasdegib) Efficacy in Leukemia

Daurismo (glasdegib) is 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. The efficacy of Daurismo, in combination with low-dose cytarabine (LDAC), was demonstrated in a randomized clinical trial which showed a significant improvement in median overall survival compared to LDAC alone. Patients receiving the combination of Daurismo and LDAC had a median overall survival of 8.3 months, as opposed to 4.3 months for those receiving LDAC alone.

The response rates for patients treated with Daurismo also underscore its efficacy in the treatment of AML. The combination of Daurismo with LDAC resulted in a complete remission (CR) rate of 17% and a CR with partial hematologic recovery (CRh) rate of 19.3%. These results indicate that Daurismo, when used in conjunction with LDAC, can be an effective treatment option for AML patients who are not candidates for intensive chemotherapy, offering a potential improvement in survival outcomes.

Regulatory Agency Approvals

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

Access Besponsa or Daurismo today

If Besponsa or Daurismo 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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