Beleodaq (belinostat) vs Truxima (rituximab)

Beleodaq (belinostat) vs Truxima (rituximab)

Beleodaq (belinostat) is a histone deacetylase inhibitor used for the treatment of relapsed or refractory peripheral T-cell lymphoma, a type of non-Hodgkin lymphoma. Truxima (rituximab), on the other hand, is a monoclonal antibody that targets the CD20 protein on the surface of B-cells and is used for various conditions, including non-Hodgkin lymphoma, chronic lymphocytic leukemia, and rheumatoid arthritis. The choice between Beleodaq and Truxima would depend on the specific type of lymphoma a patient has, their overall health, previous treatments, and the treatment plan recommended by their healthcare provider.

Difference between Beleodaq and Truxima

Metric Beleodaq (belinostat) Truxima (rituximab)
Generic name Belinostat Rituximab
Indications Peripheral T-cell lymphoma (PTCL) Non-Hodgkin's lymphoma, chronic lymphocytic leukemia, rheumatoid arthritis, granulomatosis with polyangiitis, and microscopic polyangiitis
Mechanism of action HDAC inhibitor CD20-directed cytolytic antibody
Brand names Beleodaq Truxima, Rituxan
Administrative route Intravenous infusion Intravenous infusion
Side effects Nausea, vomiting, fatigue, pyrexia, anemia Infusion reactions, fever, lymphopenia, chills, infection
Contraindications Hypersensitivity to belinostat or any component of the formulation Hypersensitivity to rituximab or any component of the formulation, hepatitis B infection reactivation, severe infections
Drug class Antineoplastic, histone deacetylase inhibitor Antineoplastic, monoclonal antibody
Manufacturer Spectrum Pharmaceuticals, Inc. Celltrion Healthcare Co., Ltd.

Efficacy

Beleodaq (Belinostat) for the Treatment of Lymphoma

Beleodaq (belinostat) is a histone deacetylase inhibitor approved by the U.S. Food and Drug Administration (FDA) for the treatment of relapsed or refractory peripheral T-cell lymphoma (PTCL). PTCL is a diverse group of aggressive lymphomas that originate from T-lymphocytes. The efficacy of belinostat for this indication was evaluated in a multicenter, single-arm clinical trial that involved patients who had received prior therapy. In this study, belinostat demonstrated a 26% overall response rate, with some patients achieving complete or partial remission. The median duration of response was reported to be 13.6 months, indicating a potential for durable responses in a subset of patients.

While the efficacy of belinostat has been established in PTCL, its use in other types of lymphoma is not well-defined and may be considered off-label. Clinical trials and research are ongoing to determine the effectiveness of belinostat in other lymphoma subtypes. However, it is important to note that the safety and efficacy of belinostat for conditions other than PTCL have not been established by the FDA.

Truxima (Rituximab) for the Treatment of Lymphoma

Truxima (rituximab) is a monoclonal antibody that targets the CD20 antigen on the surface of pre-B and mature B lymphocytes. It is approved for several indications, including non-Hodgkin's lymphoma (NHL) and chronic lymphocytic leukemia (CLL). In the context of NHL, rituximab has been shown to improve survival rates when used in combination with chemotherapy. The drug's efficacy has been demonstrated in a variety of settings, including as a first-line treatment, in maintenance therapy, and in the relapsed/refractory setting. In diffuse large B-cell lymphoma (DLBCL), the addition of rituximab to standard chemotherapy has been considered a significant advancement, improving overall survival and becoming a standard-of-care treatment.

Additionally, rituximab is used in the treatment of follicular lymphoma, where it has been shown to improve response rates and progression-free survival both as a single agent and in combination with chemotherapy. The drug has also been studied for use in other B-cell lymphomas with varying degrees of success. It is important for healthcare providers to consider the specific subtype of lymphoma and the patient's overall condition when determining the appropriateness of rituximab as a treatment option.

Regulatory Agency Approvals

Beleodaq
  • Food and Drug Administration (FDA), USA
Truxima
  • European Medical Agency (EMA), European Union
  • Food and Drug Administration (FDA), USA
  • Health Canada
  • Therapeutic Goods Administration (TGA), Australia
  • Medsafe (NZ)

Access Beleodaq or Truxima today

If Beleodaq or Truxima 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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