Beleodaq (belinostat) vs Polivy (polatuzumab vedotin-piiq)

Beleodaq (belinostat) vs Polivy (polatuzumab vedotin-piiq)

Beleodaq (belinostat) is a histone deacetylase inhibitor approved for the treatment of relapsed or refractory peripheral T-cell lymphoma, working by interfering with the DNA of cancer cells, leading to cell death. Polivy (polatuzumab vedotin-piiq) is an antibody-drug conjugate that targets CD79b, a protein expressed on B cells, and is used in combination with other drugs for the treatment of relapsed or refractory diffuse large B-cell lymphoma. The choice between Beleodaq and Polivy would depend on the specific type of lymphoma a patient has, as well as their previous treatments and overall health status, making it essential to consult with a healthcare provider to determine the most appropriate therapy.

Difference between Beleodaq and Polivy

Metric Beleodaq (belinostat) Polivy (polatuzumab vedotin-piiq)
Generic name Belinostat Polatuzumab vedotin-piiq
Indications Relapsed or refractory peripheral T-cell lymphoma Relapsed or refractory diffuse large B-cell lymphoma, in combination with bendamustine and a rituximab product
Mechanism of action HDAC inhibitor Antibody-drug conjugate targeting CD79b
Brand names Beleodaq Polivy
Administrative route Intravenous infusion Intravenous infusion
Side effects Nausea, vomiting, fatigue, fever, anemia Neutropenia, anemia, thrombocytopenia, peripheral neuropathy
Contraindications Known hypersensitivity to belinostat or any component of the formulation None known
Drug class Antineoplastic agent, histone deacetylase inhibitor Antineoplastic agent, monoclonal antibody, antibody-drug conjugate
Manufacturer Spectrum Pharmaceuticals Genentech, Inc.

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 patients with relapsed or refractory peripheral T-cell lymphoma (PTCL). This is a rare and aggressive form of non-Hodgkin lymphoma that affects the T-cells of the immune system. Clinical trials have demonstrated that Beleodaq can induce partial or complete responses in a subset of patients with PTCL. The efficacy of Beleodaq was evaluated in a multi-center, single-arm trial where the overall response rate (ORR) was observed to be around 25-30%. While the duration of response varied, some patients experienced a prolonged response, which suggests that Beleodaq can be an effective treatment option for certain individuals with PTCL.

Polivy (Polatuzumab Vedotin-piiq) for the Treatment of Lymphoma

Polivy (polatuzumab vedotin-piiq) is a monoclonal antibody-drug conjugate that targets CD79b, a protein expressed on the surface of B-cells. It is approved by the FDA for use in combination with bendamustine and a rituximab product to treat adult patients with relapsed or refractory diffuse large B-cell lymphoma (DLBCL), not otherwise specified, after at least two prior therapies. The approval of Polivy was based on a randomized, controlled trial that showed a significant improvement in overall survival and progression-free survival when added to bendamustine and rituximab (BR) compared to BR alone. The addition of Polivy to the treatment regimen has been shown to increase the complete response rate and extend the duration of response in patients with relapsed or refractory DLBCL.

The efficacy of both Beleodaq and Polivy in treating lymphoma highlights the importance of targeted therapies in managing this heterogeneous group of diseases. While Beleodaq offers a treatment option for patients with PTCL, Polivy extends the therapeutic arsenal for those with DLBCL, particularly after other treatments have failed. It is important to note that the efficacy of these drugs can vary among individuals, and treatment should be tailored to the patient's specific type of lymphoma and their overall health status.

As with any medication, the decision to use Beleodaq or Polivy should be made in consultation with a healthcare provider, taking into account the potential benefits and risks. Ongoing research and clinical trials continue to refine the use of these drugs and explore their efficacy in other lymphoma subtypes or in combination with other therapies.

Regulatory Agency Approvals

Beleodaq
  • Food and Drug Administration (FDA), USA
Polivy
  • Food and Drug Administration (FDA), USA
  • Pharmaceuticals and Medical Devices Agency (PMDA), Japan
  • Therapeutic Goods Administration (TGA), Australia

Access Beleodaq or Polivy today

If Beleodaq or Polivy 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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