Beleodaq (belinostat) vs Epkinly (epcoritamab-bysp)

Beleodaq (belinostat) vs Epkinly (epcoritamab-bysp)

Beleodaq (belinostat) is a histone deacetylase inhibitor approved for the treatment of peripheral T-cell lymphoma, a type of non-Hodgkin lymphoma, and works by interfering with the function of enzymes needed for cell division and survival of cancer cells. Epkinly (epcoritamab-bysp), on the other hand, is a bispecific antibody designed to target CD20 on B-cells and CD3 on T-cells, potentially leading to the destruction of B-cell lymphomas; it is under investigation for various B-cell malignancies and has not yet been approved by regulatory agencies as of the knowledge cutoff date. When deciding between these medications, it is crucial to consider the specific type of lymphoma diagnosed, the drug's approval status, and a healthcare professional's recommendation based on the individual's medical history and current condition.

Difference between Beleodaq and Epkinly

Metric Beleodaq (belinostat) Epkinly (epcoritamab-bysp)
Generic name Belinostat Epcoritamab-bysp
Indications Peripheral T-cell lymphoma Non-Hodgkin lymphoma
Mechanism of action HDAC inhibitor CD3 x CD20 bispecific antibody
Brand names Beleodaq Epkinly
Administrative route Intravenous Intravenous
Side effects Nausea, vomiting, fatigue, fever, etc. Cytokine release syndrome, infections, neutropenia, etc.
Contraindications Hypersensitivity to belinostat or components Hypersensitivity to epcoritamab-bysp or components
Drug class Antineoplastic agent Monoclonal antibody
Manufacturer Spectrum Pharmaceuticals Genmab

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. The efficacy of belinostat in this indication was evaluated in a multicenter, single-arm clinical trial. The trial demonstrated that belinostat has a measurable effect on tumor response, with a reported overall response rate (ORR) that supports its use in this patient population. Patients treated with belinostat showed a partial or complete response, indicating its potential to provide clinical benefit in cases where previous therapies have failed.

However, it is important to note that while Beleodaq has shown efficacy in PTCL, its impact on overall survival and progression-free survival is still under investigation. As with any medication, the efficacy of belinostat can vary among individuals, and it is not considered curative. Beleodaq is typically used when other treatments have not been successful, and it represents an important option for patients with limited therapies available for relapsed or refractory PTCL.

Epkinly (Epcoritamab-bysp) and Its Efficacy in Lymphoma Treatment

Epkinly (epcoritamab-bysp), while not yet approved by the FDA at the time of this writing, is an investigational bispecific antibody being studied for the treatment of B-cell non-Hodgkin lymphoma. Epcoritamab is designed to target both CD3 on T-cells and CD20 on B-cells, thereby bringing these two cell types into close proximity and inducing T-cell-mediated cytotoxicity against the B-cells. Clinical trials are ongoing to evaluate the safety and efficacy of epcoritamab in various types of B-cell non-Hodgkin lymphoma, including diffuse large B-cell lymphoma (DLBCL) and follicular lymphoma.

Preliminary results from clinical studies have shown promising efficacy of epcoritamab in patients with relapsed or refractory B-cell non-Hodgkin lymphoma. Early phase trials have reported encouraging response rates, with some patients achieving complete responses. These findings suggest that epcoritamab could potentially be a valuable new treatment option for patients with B-cell lymphomas that are resistant to existing therapies. However, further research is needed to fully establish the efficacy and safety profile of epcoritamab, and to determine its role in the treatment landscape of lymphoma.

Regulatory Agency Approvals

Beleodaq
  • Food and Drug Administration (FDA), USA
Epkinly
  • Food and Drug Administration (FDA), USA

Access Beleodaq or Epkinly today

If Beleodaq or Epkinly 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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