Brukinsa (zanubrutinib) vs Epkinly (epcoritamab-bysp)

Brukinsa (zanubrutinib) vs Epkinly (epcoritamab-bysp)

Brukinsa (zanubrutinib) is a Bruton's tyrosine kinase (BTK) inhibitor used primarily for the treatment of mantle cell lymphoma and other B-cell malignancies, working by blocking B-cell proliferation and survival. Epkinly (epcoritamab-bysp), on the other hand, is a bispecific antibody targeting both CD3 on T-cells and CD20 on B-cells, designed to engage the body's own immune system to fight against B-cell non-Hodgkin lymphoma. When deciding between these medications, it is crucial to consult a healthcare provider to consider the specific type of lymphoma, the patient's overall health, treatment history, potential side effects, and the mechanism of action of each drug to determine the most appropriate treatment option.

Difference between Brukinsa and Epkinly

Metric Brukinsa (zanubrutinib) Epkinly (epcoritamab-bysp)
Generic name Zanubrutinib Epcoritamab-bysp
Indications Mantle cell lymphoma, Waldenström's macroglobulinemia, marginal zone lymphoma, chronic lymphocytic leukemia Non-Hodgkin lymphoma
Mechanism of action Bruton's tyrosine kinase (BTK) inhibitor Bispecific antibody targeting CD20 on B cells and CD3 on T cells
Brand names Brukinsa Epkinly
Administrative route Oral Intravenous
Side effects Neutropenia, thrombocytopenia, anemia, diarrhea, cough Cytokine release syndrome, infections, neutropenia, anemia, thrombocytopenia
Contraindications Hypersensitivity to zanubrutinib or any component of the formulation Hypersensitivity to epcoritamab or any component of the formulation
Drug class BTK inhibitor Bispecific monoclonal antibody
Manufacturer BeiGene Genmab and AbbVie

Efficacy

Brukinsa (Zanubrutinib) for Lymphoma

Brukinsa (zanubrutinib) is a Bruton's tyrosine kinase (BTK) inhibitor that has shown efficacy in treating various types of lymphoma. Zanubrutinib has been designed to bind more selectively to the BTK enzyme, potentially offering a more targeted approach to treatment and reducing off-target effects. In clinical trials, Brukinsa has demonstrated promising results in patients with mantle cell lymphoma (MCL), a type of non-Hodgkin lymphoma. The drug has been granted accelerated approval by the FDA for the treatment of adult patients with MCL who have received at least one prior therapy. The efficacy of Brukinsa in MCL was evaluated in several clinical trials, where it showed high response rates and durable responses among patients.

In addition to MCL, Brukinsa is being investigated for its efficacy in treating other B-cell malignancies, including Waldenström's macroglobulinemia and marginal zone lymphoma. The outcomes from ongoing studies continue to support the potential role of zanubrutinib in providing a therapeutic benefit for patients with these conditions. As a BTK inhibitor, Brukinsa is part of a class of medications that have significantly impacted the treatment landscape for various B-cell lymphomas by offering an oral, targeted therapy option with a manageable safety profile.

Epkinly (Epcoritamab-bysp) for Lymphoma

Epkinly (epcoritamab-bysp) is an investigational bispecific antibody designed to target CD20, a protein expressed on the surface of B-cells, and CD3, a protein on T-cells. By engaging both B and T cells, epcoritamab aims to direct the body's immune system to attack and eliminate B-cell lymphoma cells. While still under clinical investigation, early phase trial results have shown that epcoritamab may have a role in the treatment of relapsed or refractory non-Hodgkin lymphoma, including diffuse large B-cell lymphoma (DLBCL) and follicular lymphoma.

The efficacy of Epkinly in clinical trials has been evaluated based on overall response rates (ORR) and duration of response (DOR) among patients with various subtypes of B-cell non-Hodgkin lymphoma. Preliminary data has suggested that epcoritamab can induce responses in a significant proportion of patients, including those with heavily pre-treated disease. As a bispecific antibody, Epkinly represents a novel therapeutic approach in lymphoma, potentially providing a new treatment option for patients who have limited responses to existing therapies. Ongoing studies are necessary to further define the efficacy and safety profile of epcoritamab and to establish its place in the treatment of lymphoma.

Regulatory Agency Approvals

Brukinsa
  • European Medical Agency (EMA), European Union
  • Food and Drug Administration (FDA), USA
Epkinly
  • Food and Drug Administration (FDA), USA

Access Brukinsa or Epkinly today

If Brukinsa 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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