Briumvi (ublituximab-xiiy) vs Tyruko (natalizumab-sztn)

Briumvi (ublituximab-xiiy) vs Tyruko (natalizumab-sztn)

Briumvi (ublituximab-xiiy) is a CD20-directed cytolytic antibody indicated for the treatment of relapsing forms of multiple sclerosis (MS), designed to target and deplete specific B cells that are believed to play a role in the neurological damage associated with MS. Tyruko (natalizumab-sztn), on the other hand, is a humanized monoclonal antibody against the cell adhesion molecule α4-integrin, used to treat relapsing forms of MS by preventing potentially damaging immune cells from crossing blood-brain barrier and entering the central nervous system. When deciding between the two, it's important to consider factors such as the mechanism of action, potential side effects, dosing schedule, and any individual health considerations, in consultation with a healthcare provider, as both medications have been shown to reduce the frequency of relapses and slow the progression of disability in MS.

Difference between Briumvi and Tyruko

Metric Briumvi (ublituximab-xiiy) Tyruko (natalizumab-sztn)
Generic name Ublituximab-xiiy Natalizumab-sztn
Indications Relapsing forms of multiple sclerosis (MS) Relapsing forms of multiple sclerosis (MS), Crohn's disease
Mechanism of action CD20-directed cytolytic antibody Integrin receptor antagonist
Brand names Briumvi Tysabri
Administrative route Intravenous infusion Intravenous infusion
Side effects Infusion reactions, infections, diarrhea, nausea, pyrexia Headache, fatigue, urinary tract infections, liver enzyme elevations, joint pain
Contraindications Hypersensitivity to ublituximab-xiiy or its excipients Progressive multifocal leukoencephalopathy (PML), hypersensitivity to natalizumab or its excipients
Drug class Monoclonal antibody Monoclonal antibody
Manufacturer TG Therapeutics Biogen

Efficacy

Efficacy of Briumvi (ublituximab-xiiy) in Multiple Sclerosis

Briumvi (ublituximab-xiiy) is a monoclonal antibody designed to target CD20-positive B cells, which are believed to play a key role in the pathogenesis of Multiple Sclerosis (MS). In clinical trials, Briumvi has demonstrated efficacy in reducing the annualized relapse rate (ARR) in patients with relapsing forms of MS. The medication has been shown to deplete B cells effectively, which is thought to reduce the inflammatory processes associated with MS and thus decrease the frequency of relapses. Additionally, Briumvi has been evaluated for its impact on brain lesions as detected by MRI, with results indicating a reduction in new or enlarging T2 lesions and a decrease in the number of gadolinium-enhancing lesions, which are markers of disease activity.

Efficacy of Tyruko (natalizumab-sztn) in Multiple Sclerosis

Tyruko (natalizumab-sztn) is another monoclonal antibody that is used in the treatment of Multiple Sclerosis. Its mechanism of action involves blocking the movement of potentially damaging immune cells from the bloodstream, across the blood-brain barrier, into the brain and spinal cord. This action helps to reduce inflammation and damage to nerve cells. Tyruko has been shown to significantly lower the ARR in patients with relapsing forms of MS. Moreover, it has been associated with a reduction in the progression of disability and has shown a marked decrease in the number and volume of new brain lesions on MRI scans.

Comparative Efficacy in Clinical Trials

When comparing the efficacy of Briumvi and Tyruko, it is important to consider the differences in their mechanisms of action and the specific patient populations studied in clinical trials. Both medications have been shown to be effective in reducing relapse rates and MRI lesion activity. However, direct head-to-head comparisons in clinical trials are limited, making it challenging to draw definitive conclusions about the relative efficacy of these treatments. Patients and healthcare providers must consider individual patient factors, such as disease activity, treatment history, and potential side effects, when choosing the most appropriate therapy.

Considerations for Treatment Decision-Making

In conclusion, both Briumvi and Tyruko have demonstrated efficacy in the treatment of Multiple Sclerosis, specifically in reducing relapses and managing MRI indicators of disease activity. The choice between these medications should be made on a case-by-case basis, taking into account the specific characteristics of the disease in each patient, as well as the safety profile and the patient's response to previous treatments. Ongoing research and post-marketing surveillance continue to provide valuable information on the long-term efficacy and safety of these medications for individuals living with MS.

Regulatory Agency Approvals

Briumvi
  • European Medical Agency (EMA), European Union
  • Food and Drug Administration (FDA), USA
Tyruko
  • European Medical Agency (EMA), European Union
  • Food and Drug Administration (FDA), USA

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