Venclyxto/Venclexta (venetoclax) vs Lumoxiti (moxetumomab pasudotox)
Venclyxto/Venclexta (venetoclax) vs Lumoxiti (moxetumomab pasudotox)
Venclyxto/Venclexta (venetoclax) is a targeted therapy known as a BCL-2 inhibitor, used primarily for the treatment of chronic lymphocytic leukemia (CLL) and some types of small lymphocytic lymphoma (SLL), functioning by inducing apoptosis in cancer cells. Lumoxiti (moxetumomab pasudotox) is an anti-CD22 recombinant immunotoxin indicated for the treatment of adults with relapsed or refractory hairy cell leukemia (HCL), a rare type of leukemia, and works by binding to the CD22 antigen on B cells and delivering a toxin to kill these cells. When deciding between these two medications, it is crucial to consider the specific type of leukemia being treated, as each drug is designed to target different mechanisms and is approved for different indications.
Difference between Venclyxto/Venclexta and Lumoxiti
Metric | Venclyxto/Venclexta (venetoclax) | Lumoxiti (moxetumomab pasudotox) |
---|---|---|
Generic name | venetoclax | moxetumomab pasudotox |
Indications | Chronic lymphocytic leukemia (CLL), small lymphocytic lymphoma (SLL), acute myeloid leukemia (AML) | Hairy cell leukemia (HCL) |
Mechanism of action | BCL-2 inhibitor | CD22-directed cytotoxin |
Brand names | Venclyxto, Venclexta | Lumoxiti |
Administrative route | Oral | Intravenous |
Side effects | Neutropenia, diarrhea, nausea, anemia, upper respiratory tract infection, fatigue | Edema, nausea, fatigue, headache, pyrexia, anemia, diarrhea |
Contraindications | Concomitant use with strong CYP3A inhibitors at initiation and during ramp-up phase in patients with CLL/SLL | None known |
Drug class | Antineoplastic agent | Immunotoxin |
Manufacturer | AbbVie Inc. | AstraZeneca |
Efficacy
Venclyxto/Venclexta (Venetoclax) for Leukemia
Venclyxto, known as Venclexta in the United States, is a targeted therapy drug that contains the active substance venetoclax. It is primarily used in the treatment of chronic lymphocytic leukemia (CLL), a type of cancer that affects a group of white blood cells called lymphocytes. Venetoclax works by selectively inhibiting the B-cell lymphoma-2 (BCL-2) protein, which supports cancer cell survival. By blocking this protein, venetoclax helps to initiate the process of programmed cell death, known as apoptosis, in the leukemia cells.
The efficacy of venetoclax has been demonstrated in several clinical trials. For instance, in a pivotal phase III clinical trial known as the CLL14 study, venetoclax, in combination with obinutuzumab, showed a significant improvement in progression-free survival (PFS) compared to patients who received chlorambucil plus obinutuzumab, a standard treatment. The venetoclax combination reduced the risk of disease progression or death by 65% compared to the control group. Additionally, the overall response rate (ORR) was higher in the venetoclax-treated group, indicating a greater number of patients had a reduction in their leukemia.
Lumoxiti (Moxetumomab Pasudotox) for Leukemia
Lumoxiti, with the active ingredient moxetumomab pasudotox, is an innovative treatment for hairy cell leukemia (HCL), a rare subtype of chronic leukemia. Moxetumomab pasudotox is a recombinant immunotoxin that targets CD22, a protein commonly found on the surface of HCL cells. By binding to CD22, the drug is internalized by the cancer cells, and its toxin component is released, leading to cell death. This targeted approach allows for the selective destruction of HCL cells while sparing healthy cells.
The efficacy of Lumoxiti was evaluated in a pivotal multicenter, single-arm, open-label clinical trial involving patients with relapsed or refractory HCL. The results demonstrated a durable complete response (CR) in a significant proportion of patients. Specifically, 30% of patients achieved a CR with a duration of response lasting more than six months. Furthermore, the overall response rate, including partial responses, was observed to be 75%. These findings indicate that Lumoxiti is an effective treatment option for patients with HCL who have limited treatment options and require a new therapeutic approach.
Regulatory Agency Approvals
Venclyxto/Venclexta
Lumoxiti
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