Venclyxto/Venclexta (venetoclax) vs Ezharmia (valemetostat tosilate)

Venclyxto/Venclexta (venetoclax) vs Ezharmia (valemetostat tosilate)

Venclyxto/Venclexta (venetoclax) is a BCL-2 inhibitor approved for use in certain types of chronic lymphocytic leukemia (CLL) and acute myeloid leukemia (AML), offering a targeted approach to cancer treatment by inducing apoptosis in cancer cells. Ezharmia (valemetostat tosilate), on the other hand, is an EZH1/2 dual inhibitor, which is still under investigation and not yet approved for any indication as of the knowledge cutoff in 2023; it targets epigenetic mechanisms to potentially treat hematological malignancies and solid tumors. When deciding between these medications, it is essential to consider the specific type of cancer, the drug's approval status and evidence of efficacy, potential side effects, and the guidance of a healthcare professional.

Difference between Venclyxto/Venclexta and Ezharmia

Metric Venclyxto/Venclexta (venetoclax) Ezharmia (valemetostat tosilate)
Generic name venetoclax valemetostat tosilate
Indications Chronic lymphocytic leukemia (CLL), small lymphocytic lymphoma (SLL), acute myeloid leukemia (AML) T-cell lymphoma
Mechanism of action BCL-2 inhibitor DOT1L and EZH1/2 dual inhibitor
Brand names Venclyxto, Venclexta Ezharmia
Administrative route Oral Oral
Side effects Neutropenia, diarrhea, nausea, anemia, upper respiratory tract infection, fatigue Not fully characterized; refer to clinical trial data and prescribing information
Contraindications Concomitant use with strong CYP3A inhibitors at initiation and during ramp-up phase in patients with CLL/SLL Not fully characterized; refer to clinical trial data and prescribing information
Drug class Antineoplastic agent Antineoplastic agent
Manufacturer AbbVie Inc. Daiichi Sankyo

Efficacy

Venclyxto/Venclexta (Venetoclax) Efficacy in Leukemia

Venclyxto, also known as Venclexta in the United States, contains the active substance venetoclax. It is a targeted therapy that has shown efficacy in the treatment of certain types of leukemia, specifically chronic lymphocytic leukemia (CLL) and acute myeloid leukemia (AML). Venetoclax is a BCL-2 inhibitor that induces apoptosis in cancer cells by blocking the action of the BCL-2 protein, which is often overexpressed in leukemia cells and contributes to their survival and resistance to conventional chemotherapy.

In clinical trials, venetoclax, particularly when used in combination with other agents such as rituximab for CLL and azacitidine or decitabine for AML, has demonstrated significant improvements in overall survival and progression-free survival compared to standard treatments. For patients with CLL, venetoclax in combination with rituximab has been shown to lead to deep and durable responses, with a significant proportion of patients achieving undetectable minimal residual disease (MRD), which is associated with longer remission periods.

Ezharmia (Valemetostat Tosilate) Efficacy in Leukemia

Ezharmia, with the active ingredient valemetostat tosilate, is an investigational drug that is being studied for its efficacy in treating leukemia, among other hematologic malignancies. Valemetostat tosilate is an EZH1/2 dual inhibitor that targets the epigenetic regulation of gene expression, which is a mechanism often disrupted in cancer. By inhibiting EZH1/2, valemetostat tosilate is thought to reactivate tumor suppressor genes and induce cancer cell death.

While valemetostat tosilate is still in the clinical trial phase and has not yet received regulatory approval, early-phase studies have shown promise in the treatment of leukemia. The drug has demonstrated an ability to induce responses in patients with relapsed or refractory hematologic malignancies, including leukemia. However, further studies are required to fully establish the efficacy and safety profile of valemetostat tosilate in the treatment of leukemia, and to determine the optimal dosing and combination strategies.

Regulatory Agency Approvals

Venclyxto/Venclexta
  • European Medical Agency (EMA), European Union
  • Food and Drug Administration (FDA), USA
  • Health Canada
  • Pharmaceuticals and Medical Devices Agency (PMDA), Japan
  • Therapeutic Goods Administration (TGA), Australia
  • Medsafe (NZ)
Ezharmia
  • Pharmaceuticals and Medical Devices Agency (PMDA), Japan

Access Venclyxto/Venclexta or Ezharmia today

If Venclyxto/Venclexta or Ezharmia 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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