Jaypirca (pirtobrutinib) vs Epkinly (epcoritamab-bysp)

Jaypirca (pirtobrutinib) vs Epkinly (epcoritamab-bysp)

Jaypirca (pirtobrutinib) is a non-covalent Bruton's tyrosine kinase (BTK) inhibitor used in the treatment of relapsed or refractory mantle cell lymphoma and other B-cell malignancies, offering an option for patients who have become resistant to covalent BTK inhibitors. Epkinly (epcoritamab-bysp) is a bispecific antibody targeting both CD3 on T-cells and CD20 on B-cells, designed for the treatment of B-cell non-Hodgkin lymphoma, which recruits the body's own immune system to attack cancer cells. When deciding between the two, it is crucial to consider the specific type of lymphoma, previous treatments, potential side effects, and the mechanism of action of each drug, as well as to consult with a healthcare professional to determine the most appropriate treatment option based on the individual's medical history and condition.

Difference between Jaypirca and Epkinly

Metric Jaypirca (pirtobrutinib) Epkinly (epcoritamab-bysp)
Generic name Pirtobrutinib Epcoritamab-bysp
Indications Relapsed or refractory B-cell malignancies Relapsed or refractory large B-cell lymphoma
Mechanism of action Bruton's tyrosine kinase (BTK) inhibitor Bispecific antibody targeting CD3 on T cells and CD20 on B cells
Brand names Jaypirca Epkinly
Administrative route Oral Subcutaneous injection
Side effects Thrombocytopenia, neutropenia, anemia, diarrhea, fatigue Cytokine release syndrome, injection site reactions, fever, fatigue
Contraindications Known hypersensitivity to pirtobrutinib or any of its excipients Known hypersensitivity to epcoritamab-bysp or any of its excipients
Drug class BTK inhibitor Bispecific antibody
Manufacturer Loxo Oncology at Lilly Genmab and AbbVie

Efficacy

Jaypirca (Pirtobrutinib) and Its Efficacy in Treating Lymphoma

Jaypirca, also known by its generic name pirtobrutinib, is a novel, highly selective, non-covalent (reversible) Bruton's tyrosine kinase (BTK) inhibitor. It is designed to overcome the limitations of first-generation BTK inhibitors and has shown promise in treating various types of lymphoma, including those that are resistant to other BTK inhibitors. In clinical trials, Jaypirca has demonstrated significant efficacy in patients with relapsed or refractory mantle cell lymphoma and other B-cell malignancies. The drug works by inhibiting the BTK enzyme, which plays a critical role in the survival and proliferation of malignant B cells. This targeted approach has resulted in high response rates and durable remissions in a subset of lymphoma patients.

While Jaypirca is still under investigation for its full potential in lymphoma treatment, early studies have shown that it can induce responses in a significant proportion of patients, even in those who have previously been treated with covalent BTK inhibitors. The efficacy of Jaypirca is particularly notable in its ability to address BTK C481 mutations, which are a common resistance mechanism to first-generation BTK inhibitors. This has positioned Jaypirca as a promising new treatment option for patients with B-cell lymphomas who have limited therapeutic options due to resistance or intolerance to existing therapies.

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

Epkinly, known generically as epcoritamab-bysp, is an investigational bispecific antibody that targets both CD3 on T-cells and CD20 on B-cells. This dual targeting mechanism allows for the recruitment and activation of T-cells to induce the killing of CD20-expressing B-cell lymphomas. Epkinly is being evaluated in clinical trials for its efficacy in treating non-Hodgkin lymphoma, including diffuse large B-cell lymphoma (DLBCL) and follicular lymphoma. In these trials, Epkinly has demonstrated promising efficacy, particularly in patients with relapsed or refractory disease who have exhausted other treatment options.

Initial results from clinical studies suggest that Epkinly can produce rapid and durable responses in a significant number of patients with B-cell lymphomas. The bispecific nature of the antibody appears to be effective in bridging the immune system's T-cells with the cancerous B-cells, leading to a potent anti-tumor response. While further research is required to fully understand the long-term efficacy and safety profile of Epkinly, the early data indicate that it could become a valuable addition to the therapeutic arsenal against lymphoma, offering hope to patients with aggressive or treatment-resistant forms of the disease.

Regulatory Agency Approvals

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

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