Xeljanz (tofacitinib) vs Tofidence (tocilizumab-bavi)
Xeljanz (tofacitinib) vs Tofidence (tocilizumab-bavi)
Xeljanz (tofacitinib) is an oral Janus kinase (JAK) inhibitor that is commonly used to treat moderate to severe rheumatoid arthritis, psoriatic arthritis, and ulcerative colitis by modulating the immune system to reduce inflammation. Tofidence (tocilizumab-bavi), on the other hand, is a biosimilar to tocilizumab and is an intravenous or subcutaneous medication that blocks interleukin-6 (IL-6), a different cytokine involved in inflammation, and is used for the treatment of moderate to severe rheumatoid arthritis, giant cell arteritis, and cytokine release syndrome. When deciding between the two, a patient should consider factors such as the mode of administration (oral for Xeljanz, injection for Tofidence), the specific condition being treated, their medical history, potential side effects, and the advice of their healthcare provider.
Difference between Xeljanz and Tofidence
Metric | Xeljanz (tofacitinib) | Tofidence (tocilizumab-bavi) |
---|---|---|
Generic name | Tofacitinib | Tocilizumab-bavi |
Indications | Rheumatoid arthritis, Psoriatic arthritis, Ulcerative colitis | Rheumatoid arthritis, Giant cell arteritis, Cytokine release syndrome |
Mechanism of action | JAK inhibitor | IL-6 receptor antagonist |
Brand names | Xeljanz, Xeljanz XR | Tofidence |
Administrative route | Oral | Intravenous, Subcutaneous |
Side effects | Upper respiratory tract infections, Headache, Diarrhea | Upper respiratory tract infections, Headache, Hypertension |
Contraindications | Active infection, Severe liver impairment | Active infection, Hypersensitivity to tocilizumab |
Drug class | Janus kinase (JAK) inhibitor | Interleukin-6 (IL-6) receptor blocker |
Manufacturer | Pfizer | Amgen |
Efficacy
Xeljanz (Tofacitinib) Efficacy in Rheumatoid Arthritis
Xeljanz, with the active ingredient tofacitinib, is an oral medication approved by the FDA for the treatment of moderate to severe rheumatoid arthritis (RA) in adults who have had an inadequate response or intolerance to methotrexate. Tofacitinib belongs to a class of medications known as Janus kinase (JAK) inhibitors. It works by interfering with the JAK pathways, which are signaling pathways inside cells that play an important role in the inflammation process involved in RA.
Several clinical trials have demonstrated the efficacy of Xeljanz in reducing symptoms of RA, improving physical function, and inhibiting the progression of joint damage. In these studies, patients treated with Xeljanz experienced significant improvements in tender and swollen joint counts compared to placebo. The ACR20 response, a standard measure of 20% improvement in RA symptoms, was achieved by a higher percentage of patients taking Xeljanz compared to those on placebo. Additionally, Xeljanz has been shown to be effective as both monotherapy and in combination with other disease-modifying antirheumatic drugs (DMARDs), excluding methotrexate.
Tofidence (Tocilizumab-bavi) Efficacy in Rheumatoid Arthritis
Tofidence, which contains the active ingredient tocilizumab-bavi, is a biosimilar to the original tocilizumab product and is also used in the treatment of moderate to severe rheumatoid arthritis. Tocilizumab-bavi is a monoclonal antibody that targets the interleukin-6 (IL-6) receptor, a cytokine involved in the inflammatory process of RA. By blocking IL-6 signaling, Tofidence helps reduce inflammation and slow disease progression.
Clinical studies have shown that Tofidence is effective in reducing the signs and symptoms of RA, improving physical function, and slowing the progression of joint damage. It can be used as monotherapy or in combination with methotrexate or other DMARDs in patients who have not responded adequately to previous treatments. Patients receiving Tofidence have achieved significant ACR20, ACR50, and ACR70 responses, indicating 20%, 50%, and 70% improvements in RA symptoms, respectively. The efficacy of Tofidence as a biosimilar has been established to be comparable to that of the reference product, tocilizumab, ensuring its role as a valuable treatment option for RA.
Regulatory Agency Approvals
Xeljanz
Tofidence
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