Adcetris (brentuximab vedotin) vs Darvias (darinaparsin) ()

Adcetris (brentuximab vedotin) vs Darvias (darinaparsin) ()

Adcetris (brentuximab vedotin) is an antibody-drug conjugate specifically approved for the treatment of certain types of lymphomas, including Hodgkin lymphoma and systemic anaplastic large cell lymphoma, and works by targeting the CD30 protein on cancer cells. Darinaparsin (Zinapar or Darvias), on the other hand, is a small-molecule organic arsenic compound with potential antineoplastic activity, but as of my knowledge cutoff in 2023, it is not widely approved for use and has been evaluated in clinical trials for various types of cancer, including hematologic malignancies. When deciding between the two, a patient should consider the specific type of cancer they have, the approval status and evidence supporting each medication, and consult with their healthcare provider to understand the potential benefits, side effects, and the appropriateness of each treatment for their individual case.

Difference between Adcetris and Darvias (darinaparsin)

Metric Adcetris (brentuximab vedotin) Darvias (darinaparsin)
Generic name Brentuximab vedotin Darinaparsin
Indications Hodgkin lymphoma, systemic anaplastic large cell lymphoma, primary cutaneous anaplastic large cell lymphoma, and certain types of mycosis fungoides Currently in clinical trials for various types of cancer, including hematologic malignancies and solid tumors
Mechanism of action Antibody-drug conjugate targeting CD30-expressing cells, delivering a microtubule-disrupting agent Organic arsenic compound that induces apoptosis and inhibits cell proliferation
Brand names Adcetris Darvias (investigational, not yet a marketed brand name)
Administrative route Intravenous infusion Intravenous infusion
Side effects Peripheral neuropathy, neutropenia, fatigue, nausea, fever, rash, thrombocytopenia, anemia Not fully characterized; clinical trials have reported gastrointestinal disturbances, fatigue, and hematologic abnormalities
Contraindications Hypersensitivity to brentuximab vedotin or any excipients Not fully established; likely similar contraindications as other arsenic-based therapies, such as hypersensitivity
Drug class Antineoplastic agent, monoclonal antibody Antineoplastic agent, organic arsenic compound
Manufacturer Seagen Inc. Ziopharm Oncology

Efficacy

Efficacy of Adcetris (Brentuximab Vedotin) in Lymphoma Treatment

Adcetris (brentuximab vedotin) is an antibody-drug conjugate specifically indicated for the treatment of certain types of lymphoma. It has shown efficacy in the treatment of Hodgkin lymphoma (HL) and systemic anaplastic large cell lymphoma (sALCL), which is a type of non-Hodgkin lymphoma. In clinical trials, Adcetris has been effective in inducing remission in patients with relapsed or refractory HL following autologous stem cell transplant (ASCT). The drug has also been approved for use in patients with HL at high risk of relapse or progression post-ASCT. For sALCL, Adcetris has demonstrated a significant improvement in objective response rates compared to traditional chemotherapy regimens.

The efficacy of Adcetris in HL was highlighted in a pivotal phase III trial, where it demonstrated a significant increase in progression-free survival (PFS) compared to the control arm. In patients with sALCL, Adcetris has been associated with high complete remission rates, which are particularly noteworthy given the aggressive nature of this lymphoma subtype. The targeted mechanism of action of Adcetris, which combines an anti-CD30 antibody with a cytotoxic agent, allows for direct delivery of the drug to the cancerous cells, thereby minimizing systemic exposure and potentially reducing side effects.

Efficacy of Darvias (Darinaparsin) in Lymphoma Treatment

Darvias (darinaparsin) is a small-molecule organic arsenic compound with potential antineoplastic activity. While it is not yet widely approved for use, it has been investigated in clinical trials for the treatment of various hematologic malignancies, including lymphoma. The efficacy of darinaparsin in lymphoma has been evaluated in preclinical studies and early-phase clinical trials, which suggest that the drug may induce apoptosis in malignant lymphoid cells and could be beneficial in treating lymphomas that are refractory to other treatments.

Although the clinical development of darinaparsin for lymphoma is not as advanced as that of Adcetris, the available data indicates that darinaparsin may have a role in the treatment of certain lymphoma patients, particularly those with relapsed or refractory disease. Further clinical trials are necessary to fully establish the efficacy and safety profile of darinaparsin in the treatment of lymphoma and to determine its potential place in therapy alongside other established treatments.

Regulatory Agency Approvals

Adcetris
  • 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
  • NMPA (China)
Darvias (darinaparsin)
  • Pharmaceuticals and Medical Devices Agency (PMDA), Japan

Access Adcetris or Darvias (darinaparsin) today

If Adcetris or Darvias (darinaparsin) 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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