Adcetris (brentuximab vedotin) vs Ezharmia (valemetostat tosilate)

Adcetris (brentuximab vedotin) vs Ezharmia (valemetostat tosilate)

Adcetris (brentuximab vedotin) is an antibody-drug conjugate specifically targeting CD30, a marker on some cancer cells, and is primarily used in the treatment of Hodgkin lymphoma and systemic anaplastic large cell lymphoma. Ezharmia (valemetostat tosilate), on the other hand, is a dual inhibitor of EZH1 and EZH2, which are enzymes involved in gene expression regulation, and is used for the treatment of adult patients with relapsed or refractory peripheral T-cell lymphoma. When deciding between the two, it is crucial to consider the specific type of lymphoma being treated, as well as the individual patient's medical history, potential side effects, and the mechanism of action of each drug, which should be discussed with a healthcare professional.

Difference between Adcetris and Ezharmia

Metric Adcetris (brentuximab vedotin) Ezharmia (valemetostat tosilate)
Generic name Brentuximab vedotin Valemetostat tosilate
Indications Hodgkin lymphoma, systemic anaplastic large cell lymphoma, primary cutaneous anaplastic large cell lymphoma, and certain types of mycosis fungoides Currently under investigation for the treatment of adult patients with relapsed or refractory peripheral T-cell lymphoma
Mechanism of action Antibody-drug conjugate targeting CD30-expressing cells DOT1L inhibitor, epigenetic regulator
Brand names Adcetris Ezharmia
Administrative route Intravenous infusion Oral
Side effects Neutropenia, peripheral neuropathy, anemia, infusion-related reactions, fatigue, nausea, upper respiratory tract infection, diarrhea, fever, rash, thrombocytopenia, cough, and vomiting Not fully characterized due to ongoing clinical trials
Contraindications Hypersensitivity to brentuximab vedotin or any excipients Not fully characterized due to ongoing clinical trials
Drug class Antineoplastic agent, monoclonal antibody Epigenetic modulator
Manufacturer Seagen Inc. and Takeda Pharmaceutical Company Daiichi Sankyo

Efficacy

Efficacy of Adcetris (Brentuximab Vedotin) in Lymphoma Treatment

Adcetris (brentuximab vedotin) is an antibody-drug conjugate that targets CD30, a marker on the surface of some lymphoma cells. It has shown efficacy in the treatment of several types of lymphoma, including Hodgkin lymphoma (HL) and systemic anaplastic large cell lymphoma (sALCL). In the setting of relapsed or refractory Hodgkin lymphoma, Adcetris has been demonstrated to induce a high rate of objective responses, including complete remissions. The pivotal trial that led to its approval in this indication reported a 75% objective response rate, with 34% of patients achieving a complete remission.

For sALCL, Adcetris has also been effective, particularly in patients who have relapsed after initial therapy or are refractory to other treatments. Clinical trials have shown an objective response rate of 86% in this patient population, with 57% of patients achieving a complete remission. These results highlight the significant impact Adcetris has had on the treatment landscape for these types of lymphoma, offering a targeted therapy option where limited treatments were available previously.

Efficacy of Ezharmia (Valemetostat Tosilate) in Lymphoma Treatment

Ezharmia (valemetostat tosilate) is a newer therapeutic agent and is a dual inhibitor of EZH1 and EZH2 methyltransferase activity. These enzymes are involved in the epigenetic regulation of gene expression and are implicated in the pathogenesis of various cancers, including lymphoma. While Ezharmia is still under clinical investigation, early-phase trials have suggested potential efficacy in the treatment of lymphomas, particularly in those with alterations in the EZH2 gene.

Although comprehensive data on Ezharmia's efficacy in lymphoma is still emerging, initial studies have shown promise. For instance, in early clinical trials, patients with relapsed or refractory non-Hodgkin lymphoma, including those with follicular lymphoma and diffuse large B-cell lymphoma, have demonstrated partial responses to the drug. However, it is important to note that these results are preliminary, and further research is needed to fully establish the efficacy and safety profile of Ezharmia in the treatment of lymphoma.

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)
Ezharmia
  • Pharmaceuticals and Medical Devices Agency (PMDA), Japan

Access Adcetris or Ezharmia today

If Adcetris 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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