Blenrep (belantamab mafodotin-blmf) vs Talvey (talquetamab-tgvs)

Blenrep (belantamab mafodotin-blmf) vs Talvey (talquetamab-tgvs)

Blenrep (belantamab mafodotin-blmf) is an antibody-drug conjugate specifically targeting B-cell maturation antigen (BCMA) on multiple myeloma cells, approved for patients who have received at least four prior therapies including an anti-CD38 monoclonal antibody, a proteasome inhibitor, and an immunomodulatory agent. Talquetamab (talquetamab-tgvs) is a bispecific antibody that binds to both GPRC5D, a novel target on myeloma cells, and CD3 on T-cells, engaging the body's immune system to fight the cancer, currently under investigation in clinical trials and not yet approved for any indication as of the knowledge cutoff date. When deciding between these medicines, a patient should consider factors such as previous treatments, the specific drug mechanism of action, potential side effects, and the current approval status of the medication, in consultation with their healthcare provider.

Difference between Blenrep and Talvey

Metric Blenrep (belantamab mafodotin-blmf) Talvey (talquetamab-tgvs)
Generic name Belantamab mafodotin-blmf Talquetamab-tgvs
Indications For the treatment of relapsed or refractory multiple myeloma in patients who have received at least four prior therapies Currently under clinical investigation, potential indication for treatment of relapsed or refractory multiple myeloma
Mechanism of action Antibody-drug conjugate targeting B-cell maturation antigen (BCMA) Bispecific antibody targeting G protein-coupled receptor family C group 5 member D (GPRC5D) and CD3 on T cells
Brand names Blenrep Talvey (investigational, not yet approved)
Administrative route Intravenous infusion Subcutaneous injection
Side effects Blurred vision, keratopathy, thrombocytopenia, anemia, infusion-related reactions, etc. Not fully characterized, but may include cytokine release syndrome, skin reactions, and infusion-related reactions
Contraindications Ocular disease, thrombocytopenia, and others as determined by a healthcare provider Not yet fully established
Drug class Antibody-drug conjugate Bispecific antibody
Manufacturer GlaxoSmithKline (GSK) Janssen Biotech, Inc.

Efficacy

Blenrep (belantamab mafodotin-blmf) Efficacy in Multiple Myeloma

Blenrep, also known by its generic name belantamab mafodotin-blmf, is a targeted therapy approved for the treatment of multiple myeloma in patients who have received at least four prior therapies including an anti-CD38 monoclonal antibody, a proteasome inhibitor, and an immunomodulatory agent. This medication is an antibody-drug conjugate that specifically targets the B-cell maturation antigen (BCMA), which is commonly expressed on the surface of multiple myeloma cells. The efficacy of Blenrep was demonstrated in a pivotal clinical trial where it showed a clinically meaningful overall response rate (ORR) in heavily pretreated patients with relapsed or refractory multiple myeloma.

The DREAMM-2 study, a two-arm, open-label, phase 2 trial, provided the primary evidence of Blenrep's efficacy. In this study, patients treated with Blenrep at a dose of 2.5 mg/kg every three weeks experienced an ORR of 31%, with a median duration of response (DOR) of 11 months. Patients showed a reduction in the levels of myeloma proteins in the blood, which is indicative of the drug's ability to diminish the disease's activity. The response rates and durability of response observed in this trial supported the accelerated approval of Blenrep by the FDA for the treatment of multiple myeloma under specific conditions.

Talquetamab-tgvs (Talvey) Efficacy in Multiple Myeloma

Talquetamab-tgvs, also known as Talvey, is an investigational bispecific antibody that targets both GPRC5D, a novel target on multiple myeloma cells, and CD3 on T-cells. This dual targeting mechanism is designed to redirect T-cells to kill multiple myeloma cells. While Talvey is not yet approved for use, early clinical trials have shown promising efficacy in the treatment of relapsed or refractory multiple myeloma. The drug's efficacy is being evaluated in terms of ORR, DOR, and progression-free survival (PFS) among other measures in ongoing clinical trials.

Initial results from phase 1 clinical trials have indicated that Talvey can induce responses in a significant proportion of patients with heavily pretreated multiple myeloma. Although the data is preliminary, the observed responses in these early trials suggest that Talvey has the potential to become an important therapeutic option for patients with multiple myeloma, particularly for those who have exhausted other treatment options. As the clinical development of Talvey continues, further data will be necessary to fully establish its efficacy and safety profile for the treatment of multiple myeloma.

Regulatory Agency Approvals

Blenrep
  • European Medical Agency (EMA), European Union
  • Food and Drug Administration (FDA), USA
Talvey
  • European Medical Agency (EMA), European Union
  • Food and Drug Administration (FDA), USA

Access Blenrep or Talvey today

If Blenrep or Talvey 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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