Sarclisa (isatuximab) vs Tecvayli (teclistamab-cqyv)

Sarclisa (isatuximab) vs Tecvayli (teclistamab-cqyv)

Sarclisa (isatuximab) and Tecvayli (teclistamab-cqyv) are both monoclonal antibodies used in the treatment of multiple myeloma, but they target different proteins on the surface of cancer cells. Sarclisa binds to a protein called CD38 and is often used in combination with other drugs for the treatment of adults with relapsed or refractory multiple myeloma. In contrast, Tecvayli is a bispecific antibody that targets both CD3 on T-cells and BCMA on myeloma cells, and it is used for adult patients with relapsed or refractory multiple myeloma after four or more prior lines of therapy, including an immunomodulatory agent, a proteasome inhibitor, and an anti-CD38 monoclonal antibody. When deciding which medicine is right for an individual, it is crucial to consult with a healthcare provider to consider the patient's specific medical history, the progression of the disease, previous treatments, and the safety profile of each medication.

Difference between Sarclisa and Tecvayli

Metric Sarclisa (isatuximab) Tecvayli (teclistamab-cqyv)
Generic name Isatuximab Teclistamab-cqyv
Indications Multiple myeloma Relapsed or refractory multiple myeloma
Mechanism of action CD38-directed cytolytic antibody Bispecific antibody targeting both CD3 on T cells and BCMA on myeloma cells
Brand names Sarclisa Tecvayli
Administrative route Intravenous infusion Subcutaneous injection
Side effects Infusion reactions, neutropenia, pneumonia, etc. Cytokine release syndrome, infections, fatigue, etc.
Contraindications Hypersensitivity to isatuximab or any of its excipients Hypersensitivity to teclistamab or any of its excipients
Drug class Monoclonal antibody Bispecific antibody
Manufacturer Sanofi Janssen Biotech, Inc.

Efficacy

Sarclisa (Isatuximab) Efficacy in Multiple Myeloma

Sarclisa, with the generic name isatuximab, is a monoclonal antibody that has been approved for use in combination with other medications for the treatment of multiple myeloma. Clinical trials have demonstrated that Sarclisa, when used in combination with pomalidomide and dexamethasone, shows a significant improvement in progression-free survival (PFS) in patients with relapsed or refractory multiple myeloma who have received at least two prior therapies including lenalidomide and a proteasome inhibitor. The efficacy of Sarclisa is attributed to its mechanism of action which includes direct antitumor activity, immune system enhancement, and promotion of cell death in myeloma cells.

In a pivotal Phase 3 trial known as ICARIA-MM, patients treated with the Sarclisa combination regimen experienced a median PFS of 11.53 months compared to 6.47 months in the control group, which received only pomalidomide and dexamethasone. The overall response rate (ORR) was also higher in the Sarclisa group. These results underline the efficacy of Sarclisa in improving outcomes for patients with this challenging form of cancer.

Tecvayli (Teclistamab-cqyv) Efficacy in Multiple Myeloma

Tecvayli, also known as teclistamab-cqyv, is a bispecific B-cell maturation antigen (BCMA) directed CD3 T-cell engager. It is designed to direct the body's immune system, more specifically T-cells, to target and destroy myeloma cells. Tecvayli has shown promise in clinical trials for the treatment of relapsed or refractory multiple myeloma in patients who have received a prior therapy. The drug's efficacy is evaluated based on its ability to achieve a partial or complete response in patients who have exhausted other treatment options.

In clinical studies, Tecvayli has demonstrated encouraging efficacy results. In a Phase 1 study, patients with heavily pretreated multiple myeloma showed a significant response to the treatment, with a notable percentage achieving a very good partial response or better. These preliminary results suggest that Tecvayli could be a valuable addition to the therapeutic arsenal against multiple myeloma, particularly for patients who have not responded to or have relapsed after other treatments. However, as with any new treatment, further studies are needed to fully establish the long-term efficacy and safety profile of Tecvayli.

Regulatory Agency Approvals

Sarclisa
  • European Medical Agency (EMA), European Union
  • Food and Drug Administration (FDA), USA
  • Health Canada
Tecvayli
  • European Medical Agency (EMA), European Union
  • Food and Drug Administration (FDA), USA

Access Sarclisa or Tecvayli today

If Sarclisa or Tecvayli 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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