Tasigna (nilotinib) vs Copiktra (duvelisib)

Tasigna (nilotinib) vs Copiktra (duvelisib)

Tasigna (nilotinib) is a tyrosine kinase inhibitor specifically approved for the treatment of chronic myeloid leukemia (CML) with Philadelphia chromosome-positive (Ph+) in adults, targeting the BCR-ABL protein. Copiktra (duvelisib) is a dual inhibitor of phosphoinositide 3-kinase (PI3K)-delta and gamma, indicated for the treatment of adult patients with relapsed or refractory chronic lymphocytic leukemia/small lymphocytic lymphoma (CLL/SLL) and follicular lymphoma. The choice between Tasigna and Copiktra would depend on the specific type of leukemia a patient has, as well as the patient's individual medical history, potential drug interactions, and side effect profiles.

Difference between Tasigna and Copiktra

Metric Tasigna (nilotinib) Copiktra (duvelisib)
Generic name Nilotinib Duvelisib
Indications Chronic myeloid leukemia (CML) Chronic lymphocytic leukemia (CLL), Small lymphocytic lymphoma (SLL), Follicular lymphoma (FL)
Mechanism of action Tyrosine kinase inhibitor Phosphoinositide 3-kinase inhibitor
Brand names Tasigna Copiktra
Administrative route Oral Oral
Side effects Rash, pruritus, nausea, fatigue, headache, constipation, diarrhea, vomiting Diarrhea, neutropenia, rash, fatigue, fever, cough, nausea, upper respiratory infection
Contraindications Hypokalemia, hypomagnesemia, long QT syndrome History of severe allergic reactions to duvelisib or any of its components
Drug class Tyrosine kinase inhibitor PI3K inhibitor
Manufacturer Novartis Secura Bio, Inc.

Efficacy

Efficacy of Tasigna (Nilotinib) in Treating Leukemia

Tasigna, known generically as nilotinib, is a targeted therapy approved for the treatment of chronic myeloid leukemia (CML). It is a tyrosine kinase inhibitor specifically designed to block the BCR-ABL protein, which is produced by the Philadelphia chromosome abnormality in CML cells. The efficacy of Tasigna has been demonstrated in several clinical trials. In the setting of newly diagnosed chronic phase CML, Tasigna has been shown to induce deeper and more rapid molecular responses compared to imatinib, another first-line treatment for CML. Furthermore, Tasigna has been effective in patients with CML who are resistant or intolerant to prior therapy, including imatinib.

In pivotal clinical trials, the use of Tasigna has resulted in high rates of complete cytogenetic response (CCyR) and major molecular response (MMR), which are important markers of treatment effectiveness. Long-term follow-up data have also indicated that Tasigna contributes to prolonged progression-free survival and overall survival in patients with CML. However, the response to Tasigna can vary based on the stage of CML and the presence of certain genetic mutations that may confer resistance to the drug.

Efficacy of Copiktra (Duvelisib) in Treating Leukemia

Copiktra, with the generic name duvelisib, is a dual inhibitor of phosphoinositide 3-kinase (PI3K)-delta and PI3K-gamma, which are enzymes involved in the proliferation and survival of malignant B-cells. Copiktra is approved for the treatment of adult patients with relapsed or refractory chronic lymphocytic leukemia (CLL)/small lymphocytic lymphoma (SLL) after at least two prior therapies. The efficacy of Copiktra was evaluated in a randomized, multicenter clinical trial for patients with relapsed or refractory CLL/SLL. In this study, Copiktra demonstrated a statistically significant improvement in progression-free survival compared to the control therapy, with a median progression-free survival of 13.3 months versus 9.9 months for the comparator.

Additionally, Copiktra has shown efficacy in patients with follicular lymphoma who have relapsed after at least two prior systemic therapies. Although follicular lymphoma is a different form of leukemia than CLL/SLL, the effectiveness of Copiktra in this population further supports its role in the treatment of hematologic malignancies. It is important to note that the safety and efficacy of Copiktra for other types of leukemia have not been established. As with any medication, the benefits of Copiktra must be weighed against its potential risks, and its use should be guided by a healthcare professional experienced in treating hematologic malignancies.

Regulatory Agency Approvals

Tasigna
  • 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
  • Medsafe (NZ)
Copiktra
  • European Medical Agency (EMA), European Union
  • Food and Drug Administration (FDA), USA

Access Tasigna or Copiktra today

If Tasigna or Copiktra 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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