Copiktra (duvelisib) vs Inqovi (decitabine and cedazuridine)

Copiktra (duvelisib) vs Inqovi (decitabine and cedazuridine)

Copiktra (duvelisib) is a dual inhibitor of PI3K-delta and PI3K-gamma, indicated for the treatment of adult patients with relapsed or refractory chronic lymphocytic leukemia/small lymphocytic lymphoma (CLL/SLL) and follicular lymphoma. In contrast, Inqovi (decitabine and cedazuridine) is an oral hypomethylating agent used for the treatment of adult patients with myelodysplastic syndromes (MDS), including previously treated and untreated, de novo and secondary MDS with various French-American-British (FAB) classifications, and intermediate-1, intermediate-2, and high-risk International Prognostic Scoring System (IPSS) groups. The choice between Copiktra and Inqovi would depend on the specific type and characteristics of the hematological malignancy diagnosed, as well as the patient's overall health status, prior treatments, and potential drug interactions and side effects.

Difference between Copiktra and Inqovi

Metric Copiktra (duvelisib) Inqovi (decitabine and cedazuridine)
Generic name Duvelisib Decitabine and cedazuridine
Indications Chronic lymphocytic leukemia (CLL), small lymphocytic lymphoma (SLL), and follicular lymphoma (FL) Myelodysplastic syndromes (MDS) and chronic myelomonocytic leukemia (CMML)
Mechanism of action Phosphoinositide 3-kinase (PI3K) inhibitor Hypomethylating agents
Brand names Copiktra Inqovi
Administrative route Oral Oral
Side effects Diarrhea, neutropenia, rash, fatigue, fever, cough, nausea, upper respiratory infection, pneumonia, musculoskeletal pain Thrombocytopenia, neutropenia, anemia, constipation, nausea, fatigue, hemorrhage, myalgia, mucositis, arthralgia, dyspnea, edema, headache, dizziness, febrile neutropenia
Contraindications History of severe allergic reactions to duvelisib or any of its components Known hypersensitivity to decitabine or cedazuridine or any of their components
Drug class Antineoplastic agent, PI3K inhibitor Antineoplastic agents, hypomethylating agents
Manufacturer Secura Bio, Inc. Astex Pharmaceuticals, Inc.

Efficacy

Copiktra (Duvelisib) Efficacy for Leukemia

Copiktra, also known by its generic name duvelisib, is an oral inhibitor of phosphoinositide 3-kinase (PI3K), and is used in the treatment of certain types of leukemia. Specifically, it has been approved by the U.S. Food and Drug Administration (FDA) 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 in treating CLL/SLL was demonstrated in a clinical trial where the overall response rate was observed to be significant, with some patients achieving partial or complete remission. The median progression-free survival (PFS) was also extended in patients treated with Copiktra compared to alternative treatments.

Inqovi (Decitabine and Cedazuridine) Efficacy for Leukemia

Inqovi, a combination of decitabine and cedazuridine, is an oral hypomethylating agent that has been approved for the treatment of adult patients with myelodysplastic syndromes (MDS), including previously treated and untreated, de novo and secondary MDS with the following French-American-British subtypes (refractory anemia, refractory anemia with ringed sideroblasts, refractory anemia with excess blasts, and chronic myelomonocytic leukemia) and intermediate-1, intermediate-2, and high-risk International Prognostic Scoring System groups. In clinical trials, Inqovi has shown efficacy in achieving complete remission (CR) or CR with partial hematologic improvement in a significant proportion of patients. Additionally, the treatment has been associated with a reduction in the need for red blood cell or platelet transfusions.

Comparative Efficacy in Leukemia Treatment

While both Copiktra and Inqovi are used in the treatment of different forms of leukemia, their efficacy is specific to the type and stage of the disease. Copiktra is primarily used in CLL/SLL cases that are relapsed or refractory, and its efficacy is measured in terms of response rates and progression-free survival. In contrast, Inqovi is used in the treatment of MDS, a condition that can progress to acute myeloid leukemia (AML), and its efficacy is often measured by the rate of complete remission and hematologic improvement. It is important for healthcare providers to choose the appropriate medication based on the specific leukemia subtype and patient's treatment history.

Conclusion on Efficacy

In conclusion, both Copiktra and Inqovi have shown efficacy in the treatment of different subtypes of leukemia. Copiktra's efficacy in CLL/SLL as a third-line therapy and Inqovi's role in treating MDS highlight the advancements in targeted therapies for hematologic malignancies. It is crucial for medical professionals to evaluate the efficacy of these drugs within the context of individual patient needs and the specific characteristics of the leukemia subtype when considering them as treatment options.

Regulatory Agency Approvals

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

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