Lumoxiti (moxetumomab pasudotox) vs Bosulif (bosutinib)

Lumoxiti (moxetumomab pasudotox) vs Bosulif (bosutinib)

Lumoxiti (moxetumomab pasudotox) is an anti-CD22 recombinant immunotoxin indicated for the treatment of adult patients with relapsed or refractory hairy cell leukemia who have received at least two prior systemic therapies, including treatment with a purine nucleoside analog. Bosulif (bosutinib) is a tyrosine kinase inhibitor used for the treatment of adult patients with newly-diagnosed chronic phase Philadelphia chromosome-positive chronic myelogenous leukemia (CML) and for patients with CML who are resistant or intolerant to prior therapy. When deciding between Lumoxiti and Bosulif, it is essential to consider the specific type of leukemia being treated, as Lumoxiti is specifically for hairy cell leukemia, whereas Bosulif targets CML, and the choice of medicine should be based on the individual's diagnosis, prior treatments, and overall health profile, in consultation with their healthcare provider.

Difference between Lumoxiti and Bosulif

Metric Lumoxiti (moxetumomab pasudotox) Bosulif (bosutinib)
Generic name moxetumomab pasudotox bosutinib
Indications Hairy cell leukemia Chronic myelogenous leukemia (CML)
Mechanism of action CD22-directed cytotoxin Tyrosine kinase inhibitor
Brand names Lumoxiti Bosulif
Administrative route Intravenous Oral
Side effects Edema, nausea, fatigue, headache, pyrexia, etc. Diarrhea, nausea, thrombocytopenia, rash, etc.
Contraindications None known Hypersensitivity to bosutinib or any component
Drug class Immunotoxin Tyrosine kinase inhibitor
Manufacturer AstraZeneca Pfizer

Efficacy

Lumoxiti (moxetumomab pasudotox) for Hairy Cell Leukemia

Lumoxiti (moxetumomab pasudotox) is a CD22-directed cytotoxin approved for the treatment of adult patients with relapsed or refractory hairy cell leukemia (HCL) who have received at least two prior systemic therapies, including treatment with a purine nucleoside analog. Its efficacy was established in a single-arm, open-label clinical trial which included 80 participants with relapsed or refractory HCL. The trial measured the rate of durable complete response (CR), defined as the maintenance of hematologic remission for more than 180 days after achieving CR.

The results demonstrated that 30% of patients achieved a durable CR, and 41% of patients achieved an objective response rate (ORR). The median duration of CR was not reached, indicating a potential for long-lasting responses. These results suggest that Lumoxiti provides a significant clinical benefit for patients with HCL who have limited treatment options due to the relapsed or refractory nature of their disease.

Bosulif (bosutinib) for Chronic Myelogenous Leukemia

Bosulif (bosutinib) is a tyrosine kinase inhibitor indicated for the treatment of adult patients with chronic, accelerated, or blast phase Philadelphia chromosome-positive chronic myelogenous leukemia (CML) with resistance or intolerance to prior therapy. The efficacy of Bosulif was evaluated in a single-arm trial for patients with chronic phase CML and in a single-arm trial for patients with accelerated or blast phase CML or Ph+ acute lymphoblastic leukemia.

In the chronic phase CML trial, the major cytogenetic response (MCyR) rate was 34% in previously treated patients. For those patients who were treated with Bosulif as first-line therapy, the rates of complete cytogenetic response (CCyR) and major molecular response (MMR) were 77.2% and 52.5%, respectively, by 12 months. These results indicate that Bosulif is an effective treatment option for patients with CML, including those who have not responded to or cannot tolerate other tyrosine kinase inhibitors.

Regulatory Agency Approvals

Lumoxiti
  • European Medical Agency (EMA), European Union
  • Food and Drug Administration (FDA), USA
Bosulif
  • European Medical Agency (EMA), European Union
  • Food and Drug Administration (FDA), USA

Access Lumoxiti or Bosulif today

If Lumoxiti or Bosulif 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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