Xospata (gilteritinib) vs Bosulif (bosutinib)

Xospata (gilteritinib) vs Bosulif (bosutinib)

Xospata (gilteritinib) is a targeted therapy specifically approved for the treatment of adult patients with relapsed or refractory acute myeloid leukemia (AML) with a FLT3 mutation, which is a specific genetic abnormality. Bosulif (bosutinib), on the other hand, 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) who are resistant or intolerant to prior therapy. When deciding between the two medications, it is crucial to consider the specific type of leukemia and the presence of genetic mutations, as Xospata is tailored for FLT3-mutated AML, while Bosulif is for certain phases of CML with the Philadelphia chromosome.

Difference between Xospata and Bosulif

Metric Xospata (gilteritinib) Bosulif (bosutinib)
Generic name Gilteritinib Bosutinib
Indications Acute myeloid leukemia (AML) with a FLT3 mutation Chronic myelogenous leukemia (CML)
Mechanism of action FLT3/AXL tyrosine kinase inhibitor Src and Abl tyrosine kinase inhibitor
Brand names Xospata Bosulif
Administrative route Oral Oral
Side effects Fatigue, fever, musculoskeletal pain, nausea, edema, dyspnea, decreased appetite, diarrhea, differentiation syndrome, QT prolongation Diarrhea, nausea, thrombocytopenia, rash, increased liver enzymes, abdominal pain
Contraindications Hypersensitivity to gilteritinib or any component of the formulation Hypersensitivity to bosutinib or any component of the formulation
Drug class Tyrosine kinase inhibitor Tyrosine kinase inhibitor
Manufacturer Astellas Pharma Inc. Pfizer Inc.

Efficacy

Xospata (Gilteritinib) and Its Efficacy in Treating Leukemia

Xospata, also known by its generic name gilteritinib, is a medication specifically indicated for the treatment of adult patients who have relapsed or refractory acute myeloid leukemia (AML) with a FLT3 mutation as detected by an FDA-approved test. The efficacy of Xospata in treating this form of leukemia was demonstrated in a clinical trial that included patients with relapsed or refractory AML with a FLT3 mutation. The trial showed a significant response rate in patients treated with gilteritinib, with many achieving complete remission or complete remission with partial hematological recovery. This suggests that Xospata can be an effective treatment option for patients with this specific genetic mutation in AML.

Bosulif (Bosutinib) and Its Efficacy in Treating Leukemia

Bosulif, with the generic name bosutinib, is another medication used in the treatment of leukemia, specifically chronic myelogenous leukemia (CML). Bosulif is approved for the treatment of adult patients with newly-diagnosed chronic phase Philadelphia chromosome-positive CML, as well as for patients with chronic, accelerated, or blast phase Philadelphia chromosome-positive CML who are resistant to or intolerant to prior therapy. Clinical trials have demonstrated the efficacy of Bosulif in achieving major cytogenetic response and complete cytogenetic response in a significant proportion of patients, which are important markers of disease control in CML.

Both Xospata and Bosulif target specific pathways involved in the proliferation of leukemia cells. Xospata inhibits the FLT3 mutation, which is one of the most common driver mutations in AML, while Bosulif is a tyrosine kinase inhibitor that targets the BCR-ABL kinase, which is produced by the Philadelphia chromosome abnormality in CML. The targeted nature of these medications contributes to their efficacy in treating these specific types of leukemia, making them valuable additions to the arsenal of treatments available to patients with these conditions.

It is important to note that while Xospata and Bosulif have shown efficacy in clinical trials, their effectiveness can vary among individuals. Factors such as the presence of specific genetic mutations, disease stage, prior treatments, and individual patient health can influence the response to these medications. Therefore, the use of Xospata and Bosulif should be guided by a healthcare professional with expertise in the management of leukemia, and treatment should be tailored to the specific needs and characteristics of each patient.

Regulatory Agency Approvals

Xospata
  • European Medical Agency (EMA), European Union
  • Food and Drug Administration (FDA), USA
  • Health Canada
  • Therapeutic Goods Administration (TGA), Australia
Bosulif
  • European Medical Agency (EMA), European Union
  • Food and Drug Administration (FDA), USA

Access Xospata or Bosulif today

If Xospata 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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