Besponsa (inotuzumab ozogamicin) vs Truxima (rituximab)

Besponsa (inotuzumab ozogamicin) vs Truxima (rituximab)

Besponsa (inotuzumab ozogamicin) is an antibody-drug conjugate specifically targeting CD22, a protein commonly found on the surface of cancer cells in B-cell precursor acute lymphoblastic leukemia (ALL), leading to the delivery of a cytotoxic agent directly to the cancer cells. Truxima (rituximab), a biosimilar to Rituxan, is a monoclonal antibody that targets the CD20 antigen on B-cells and is used in the treatment of non-Hodgkin lymphoma, chronic lymphocytic leukemia, and rheumatoid arthritis, among other conditions. When deciding between Besponsa and Truxima, it is crucial to consider the specific type of blood cancer being treated, as each medication is designed to target different antigens and is approved for use in different conditions.

Difference between Besponsa and Truxima

Metric Besponsa (inotuzumab ozogamicin) Truxima (rituximab)
Generic name Inotuzumab ozogamicin Rituximab
Indications Acute lymphoblastic leukemia (ALL) Non-Hodgkin's lymphoma, Chronic lymphocytic leukemia, Rheumatoid arthritis, Granulomatosis with polyangiitis, Microscopic polyangiitis
Mechanism of action Antibody-drug conjugate targeting CD22 Monoclonal antibody targeting CD20
Brand names Besponsa Truxima, Rituxan, MabThera
Administrative route Intravenous Intravenous
Side effects Fever, headache, nausea, liver toxicity, low blood cell counts Infusion reactions, infections, body aches, fatigue, cytopenias
Contraindications Hypersensitivity to inotuzumab ozogamicin or its excipients Hypersensitivity to rituximab or its excipients, active severe infections
Drug class Antibody-drug conjugate Monoclonal antibody
Manufacturer Pfizer Celltrion Healthcare, Teva Pharmaceuticals, Genentech (a member of the Roche Group)

Efficacy

Besponsa (Inotuzumab Ozogamicin) Efficacy in Leukemia

Besponsa, known generically as inotuzumab ozogamicin, is an antibody-drug conjugate specifically indicated for the treatment of adults with relapsed or refractory B-cell precursor acute lymphoblastic leukemia (ALL). The efficacy of Besponsa was primarily demonstrated in a key phase 3 clinical trial, INO-VATE ALL, which showed that patients treated with Besponsa had a higher complete remission (CR) rate compared to those who received standard chemotherapy. The CR rates were significantly higher in the Besponsa group, and patients also showed a higher percentage of achieving minimal residual disease (MRD) negativity, indicating a deeper remission.

Furthermore, the trial revealed an improvement in progression-free survival (PFS) and overall survival (OS) in patients treated with Besponsa compared to the standard therapy group. These results suggest that Besponsa can be an effective treatment option for individuals with relapsed or refractory B-cell precursor ALL, offering them a chance for remission and potentially a bridge to stem cell transplantation, which can be curative for some patients.

Truxima (Rituximab) Efficacy in Leukemia

Truxima, a biosimilar to the original rituximab, is used in the treatment of various types of blood cancers, including certain forms of leukemia such as chronic lymphocytic leukemia (CLL). Rituximab is a monoclonal antibody that targets the CD20 antigen on B lymphocytes and is often used in combination with chemotherapy. In clinical studies, rituximab has shown to improve outcomes for patients with CLL when added to chemotherapy regimens. The addition of rituximab to standard chemotherapy has been associated with prolonged PFS and OS in patients with CLL.

The efficacy of rituximab in leukemia has been well established through numerous studies and its use is considered a standard of care in the treatment of CLL. It has been demonstrated to induce remissions, reduce the risk of disease progression, and extend survival in patients with this type of leukemia. It is important to note that while Truxima is a biosimilar and is expected to have no clinically meaningful differences from the reference product, rituximab, its efficacy in leukemia should be supported by clinical data specific to the biosimilar product.

Regulatory Agency Approvals

Besponsa
  • European Medical Agency (EMA), European Union
  • Food and Drug Administration (FDA), USA
Truxima
  • European Medical Agency (EMA), European Union
  • Food and Drug Administration (FDA), USA
  • Health Canada
  • Therapeutic Goods Administration (TGA), Australia
  • Medsafe (NZ)

Access Besponsa or Truxima today

If Besponsa or Truxima 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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