Besponsa (inotuzumab ozogamicin) vs Lumoxiti (moxetumomab pasudotox)

Besponsa (inotuzumab ozogamicin) vs Lumoxiti (moxetumomab pasudotox)

Besponsa (inotuzumab ozogamicin) and Lumoxiti (moxetumomab pasudotox) are both monoclonal antibodies used for different types of hematologic cancers; Besponsa is approved for the treatment of relapsed or refractory B-cell precursor acute lymphoblastic leukemia (ALL), while Lumoxiti is indicated for the treatment of adults with relapsed or refractory hairy cell leukemia (HCL). Besponsa works by targeting the CD22 antigen on B cells and is linked to a cytotoxic agent, calicheamicin, which becomes activated once inside the target cell, leading to cell death. In contrast, Lumoxiti targets the CD22 antigen as well but is conjugated to a different toxin, Pseudomonas exotoxin A, which inhibits protein synthesis leading to apoptotic cell death. For someone deciding which medicine is right for them, it is crucial to consult with a healthcare provider to determine the appropriate treatment based on the specific type of leukemia, individual health condition, and other relevant medical factors.

Difference between Besponsa and Lumoxiti

Metric Besponsa (inotuzumab ozogamicin) Lumoxiti (moxetumomab pasudotox)
Generic name Inotuzumab ozogamicin Moxetumomab pasudotox
Indications Acute lymphoblastic leukemia (ALL) Hairy cell leukemia (HCL)
Mechanism of action Antibody-drug conjugate targeting CD22 Immunotoxin targeting CD22
Brand names Besponsa Lumoxiti
Administrative route Intravenous Intravenous
Side effects Fever, neutropenia, increased liver enzymes, etc. Edema, nausea, fatigue, headache, etc.
Contraindications Hypersensitivity to active substance or excipients Hypersensitivity to active substance or excipients
Drug class Antineoplastic agent Antineoplastic agent
Manufacturer Pfizer AstraZeneca

Efficacy

Besponsa (Inotuzumab Ozogamicin) for Leukemia

Besponsa (inotuzumab ozogamicin) is a targeted therapy approved by the Food and Drug Administration (FDA) for the treatment of adults with relapsed or refractory B-cell precursor acute lymphoblastic leukemia (ALL). The efficacy of Besponsa was demonstrated in clinical trials where it was compared to standard chemotherapy. In a pivotal phase 3 trial, patients treated with Besponsa had a higher rate of complete remission (CR) with or without full recovery of blood counts compared to those who received standard therapy. Additionally, Besponsa showed an improvement in progression-free survival, which suggests that it can delay the worsening of leukemia symptoms more effectively than alternative treatments.

The response rate to Besponsa, as measured by the number of patients achieving complete remission with partial hematologic recovery, was found to be significantly higher than that of the comparator chemotherapy regimen. This indicates that Besponsa can be an effective option for patients who have not responded to previous treatments or whose disease has returned after initial therapy. However, the treatment is associated with a risk of severe side effects, which necessitates careful patient selection and monitoring.

Lumoxiti (Moxetumomab Pasudotox) for Leukemia

Lumoxiti (moxetumomab pasudotox) is an FDA-approved medication specifically indicated 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. Lumoxiti is a first-in-class medicine that targets CD22, a protein found on the surface of cancer cells in HCL, and delivers a toxin to kill these cells. The drug's efficacy was established in a pivotal multicenter, single-arm, open-label clinical trial, which demonstrated a high rate of durable complete response (CR) in the treated population.

The trial data showed that a significant percentage of patients treated with Lumoxiti achieved CR, with many experiencing a remission that lasted for an extended period. This suggests that Lumoxiti can provide a meaningful clinical benefit for patients with HCL who have limited treatment options due to the relapsed or refractory nature of their disease. The treatment has been hailed as a significant advancement for HCL therapy, offering a new mechanism of action for patients who have not had success with other treatments.

Regulatory Agency Approvals

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

Access Besponsa or Lumoxiti today

If Besponsa or Lumoxiti 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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