Adcetris (brentuximab vedotin) vs Brukinsa (zanubrutinib)

Adcetris (brentuximab vedotin) vs Brukinsa (zanubrutinib)

Adcetris (brentuximab vedotin) is a targeted therapy known as an antibody-drug conjugate used primarily to treat certain types of lymphomas, including Hodgkin lymphoma and systemic anaplastic large cell lymphoma, by targeting CD30-positive cells. Brukinsa (zanubrutinib) is a Bruton's tyrosine kinase (BTK) inhibitor indicated for the treatment of mantle cell lymphoma, Waldenström's macroglobulinemia, and other B-cell malignancies, focusing on interrupting signals that promote the growth and survival of malignant B-cells. The choice between Adcetris and Brukinsa would depend on the specific type of lymphoma or blood cancer a patient has, as well as their overall health, potential side effects, and the treatment plan recommended by their healthcare provider.

Difference between Adcetris and Brukinsa

Metric Adcetris (brentuximab vedotin) Brukinsa (zanubrutinib)
Generic name Brentuximab vedotin Zanubrutinib
Indications Hodgkin lymphoma, systemic anaplastic large cell lymphoma, primary cutaneous anaplastic large cell lymphoma, and peripheral T-cell lymphoma Mantle cell lymphoma, Waldenström's macroglobulinemia, and chronic lymphocytic leukemia/small lymphocytic lymphoma
Mechanism of action CD30-directed antibody-drug conjugate Bruton's tyrosine kinase inhibitor
Brand names Adcetris Brukinsa
Administrative route Intravenous infusion Oral
Side effects Peripheral neuropathy, neutropenia, fatigue, nausea, fever, rash, thrombocytopenia Neutropenia, thrombocytopenia, anemia, diarrhea, bruising, cough, rash
Contraindications Hypersensitivity to brentuximab vedotin or any excipient Hypersensitivity to zanubrutinib or any component of the formulation
Drug class Antineoplastic agent, monoclonal antibody Antineoplastic agent, Bruton's tyrosine kinase inhibitor
Manufacturer Seattle Genetics BeiGene

Efficacy

Efficacy of Adcetris (Brentuximab Vedotin) in Lymphoma Treatment

Adcetris (brentuximab vedotin) is an antibody-drug conjugate specifically indicated for the treatment of certain types of lymphoma, including Hodgkin lymphoma (HL) and systemic anaplastic large cell lymphoma (sALCL). The efficacy of Adcetris in HL was demonstrated in a pivotal clinical trial that included patients with relapsed or refractory HL following autologous hematopoietic stem cell transplantation (HSCT). In this study, a significant proportion of patients achieved complete remission, indicating the drug's potential to provide a therapeutic benefit in a setting where treatment options were previously limited.

For sALCL, Adcetris has shown efficacy in patients who are refractory or have relapsed after at least one prior multi-agent chemotherapy regimen. Clinical trials have reported that the drug induces a high rate of objective responses, including complete remissions, in this patient population. The results from these studies have established Adcetris as a valuable treatment option for patients with sALCL, offering hope for improved outcomes.

Efficacy of Brukinsa (Zanubrutinib) in Lymphoma Treatment

Brukinsa (zanubrutinib) is a Bruton's tyrosine kinase (BTK) inhibitor used in the treatment of mantle cell lymphoma (MCL) in patients who have received at least one prior therapy. The efficacy of Brukinsa for MCL was evaluated in clinical trials where it demonstrated a high overall response rate, with a significant number of patients achieving partial or complete responses. This has positioned Brukinsa as an effective second-line therapy for MCL, particularly for patients who have not responded to or have relapsed after initial treatment.

While the primary indication of Brukinsa is for mantle cell lymphoma, ongoing research and clinical trials may expand its use to other types of lymphoma. The drug's mechanism of action, targeting the BTK pathway, is relevant to the pathophysiology of various B-cell lymphomas, suggesting potential efficacy beyond MCL. However, further studies are required to establish its efficacy and safety profile in other lymphoma subtypes.

Regulatory Agency Approvals

Adcetris
  • European Medical Agency (EMA), European Union
  • Food and Drug Administration (FDA), USA
  • Health Canada
  • Pharmaceuticals and Medical Devices Agency (PMDA), Japan
  • Therapeutic Goods Administration (TGA), Australia
  • NMPA (China)
Brukinsa
  • European Medical Agency (EMA), European Union
  • Food and Drug Administration (FDA), USA

Access Adcetris or Brukinsa today

If Adcetris or Brukinsa 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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