Truxima (rituximab) vs Ezharmia (valemetostat tosilate)

Truxima (rituximab) vs Ezharmia (valemetostat tosilate)

Truxima (rituximab) is a monoclonal antibody that targets the CD20 protein found on the surface of B-cells and is commonly used in the treatment of certain types of non-Hodgkin lymphoma, chronic lymphocytic leukemia, and rheumatoid arthritis. Ezharmia (valemetostat tosilate), on the other hand, is an epigenetic modifier that inhibits the EZH1 and EZH2 enzymes, and is being investigated for the treatment of hematological malignancies such as adult T-cell leukemia/lymphoma. When deciding between these medications, it is crucial to consider the specific type and stage of the disease being treated, as well as the patient's overall health and treatment history, since Truxima and Ezharmia have different mechanisms of action and are approved for different indications.

Difference between Truxima and Ezharmia

Metric Truxima (rituximab) Ezharmia (valemetostat tosilate)
Generic name Rituximab Valemetostat tosilate
Indications Non-Hodgkin's lymphoma, chronic lymphocytic leukemia, rheumatoid arthritis, granulomatosis with polyangiitis, microscopic polyangiitis Currently under investigation for the treatment of adult patients with relapsed or refractory peripheral T-cell lymphoma
Mechanism of action CD20-directed cytolytic antibody Dual inhibitor of EZH1 and EZH2 methyltransferase
Brand names Truxima, Rituxan, MabThera Ezharmia (under investigation, not yet a marketed brand name)
Administrative route Intravenous infusion Oral
Side effects Infusion reactions, infections, cytopenias, cardiac events, renal toxicity Not fully characterized; clinical trials are ongoing
Contraindications Severe, active infections; severe immunodeficiency; hypersensitivity to rituximab or any component of the product Not fully established; clinical trials are ongoing
Drug class Monoclonal antibody Epigenetic modifier
Manufacturer Celltrion Healthcare, Teva Pharmaceuticals, Genentech (Roche) Daiichi Sankyo

Efficacy

Truxima (Rituximab) Efficacy in Lymphoma Treatment

Truxima, a biosimilar to the original rituximab, is an effective treatment for certain types of lymphoma, which is a group of blood cancers that develop in the lymphatic system. Rituximab is a monoclonal antibody that targets the CD20 antigen on the surface of B-lymphocytes. It is widely used in the treatment of non-Hodgkin lymphoma (NHL), including follicular lymphoma and diffuse large B-cell lymphoma, as well as in chronic lymphocytic leukemia (CLL). Clinical trials and real-world studies have demonstrated that rituximab, often in combination with chemotherapy, improves overall survival and progression-free survival in patients with these malignancies.

In follicular lymphoma, rituximab has been shown to be particularly effective when used as a maintenance therapy following induction treatment. This approach has been associated with prolonged remission durations. For diffuse large B-cell lymphoma, the addition of rituximab to standard chemotherapy regimens, such as CHOP (cyclophosphamide, doxorubicin, vincristine, and prednisone), has become the standard of care due to significant improvements in treatment outcomes.

Ezharmia (Valemetostat Tosilate) Efficacy in Lymphoma Treatment

Ezharmia (valemetostat tosilate) is an investigational, novel epigenetic regulator that inhibits the activity of EZH1 and EZH2, which are components of the polycomb repressive complex 2 (PRC2). By targeting these enzymes, valemetostat tosilate aims to reverse the epigenetic silencing of tumor suppressor genes and induce cancer cell death. Although valemetostat tosilate is still in the clinical trial phase, preliminary data from early-phase studies suggest potential efficacy in the treatment of certain types of lymphoma, including adult T-cell leukemia/lymphoma (ATL) and peripheral T-cell lymphoma (PTCL).

Current clinical trials are evaluating the safety and efficacy of valemetostat tosilate in patients with relapsed or refractory lymphomas. While the results of these studies are awaited to conclusively determine the efficacy of Ezharmia in lymphoma, the mechanism of action and early clinical data provide a rationale for its continued investigation. It is important to note that as an investigational drug, valemetostat tosilate is not yet approved for use outside of clinical trials, and its efficacy and safety profile will be further defined through ongoing and future research.

Regulatory Agency Approvals

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

Access Truxima or Ezharmia today

If Truxima or Ezharmia 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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