Calquence (acalabrutinib) vs Ezharmia (valemetostat tosilate)

Calquence (acalabrutinib) vs Ezharmia (valemetostat tosilate)

Calquence (acalabrutinib) is a Bruton's tyrosine kinase (BTK) inhibitor used for the treatment of certain types of B-cell malignancies, such as mantle cell lymphoma and chronic lymphocytic leukemia, by blocking BTK and thereby inhibiting cancer cell proliferation and survival. Ezharmia (valemetostat tosilate), on the other hand, is a dual inhibitor of EZH1 and EZH2, which are histone methyltransferases, and it is being investigated for the treatment of hematological malignancies like adult T-cell leukemia/lymphoma, with a different mechanism of action that targets the epigenetic regulation of gene expression in cancer cells. When deciding between these medications, one should consider the specific type of cancer being treated, the drug's approval status and evidence for efficacy in that cancer, potential side effects, and any other individual health considerations, in consultation with a healthcare provider.

Difference between Calquence and Ezharmia

Metric Calquence (acalabrutinib) Ezharmia (valemetostat tosilate)
Generic name Acalabrutinib Valemetostat tosilate
Indications Chronic lymphocytic leukemia (CLL), Small lymphocytic lymphoma (SLL), Mantle cell lymphoma (MCL) T-cell lymphoma (under investigation, not yet approved)
Mechanism of action Bruton's tyrosine kinase (BTK) inhibitor EZH1/2 dual inhibitor
Brand names Calquence Ezharmia (investigational, not yet a brand name)
Administrative route Oral Oral (assumed as in clinical trials)
Side effects Headache, diarrhea, muscle pain, bruising, fatigue, and others Not fully characterized, currently under investigation
Contraindications Known hypersensitivity to acalabrutinib or its excipients Not fully established, currently under investigation
Drug class Antineoplastic agent, BTK inhibitor EZH1/2 inhibitor (investigational)
Manufacturer AstraZeneca Daiichi Sankyo

Efficacy

Calquence (Acalabrutinib) Efficacy in Lymphoma

Calquence, also known by its generic name acalabrutinib, is a medication primarily indicated for the treatment of certain types of lymphoma, including mantle cell lymphoma (MCL) in adult patients who have received at least one prior therapy. Acalabrutinib is a Bruton's tyrosine kinase (BTK) inhibitor that works by blocking BTK, a key molecule in the B-cell receptor signaling complex that plays an important role in the survival and proliferation of malignant B cells. Clinical trials have demonstrated that acalabrutinib is effective in inducing a high rate of response in patients with relapsed or refractory MCL. The drug has shown a favorable safety profile and has been associated with durable responses in the lymphoma subtypes for which it is indicated.

For other types of lymphoma, such as chronic lymphocytic leukemia (CLL) and small lymphocytic lymphoma (SLL), acalabrutinib has also shown efficacy. While these are not the same as MCL, they provide insight into the drug's potential across different B-cell malignancies. However, the efficacy of acalabrutinib for other specific subtypes of lymphoma beyond MCL, CLL, and SLL is still under investigation, and its use may be considered off-label in those cases.

Ezharmia (Valemetostat Tosilate) Efficacy in Lymphoma

Ezharmia, with the generic name valemetostat tosilate, is an investigational drug that has shown promise in the treatment of lymphoma. Valemetostat tosilate is a dual inhibitor of EZH1 and EZH2, which are components of the polycomb repressive complex 2 (PRC2) that contribute to the epigenetic silencing of genes. By inhibiting EZH1 and EZH2, valemetostat tosilate can reactivate silenced genes that are important for the control of cell growth and differentiation, thereby exerting anti-tumor effects.

While valemetostat tosilate is not yet widely approved for use, early clinical trials have suggested that it may have efficacy in treating certain subtypes of lymphoma, such as adult T-cell leukemia-lymphoma (ATL) and peripheral T-cell lymphoma (PTCL). The drug is still undergoing clinical evaluation, and more data is needed to fully establish its efficacy and safety profile in lymphoma patients. As research continues, valemetostat tosilate holds potential as a novel therapeutic option for individuals with lymphoma, particularly those with relapsed or refractory disease.

Regulatory Agency Approvals

Calquence
  • 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
Ezharmia
  • Pharmaceuticals and Medical Devices Agency (PMDA), Japan

Access Calquence or Ezharmia today

If Calquence 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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