Beleodaq (belinostat) vs Ezharmia (valemetostat tosilate)

Beleodaq (belinostat) vs Ezharmia (valemetostat tosilate)

Beleodaq (belinostat) is a histone deacetylase inhibitor approved by the FDA for the treatment of relapsed or refractory peripheral T-cell lymphoma, a type of non-Hodgkin lymphoma. Ezharmia (valemetostat tosilate), on the other hand, is a dual inhibitor of EZH1 and EZH2, which are histone methyltransferases, and is used for the treatment of adult patients with relapsed or refractory peripheral T-cell lymphoma who have received at least two prior systemic therapies. When deciding between the two, it is crucial to consult with a healthcare provider to consider the specific type of lymphoma, previous treatments, potential side effects, and the individual patient's overall health condition to determine the most appropriate therapy.

Difference between Beleodaq and Ezharmia

Metric Beleodaq (belinostat) Ezharmia (valemetostat tosilate)
Generic name Belinostat Valemetostat tosilate
Indications Peripheral T-cell lymphoma T-cell lymphoma (under investigation, not yet approved)
Mechanism of action HDAC inhibitor EZH1/2 dual inhibitor
Brand names Beleodaq Ezharmia (investigational, not yet a brand name)
Administrative route Intravenous Oral (assumed, as drug is under investigation)
Side effects Nausea, vomiting, fatigue, fever, anemia Not fully characterized (under investigation)
Contraindications Hypersensitivity to belinostat or excipients Not fully characterized (under investigation)
Drug class Antineoplastic agent Epigenetic modulator (investigational)
Manufacturer Spectrum Pharmaceuticals Daiichi Sankyo

Efficacy

Efficacy of Beleodaq (Belinostat) for Lymphoma

Beleodaq, known by its generic name belinostat, is a histone deacetylase inhibitor approved by the U.S. Food and Drug Administration (FDA) for the treatment of patients with relapsed or refractory peripheral T-cell lymphoma (PTCL). This is a diverse group of aggressive blood cancers that have a poor prognosis and few treatment options. Clinical trials have demonstrated that belinostat can induce responses in a subset of these patients. The pivotal trial leading to its approval, the BELIEF trial, showed an overall response rate of 25.8% in patients with PTCL. This included complete and partial responses, indicating that while not universally effective for all patients, Beleodaq does offer a potential therapeutic benefit for those with limited treatment options.

Efficacy of Ezharmia (Valemetostat Tosilate) for Lymphoma

Ezharmia (valemetostat tosilate) is an investigational drug that is not yet approved for use. It is a dual inhibitor of EZH1 and EZH2, which are enzymes involved in the epigenetic regulation of gene expression. While comprehensive clinical trial data for valemetostat tosilate in lymphoma patients is not yet fully available, early-phase clinical studies suggest potential efficacy in the treatment of certain types of lymphoma, such as adult T-cell leukemia-lymphoma (ATLL) and other non-Hodgkin lymphomas. The drug is thought to work by modifying the epigenetic landscape of cancer cells, thereby inhibiting their growth and survival.

It is important to note that the efficacy of any medication can vary widely among patients due to the heterogeneity of lymphoma and individual patient characteristics. As such, while some patients may experience significant benefits from treatments like Beleodaq or investigational drugs like Ezharmia, others may not respond as well or may experience different side effects. Physicians must carefully consider the potential risks and benefits of these medications on a case-by-case basis.

For accurate and up-to-date information regarding the efficacy of Beleodaq, healthcare professionals and patients are advised to refer to the prescribing information provided by the FDA and to review the latest clinical trial data. As for Ezharmia, ongoing clinical trials and future studies will provide more definitive evidence of its efficacy and safety profile for the treatment of lymphoma. Until then, its use remains experimental, and it is only available in clinical trial settings.

Regulatory Agency Approvals

Beleodaq
  • Food and Drug Administration (FDA), USA
Ezharmia
  • Pharmaceuticals and Medical Devices Agency (PMDA), Japan

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If Beleodaq 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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