Adcetris (brentuximab vedotin) vs Truxima (rituximab)

Adcetris (brentuximab vedotin) vs Truxima (rituximab)

Adcetris (brentuximab vedotin) is an antibody-drug conjugate specifically targeting CD30, a marker on lymphoma cells, and is primarily used for the treatment of Hodgkin lymphoma and systemic anaplastic large cell lymphoma. Truxima (rituximab), a biosimilar to Rituxan, is a monoclonal antibody that targets CD20, a different protein found on the surface of B-cells, and is used for various conditions, including non-Hodgkin lymphoma, chronic lymphocytic leukemia, and rheumatoid arthritis. The choice between Adcetris and Truxima would depend on the specific type of lymphoma or autoimmune condition being treated, as well as the patient's overall health, previous treatments, and potential side effects.

Difference between Adcetris and Truxima

Metric Adcetris (brentuximab vedotin) Truxima (rituximab)
Generic name Brentuximab vedotin Rituximab
Indications Hodgkin lymphoma, systemic anaplastic large cell lymphoma, primary cutaneous anaplastic large cell lymphoma, and certain types of mycosis fungoides Non-Hodgkin lymphoma, chronic lymphocytic leukemia, rheumatoid arthritis, granulomatosis with polyangiitis, and microscopic polyangiitis
Mechanism of action CD30-directed antibody-drug conjugate CD20-directed cytolytic antibody
Brand names Adcetris Truxima, Rituxan
Administrative route Intravenous infusion Intravenous infusion
Side effects Neutropenia, peripheral neuropathy, anemia, infusion reactions, thrombocytopenia, cough, fatigue, upper respiratory tract infection, diarrhea, pyrexia, rash, nausea, vomiting Infusion reactions, fever, lymphopenia, chills, infection, weakness, nausea, headache, rashes, pruritus, neutropenia, thrombocytopenia, anemia
Contraindications Hypersensitivity to brentuximab vedotin or any of its excipients Hypersensitivity to rituximab or any of its excipients, severe infections, severe immunodeficiency states
Drug class Antineoplastic agent, monoclonal antibody Antineoplastic agent, monoclonal antibody
Manufacturer Seagen Inc. Celltrion Healthcare

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 and systemic anaplastic large cell lymphoma. The efficacy of Adcetris was demonstrated in clinical trials where it was shown to induce remission in a significant proportion of patients. For instance, in a pivotal phase II clinical trial, patients with relapsed or refractory Hodgkin lymphoma exhibited a high overall response rate to Adcetris treatment. Additionally, Adcetris has been evaluated in the frontline setting in combination with chemotherapy, showing improved outcomes in terms of progression-free survival compared to the standard chemotherapy regimen alone.

Adcetris works by targeting CD30, a protein expressed on the surface of some lymphoma cells. The drug combines an anti-CD30 monoclonal antibody with a cytotoxic agent, allowing it to deliver the potent drug directly to the cancer cells while sparing normal cells. This targeted approach has been effective in reducing tumor burden and improving patient outcomes, with a manageable safety profile in the approved lymphoma indications.

Efficacy of Truxima (Rituximab) in Lymphoma Treatment

Truxima (rituximab) is a biosimilar to the original monoclonal antibody rituximab, which is used widely in the treatment of non-Hodgkin lymphoma, including follicular lymphoma and diffuse large B-cell lymphoma. Truxima has been shown to have similar efficacy and safety as the reference product. Rituximab, including Truxima, works by targeting the CD20 antigen on B-lymphocytes, leading to their destruction. In clinical settings, rituximab has significantly improved survival rates when used in combination with chemotherapy, becoming a standard of care in the treatment of many B-cell lymphomas.

Truxima's efficacy was assessed in clinical trials that compared it to the reference rituximab product. The trials confirmed that Truxima has no clinically meaningful differences in terms of safety, purity, and potency in the treatment of patients with non-Hodgkin lymphoma. The use of rituximab has transformed the treatment landscape of B-cell lymphomas, offering improved outcomes for many patients when used as a single agent or in combination with other chemotherapeutic drugs.

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

Access Adcetris or Truxima today

If Adcetris or Truxima 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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