Adcetris (brentuximab vedotin) vs Zynlonta (loncastuximab tesirine-lpyl)

Adcetris (brentuximab vedotin) vs Zynlonta (loncastuximab tesirine-lpyl)

Adcetris (brentuximab vedotin) is an antibody-drug conjugate that targets the CD30 protein on lymphoma cells, commonly used to treat Hodgkin lymphoma and systemic anaplastic large cell lymphoma. Zynlonta (loncastuximab tesirine-lpyl) is also an antibody-drug conjugate, but it targets the CD19 protein and is used for the treatment of relapsed or refractory diffuse large B-cell lymphoma. The choice between Adcetris and Zynlonta would depend on the specific type of lymphoma a patient has, as well as their previous treatments and overall health condition, and should be made in consultation with an oncologist who can evaluate the individual's unique circumstances.

Difference between Adcetris and Zynlonta

Metric Adcetris (brentuximab vedotin) Zynlonta (loncastuximab tesirine-lpyl)
Generic name Brentuximab vedotin Loncastuximab tesirine-lpyl
Indications Hodgkin lymphoma, systemic anaplastic large cell lymphoma, primary cutaneous anaplastic large cell lymphoma, and certain types of mycosis fungoides Relapsed or refractory large B-cell lymphoma
Mechanism of action CD30-directed antibody-drug conjugate (ADC) CD19-directed antibody-drug conjugate (ADC)
Brand names Adcetris Zynlonta
Administrative route Intravenous infusion Intravenous infusion
Side effects Peripheral neuropathy, neutropenia, fatigue, nausea, fever, rash, thrombocytopenia Thrombocytopenia, neutropenia, elevated liver enzymes, fatigue, anemia, diarrhea
Contraindications Known hypersensitivity to brentuximab vedotin or any of its excipients Known hypersensitivity to loncastuximab tesirine-lpyl or any of its excipients
Drug class Antineoplastic agent, monoclonal antibody Antineoplastic agent, monoclonal antibody
Manufacturer Seagen Inc. ADC Therapeutics SA

Efficacy

Efficacy of Adcetris (Brentuximab Vedotin) in Lymphoma

Adcetris (brentuximab vedotin) is an antibody-drug conjugate specifically indicated for the treatment of certain types of lymphoma, including Hodgkin's lymphoma and systemic anaplastic large cell lymphoma. The efficacy of Adcetris in Hodgkin's lymphoma was demonstrated in a pivotal phase 3 clinical trial, which showed that the drug could significantly improve the rates of progression-free survival compared to the standard chemotherapy regimen. In patients with relapsed or refractory Hodgkin's lymphoma, Adcetris has been shown to induce high rates of complete remission, with some patients achieving durable responses. For systemic anaplastic large cell lymphoma, Adcetris has been effective in inducing remission in a significant proportion of patients, particularly those who have not responded to other treatments.

Efficacy of Zynlonta (Loncastuximab Tesirine-lpyl) in Lymphoma

Zynlonta (loncastuximab tesirine-lpyl) is a CD19-directed antibody-drug conjugate approved for the treatment of adult patients with relapsed or refractory large B-cell lymphoma after two or more lines of systemic therapy. The efficacy of Zynlonta was evaluated in a multicenter, single-arm, open-label pivotal trial. The results demonstrated an overall response rate with a significant percentage of patients achieving complete response. The duration of response for patients who achieved a complete or partial response was also noteworthy, indicating that Zynlonta can provide a meaningful clinical benefit in a patient population with limited treatment options.

Both Adcetris and Zynlonta represent advances in the targeted therapy for lymphoma, offering options for patients who have relapsed or refractory disease. Their mechanisms of action, targeting specific antigens on the surface of lymphoma cells, allow for the direct delivery of cytotoxic agents to the cancer cells, sparing normal tissues and potentially reducing the side effects associated with conventional chemotherapy.

It is important to note that while both drugs have shown efficacy in clinical trials, individual responses to treatment can vary. The choice of therapy should be personalized based on the patient's specific type of lymphoma, prior treatments, and overall health. Continued research and long-term follow-up studies are essential to fully understand the long-term efficacy and safety of these therapies in the lymphoma patient population.

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)
Zynlonta
  • European Medical Agency (EMA), European Union
  • Food and Drug Administration (FDA), USA

Access Adcetris or Zynlonta today

If Adcetris or Zynlonta 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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