Copiktra (duvelisib) vs Brukinsa (zanubrutinib)

Copiktra (duvelisib) vs Brukinsa (zanubrutinib)

Copiktra (duvelisib) and Brukinsa (zanubrutinib) are both oral medications used in the treatment of certain hematologic cancers, but they target different enzymes involved in cancer cell proliferation. Copiktra is a dual inhibitor of PI3K-delta and PI3K-gamma, approved for the treatment of relapsed or refractory chronic lymphocytic leukemia/small lymphocytic lymphoma (CLL/SLL) and follicular lymphoma. On the other hand, Brukinsa is a Bruton's tyrosine kinase (BTK) inhibitor indicated for the treatment of mantle cell lymphoma (MCL) in adults who have received at least one prior therapy, and it is known for its potentially fewer side effects and off-target effects compared to other BTK inhibitors. When deciding between these medications, a patient should consider factors such as the specific type of cancer they have, their previous treatments, potential side effects, and the mechanism of action of each drug, ideally in consultation with their healthcare provider.

Difference between Copiktra and Brukinsa

Metric Copiktra (duvelisib) Brukinsa (zanubrutinib)
Generic name duvelisib zanubrutinib
Indications Chronic lymphocytic leukemia (CLL), small lymphocytic lymphoma (SLL), follicular lymphoma (FL) Mantle cell lymphoma (MCL), chronic lymphocytic leukemia (CLL), Waldenström's macroglobulinemia (WM)
Mechanism of action PI3K inhibitor Bruton's tyrosine kinase (BTK) inhibitor
Brand names Copiktra Brukinsa
Administrative route Oral Oral
Side effects Diarrhea, neutropenia, rash, fatigue, pyrexia, cough, nausea, upper respiratory infection, pneumonia, musculoskeletal pain Neutropenia, thrombocytopenia, upper respiratory tract infection, rash, bruising, diarrhea, cough
Contraindications History of severe allergic reactions to duvelisib or any of its components None known
Drug class Antineoplastic agent, PI3K inhibitor Antineoplastic agent, BTK inhibitor
Manufacturer Verastem Oncology BeiGene

Efficacy

Copiktra (Duvelisib) Efficacy in Treating Lymphoma

Copiktra, with its generic name duvelisib, is an oral inhibitor of phosphoinositide 3-kinase (PI3K) and is approved for the treatment of adult patients with relapsed or refractory chronic lymphocytic leukemia (CLL)/small lymphocytic lymphoma (SLL) after at least two prior therapies. This medication has also been approved for the treatment of adult patients with relapsed or refractory follicular lymphoma (FL) after at least two prior systemic therapies. The efficacy of Copiktra in lymphoma was demonstrated in a clinical trial where it showed a median progression-free survival (PFS) that was superior to the comparator arms in patients with relapsed or refractory CLL/SLL and FL. However, it is important to note that the treatment with Copiktra is associated with serious risks, including infections, diarrhea or colitis, cutaneous reactions, and pneumonitis.

Brukinsa (Zanubrutinib) Efficacy in Treating Lymphoma

Brukinsa, also known as zanubrutinib, is a Bruton's tyrosine kinase (BTK) inhibitor used in the treatment of mantle cell lymphoma (MCL) in adult patients who have received at least one prior therapy. It has shown a high overall response rate in clinical trials, with a significant proportion of patients achieving partial or complete responses. In addition to its use in MCL, Brukinsa is being investigated for its efficacy in other B-cell malignancies, including various types of non-Hodgkin lymphoma (NHL). The efficacy of Brukinsa in MCL was supported by the results of a single-arm clinical trial where patients demonstrated a high overall response rate, with the duration of response ranging from several months to over a year in some cases.

Comparative Efficacy in Lymphoma Treatment

When comparing the efficacy of Copiktra and Brukinsa in the treatment of lymphoma, it is essential to consider the specific type of lymphoma and the patient's prior treatment history. Both medications have shown promise in their respective approved indications and have contributed to the expanding arsenal of targeted therapies for lymphoma. The choice of therapy should be individualized based on the patient's disease characteristics, prior treatments, and potential side effects associated with each medication. It is also important to note that ongoing clinical trials continue to evaluate the efficacy and safety of these drugs in different settings and in combination with other therapies.

Conclusion

In conclusion, both Copiktra and Brukinsa have shown efficacy in the treatment of certain types of lymphoma. Copiktra is particularly used for CLL/SLL and FL after other treatments have failed, while Brukinsa is indicated for MCL following prior therapy. The efficacy of these drugs in their approved indications offers hope for patients with relapsed or refractory lymphoma, providing new avenues for treatment where limited options may have existed. As with all medications, the use of Copiktra and Brukinsa should be carefully considered by healthcare professionals in the context of each patient's unique clinical situation.

Regulatory Agency Approvals

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

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