Polivy (polatuzumab vedotin-piiq) vs Columvi (glofitamab-gxbm)

Polivy (polatuzumab vedotin-piiq) vs Columvi (glofitamab-gxbm)

Polivy (polatuzumab vedotin-piiq) is an antibody-drug conjugate specifically targeting CD79b, a protein associated with B-cell non-Hodgkin lymphoma, and is approved for use in combination with other drugs for the treatment of relapsed or refractory diffuse large B-cell lymphoma (DLBCL). Glofitamab (Columvi) is a bispecific T-cell engager antibody that simultaneously binds to CD20 on B-cells and CD3 on T-cells, designed to recruit the body's own T-cells to attack B-cell lymphomas, and is currently being investigated in clinical trials. When deciding between these two medications, one should consider the specific type of lymphoma, previous treatments, potential side effects, and the stage of approval or clinical development of the drug, as Polivy is FDA-approved for certain uses while Glofitamab is still under investigation.

Difference between Polivy and Columvi

Metric Polivy (polatuzumab vedotin-piiq) Columvi (glofitamab-gxbm)
Generic name Polatuzumab vedotin-piiq Glofitamab
Indications Treatment of relapsed or refractory diffuse large B-cell lymphoma Currently under investigation for B-cell non-Hodgkin lymphoma
Mechanism of action Antibody-drug conjugate targeting CD79b Bispecific monoclonal antibody targeting CD20 and CD3
Brand names Polivy Columvi
Administrative route Intravenous infusion Intravenous infusion
Side effects Neutropenia, anemia, thrombocytopenia, peripheral neuropathy, fatigue, diarrhea Not fully characterized; may include cytokine release syndrome, infusion-related reactions, and infections
Contraindications Hypersensitivity to polatuzumab vedotin-piiq or any of its excipients Not yet fully determined
Drug class Antibody-drug conjugate Bispecific monoclonal antibody
Manufacturer Genentech, Inc. Genentech, Inc.

Efficacy

Polivy (polatuzumab vedotin-piiq) Efficacy in Treating Lymphoma

Polivy (polatuzumab vedotin-piiq) is an antibody-drug conjugate specifically designed for the treatment of certain types of lymphoma. It targets and binds to CD79b, a protein expressed on the surface of B-cells, and delivers a cytotoxic agent directly to these cells. Polivy, in combination with bendamustine and a rituximab product, is approved for the treatment of adult patients with relapsed or refractory diffuse large B-cell lymphoma (DLBCL) after at least two prior therapies. Clinical trials have demonstrated that this combination therapy can lead to complete responses in a significant proportion of patients, indicating a reduction or disappearance of the lymphoma.

The efficacy of Polivy was evaluated in a pivotal multicenter, open-label, randomized study, which showed an improvement in overall survival and progression-free survival as compared to treatment with bendamustine and a rituximab product alone. The addition of Polivy to the regimen has been shown to enhance the therapeutic effects, offering a new hope for patients with limited treatment options. However, the efficacy can vary depending on the individual's disease characteristics and previous treatments.

Columvi (glofitamab-gxbm) Efficacy in Treating Lymphoma

Columvi (glofitamab-gxbm) is a bispecific monoclonal antibody designed for the treatment of lymphoma. It targets both CD20 on B-cells and CD3 on T-cells, bringing these cells into close proximity and activating the T-cells to kill the B-cells. While Columvi is still in the clinical trial phase and has not yet received regulatory approval, early data from these trials have shown promising results in the treatment of relapsed or refractory B-cell lymphomas, including DLBCL.

The efficacy of Columvi is being assessed through ongoing clinical trials, which have reported high rates of complete responses in patients with heavily pretreated lymphoma. These trials are crucial in determining the safety profile, optimal dosing, and overall efficacy of Columvi in the lymphoma patient population. As research continues, Columvi has the potential to become an important addition to the therapeutic arsenal against B-cell lymphomas, particularly for patients who have not responded to or have relapsed after standard treatments.

Regulatory Agency Approvals

Polivy
  • Food and Drug Administration (FDA), USA
  • Pharmaceuticals and Medical Devices Agency (PMDA), Japan
  • Therapeutic Goods Administration (TGA), Australia
Columvi
  • European Medical Agency (EMA), European Union
  • Food and Drug Administration (FDA), USA

Access Polivy or Columvi today

If Polivy or Columvi 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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