Monjuvi (tafasitamab-cxix) vs Ezharmia (valemetostat tosilate)

Monjuvi (tafasitamab-cxix) vs Ezharmia (valemetostat tosilate)

Monjuvi (tafasitamab-cxix) is an FDA-approved CD19-directed cytolytic antibody indicated for the treatment of adult patients with relapsed or refractory diffuse large B-cell lymphoma (DLBCL), to be used in combination with lenalidomide, particularly for patients who are not eligible for autologous stem cell transplant. Ezharmia (valemetostat tosilate), on the other hand, is an investigational, oral EZH1/2 dual inhibitor, which is being studied for the treatment of various hematological malignancies and solid tumors, but as of the knowledge cutoff in 2023, it has not yet received approval for clinical use. When deciding between these two medicines, it is crucial to consider the specific type of cancer, the medicine's approval status, and the guidance of a healthcare professional, as Monjuvi is an approved treatment for a specific lymphoma, while Ezharmia is still under investigation and not yet available for standard treatment.

Difference between Monjuvi and Ezharmia

Metric Monjuvi (tafasitamab-cxix) Ezharmia (valemetostat tosilate)
Generic name Tafasitamab-cxix Valemetostat tosilate
Indications Relapsed or refractory diffuse large B-cell lymphoma Adult patients with relapsed or refractory peripheral T-cell lymphoma
Mechanism of action CD19-directed cytolytic antibody EZH1/2 dual inhibitor
Brand names Monjuvi Ezharmia
Administrative route Intravenous infusion Oral
Side effects Fatigue, anemia, diarrhea, cough, fever, etc. Thrombocytopenia, neutropenia, anemia, etc.
Contraindications Hypersensitivity to tafasitamab-cxix or any of its excipients No contraindications have been specified
Drug class Monoclonal antibody EZH inhibitor
Manufacturer MorphoSys Daiichi Sankyo

Efficacy

Monjuvi (Tafasitamab-cxix) for Lymphoma

Monjuvi (tafasitamab-cxix) is a CD19-directed cytolytic antibody indicated for the treatment of adult patients with relapsed or refractory diffuse large B-cell lymphoma (DLBCL). This is a type of non-Hodgkin lymphoma, which is among the most common lymphomas. The efficacy of Monjuvi, particularly when combined with lenalidomide, has been demonstrated in a multicenter, single-arm trial. Patients who received this combination therapy showed a meaningful improvement in overall response rate (ORR), which includes complete and partial response rates compared to historical controls of similar populations.

The efficacy of Monjuvi is often measured by the duration of response (DOR), which has shown to be substantial in a subset of patients. However, it is important to note that individual responses to the treatment can vary, and not all patients may experience the same level of benefit. The treatment is generally reserved for patients who have already undergone two or more lines of systemic therapy, indicating its role in more advanced stages of the disease.

Ezharmia (Valemetostat Tosilate) for Lymphoma

Ezharmia (valemetostat tosilate) is an investigational drug with a novel mechanism of action as a dual inhibitor of EZH1 and EZH2, which are histone methyltransferases. These enzymes are implicated in the epigenetic regulation of gene expression and are known to play a role in the pathogenesis of various cancers, including lymphomas. While Ezharmia is still undergoing clinical trials, early-phase studies have suggested potential efficacy in the treatment of lymphomas, particularly in adult patients with relapsed or refractory disease.

The efficacy of Ezharmia in lymphoma is being evaluated through its impact on tumor response rates, progression-free survival, and overall survival among other metrics. As an investigational drug, it is crucial to consider that the data on Ezharmia is preliminary and subject to change as more extensive clinical trials are completed. The use of Ezharmia for lymphoma is based on the understanding of the disease's epigenetic landscape and the therapeutic targeting of these specific molecular pathways.

Regulatory Agency Approvals

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

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If Monjuvi 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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