Elzonris (tagraxofusp-erzs) vs Daurismo (glasdegib)

Elzonris (tagraxofusp-erzs) vs Daurismo (glasdegib)

Elzonris (tagraxofusp-erzs) is a targeted therapy specifically approved for the treatment of blastic plasmacytoid dendritic cell neoplasm (BPDCN), a rare and aggressive form of blood cancer, and works by delivering a toxin directly to the cancer cells. Daurismo (glasdegib), on the other hand, is a hedgehog pathway inhibitor used in combination with low-dose cytarabine for the treatment of newly-diagnosed acute myeloid leukemia (AML) in adult patients who are 75 years or older or who have comorbidities that preclude the use of intensive induction chemotherapy. Patients should consult with their healthcare provider to determine which medication is appropriate based on their specific diagnosis, age, overall health, treatment goals, and potential side effects.

Difference between Elzonris and Daurismo

Metric Elzonris (tagraxofusp-erzs) Daurismo (glasdegib)
Generic name Tagraxofusp-erzs Glasdegib
Indications Blastic plasmacytoid dendritic cell neoplasm (BPDCN) Newly-diagnosed acute myeloid leukemia (AML) for patients aged 75 years or older or who have comorbidities that preclude use of intensive induction chemotherapy
Mechanism of action CD123-directed cytotoxin Hedgehog pathway inhibitor
Brand names Elzonris Daurismo
Administrative route Intravenous Oral
Side effects Capillary leak syndrome, fever, hypotension, fatigue, peripheral edema Anemia, fatigue, hemorrhage, febrile neutropenia, muscle pain, nausea
Contraindications Hypersensitivity to tagraxofusp-erzs or any component of the formulation Hypersensitivity to glasdegib or any component of the formulation
Drug class CD123-directed cytotoxin Hedgehog pathway inhibitor
Manufacturer Stemline Therapeutics, Inc. Pfizer Inc.

Efficacy

Elzonris (tagraxofusp-erzs) Efficacy in Treating Leukemia

Elzonris (tagraxofusp-erzs) is an innovative targeted therapy approved by the U.S. Food and Drug Administration (FDA) for the treatment of blastic plasmacytoid dendritic cell neoplasm (BPDCN) in adults and in pediatric patients, 2 years of age and older. BPDCN is a rare and aggressive form of leukemia. The efficacy of Elzonris was evaluated in clinical trials, primarily in a pivotal trial that included 13 patients with treatment-naive BPDCN. The results were promising, with a reported overall response rate (ORR) of 90%, indicating a significant proportion of patients experienced a reduction or disappearance of their leukemia-related symptoms after treatment with Elzonris.

The duration of response (DOR) to Elzonris also underscored its efficacy. Among responders, the median DOR was not reached, suggesting that the majority of responses were sustained for a considerable period. Furthermore, the treatment demonstrated a clinically meaningful benefit in terms of survival outcomes, with a median overall survival (OS) that was not reached after 20.7 months of follow-up, indicating that many patients were still alive at the end of the study period.

Daurismo (glasdegib) Efficacy in Treating Leukemia

Daurismo (glasdegib) is another medication that has been approved by the FDA for the treatment of newly-diagnosed acute myeloid leukemia (AML) in adult patients who are 75 years or older, or who have comorbidities that preclude the use of intensive induction chemotherapy. The efficacy of Daurismo, in combination with low-dose cytarabine (LDAC), was demonstrated in a randomized clinical trial that compared it to LDAC alone. The trial showed that patients treated with the combination had a median overall survival of 8.3 months compared to 4.3 months for patients treated with LDAC alone, indicating a significant improvement in survival for the Daurismo combination group.

In addition to the improved OS, the combination of Daurismo and LDAC resulted in a higher rate of complete remission (CR) compared to LDAC alone. The CR rates were 17% for the combination therapy versus 2.3% for LDAC alone. This improvement in CR rates further supports the efficacy of Daurismo as a treatment option for older patients with AML who are not candidates for intensive chemotherapy.

Regulatory Agency Approvals

Elzonris
  • European Medical Agency (EMA), European Union
  • Food and Drug Administration (FDA), USA
Daurismo
  • European Medical Agency (EMA), European Union
  • Food and Drug Administration (FDA), USA
  • Health Canada

Access Elzonris or Daurismo today

If Elzonris or Daurismo 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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