Truxima (rituximab) vs Lunsumio (mosunetuzumab-axgb)

Truxima (rituximab) vs Lunsumio (mosunetuzumab-axgb)

Truxima (rituximab) is a CD20-directed cytolytic antibody indicated for the treatment of patients with non-Hodgkin's lymphoma, chronic lymphocytic leukemia, and rheumatoid arthritis, among other conditions, and works by targeting CD20-positive B cells. Lunsumio (mosunetuzumab-axgb), on the other hand, is a bispecific CD20-directed and CD3-directed antibody indicated for the treatment of adult patients with relapsed or refractory follicular lymphoma, and it engages both the target cancer cells and T cells to exert its effect. When deciding between Truxima and Lunsumio, a patient should consider factors such as their specific diagnosis, prior treatments, potential side effects, and the mechanism of action of each drug, in consultation with their healthcare provider to determine the most appropriate treatment option.

Difference between Truxima and Lunsumio

Metric Truxima (rituximab) Lunsumio (mosunetuzumab-axgb)
Generic name Rituximab Mosunetuzumab-axgb
Indications Non-Hodgkin's lymphoma, chronic lymphocytic leukemia, rheumatoid arthritis, granulomatosis with polyangiitis, microscopic polyangiitis Follicular lymphoma
Mechanism of action CD20-directed cytolytic antibody Bispecific T-cell engager antibody that redirects T cells to engage and eliminate malignant B cells
Brand names Truxima, Rituxan, MabThera Lunsumio
Administrative route Intravenous infusion Intravenous infusion
Side effects Infusion reactions, fever, lymphopenia, chills, infection, asthenia Cytokine release syndrome, hypotension, fatigue, fever, headache
Contraindications Severe active infections, severe immunodeficiency None currently known; use with caution in patients with active infections or inflammatory conditions
Drug class Monoclonal antibody Bispecific monoclonal antibody
Manufacturer Celltrion Healthcare, Teva Pharmaceuticals, Genentech (Roche) Genentech (Roche)

Efficacy

Truxima (Rituximab) Efficacy in Lymphoma

Truxima, a biosimilar to the original rituximab, is a monoclonal antibody that targets the CD20 antigen on the surface of pre-B and mature B lymphocytes. It is used for treating several types of lymphoma, including non-Hodgkin lymphoma (NHL) and chronic lymphocytic leukemia (CLL). In clinical trials, rituximab has shown significant efficacy when used as a single agent and in combination with chemotherapy. For instance, in follicular lymphoma, rituximab has improved response rates and prolonged progression-free survival when combined with chemotherapy. Additionally, maintenance therapy with rituximab has been shown to extend remission duration in patients with this type of lymphoma.

In diffuse large B-cell lymphoma (DLBCL), the addition of rituximab to standard chemotherapy (CHOP) has become the standard of care after demonstrating improved overall survival and response rates in numerous clinical trials. This combination, known as R-CHOP, has significantly improved outcomes for patients with DLBCL, making rituximab a cornerstone in the treatment of this aggressive lymphoma subtype.

Lunsumio (Mosunetuzumab-axgb) Efficacy in Lymphoma

Lunsumio, also known as mosunetuzumab-axgb, is a bispecific T-cell engager antibody that targets both CD20 on B cells and CD3 on T cells, thereby bringing them into close proximity and inducing T-cell-mediated cytotoxicity against the B cells. This novel mechanism of action has shown promise in the treatment of several B-cell lymphomas. In clinical trials, mosunetuzumab has demonstrated efficacy in patients with relapsed or refractory non-Hodgkin lymphoma, including those who have received multiple prior lines of therapy or are considered unsuitable for autologous stem cell transplant.

Notably, mosunetuzumab has been evaluated in patients with follicular lymphoma and has shown high complete response rates with a manageable safety profile. Its efficacy in heavily pre-treated patients suggests a potential role for mosunetuzumab as a salvage therapy or in those with chemotherapy-refractory disease. While the data is still emerging, the results so far indicate that mosunetuzumab could become an important treatment option for patients with B-cell lymphomas, particularly for those who have exhausted other therapeutic avenues.

Regulatory Agency Approvals

Truxima
  • European Medical Agency (EMA), European Union
  • Food and Drug Administration (FDA), USA
  • Health Canada
  • Therapeutic Goods Administration (TGA), Australia
  • Medsafe (NZ)
Lunsumio
  • European Medical Agency (EMA), European Union
  • Food and Drug Administration (FDA), USA

Access Truxima or Lunsumio today

If Truxima or Lunsumio are not approved or available in your country (e.g. due to supply issues), you can access them via Everyone.org.

How it works

Make an enquiry

Choose the medicine you want to buy, answer a couple of questions, and upload your prescription to speed things up. We’ll get back to you within 24 hours.

Breeze through the paperwork

We'll guide you through the required documents for importing unapproved medicine, ensuring you have all the necessary information.

Get a personalized quote

We’ll prepare a quote for you, including medicine costs and any shipping, administrative, or import fees that may apply.

Receive your medicine

Accept the quote and we’ll handle the rest - sourcing and safely delivering your medicine.

Some text on this page has been automatically generated. Speak to your physician before you start a new treatment or medication.

Let's talk

If you have any questions, call us or send us a message through WhatsApp or email:

Contact us
LV 0