Tazverik (tazemetostat) vs Xpovio (selinexor)

Tazverik (tazemetostat) vs Xpovio (selinexor)

Tazverik (tazemetostat) is an EZH2 inhibitor approved for the treatment of certain types of epithelioid sarcoma and follicular lymphoma, particularly in patients whose tumors have an EZH2 gene mutation or who have no satisfactory alternative treatments. Xpovio (selinexor) is a selective inhibitor of nuclear export (SINE) compound that is approved for the treatment of multiple myeloma and diffuse large B-cell lymphoma, often used in combination with other therapies in patients who have received at least one prior therapy. The choice between Tazverik and Xpovio would depend on the specific type and progression of the cancer, previous treatments, the presence of specific genetic mutations, and the patient's overall health status, as well as the side effect profiles of each medication.

Difference between Tazverik and Xpovio

Metric Tazverik (tazemetostat) Xpovio (selinexor)
Generic name tazemetostat selinexor
Indications Epithelioid sarcoma, Follicular lymphoma Multiple myeloma, Diffuse large B-cell lymphoma
Mechanism of action EZH2 inhibition Selective inhibitor of nuclear export
Brand names Tazverik Xpovio
Administrative route Oral Oral
Side effects Fatigue, nausea, constipation, vomiting, etc. Nausea, vomiting, fatigue, anorexia, weight loss, etc.
Contraindications None known Thrombocytopenia, neutropenia, etc.
Drug class EZH2 inhibitor SINE (Selective Inhibitor of Nuclear Export)
Manufacturer Epizyme, Inc. Karyopharm Therapeutics

Efficacy

Tazverik (Tazemetostat) Efficacy in Treating Lymphoma

Tazverik (tazemetostat) is an orally administered, small molecule inhibitor of the EZH2 enzyme, which has shown efficacy in the treatment of certain types of lymphoma. Specifically, it has been approved by the U.S. Food and Drug Administration (FDA) for the treatment of adults with relapsed or refractory follicular lymphoma (FL) whose tumors are positive for an EZH2 mutation as detected by an FDA-approved test and who have received at least two prior systemic therapies. The efficacy of Tazverik was evaluated in a clinical trial that included patients with relapsed or refractory FL with an EZH2 mutation. The trial demonstrated a meaningful rate of objective response, which is a reduction in tumor burden, in this patient population.

In patients with FL who do not have an EZH2 mutation, Tazverik has also been shown to be effective when they have no satisfactory alternative treatment options. This efficacy was based on overall response rates observed in a multicenter, single-arm trial. However, it is important to note that the duration of response can vary, and patients should be monitored regularly to assess the continued efficacy of the treatment.

Xpovio (Selinexor) Efficacy in Treating Lymphoma

Xpovio (selinexor) is a first-in-class, oral selective inhibitor of nuclear export (SINE) compound that blocks the XPO1 protein. It has shown efficacy in the treatment of certain hematological malignancies, including lymphoma. The FDA has granted accelerated approval to Xpovio for the treatment of adult patients with relapsed or refractory diffuse large B-cell lymphoma (DLBCL), not otherwise specified, including DLBCL arising from follicular lymphoma, after at least two lines of systemic therapy. This approval was based on the overall response rate and duration of response observed in a multicenter, single-arm, open-label clinical trial of patients with relapsed or refractory DLBCL.

The efficacy of Xpovio in combination with other therapeutic agents for the treatment of lymphoma is also being investigated in various clinical trials. While Xpovio has shown promise in treating DLBCL, its use is associated with a risk of severe side effects, and the decision to use this medication should be based on a careful consideration of the potential benefits and risks. As with any cancer therapy, the efficacy of Xpovio can vary from patient to patient, and ongoing clinical trials continue to evaluate its long-term efficacy and safety profile in a broader patient population.

Regulatory Agency Approvals

Tazverik
  • Food and Drug Administration (FDA), USA
  • Pharmaceuticals and Medical Devices Agency (PMDA), Japan
Xpovio
  • European Medical Agency (EMA), European Union
  • Food and Drug Administration (FDA), USA

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