Ukoniq (umbralisib) vs Ezharmia (valemetostat tosilate)

Ukoniq (umbralisib) vs Ezharmia (valemetostat tosilate)

Ukoniq (umbralisib) is a PI3K inhibitor used for the treatment of certain types of lymphomas, including marginal zone lymphoma and follicular lymphoma, in patients who have received at least one prior therapy. Ezharmia (valemetostat tosilate), on the other hand, is a dual inhibitor of EZH1 and EZH2, which are enzymes involved in epigenetic regulation, and is being investigated for the treatment of various hematologic malignancies and solid tumors. When deciding between these two medications, it is important to consult with a healthcare provider to consider the specific type of cancer, the patient's medical history, and the safety and efficacy profile of each medication, as they target different pathways in cancer cells and have distinct indications and stages of clinical development.

Difference between Ukoniq and Ezharmia

Metric Ukoniq (umbralisib) Ezharmia (valemetostat tosilate)
Generic name Umbralisib Valemetostat tosilate
Indications Marginal zone lymphoma (MZL), Follicular lymphoma (FL) Currently under investigation, potential indication for T-cell lymphoma
Mechanism of action PI3K delta and CK1 epsilon inhibitor DOT1L inhibitor
Brand names Ukoniq Ezharmia
Administrative route Oral Not yet determined
Side effects Increased risk of infection, diarrhea, fatigue, nausea, and others Not fully characterized, still under clinical investigation
Contraindications History of severe allergic reactions to umbralisib Not yet fully determined
Drug class Antineoplastic agent Epigenetic modifier
Manufacturer TG Therapeutics Daiichi Sankyo

Efficacy

Ukoniq (Umbralisib) Efficacy in Treating Lymphoma

Ukoniq (umbralisib) is a medication that has been approved by the U.S. Food and Drug Administration (FDA) for the treatment of certain types of lymphoma. Specifically, it is indicated for adult patients with relapsed or refractory marginal zone lymphoma (MZL) who have received at least one prior anti-CD20-based therapy, and for adult patients with relapsed or refractory follicular lymphoma (FL) who have received at least three prior lines of systemic therapy. Umbralisib is a PI3K delta inhibitor that works by targeting a specific protein in the cancer cells, which can help to slow the growth and spread of the cancer.

The efficacy of Ukoniq in treating lymphoma was demonstrated in a multicenter, open-label, single-arm trial. In patients with MZL, the overall response rate (ORR) was found to be significant, with a considerable portion of patients achieving a partial or complete response to the treatment. Similarly, in patients with FL, the ORR was notable, indicating that Ukoniq can be an effective treatment option for individuals with this form of lymphoma who have exhausted other therapies.

Ezharmia (Valemetostat Tosilate) Efficacy in Treating Lymphoma

Ezharmia (valemetostat tosilate) is an investigational drug that has shown potential in treating lymphoma, although it is not yet approved by regulatory agencies such as the FDA as of the current knowledge cutoff date. Valemetostat tosilate is a dual inhibitor of EZH1 and EZH2, which are enzymes involved in the epigenetic regulation of gene expression. By inhibiting these enzymes, valemetostat tosilate can interfere with the growth of cancer cells. Clinical trials are ongoing to evaluate its efficacy in various types of lymphoma, including adult T-cell leukemia-lymphoma (ATL), peripheral T-cell lymphoma (PTCL), and other non-Hodgkin lymphomas.

Early clinical trial results have suggested that valemetostat tosilate may have a favorable efficacy profile in treating lymphoma. In phase I/II studies, some patients with relapsed or refractory lymphomas have achieved partial or complete responses to the treatment. However, it is important to note that the data is preliminary and further research is required to fully establish the efficacy and safety profile of Ezharmia for the treatment of lymphoma. As such, valemetostat tosilate remains an experimental therapy and is not yet available as a standard treatment option.

Regulatory Agency Approvals

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

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