Darvias (darinaparsin) () vs Epkinly (epcoritamab-bysp)

Darvias (darinaparsin) () vs Epkinly (epcoritamab-bysp)

When comparing Darvias (darinaparsin), an organic arsenic derivative with anti-tumor activity, to Epkinly (epcoritamab-bysp), a bispecific antibody targeting CD3 on T cells and CD20 on B cells, it is important to consider their distinct mechanisms of action and indications. Darvias is primarily used for the treatment of peripheral T-cell lymphoma and has shown efficacy in targeting malignant cells through mitochondrial dysfunction and apoptosis. In contrast, Epkinly is designed for the treatment of B-cell non-Hodgkin lymphoma, leveraging the body's immune system to recognize and destroy cancer cells. The choice between the two medications would largely depend on the specific type of lymphoma a patient has and the treatment goals established by the healthcare provider.

Difference between Darvias (darinaparsin) and Epkinly

Metric Darvias (darinaparsin) Epkinly (epcoritamab-bysp)
Generic name darinaparsin epcoritamab-bysp
Indications Currently being investigated for the treatment of various types of cancer, including lymphoma and solid tumors. Used for the treatment of B-cell non-Hodgkin lymphoma.
Mechanism of action Organic arsenic compound that induces apoptosis and disrupts mitochondrial bioenergetics in cancer cells. Bispecific antibody targeting CD20 on B-cells and CD3 on T-cells to recruit T-cells to kill B-cell lymphoma.
Brand names Darvias Epkinly
Administrative route Intravenous Intravenous
Side effects Fatigue, nausea, vomiting, diarrhea, and abdominal pain. Infusion-related reactions, cytopenias, infections, fatigue, and fever.
Contraindications Not yet fully established due to ongoing clinical trials. Hypersensitivity to epcoritamab-bysp or any of its excipients.
Drug class Organic arsenical Bispecific monoclonal antibody
Manufacturer ZIOPHARM Oncology Genmab and AbbVie

Efficacy

Darvias (darinaparsin)

Darvias, with the active ingredient darinaparsin, is a novel organic arsenic compound that has been investigated for its potential efficacy in the treatment of various types of cancer, including lymphoma. Darinaparsin has been shown to induce apoptosis in malignant cells and has demonstrated activity in preclinical models of lymphoma. While the exact mechanism of action is not fully understood, darinaparsin appears to exert its effects through multiple pathways, including the induction of oxidative stress and the inhibition of mitochondrial function in cancer cells.

In clinical trials, darinaparsin has been evaluated for its efficacy in patients with different subtypes of lymphoma, including Hodgkin's lymphoma and certain non-Hodgkin's lymphomas. The results have shown some promise, with a subset of patients experiencing partial or complete responses to the treatment. However, the efficacy of Darvias can vary depending on the type and stage of lymphoma, and further studies are needed to fully establish its role in the treatment of this disease.

Epkinly (epcoritamab-bysp)

Epkinly, known by its generic name epcoritamab-bysp, is a bispecific antibody designed to target both CD3 on T-cells and CD20 on B-cells. This dual targeting mechanism is intended to redirect T-cells to engage and eliminate B-cell lymphomas. Epcoritamab has been studied in clinical trials for its efficacy in treating various B-cell lymphomas, including diffuse large B-cell lymphoma (DLBCL) and follicular lymphoma, among others.

The clinical trials have shown encouraging results, with Epkinly demonstrating the ability to induce responses in a significant proportion of patients with relapsed or refractory B-cell non-Hodgkin's lymphoma. The observed responses include complete remissions in some patients, suggesting that Epkinly could represent a valuable treatment option for individuals with lymphoma who have exhausted other therapies. As with any investigational treatment, the efficacy of Epkinly will continue to be evaluated in ongoing and future clinical trials to better understand its potential benefits and limitations in the management of lymphoma.

Regulatory Agency Approvals

Darvias (darinaparsin)
  • Pharmaceuticals and Medical Devices Agency (PMDA), Japan
Epkinly
  • Food and Drug Administration (FDA), USA

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If Darvias (darinaparsin) or Epkinly 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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