Adcetris (brentuximab vedotin) vs Epkinly (epcoritamab-bysp)

Adcetris (brentuximab vedotin) vs Epkinly (epcoritamab-bysp)

Adcetris (brentuximab vedotin) is an antibody-drug conjugate specifically targeting CD30-positive cells, commonly used in the treatment of Hodgkin lymphoma and systemic anaplastic large cell lymphoma. Epkinly (epcoritamab-bysp), on the other hand, is a bispecific antibody targeting both CD20 and CD3, designed to engage T-cells for the treatment of B-cell non-Hodgkin lymphoma. The choice between Adcetris and Epkinly would depend on the specific type of lymphoma a patient has, the expression of the CD30 or CD20 antigens on their cancer cells, and their previous treatments and responses, which should be discussed with a healthcare provider.

Difference between Adcetris and Epkinly

Metric Adcetris (brentuximab vedotin) Epkinly (epcoritamab-bysp)
Generic name Brentuximab vedotin Epcoritamab-bysp
Indications Hodgkin lymphoma, systemic anaplastic large cell lymphoma, primary cutaneous anaplastic large cell lymphoma, and certain types of mycosis fungoides Currently under investigation for the treatment of B-cell non-Hodgkin lymphoma
Mechanism of action CD30-directed antibody-drug conjugate (ADC) Bispecific antibody targeting CD20 on B cells and CD3 on T cells
Brand names Adcetris Epkinly
Administrative route Intravenous infusion Intravenous infusion
Side effects Peripheral neuropathy, neutropenia, fatigue, nausea, fever, rash, thrombocytopenia As of the knowledge cutoff date, specific side effects are under investigation in clinical trials
Contraindications Hypersensitivity to brentuximab vedotin or any excipients As of the knowledge cutoff date, specific contraindications are under investigation in clinical trials
Drug class Antineoplastic agent, monoclonal antibody, antibody-drug conjugate Monoclonal antibody, bispecific antibody
Manufacturer Seagen Inc. (formerly Seattle Genetics, Inc.) Genmab

Efficacy

Adcetris (Brentuximab Vedotin) Efficacy in Treating Lymphoma

Adcetris (brentuximab vedotin) is an antibody-drug conjugate specifically indicated for the treatment of several types of lymphoma, including Hodgkin lymphoma (HL) and systemic anaplastic large cell lymphoma (sALCL). The efficacy of Adcetris in treating HL was demonstrated in a pivotal clinical trial that showed a significant improvement in overall survival and progression-free survival in patients who received the medication compared to those who were treated with standard chemotherapy regimens. In patients with relapsed or refractory HL and sALCL, Adcetris has been shown to induce complete remission in a substantial proportion of cases, highlighting its effectiveness in these challenging clinical scenarios.

For systemic anaplastic large cell lymphoma, Adcetris has been particularly effective. Clinical studies have reported high rates of objective response, with many patients achieving complete remission. The drug's targeted mechanism of action, which combines an anti-CD30 monoclonal antibody with a cytotoxic agent, allows for the direct delivery of chemotherapy to the malignant cells, thereby sparing normal tissues and reducing systemic side effects. This targeted approach contributes to the efficacy of Adcetris in treating sALCL.

Epkinly (Epcoritamab-bysp) Efficacy in Treating Lymphoma

Epkinly (epcoritamab-bysp) is a bispecific antibody designed to target CD20 on B-cells and CD3 on T-cells, thereby engaging the body's immune system to attack B-cell lymphomas. While Epkinly is a relatively new therapeutic agent and data on its efficacy are still emerging, early clinical trials have shown promising results in patients with relapsed or refractory non-Hodgkin lymphoma (NHL), including diffuse large B-cell lymphoma (DLBCL). In these trials, Epkinly has demonstrated an ability to produce responses in a significant number of patients, with some achieving complete remission.

The novel mechanism of action of Epkinly, which recruits the patient's own T-cells to fight the cancerous B-cells, represents a new avenue of treatment in the management of B-cell lymphomas. Ongoing clinical trials continue to evaluate the efficacy and safety profile of Epkinly in various subtypes of NHL, with the aim of establishing its role in the therapeutic landscape of lymphoma. The data so far suggest that Epkinly could offer a valuable treatment option for patients with B-cell lymphomas who have limited responses to existing therapies.

Regulatory Agency Approvals

Adcetris
  • European Medical Agency (EMA), European Union
  • Food and Drug Administration (FDA), USA
  • Health Canada
  • Pharmaceuticals and Medical Devices Agency (PMDA), Japan
  • Therapeutic Goods Administration (TGA), Australia
  • NMPA (China)
Epkinly
  • Food and Drug Administration (FDA), USA

Access Adcetris or Epkinly today

If Adcetris 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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