Copiktra (duvelisib) vs Onureg (azacitidine)

Copiktra (duvelisib) vs Onureg (azacitidine)

Copiktra (duvelisib) is a dual inhibitor of phosphoinositide 3-kinase (PI3K) used primarily for the treatment of chronic lymphocytic leukemia (CLL), small lymphocytic lymphoma (SLL), and follicular lymphoma after at least two prior systemic therapies. Onureg (oral azacitidine) is a hypomethylating agent indicated for the continued treatment of patients with acute myeloid leukemia (AML) who achieved first complete remission (CR) or complete remission with incomplete blood count recovery (CRi) following intensive induction chemotherapy and are not able to complete intensive curative therapy. When deciding between these medications, it is crucial to consider the specific type of blood cancer being treated, as Copiktra is used for certain types of lymphomas, while Onureg is specifically for maintaining remission in AML, and the decision should be made in consultation with a healthcare provider who can evaluate the individual's medical history and treatment goals.

Difference between Copiktra and Onureg

Metric Copiktra (duvelisib) Onureg (azacitidine)
Generic name Duvelisib Azacitidine
Indications Chronic lymphocytic leukemia (CLL), small lymphocytic lymphoma (SLL), follicular lymphoma Newly diagnosed acute myeloid leukemia (AML) in patients who are not candidates for intensive induction chemotherapy
Mechanism of action Phosphoinositide 3-kinase (PI3K) inhibitor Hypomethylating agent; DNA methyltransferase inhibitor
Brand names Copiktra Onureg
Administrative route Oral Oral
Side effects Diarrhea, neutropenia, rash, fatigue, pyrexia, cough, nausea, anemia, upper respiratory infection Nausea, vomiting, diarrhea, constipation, fatigue, neutropenia, thrombocytopenia, anemia, febrile neutropenia, pneumonia
Contraindications None known Advanced malignant hepatic tumors, hypersensitivity to azacitidine or mannitol
Drug class Antineoplastic agent, PI3K inhibitor Antineoplastic agent, hypomethylating agent
Manufacturer Verastem, Inc. Bristol Myers Squibb

Efficacy

Efficacy of Copiktra (Duvelisib) in Treating Leukemia

Copiktra (duvelisib) is a kinase inhibitor specifically approved for the treatment of adult patients with relapsed or refractory chronic lymphocytic leukemia (CLL)/small lymphocytic lymphoma (SLL) after at least two prior therapies. The efficacy of Copiktra was established in a clinical trial that focused on patients with CLL/SLL. In this study, the overall response rate (ORR) was observed, indicating the percentage of patients who experienced a partial or complete response to the treatment. The ORR for Copiktra in the treatment of CLL/SLL was found to be significant, suggesting that the drug can effectively reduce the disease burden in a substantial number of patients.

Furthermore, Copiktra has also been evaluated for its use in patients with follicular lymphoma (FL) who have received at least two prior systemic therapies. Although FL is a different type of leukemia than CLL/SLL, the efficacy data from the trials provide insight into the drug's activity in a broader leukemia context. Patients with FL showed a meaningful ORR, indicating that Copiktra has potential benefits in various leukemic conditions. However, it is important to note that the safety and efficacy of Copiktra for other types of leukemia beyond CLL/SLL and FL have not been established.

Efficacy of Onureg (Azacitidine) in Treating Leukemia

Onureg (azacitidine) is an oral hypomethylating agent approved for the continued treatment of adult patients with acute myeloid leukemia (AML) who achieved first complete remission (CR) or complete remission with incomplete blood count recovery (CRi) following intensive induction chemotherapy and are not able to complete intensive curative therapy. The efficacy of Onureg was demonstrated in a pivotal phase 3 study, which showed that maintenance therapy with azacitidine significantly improved overall survival (OS) compared to a placebo. The median OS was notably longer in patients treated with Onureg, highlighting its role in extending the lives of patients with AML in remission.

In addition to improving overall survival, Onureg has shown efficacy in maintaining hematologic remission. This is particularly important for AML patients, as achieving and sustaining remission is a key goal of therapy. The ability of Onureg to prolong the duration of remission after initial therapy can be a critical factor in the management of AML. It is worth mentioning that the use of Onureg for other types of leukemia has not been approved, and its efficacy in these other settings has not been established through clinical trials.

Regulatory Agency Approvals

Copiktra
  • European Medical Agency (EMA), European Union
  • Food and Drug Administration (FDA), USA
Onureg
  • Food and Drug Administration (FDA), USA

Access Copiktra or Onureg today

If Copiktra or Onureg 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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