Sarclisa (isatuximab) vs Elrexfio (elranatamab-bcmm)

Sarclisa (isatuximab) vs Elrexfio (elranatamab-bcmm)

Sarclisa (isatuximab) is a monoclonal antibody that targets a protein called CD38 on the surface of multiple myeloma cells, and is used in combination with other drugs to treat adults with multiple myeloma who have received at least one prior therapy. Elrexfio (elranatamab-bcmm), on the other hand, is a bispecific antibody that targets both BCMA (B-cell maturation antigen) on myeloma cells and CD3 on T cells, bringing the T cells close to the cancer cells to enhance the immune response against the cancer. When deciding between these medications, it is important to consider factors such as the specific characteristics of the patient's multiple myeloma, prior treatments, potential side effects, and how the mechanism of action of each drug aligns with the individual's treatment goals and needs, in consultation with a healthcare professional.

Difference between Sarclisa and Elrexfio

Metric Sarclisa (isatuximab) Elrexfio (elranatamab-bcmm)
Generic name Isatuximab Elranatamab-bcmm
Indications Multiple myeloma Multiple myeloma
Mechanism of action CD38-directed cytolytic antibody BCMA-directed T cell-engaging bispecific antibody
Brand names Sarclisa Elrexfio
Administrative route Intravenous Intravenous
Side effects Infusion reactions, neutropenia, diarrhea, pneumonia, etc. Not fully characterized; similar drugs cause cytokine release syndrome, infections, etc.
Contraindications Hypersensitivity to isatuximab or excipients Not fully characterized; likely hypersensitivity to elranatamab-bcmm or excipients
Drug class Monoclonal antibody Bispecific antibody
Manufacturer Sanofi Pfizer

Efficacy

Sarclisa (Isatuximab) Efficacy in Multiple Myeloma

Sarclisa (isatuximab) is a monoclonal antibody that has been approved for the treatment of multiple myeloma, a type of cancer that forms in a type of white blood cell called a plasma cell. Isatuximab works by targeting a specific protein found on the surface of multiple myeloma cells, known as CD38, which plays a role in the growth and survival of these cancer cells. The efficacy of Sarclisa in the treatment of multiple myeloma was demonstrated in a clinical trial where it was used in combination with pomalidomide and dexamethasone in patients who had received at least two prior therapies including lenalidomide and a proteasome inhibitor. The trial showed a significant improvement in progression-free survival when compared to pomalidomide and dexamethasone alone.

Elrexfio (Elranatamab-bcmm) Efficacy in Multiple Myeloma

Elrexfio (elranatamab-bcmm) is an investigational bispecific antibody that targets BCMA (B-cell maturation antigen) on multiple myeloma cells and CD3 on T cells. It is designed to bring these two cell types into close proximity, thereby activating the T cells to kill the myeloma cells. As of the knowledge cutoff date, elranatamab-bcmm has not yet received regulatory approval, and its efficacy is being evaluated in clinical trials. Preliminary data from these trials have shown promising responses in patients with relapsed or refractory multiple myeloma, indicating potential as a novel therapeutic option for this patient population.

Both Sarclisa and Elrexfio are part of a growing class of immunotherapies that harness the body's immune system to fight multiple myeloma. These treatments offer hope for improved outcomes in patients who have historically had limited options after relapse or resistance to standard therapies. The efficacy of these drugs in clinical trials underscores the importance of continued research and development in the field of multiple myeloma treatment.

It is important to note that while Sarclisa has been approved for use in certain multiple myeloma settings, Elrexfio remains investigational and its efficacy and safety profile will continue to be evaluated in ongoing clinical trials. Healthcare professionals should stay informed of the latest research findings and clinical trial data to make evidence-based treatment decisions for their patients with multiple myeloma.

Regulatory Agency Approvals

Sarclisa
  • European Medical Agency (EMA), European Union
  • Food and Drug Administration (FDA), USA
  • Health Canada
Elrexfio
  • Food and Drug Administration (FDA), USA

Access Sarclisa or Elrexfio today

If Sarclisa or Elrexfio 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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