Empliciti (elotuzumab) vs Darzalex (daratumumab)

Empliciti (elotuzumab) vs Darzalex (daratumumab)

Empliciti (elotuzumab) and Darzalex (daratumumab) are both monoclonal antibodies used in the treatment of multiple myeloma, yet they target different proteins on the surface of cancer cells. Empliciti binds to SLAMF7, a protein found on myeloma cells and natural killer cells, enhancing the immune system's response against the tumor, and is typically used in combination with other medications. Darzalex targets CD38, a protein highly expressed on myeloma cells, and can be used alone or in combination with other treatments; it has a broader range of FDA-approved indications for different stages of multiple myeloma, which might influence a patient's choice depending on their specific condition and treatment history.

Difference between Empliciti and Darzalex

Metric Empliciti (elotuzumab) Darzalex (daratumumab)
Generic name Elotuzumab Daratumumab
Indications Multiple myeloma (in combination with lenalidomide and dexamethasone) Multiple myeloma (as monotherapy or in combination with other agents)
Mechanism of action SLAMF7-directed immunostimulatory antibody CD38-directed cytolytic antibody
Brand names Empliciti Darzalex
Administrative route Intravenous infusion Intravenous infusion, subcutaneous injection
Side effects Fatigue, diarrhea, fever, constipation, cough, peripheral neuropathy, nasopharyngitis, upper respiratory tract infection, decreased appetite, pneumonia Fatigue, nausea, back pain, fever, cough, cold-like symptoms (upper respiratory tract infection), bone pain, peripheral edema, peripheral sensory neuropathy, dyspnea
Contraindications Hypersensitivity to elotuzumab or its excipients Hypersensitivity to daratumumab or its excipients
Drug class Monoclonal antibody Monoclonal antibody
Manufacturer Bristol-Myers Squibb Janssen Biotech, Inc.

Efficacy

Empliciti (Elotuzumab) Efficacy in Multiple Myeloma

Empliciti, known generically as elotuzumab, is a targeted therapy approved for the treatment of multiple myeloma, a type of blood cancer that affects plasma cells. Empliciti is specifically indicated for use in combination with lenalidomide and dexamethasone for the treatment of patients with multiple myeloma who have received one to three prior therapies. Clinical trials have demonstrated that Empliciti, when used in combination with these agents, can significantly extend progression-free survival compared to lenalidomide and dexamethasone alone. The efficacy of Empliciti is attributed to its mechanism of action, which involves targeting and binding to a protein called SLAMF7 on the surface of myeloma cells, enhancing the immune system's ability to attack and destroy these cancer cells.

Darzalex (Daratumumab) Efficacy in Multiple Myeloma

Darzalex, or daratumumab, is another monoclonal antibody used in the treatment of multiple myeloma. It is approved for use in various treatment settings, including as a monotherapy for patients who have received at least three prior lines of therapy including a proteasome inhibitor and an immunomodulatory agent, or who are double-refractory to a proteasome inhibitor and an immunomodulatory agent. Darzalex is also approved in combination with other medications such as lenalidomide and dexamethasone, or bortezomib and dexamethasone, for the treatment of patients with multiple myeloma who have received at least one prior therapy. Clinical studies have shown that Darzalex significantly improves overall response rates and progression-free survival in these settings. Daratumumab works by targeting CD38, a surface protein highly expressed on multiple myeloma cells, leading to direct tumor cell death and engaging the immune system to attack the cancer cells.

Comparative Efficacy in Clinical Practice

Both Empliciti and Darzalex have shown efficacy in improving patient outcomes in the treatment of multiple myeloma, but they have different mechanisms of action and are used in different combinations and lines of therapy. The choice between these treatments often depends on the specific characteristics of the disease, prior treatments, and the patient's overall health status. In clinical practice, the efficacy of these drugs is also influenced by their ability to work synergistically with other myeloma treatments, enhancing the overall therapeutic effect.

Conclusion

In conclusion, Empliciti and Darzalex have both emerged as important options in the management of multiple myeloma, offering hope for improved survival and quality of life for patients battling this challenging disease. Ongoing research and clinical trials continue to evaluate the optimal use of these drugs, including their efficacy in various combinations and sequences of therapy. As with all medical treatments, the use of Empliciti and Darzalex should be individualized to each patient's condition and managed by a healthcare professional with expertise in treating multiple myeloma.

Regulatory Agency Approvals

Empliciti
  • European Medical Agency (EMA), European Union
  • Food and Drug Administration (FDA), USA
  • Therapeutic Goods Administration (TGA), Australia
Darzalex
  • European Medical Agency (EMA), European Union
  • Food and Drug Administration (FDA), USA
  • Health Canada
  • Therapeutic Goods Administration (TGA), Australia
  • Medsafe (NZ)

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If Empliciti or Darzalex 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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