Darzalex (daratumumab) vs Elrexfio (elranatamab-bcmm)

Darzalex (daratumumab) vs Elrexfio (elranatamab-bcmm)

Darzalex (daratumumab) and Elrexfio (elranatamab-bcmm) are both monoclonal antibodies used in the treatment of multiple myeloma, but they target different proteins on the surface of cancer cells. Darzalex binds to the CD38 protein and is approved for use in various treatment settings, including newly diagnosed and relapsed or refractory multiple myeloma, and can be administered alone or in combination with other therapies. Elrexfio, on the other hand, is a bispecific antibody that targets both BCMA (B-cell maturation antigen) and CD3 on T cells to direct the body's immune response to eliminate myeloma cells and is being investigated in clinical trials with promising results, but as of the knowledge cutoff date, it is not yet approved by regulatory agencies. Patients should consult with their healthcare provider to determine which treatment is most appropriate based on their specific medical condition, treatment history, and the most current clinical evidence.

Difference between Darzalex and Elrexfio

Metric Darzalex (daratumumab) Elrexfio (elranatamab-bcmm)
Generic name daratumumab elranatamab-bcmm
Indications Multiple myeloma Multiple myeloma
Mechanism of action CD38-directed cytolytic antibody B-cell maturation antigen (BCMA)-directed T cell engager
Brand names Darzalex Elrexfio
Administrative route Intravenous infusion Intravenous infusion
Side effects Infusion reactions, neutropenia, thrombocytopenia, anemia, fatigue, nausea, etc. Infusion-related reactions, cytokine release syndrome, skin reactions, infections, etc.
Contraindications Hypersensitivity to daratumumab or its excipients Hypersensitivity to elranatamab-bcmm or its excipients
Drug class Monoclonal antibody Bispecific antibody
Manufacturer Janssen Biotech, Inc. Pfizer Inc.

Efficacy

Darzalex (Daratumumab) Efficacy in Multiple Myeloma

Darzalex (daratumumab) is a monoclonal antibody that targets CD38, a surface protein that is highly expressed on multiple myeloma cells. It works by inducing tumor cell death through various mechanisms, including complement-dependent cytotoxicity, antibody-dependent cell-mediated cytotoxicity, and apoptosis. Darzalex has shown a significant efficacy in the treatment of multiple myeloma, particularly when used in combination with other therapies. Clinical trials have demonstrated that Darzalex, in combination with standard-of-care regimens, can improve progression-free survival and overall response rates in patients with multiple myeloma, including those who have received prior treatments.

The efficacy of Darzalex was highlighted in several pivotal studies, such as the CASTOR and POLLUX trials. These studies showed that Darzalex, when added to standard treatment regimens, resulted in deeper and more durable responses compared to the standard treatments alone. For instance, in the POLLUX trial, the addition of Darzalex to lenalidomide and dexamethasone nearly doubled the progression-free survival time compared to the control group. Furthermore, Darzalex has been approved for use in newly diagnosed patients as well as those with relapsed or refractory multiple myeloma, reflecting its broad application in the disease management.

Elrexfio (Elranatamab-bcmm) Efficacy in Multiple Myeloma

Elrexfio (elranatamab-bcmm) is a bispecific antibody designed to target BCMA (B-cell maturation antigen) on multiple myeloma cells and CD3 on T-cells, thereby redirecting T-cells to kill the cancer cells. As a newer therapeutic agent, elranatamab-bcmm has shown promising results in early clinical trials for the treatment of multiple myeloma. The efficacy of Elrexfio is being evaluated in patients with relapsed or refractory multiple myeloma who have exhausted other treatment options.

Preliminary data from clinical trials indicate that Elrexfio can induce responses in a significant proportion of patients with relapsed or refractory multiple myeloma. The response rates reported in these trials suggest that Elrexfio has the potential to be an effective treatment option for patients who have limited alternatives due to the advanced nature of their disease. However, as with any new treatment, further studies are required to fully understand the long-term efficacy and safety profile of Elrexfio in multiple myeloma.

Regulatory Agency Approvals

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

Access Darzalex or Elrexfio today

If Darzalex 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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