Table 3.
Comparing the characteristics of drug with competitors
Name of Drug | Mechanism of action | Adverse events | Efficacy | Phase |
---|---|---|---|---|
Ibrutinib[70] | Irreversible BTK inhibitor | Diarrhea, fatigue, URTI and Pneumonia | ORR 71% (CR+PR) in relapsed ant treatment naïve patients with CLL | Approved for relapse/refractory CLL |
ONO-4059[77] | 2nd generation irreversible BTK inhibitor | Diarrhea, skin rash, febrile neutropenia | ORR 70% (PR; 29%, PRL; 71%) in relapsed refractory CLL patients | Phase 1/ 2 clinical trial |
CC-292[68] | 2nd generation irreversible BTK inhibitor | Diarrhea, fatigue, neutropenia, thrombocytopenia, headache, and URTIs | PR 40% and nodal response 64.5%. | Phase I clinical trial |
Idelalisib[50] | PI3K-delta inhibitor | Diarrhea, fatigue, neutropenia, transaminases, pneumonitis and lymphocytic colitis. | ORR 72% and PFS 15.8 months in relapsed CLL, PFS improved in those treated at doses of ≥ 150 mg BID | Approved for relapsed CLL, in combination with rituximab, for whom rituximab alone would be considered appropriate therapy due to other co-morbidities |
AMG 319[78] | PI3K-delta inhibitor | Colitis, hemolysis, anemia, infection and leucocytosis | PR 7%, 75% had nodal response | Phase 1 trial in relapsed or refractory lymphoid malignancies |
Fostamatinib[45] | Spleen tyrosine kinase inhibitor | Diarrhea, fatigue, cytopenia and hypertension | ORR 22% and PFS 4.2 months in relapse/refractory B-NHL | Phase 1/ 2 clinical trial |
ABT-199[53] | Bcl-2 inhibitor | Diarrhea, neutropenia, fatigue, URTIs and tumor lysis syndrome | ORR 84% (CR; 21% +PR; 63%) in relapsed refractory patients with NHL | Phase 1/ 2 clinical trial |