Truxima (rituximab) vs Tofidence (tocilizumab-bavi)

Truxima (rituximab) vs Tofidence (tocilizumab-bavi)

Truxima (rituximab) is a monoclonal antibody that targets the CD20 protein found on the surface of B cells and is commonly used in the treatment of certain autoimmune diseases and types of cancer, such as non-Hodgkin lymphoma and chronic lymphocytic leukemia. Tofacitinib (tocilizumab-bavi), on the other hand, is a biosimilar to tocilizumab and acts as an interleukin-6 (IL-6) receptor antagonist, used primarily for the treatment of moderate to severe rheumatoid arthritis, among other inflammatory conditions. When choosing between Truxima and Tofacitinib, it is important to consider the specific condition being treated, as each medication targets different pathways in the immune system, and to consult with a healthcare provider to determine the most appropriate treatment based on the individual's medical history and overall health status.

Difference between Truxima and Tofidence

Metric Truxima (rituximab) Tofidence (tocilizumab-bavi)
Generic name Rituximab Tocilizumab-bavi
Indications Non-Hodgkin's lymphoma, chronic lymphocytic leukemia, rheumatoid arthritis, granulomatosis with polyangiitis, microscopic polyangiitis Rheumatoid arthritis, giant cell arteritis, systemic juvenile idiopathic arthritis, cytokine release syndrome
Mechanism of action CD20-directed cytolytic antibody IL-6 receptor antagonist
Brand names Truxima, Rituxan, MabThera Tofidence
Administrative route Intravenous infusion Intravenous infusion, subcutaneous injection
Side effects Infusion reactions, infections, cytopenias, cardiac events, renal toxicity Upper respiratory tract infections, headache, hypertension, injection site reactions, liver enzyme elevations
Contraindications Severe, active infections; known hypersensitivity to rituximab or any of its components Active, serious infections; known hypersensitivity to tocilizumab or any of its components
Drug class Monoclonal antibody Monoclonal antibody
Manufacturer Celltrion Healthcare, Teva Pharmaceuticals, Genentech Amgen

Efficacy

Efficacy of Truxima (rituximab) in Rheumatoid Arthritis

Truxima, a biosimilar to the original rituximab brand, has been shown to be effective in the treatment of rheumatoid arthritis (RA), particularly in patients who have had an inadequate response to one or more tumor necrosis factor (TNF) inhibitor therapies. Rituximab, the active ingredient in Truxima, is a monoclonal antibody that targets CD20-positive B cells, which play a role in the inflammatory process of RA. The efficacy of rituximab in RA has been demonstrated in several clinical trials, where it has been shown to reduce signs and symptoms, inhibit the progression of structural damage, and improve physical function in patients with RA.

In clinical studies, the combination of rituximab with methotrexate has been shown to be more effective than methotrexate alone. Patients receiving rituximab have experienced improvements in disease activity scores (DAS28), American College of Rheumatology (ACR) response criteria, and Health Assessment Questionnaire (HAQ) disability index scores. These improvements were sustained with continued treatment over multiple courses of rituximab therapy.

Efficacy of Tofidence (tocilizumab-bavi) in Rheumatoid Arthritis

Tofidence, a biosimilar to the original tocilizumab brand, is another biological therapy approved for the treatment of moderate to severe rheumatoid arthritis. Tocilizumab-bavi is an interleukin-6 (IL-6) receptor antagonist, which works by blocking the activity of IL-6, a cytokine that plays a central role in the inflammation and joint destruction associated with RA. Clinical trials have shown that tocilizumab can reduce the signs and symptoms of RA, improve physical function, and slow the progression of joint damage.

Studies have demonstrated that tocilizumab can be effective as monotherapy or in combination with methotrexate or other disease-modifying antirheumatic drugs (DMARDs) in patients who have not responded adequately to DMARDs or TNF inhibitors. Patients treated with tocilizumab have shown significant improvements in ACR response rates and DAS28 scores compared to placebo. Tofidence, as a biosimilar, is expected to have similar efficacy to the reference product, providing an additional treatment option for patients with RA.

Regulatory Agency Approvals

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

Access Truxima or Tofidence today

If Truxima or Tofidence 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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