Tecentriq (Atezolizumab) vs Afinitor (everolimus)

Tecentriq (Atezolizumab) vs Afinitor (everolimus)

Tecentriq (atezolizumab) is an immune checkpoint inhibitor that works by enabling the immune system to better detect and fight cancer cells, and it is commonly used for certain types of lung cancer, bladder cancer, and triple-negative breast cancer. Afinitor (everolimus), on the other hand, is a targeted therapy known as an mTOR inhibitor, which is used to treat various cancers including kidney cancer, certain breast cancers, and neuroendocrine tumors, by blocking a protein that promotes cell division and growth. The choice between Tecentriq and Afinitor would depend on the specific type of cancer, its molecular characteristics, the patient's overall health status, and previous treatments, and should be made in consultation with an oncologist who can evaluate the individual's unique situation.

Difference between Tecentriq and Afinitor

Metric Tecentriq (Atezolizumab) Afinitor (everolimus)
Generic name Atezolizumab Everolimus
Indications Urothelial carcinoma, non-small cell lung cancer (NSCLC), small cell lung cancer (SCLC), triple-negative breast cancer (TNBC), hepatocellular carcinoma (HCC), and others Advanced hormone receptor-positive, HER2-negative breast cancer, advanced neuroendocrine tumors, renal cell carcinoma, tuberous sclerosis complex (TSC)-associated conditions such as subependymal giant cell astrocytoma (SEGA) and renal angiomyolipoma, and others
Mechanism of action Programmed death-ligand 1 (PD-L1) inhibitor that helps the immune system in attacking cancer cells mTOR inhibitor that blocks the mTOR pathway, which is involved in cell growth, proliferation, and angiogenesis
Brand names Tecentriq Afinitor, Afinitor Disperz
Administrative route Intravenous infusion Oral
Side effects Fatigue, decreased appetite, nausea, urinary tract infection, fever, and others Mouth ulcers, infections, rash, fatigue, diarrhea, edema, and others
Contraindications Patients with a history of severe hypersensitivity to atezolizumab or any component of the product Patients with hypersensitivity to everolimus or other rapamycin derivatives
Drug class Monoclonal antibody, Immune checkpoint inhibitor mTOR inhibitor, Kinase inhibitor
Manufacturer Genentech (Roche) Novartis

Efficacy

Tecentriq (Atezolizumab) in Lung Cancer Treatment

Tecentriq (Atezolizumab) is an immune checkpoint inhibitor specifically designed to target and bind to the PD-L1 protein, which is expressed on tumor cells and tumor-infiltrating immune cells. This binding inhibits the interactions between PD-L1 and its receptors, PD-1 and B7.1, which can enhance the immune response against cancer cells. Tecentriq has shown efficacy in the treatment of non-small cell lung cancer (NSCLC), particularly in patients who have disease progression during or following platinum-containing chemotherapy. Studies have indicated that Tecentriq can lead to a significant improvement in overall survival compared to chemotherapy alone in patients with high PD-L1 expression.

Afinitor (Everolimus) in Lung Cancer Treatment

Afinitor (Everolimus) is an mTOR inhibitor that has been studied for its effectiveness in various types of cancer, including lung cancer. In the context of lung cancer, Afinitor's efficacy has been less clear when compared to its benefits in other types of cancer such as renal cell carcinoma and neuroendocrine tumors. For lung cancer, the focus has generally been on non-small cell lung cancer (NSCLC), but the outcomes have been mixed, with some studies showing limited benefits. It's important to note that Afinitor is not one of the primary treatments for lung cancer, and its use may be more experimental or considered in combination with other therapies.

Combination Therapy Involving Tecentriq and Afinitor

While both Tecentriq and Afinitor have been used in the treatment of various cancers, the combination of these drugs for lung cancer treatment is an area of ongoing research. The rationale behind combining an immune checkpoint inhibitor with an mTOR inhibitor is to potentially enhance the anti-tumor immune response while simultaneously targeting the cancer cells' growth and survival pathways. Clinical trials are necessary to determine the safety and efficacy of such combinations, and whether they offer any advantage over standard treatment protocols.

Conclusion

In conclusion, Tecentriq has demonstrated efficacy in the treatment of non-small cell lung cancer, particularly in patients with high PD-L1 expression. Afinitor's role in lung cancer treatment is less established, with its use being more exploratory or in combination with other therapies. The potential of combining Tecentriq with Afinitor for enhanced therapeutic effect in lung cancer is an area of active investigation, and further clinical trials are needed to establish the efficacy and safety of such treatment regimens.

Regulatory Agency Approvals

Tecentriq
  • European Medical Agency (EMA), European Union
  • Food and Drug Administration (FDA), USA
  • Health Canada
  • Pharmaceuticals and Medical Devices Agency (PMDA), Japan
  • Therapeutic Goods Administration (TGA), Australia
  • Medsafe (NZ)
Afinitor
  • European Medical Agency (EMA), European Union
  • Food and Drug Administration (FDA), USA
  • Health Canada
  • Pharmaceuticals and Medical Devices Agency (PMDA), Japan
  • Therapeutic Goods Administration (TGA), Australia

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If Tecentriq or Afinitor 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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