Tecentriq (Atezolizumab) vs Tabrecta (capmatinib)

Tecentriq (Atezolizumab) vs Tabrecta (capmatinib)

Tecentriq (atezolizumab) is an immune checkpoint inhibitor that targets the PD-L1 protein and is commonly used in various types of cancer, including non-small cell lung cancer (NSCLC), urothelial carcinoma, and triple-negative breast cancer. On the other hand, Tabrecta (capmatinib) is a selective MET inhibitor indicated for the treatment of adults with metastatic NSCLC harboring MET exon 14 skipping mutations. The choice between Tecentriq and Tabrecta would largely depend on the specific genetic mutations present in the cancer, as well as the patient's overall health, cancer stage, and previous treatments, making it essential for a healthcare professional to evaluate the patient's condition to determine the most appropriate therapy.

Difference between Tecentriq and Tabrecta

Metric Tecentriq (Atezolizumab) Tabrecta (capmatinib)
Generic name Atezolizumab Capmatinib
Indications Urothelial carcinoma, non-small cell lung cancer (NSCLC), and triple-negative breast cancer (TNBC) Non-small cell lung cancer (NSCLC) with MET exon 14 skipping mutations
Mechanism of action PD-L1 inhibitor, immune checkpoint inhibitor MEK inhibitor, targets MET exon 14 skipping mutations
Brand names Tecentriq Tabrecta
Administrative route Intravenous infusion Oral
Side effects Fatigue, nausea, cough, shortness of breath, decreased appetite Nausea, vomiting, fatigue, edema, decreased appetite
Contraindications None known specifically; avoid in patients with severe hypersensitivity to atezolizumab or its components None known specifically; avoid in patients with severe hypersensitivity to capmatinib or its components
Drug class Monoclonal antibody, immune checkpoint inhibitor Tyrosine kinase inhibitor
Manufacturer Genentech (Roche) Novartis

Efficacy

Tecentriq (Atezolizumab) in Lung Cancer Treatment

Tecentriq (Atezolizumab) is a monoclonal antibody that is part of a class of drugs known as immune checkpoint inhibitors. Specifically, it targets the programmed death-ligand 1 (PD-L1), which is a protein that can prevent the immune system from attacking cancer cells. By inhibiting PD-L1, Tecentriq helps to restore the immune system's ability to detect and fight tumor cells. In the context of lung cancer, Tecentriq has shown efficacy in both non-small cell lung cancer (NSCLC) and small cell lung cancer (SCLC) when used either as a monotherapy or in combination with other treatments. Its effectiveness has been demonstrated in several clinical trials, leading to its approval for certain types of lung cancer by regulatory agencies such as the U.S. Food and Drug Administration (FDA).

Tabrecta (Capmatinib) and Its Role in NSCLC

Tabrecta (Capmatinib) is a kinase inhibitor that targets the MET gene mutations, which can lead to the development and proliferation of cancer cells. It is specifically indicated for the treatment of adult patients with metastatic non-small cell lung cancer (NSCLC) who have mutations that lead to MET exon 14 skipping. This mutation is present in a subset of NSCLC patients and is associated with poor prognosis. Capmatinib has been shown to be effective in shrinking tumors and slowing the progression of the disease in patients with this specific genetic alteration. The FDA granted accelerated approval for Tabrecta based on the overall response rate and duration of response observed in clinical trials.

Comparative Efficacy in Lung Cancer Treatment

When comparing Tecentriq and Tabrecta, it is important to note that they are used to treat different aspects of lung cancer and are not directly comparable in a head-to-head manner. Tecentriq is a broad immune checkpoint inhibitor that can be used for various types of lung cancer and works by modulating the immune system. In contrast, Tabrecta is a targeted therapy for NSCLC patients with a specific genetic mutation. The efficacy of each drug is highly dependent on the patient's individual cancer profile, including biomarkers and stage of disease.

Considerations for Lung Cancer Treatment

The choice of treatment with Tecentriq or Tabrecta, or a combination thereof, will depend on several factors, including the specific type and stage of lung cancer, the presence of certain biomarkers, the patient's overall health, and prior treatments. Physicians will typically conduct comprehensive testing to determine the most appropriate therapy for each patient. As with all cancer treatments, the efficacy of Tecentriq and Tabrecta can vary among individuals, and side effects must also be carefully managed to ensure the best possible outcomes for patients.

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)
Tabrecta
  • European Medical Agency (EMA), European Union
  • Food and Drug Administration (FDA), USA
  • Pharmaceuticals and Medical Devices Agency (PMDA), Japan

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If Tecentriq or Tabrecta 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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