Tecentriq (Atezolizumab) vs Cosela (trilaciclib)

Tecentriq (Atezolizumab) vs Cosela (trilaciclib)

Tecentriq (atezolizumab) is an immune checkpoint inhibitor used primarily to treat various types of cancer, including non-small cell lung cancer, small cell lung cancer, urothelial carcinoma, and triple-negative breast cancer by enhancing the body's immune response against cancer cells. Cosela (trilaciclib), on the other hand, is a cyclin-dependent kinase inhibitor designed to protect bone marrow cells from damage caused by chemotherapy, and it is used to decrease the incidence of chemotherapy-induced myelosuppression in adults receiving certain types of chemotherapy for extensive-stage small cell lung cancer. When deciding between Tecentriq and Cosela, it is important to consider the type of cancer being treated, the goal of therapy (whether it is direct treatment of the cancer or protection from chemotherapy side effects), and the specific treatment regimen recommended by the healthcare provider.

Difference between Tecentriq and Cosela

Metric Tecentriq (Atezolizumab) Cosela (trilaciclib)
Generic name Atezolizumab Trilaciclib
Indications Urothelial carcinoma, non-small cell lung cancer, small cell lung cancer, hepatocellular carcinoma, and melanoma Used to decrease the incidence of chemotherapy-induced myelosuppression
Mechanism of action PD-L1 inhibitor that enables the activation of T-cells and boosts immune response against cancer cells CDK4/6 inhibitor that helps protect bone marrow and immune system function during chemotherapy
Brand names Tecentriq Cosela
Administrative route Intravenous infusion Intravenous infusion
Side effects Fatigue, decreased appetite, nausea, urinary tract infections, fever, and others Fatigue, hypocalcemia, increased aspartate aminotransferase, headache, pneumonia, and others
Contraindications Patients with hypersensitivity to atezolizumab or any of its excipients Patients with hypersensitivity to trilaciclib or any of its excipients
Drug class Monoclonal antibody, Immune checkpoint inhibitor Cyclin-dependent kinase inhibitor
Manufacturer Genentech (Roche) G1 Therapeutics

Efficacy

Efficacy of Tecentriq (Atezolizumab) in Lung Cancer

Tecentriq (Atezolizumab) is an immune checkpoint inhibitor specifically designed to target and block the programmed death-ligand 1 (PD-L1) on tumor cells and tumor-infiltrating immune cells. This blockade enhances the ability of the immune system to detect and fight cancer cells. Tecentriq has shown efficacy in the treatment of non-small cell lung cancer (NSCLC) and small cell lung cancer (SCLC). In clinical trials, Tecentriq has been shown to improve survival rates in patients with NSCLC, particularly those with high PD-L1 expression. It has been approved for use as a first-line treatment in combination with chemotherapy for patients with metastatic non-squamous NSCLC without EGFR or ALK mutations and as a monotherapy in cases where tumors express PD-L1 on ≥50% of tumor cells with no EGFR or ALK genomic tumor aberrations present.

Efficacy of Tecentriq in Combination Therapies for Lung Cancer

In addition to its use as a monotherapy, Tecentriq has been evaluated in combination with other therapies. When combined with chemotherapy, or with bevacizumab and chemotherapy, Tecentriq has been shown to provide a significant improvement in progression-free survival (PFS) and overall survival (OS) in patients with metastatic non-squamous NSCLC. These combination treatments have become a standard of care for patients with advanced lung cancer, reflecting the enhanced efficacy of Tecentriq when used in conjunction with other therapeutic agents.

Efficacy of Cosela (Trilaciclib) in Lung Cancer

Cosela (Trilaciclib) is a cyclin-dependent kinase 4/6 (CDK4/6) inhibitor that is used to prevent chemotherapy-induced myelosuppression in adult patients with extensive-stage small cell lung cancer (ES-SCLC) who are receiving a platinum-based chemotherapy regimen. The efficacy of Cosela in lung cancer is not directly antitumoral, but rather supportive, as it helps protect bone marrow function during chemotherapy. This can lead to fewer instances of severe neutropenia, a common and potentially serious side effect of chemotherapy that can lead to treatment delays and increased risk of infection. Clinical trials have demonstrated that patients treated with Cosela experienced a significant reduction in the duration of severe neutropenia in the first cycle of chemotherapy compared to placebo.

Overall Considerations in Lung Cancer Treatment with Tecentriq and Cosela

While Tecentriq works by harnessing the body's immune system to combat lung cancer, Cosela functions by protecting the body's normal cells from the harmful effects of chemotherapy. Both medications represent advances in the supportive care and treatment of lung cancer, offering patients improved outcomes and quality of life. However, the efficacy of these medications can vary based on individual patient factors, the type and stage of lung cancer, and the specific treatment regimen employed. As with all medications, the use of Tecentriq and Cosela should be guided by a healthcare professional, taking into account the potential benefits and risks for each patient.

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)
Cosela
  • Food and Drug Administration (FDA), USA

Access Tecentriq or Cosela today

If Tecentriq or Cosela 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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