Libtayo (cemiplimab) vs Gavreto (pralsetinib)

Libtayo (cemiplimab) vs Gavreto (pralsetinib)

Libtayo (cemiplimab) is a monoclonal antibody designed to target and block the PD-1 receptor on T cells, thereby enhancing the immune system's ability to attack cancer cells; it is primarily used for the treatment of certain types of skin cancer (cutaneous squamous cell carcinoma) and non-small cell lung cancer. Gavreto (pralsetinib) is a targeted therapy known as a tyrosine kinase inhibitor, which is specifically used to treat non-small cell lung cancer with a certain type of abnormal RET gene. The choice between Libtayo and Gavreto would depend on the specific genetic characteristics of the cancer, the overall health of the patient, and the goals of therapy, as determined by a healthcare professional.

Difference between Libtayo and Gavreto

Metric Libtayo (cemiplimab) Gavreto (pralsetinib)
Generic name Cemiplimab Pralsetinib
Indications Cutaneous squamous cell carcinoma, basal cell carcinoma, and non-small cell lung cancer RET-altered thyroid cancers and non-small cell lung cancer
Mechanism of action Programmed death receptor-1 (PD-1) blocking antibody RET kinase inhibitor
Brand names Libtayo Gavreto
Administrative route Injection Oral
Side effects Fatigue, rash, diarrhea, musculoskeletal pain Constipation, hypertension, fatigue, musculoskeletal pain
Contraindications Severe hypersensitivity to cemiplimab or its excipients Severe hypersensitivity to pralsetinib or its excipients
Drug class Monoclonal antibody Tyrosine kinase inhibitor
Manufacturer Regeneron Pharmaceuticals Blueprint Medicines Corporation

Efficacy

Libtayo (cemiplimab) Efficacy in Lung Cancer

Libtayo (cemiplimab) is a fully human monoclonal antibody that has shown efficacy in the treatment of certain patients with non-small cell lung cancer (NSCLC). Specifically, it is indicated for the first-line treatment of patients with NSCLC whose tumors have high PD-L1 expression, as determined by an FDA-approved test, with no EGFR, ALK, or ROS1 aberrations. In clinical trials, Libtayo has demonstrated a significant improvement in overall survival compared to chemotherapy in patients with advanced NSCLC with a PD-L1 expression of 50% or more. The efficacy of Libtayo in these trials has established it as a valuable treatment option for patients with this particular type of lung cancer.

In the pivotal Phase 3 trial, patients treated with Libtayo experienced a median overall survival of 22.1 months compared to 14.3 months for those on chemotherapy. Progression-free survival was also notably longer in the Libtayo group. These results underscore the potential of Libtayo to offer a meaningful survival benefit for patients with advanced NSCLC with high PD-L1 expression, providing an alternative to traditional chemotherapy regimens.

Gavreto (pralsetinib) Efficacy in Lung Cancer

Gavreto (pralsetinib) is a selective RET kinase inhibitor used in the treatment of lung cancer. It is specifically approved for the treatment of adult patients with metastatic RET fusion-positive non-small cell lung cancer (NSCLC) as detected by an FDA-approved test. Gavreto has shown significant efficacy in shrinking tumors in patients with RET fusion-positive NSCLC. The approval of Gavreto was based on the results of a clinical trial that demonstrated robust and durable responses in this patient population.

In the clinical trial, Gavreto achieved an overall response rate of 57% among previously treated patients, with 5.7% achieving a complete response and 51% achieving a partial response. Treatment-naive patients had an even higher response rate of 70%, with 11% achieving complete responses. The median duration of response was not reached, indicating the potential for long-term benefits. These results highlight Gavreto's effectiveness in targeting the genetic driver of RET fusion-positive NSCLC, offering a personalized treatment approach that can lead to significant tumor reductions and potentially improved outcomes for patients.

Regulatory Agency Approvals

Libtayo
  • European Medical Agency (EMA), European Union
  • Food and Drug Administration (FDA), USA
  • Health Canada
Gavreto
  • European Medical Agency (EMA), European Union
  • Food and Drug Administration (FDA), USA

Access Libtayo or Gavreto today

If Libtayo or Gavreto 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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