Libtayo (cemiplimab) vs Lumakras (sotorasib)

Libtayo (cemiplimab) vs Lumakras (sotorasib)

Libtayo (cemiplimab) is an immune checkpoint inhibitor specifically designed to block the PD-1 receptor, thereby enhancing the body's immune response against cancer cells, and is primarily used in the treatment of certain types of skin cancers and non-small cell lung cancer (NSCLC). Lumakras (sotorasib), on the other hand, is a targeted therapy that works by inhibiting the KRAS G12C mutation found in some cancer cells, and is used for the treatment of NSCLC with this specific genetic mutation. The choice between Libtayo and Lumakras would depend on the patient's specific type of cancer and its genetic makeup, with biomarker testing being essential to determine if the KRAS G12C mutation is present, which would make Lumakras an option, while Libtayo could be considered in cases where the PD-1 pathway is a therapeutic target.

Difference between Libtayo and Lumakras

Metric Libtayo (cemiplimab) Lumakras (sotorasib)
Generic name Cemiplimab Sotorasib
Indications Cutaneous squamous cell carcinoma (CSCC), basal cell carcinoma (BCC), and non-small cell lung cancer (NSCLC) Non-small cell lung cancer (NSCLC) with KRAS G12C mutation
Mechanism of action Programmed death receptor-1 (PD-1) blocking antibody KRAS G12C inhibitor
Brand names Libtayo Lumakras
Administrative route Injection (intravenous) Oral
Side effects Fatigue, rash, diarrhea, musculoskeletal pain, etc. Diarrhea, musculoskeletal pain, nausea, fatigue, liver damage, etc.
Contraindications None known specifically; caution in patients with immune-mediated conditions None known specifically; caution in patients with hepatic impairment or with severe renal impairment
Drug class Immune checkpoint inhibitor Small molecule kinase inhibitor
Manufacturer Regeneron Pharmaceuticals, Inc. in collaboration with Sanofi Amgen Inc.

Efficacy

Libtayo (Cemiplimab) Efficacy in Lung Cancer

Libtayo (cemiplimab) is a fully human monoclonal antibody that has been shown to be effective in treating certain patients with non-small cell lung cancer (NSCLC). Specifically, it targets the immune checkpoint receptor PD-1 (programmed death-1), thereby enhancing the body's immune response against cancer cells. In clinical trials, Libtayo has demonstrated significant efficacy in patients with advanced NSCLC with high PD-L1 expression, who had either not received any prior systemic treatment or had progressed on or after platinum-based chemotherapy and an appropriate biomarker-targeted therapy if a sensitizing mutation was present.

The pivotal trial that led to the approval of Libtayo for NSCLC was a Phase 3 trial that compared cemiplimab to chemotherapy in patients with advanced NSCLC with a PD-L1 expression of ≥50%. The results showed that Libtayo significantly improved overall survival and progression-free survival compared to chemotherapy. The response rate was also higher in the Libtayo group, with a longer duration of response, indicating a clear benefit for patients with advanced NSCLC who express high levels of PD-L1.

Lumakras (Sotorasib) Efficacy in Lung Cancer

Lumakras (sotorasib) represents a significant advancement in the treatment of NSCLC as it is the first therapy approved specifically for patients with a KRAS G12C mutation, which is a common mutation in NSCLC and has been historically challenging to target. Sotorasib is a small molecule inhibitor that selectively targets the KRAS G12C mutation, thereby inhibiting cancer cell growth and survival. In a Phase 2 clinical trial, Lumakras demonstrated promising efficacy in patients with locally advanced or metastatic NSCLC harboring the KRAS G12C mutation who had received at least one prior systemic therapy.

The trial showed that sotorasib achieved a notable tumor response rate, with a median duration of response that suggests a meaningful clinical benefit in this patient population. The progression-free survival data further supported the efficacy of Lumakras in KRAS G12C-mutated NSCLC. These results have established Lumakras as a new treatment option for patients with this specific genetic mutation, addressing a previously unmet need in the landscape of lung cancer therapies.

Regulatory Agency Approvals

Libtayo
  • European Medical Agency (EMA), European Union
  • Food and Drug Administration (FDA), USA
  • Health Canada
Lumakras
  • European Medical Agency (EMA), European Union
  • Food and Drug Administration (FDA), USA
  • Medicines & Healthcare products Regulatory Agency (MHRA), United Kingdom

Access Libtayo or Lumakras today

If Libtayo or Lumakras 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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