Enhertu (fam-trastuzumab deruxtecan-nxki) vs Tabrecta (capmatinib)

Enhertu (fam-trastuzumab deruxtecan-nxki) vs Tabrecta (capmatinib)

Enhertu (fam-trastuzumab deruxtecan-nxki) is a targeted therapy specifically designed to treat certain types of breast cancer that overexpress the HER2 protein, as well as HER2-positive gastric cancer. It works by combining an antibody that targets the HER2 protein with a chemotherapy drug, allowing for direct delivery to the cancer cells. In contrast, Tabrecta (capmatinib) is an oral medication used to treat non-small cell lung cancer (NSCLC) with specific mutations in the MET gene and is not indicated for breast or gastric cancer. The choice between these medications would be based on the specific type of cancer and its molecular profile, highlighting the importance of genetic testing in guiding treatment decisions.

Difference between Enhertu and Tabrecta

Metric Enhertu (fam-trastuzumab deruxtecan-nxki) Tabrecta (capmatinib)
Generic name Fam-trastuzumab deruxtecan-nxki Capmatinib
Indications HER2-positive breast cancer, HER2-positive gastric or gastroesophageal junction adenocarcinoma Metastatic non-small cell lung cancer (NSCLC) with MET exon 14 skipping mutations
Mechanism of action Antibody-drug conjugate targeting HER2 Small molecule that inhibits the MET receptor tyrosine kinase
Brand names Enhertu Tabrecta
Administrative route IV infusion Oral
Side effects Nausea, fatigue, vomiting, alopecia, constipation, decreased appetite, anemia, neutropenia, diarrhea, leukopenia, cough, and thrombocytopenia Peripheral edema, nausea, fatigue, vomiting, dyspnea, and decreased appetite
Contraindications History of interstitial lung disease, pneumonitis, hypersensitivity to fam-trastuzumab deruxtecan-nxki Hypersensitivity to capmatinib or any of its excipients
Drug class Antibody-drug conjugate Receptor tyrosine kinase inhibitor
Manufacturer Daiichi Sankyo and AstraZeneca Novartis

Efficacy

Enhertu (fam-trastuzumab deruxtecan-nxki) for Lung Cancer

Enhertu (fam-trastuzumab deruxtecan-nxki) is a targeted therapy that has shown efficacy in the treatment of HER2-mutant non-small cell lung cancer (NSCLC). It is an antibody-drug conjugate that combines trastuzumab, a HER2-directed antibody, with a cytotoxic agent, deruxtecan, which is released upon binding to HER2-expressing cancer cells. Clinical trials have demonstrated that Enhertu can lead to significant tumor shrinkage and prolonged progression-free survival in patients with HER2-mutant NSCLC who have received prior treatments. The efficacy of Enhertu in lung cancer highlights the importance of molecular profiling in identifying patients who may benefit from this targeted therapy.

Tabrecta (capmatinib) for Lung Cancer

Tabrecta (capmatinib) is a kinase inhibitor specifically designed to target MET exon 14 skipping mutations in NSCLC. These mutations lead to MET protein activation and are associated with cancer growth and proliferation. Tabrecta has been approved for the treatment of adult patients with metastatic NSCLC harboring MET exon 14 skipping mutations, as detected by an FDA-approved test. Clinical studies have shown that Tabrecta can provide a significant response rate and durable clinical benefit in this patient population. The drug's efficacy in treating MET exon 14-altered NSCLC underscores the therapeutic potential of targeting specific genetic alterations in lung cancer.

Both Enhertu and Tabrecta represent advances in the personalized treatment of lung cancer, with their efficacy tied to the presence of specific genetic alterations in tumors. As such, their use is contingent upon the results of biomarker testing to identify appropriate candidates for therapy. These medications exemplify the shift towards precision oncology, where treatments are increasingly tailored to the unique genetic makeup of an individual's cancer, potentially leading to improved outcomes and more individualized care.

It is important to note that while Enhertu and Tabrecta offer new options for patients with certain types of lung cancer, their efficacy and safety profiles continue to be evaluated in ongoing clinical trials and post-marketing surveillance. Patients and healthcare providers should discuss the potential benefits and risks of these treatments within the context of the patient's overall health status and treatment history.

Regulatory Agency Approvals

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

Access Enhertu or Tabrecta today

If Enhertu 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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