Enhertu (fam-trastuzumab deruxtecan-nxki) vs Lumakras (sotorasib)

Enhertu (fam-trastuzumab deruxtecan-nxki) vs Lumakras (sotorasib)

Enhertu (fam-trastuzumab deruxtecan-nxki) is a targeted therapy designed to treat certain types of breast cancer that overexpress the HER2 protein, as well as other HER2-positive tumors; it works by combining an antibody that specifically binds to HER2 with a chemotherapy drug, allowing direct delivery of the chemotherapy to the cancer cells. Lumakras (sotorasib), on the other hand, is specifically designed for the treatment of non-small cell lung cancer (NSCLC) with a particular genetic mutation known as KRAS G12C and is not used for breast cancer; it functions as a small molecule inhibitor that directly interferes with the mutated KRAS protein, which is involved in cancer cell growth and survival. When deciding between these two medications, it is crucial to consider the specific type of cancer and its molecular profile, as Enhertu is appropriate for HER2-positive cancers, while Lumakras is indicated for NSCLC with the KRAS G12C mutation.

Difference between Enhertu and Lumakras

Metric Enhertu (fam-trastuzumab deruxtecan-nxki) Lumakras (sotorasib)
Generic name Fam-trastuzumab deruxtecan-nxki Sotorasib
Indications HER2-positive breast cancer, HER2-mutant non-small cell lung cancer KRAS G12C-mutated non-small cell lung cancer
Mechanism of action Antibody-drug conjugate targeting HER2 for cancer cell destruction Small molecule inhibitor targeting KRAS G12C mutation
Brand names Enhertu Lumakras
Administrative route Intravenous infusion Oral
Side effects Nausea, fatigue, vomiting, alopecia, constipation, decreased appetite, anemia, neutropenia, diarrhea, cough Diarrhea, musculoskeletal pain, nausea, fatigue, liver damage, cough
Contraindications History of interstitial lung disease, hypersensitivity to drug components Hypersensitivity to sotorasib or any of its components
Drug class Antibody-drug conjugate Kinase inhibitor
Manufacturer Daiichi Sankyo and AstraZeneca Amgen

Efficacy

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

Enhertu, known generically as fam-trastuzumab deruxtecan-nxki, is a targeted therapy that has shown efficacy in the treatment of certain types of lung cancer. Specifically, Enhertu has been studied for its effectiveness in patients with HER2-mutant non-small cell lung cancer (NSCLC). Clinical trials have demonstrated that Enhertu can lead to significant tumor shrinkage and prolonged progression-free survival in patients with this subtype of lung cancer. The drug works by combining an antibody that targets the HER2 protein on the surface of cancer cells with a chemotherapy agent, allowing for direct delivery of the cytotoxic agent to the cancer cells.

In a pivotal phase 2 trial, Enhertu has shown a noteworthy objective response rate, meaning a measurable reduction in tumor size, in patients with previously treated HER2-mutant NSCLC. The treatment has been well-received in the medical community due to its targeted approach, which can minimize damage to healthy cells and reduce some of the side effects commonly associated with chemotherapy. However, it is important to note that HER2 mutations are relatively rare in lung cancer, and therefore, Enhertu's application is limited to a small subset of NSCLC patients.

Lumakras (sotorasib) for Lung Cancer

Lumakras, with the generic name sotorasib, represents a significant advancement in the treatment of lung cancer. It is the first therapy approved specifically for NSCLC with KRAS G12C mutation, which is a common mutation found in NSCLC and has been historically difficult to target. Lumakras functions as a KRAS inhibitor, effectively blocking the signaling pathways that drive the growth and proliferation of cancer cells harboring the KRAS G12C mutation.

The efficacy of Lumakras in treating KRAS G12C-mutated NSCLC has been demonstrated in clinical studies, where it has shown to improve progression-free survival and overall survival compared to standard chemotherapy regimens. The drug has been hailed as a breakthrough, especially for patients who have exhausted other treatment options. While the response rates and duration of response can vary, Lumakras offers hope for improved outcomes in a challenging area of lung cancer treatment. As with any medication, the efficacy of Lumakras can be influenced by a variety of factors, including the patient's overall health and the presence of other genetic mutations in the tumor.

Regulatory Agency Approvals

Enhertu
  • European Medical Agency (EMA), European Union
  • Food and Drug Administration (FDA), USA
  • Pharmaceuticals and Medical Devices Agency (PMDA), Japan
Lumakras
  • European Medical Agency (EMA), European Union
  • Food and Drug Administration (FDA), USA
  • Medicines & Healthcare products Regulatory Agency (MHRA), United Kingdom

Access Enhertu or Lumakras today

If Enhertu 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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