Enhertu (fam-trastuzumab deruxtecan-nxki) vs Vegzelma (bevacizumab-adcd)

Enhertu (fam-trastuzumab deruxtecan-nxki) vs Vegzelma (bevacizumab-adcd)

Enhertu (fam-trastuzumab deruxtecan-nxki) is an antibody-drug conjugate specifically approved for the treatment of HER2-positive breast cancer and certain types of gastric cancers, targeting the HER2 protein to deliver chemotherapy directly to cancer cells. Vegzelma (bevacizumab-adcd) is a biosimilar to Avastin and is designed to inhibit angiogenesis, the process by which tumors develop new blood vessels, and is used in various types of cancer, including colorectal, lung, glioblastoma, and renal cell carcinoma. The choice between Enhertu and Vegzelma would depend on the specific type of cancer a patient has, its HER2 status, and the overall treatment plan determined by the healthcare provider based on the patient's individual medical condition and history.

Difference between Enhertu and Vegzelma

Metric Enhertu (fam-trastuzumab deruxtecan-nxki) Vegzelma (bevacizumab-adcd)
Generic name Fam-trastuzumab deruxtecan-nxki Bevacizumab-adcd
Indications HER2-positive breast cancer, HER2-positive gastric or gastroesophageal junction adenocarcinoma Metastatic colorectal cancer, non-squamous non-small cell lung cancer, glioblastoma, metastatic renal cell carcinoma, cervical cancer, epithelial ovarian, fallopian tube, or primary peritoneal cancer
Mechanism of action Antibody-drug conjugate targeting HER2 for cancer cell destruction Monoclonal antibody that inhibits angiogenesis by targeting VEGF-A
Brand names Enhertu Vegzelma
Administrative route IV infusion IV infusion
Side effects Nausea, fatigue, vomiting, alopecia, constipation, decreased appetite, anemia, neutropenia, diarrhea, leukopenia, cough, and thrombocytopenia Hypertension, fatigue, diarrhea, decreased appetite, abdominal pain, headache, proteinuria, and nosebleeds
Contraindications Hypersensitivity to fam-trastuzumab deruxtecan-nxki or excipients Hypersensitivity to bevacizumab, bevacizumab-containing products, or excipients
Drug class Antibody-drug conjugate Monoclonal antibody
Manufacturer Daiichi Sankyo and AstraZeneca Celltrion Healthcare

Efficacy

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

Enhertu (fam-trastuzumab deruxtecan-nxki) is a targeted therapy drug used in the treatment of certain types of lung cancer. Specifically, it is indicated for adult patients with unresectable or metastatic non-small cell lung cancer (NSCLC) whose tumors have a HER2 mutation and who have received a prior systemic therapy. The efficacy of Enhertu in lung cancer was demonstrated in clinical trials where it showed significant benefits in terms of response rate and progression-free survival. Patients treated with Enhertu experienced a reduction in tumor size and a delay in the progression of their disease, indicating that Enhertu is an effective treatment option for patients with HER2-mutant NSCLC.

Vegzelma (bevacizumab-adcd) for Lung Cancer

Vegzelma (bevacizumab-adcd) is a biosimilar to the original bevacizumab product, which is a monoclonal antibody that inhibits vascular endothelial growth factor (VEGF). This mechanism of action is critical in treating lung cancer as it helps prevent the growth of new blood vessels that tumors need to grow and spread. Vegzelma is used in combination with chemotherapy for the first-line treatment of patients with unresectable, locally advanced, recurrent, or metastatic non-squamous non-small cell lung cancer (NSCLC). The efficacy of Vegzelma in lung cancer has been established based on studies that have shown it to be comparable to the reference product, bevacizumab, in terms of safety, purity, and potency, thus offering an alternative treatment option for patients with this type of lung cancer.

It is important to note that the efficacy of both Enhertu and Vegzelma can vary depending on individual patient factors, including the molecular profile of the tumor, previous treatments received, and overall health condition of the patient. Therefore, healthcare providers should consider these factors when prescribing these medications for lung cancer treatment.

Both Enhertu and Vegzelma represent advancements in the personalized treatment of lung cancer, offering hope for improved outcomes in patients with specific tumor characteristics. As with any medication, the use of Enhertu and Vegzelma should be guided by a thorough understanding of the patient's diagnosis, treatment history, and the drug's specific indications and efficacy profile.

Regulatory Agency Approvals

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

Access Enhertu or Vegzelma today

If Enhertu or Vegzelma 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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