Keytruda (pembrolizumab) vs Exkivity (mobocertinib)

Keytruda (pembrolizumab) vs Exkivity (mobocertinib)

Keytruda (pembrolizumab) is an immune checkpoint inhibitor that works by blocking the PD-1 protein on immune cells, thereby enhancing the body's immune response against cancer cells, and is commonly used to treat various forms of cancer, including melanoma, lung cancer, and head and neck cancer. Exkivity (mobocertinib) is a tyrosine kinase inhibitor specifically designed to target and inhibit mutations in the EGFR gene, which are often found in non-small cell lung cancer (NSCLC), particularly in patients with metastatic NSCLC harboring EGFR exon 20 insertion mutations. The choice between Keytruda and Exkivity would largely depend on the specific type and genetic profile of the cancer; therefore, a healthcare provider would recommend a treatment based on the patient's individual cancer characteristics, overall health, and the presence of specific biomarkers.

Difference between Keytruda and Exkivity

Metric Keytruda (pembrolizumab) Exkivity (mobocertinib)
Generic name Pembrolizumab Mobocertinib
Indications Various types of cancers including melanoma, lung cancer, head and neck cancer, Hodgkin lymphoma, and others Non-small cell lung cancer (NSCLC) with EGFR exon 20 insertion mutations
Mechanism of action Programmed death receptor-1 (PD-1) blocking antibody Tyrosine kinase inhibitor targeting EGFR exon 20 insertion mutations
Brand names Keytruda Exkivity
Administrative route Injection (intravenous) Oral
Side effects Fatigue, musculoskeletal pain, decreased appetite, pruritus, diarrhea, nausea, rash, pyrexia, cough, dyspnea, constipation, pain in extremity, and headache Diarrhea, rash, nausea, stomatitis, vomiting, decreased appetite, paronychia, fatigue, dry skin, and musculoskeletal pain
Contraindications None known specifically; use with caution in patients with a history of severe immune-mediated adverse reactions None known specifically; use with caution in patients with QTc prolongation and those taking drugs known to prolong the QTc interval
Drug class Immune checkpoint inhibitor Tyrosine kinase inhibitor
Manufacturer Merck & Co. Takeda Pharmaceutical Company

Efficacy

Keytruda (Pembrolizumab) Efficacy in Lung Cancer

Keytruda, also known by its generic name pembrolizumab, is a highly effective immunotherapy drug used in the treatment of various forms of lung cancer. It is a type of checkpoint inhibitor that works by blocking the PD-1 protein on the surface of immune cells, thereby enhancing the immune system's ability to detect and fight cancer cells. Keytruda has shown significant efficacy in treating non-small cell lung cancer (NSCLC), particularly in patients whose tumors express PD-L1 and who have not had prior chemotherapy. Clinical trials have demonstrated that Keytruda can lead to improved survival rates compared to traditional chemotherapy, and it has become a standard of care for certain patients with advanced NSCLC.

Exkivity (Mobocertinib) Efficacy in Lung Cancer

Exkivity, with the generic name mobocertinib, is a targeted therapy designed to treat NSCLC with a specific mutation in the epidermal growth factor receptor (EGFR) gene known as Exon 20 insertion mutations. This oral medication is a tyrosine kinase inhibitor (TKI) that specifically inhibits cancer cells with the aforementioned mutation, which is typically resistant to other EGFR-targeted therapies. Clinical trials have shown that Exkivity can lead to a significant reduction in tumor size and prolonged progression-free survival in patients with this particular mutation. Due to its targeted nature, Exkivity is particularly effective for patients who have been identified with the Exon 20 insertion mutation through molecular testing.

Comparative Efficacy in Lung Cancer Treatment

When comparing Keytruda and Exkivity, it is important to note that their efficacy is somewhat dependent on the specific characteristics of the lung cancer they are treating. Keytruda is most effective in patients with high PD-L1 expression and can be used as a first-line treatment in advanced NSCLC. In contrast, Exkivity is specifically designed for a subset of patients with a rare EGFR mutation and is typically used when other treatments have failed or are not suitable. Both medications have significantly advanced the treatment of lung cancer by offering more personalized and effective options for patients with these specific cancer profiles.

Conclusion

The efficacy of Keytruda and Exkivity in the treatment of lung cancer represents a significant advancement in oncology, providing hope for improved outcomes in patients with advanced disease. Keytruda's broad application in NSCLC and its ability to improve survival rates make it a cornerstone in lung cancer therapy. Meanwhile, Exkivity's efficacy in targeting the rare EGFR Exon 20 insertion mutation fills a previously unmet need in the treatment landscape. Both drugs exemplify the move towards precision medicine in oncology, where treatments are increasingly tailored to the genetic makeup of individual tumors.

Regulatory Agency Approvals

Keytruda
  • European Medical Agency (EMA), European Union
  • Food and Drug Administration (FDA), USA
  • Health Canada
  • Therapeutic Goods Administration (TGA), Australia
  • Medsafe (NZ)
Exkivity
  • Food and Drug Administration (FDA), USA

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