Tabrecta (capmatinib) vs Cosela (trilaciclib)

Tabrecta (capmatinib) vs Cosela (trilaciclib)

Tabrecta (capmatinib) is a targeted therapy specifically approved for the treatment of adult patients with non-small cell lung cancer (NSCLC) that has a specific mutation known as MET exon 14 skipping. On the other hand, Cosela (trilaciclib) is designed to protect bone marrow cells from damage caused by chemotherapy and is used in adult patients with extensive-stage small cell lung cancer (ES-SCLC) to decrease the incidence of chemotherapy-induced myelosuppression. When deciding between these medications, it is crucial to consider the type of lung cancer, the presence of specific genetic mutations, and the goal of treatment (targeted cancer therapy with Tabrecta versus protection of bone marrow cells during chemotherapy with Cosela), as they are used for different indications and are not interchangeable.

Difference between Tabrecta and Cosela

Metric Tabrecta (capmatinib) Cosela (trilaciclib)
Generic name Capmatinib Trilaciclib
Indications Non-small cell lung cancer (NSCLC) with MET exon 14 skipping mutations Decrease the incidence of chemotherapy-induced myelosuppression
Mechanism of action MET kinase inhibitor Cyclin-dependent kinase inhibitor
Brand names Tabrecta Cosela
Administrative route Oral Intravenous
Side effects Nausea, vomiting, edema, fatigue, dyspnea Fatigue, hypocalcemia, hypokalemia, hypophosphatemia, increased aspartate aminotransferase
Contraindications Hypersensitivity to capmatinib or any of the excipients Hypersensitivity to trilaciclib
Drug class Tyrosine kinase inhibitor Cyclin-dependent kinase inhibitor
Manufacturer Novartis Pharmaceuticals Corporation G1 Therapeutics, Inc.

Efficacy

Tabrecta (capmatinib) Efficacy in Lung Cancer

Tabrecta (capmatinib) is a targeted therapy approved by the U.S. Food and Drug Administration (FDA) for the treatment of adult patients with non-small cell lung cancer (NSCLC) that has spread to other parts of the body (metastatic). Specifically, it is indicated for those whose tumors have a mutation that leads to MET exon 14 skipping, as detected by an FDA-approved test. This mutation is a recognized driver in NSCLC, and Tabrecta has shown efficacy in inhibiting the MET pathway, which can promote tumor growth.

The efficacy of Tabrecta was evaluated in a clinical trial that included patients with metastatic NSCLC harboring MET exon 14 skipping mutations. The trial demonstrated a significant objective response rate (ORR), which is the proportion of patients with a substantial reduction in tumor size. The duration of response (DOR) also supported the efficacy of Tabrecta, with many patients experiencing sustained responses. The results indicated that Tabrecta could provide a clinically meaningful benefit for patients with this specific genetic alteration in their tumors.

Cosela (trilaciclib) Efficacy in Lung Cancer

Cosela (trilaciclib) is a different type of medication, known as a cyclin-dependent kinase 4/6 (CDK4/6) inhibitor, and is used to decrease the incidence of chemotherapy-induced myelosuppression in adult patients when they are receiving certain types of chemotherapy for the treatment of extensive-stage small cell lung cancer (ES-SCLC). Myelosuppression is a common and serious side effect of chemotherapy that can lead to a decrease in the bone marrow's ability to produce blood cells.

The efficacy of Cosela in lung cancer was assessed through a series of clinical trials that focused on its ability to protect bone marrow function during the administration of chemotherapy. Patients with ES-SCLC who received Cosela had a lower incidence of severe neutropenia, a condition characterized by an abnormally low count of neutrophils, which are a type of white blood cell crucial for fighting infection. The trials also showed that patients treated with Cosela had fewer delays in chemotherapy and reductions in dose due to myelosuppression. These findings suggest that Cosela can effectively mitigate some of the hematologic toxicities associated with chemotherapy in lung cancer patients, potentially improving their treatment experience and outcomes.

Regulatory Agency Approvals

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

Access Tabrecta or Cosela today

If Tabrecta or Cosela 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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