Tabrecta (capmatinib) vs Lumakras (sotorasib)

Tabrecta (capmatinib) vs Lumakras (sotorasib)

Tabrecta (capmatinib) and Lumakras (sotorasib) are both targeted therapies used to treat non-small cell lung cancer (NSCLC), but they are designed to target different genetic mutations. Tabrecta is specifically indicated for adult patients with metastatic NSCLC that have mutations leading to MET exon 14 skipping, and it works by inhibiting the MET receptor tyrosine kinase. On the other hand, Lumakras is approved for use in patients with NSCLC harboring the KRAS G12C mutation, functioning as a KRAS G12C inhibitor, and is the first therapy of its kind for this particular mutation. The choice between these two medications would depend on the specific genetic alterations present in a patient's tumor, which can be determined through biomarker testing.

Difference between Tabrecta and Lumakras

Metric Tabrecta (capmatinib) Lumakras (sotorasib)
Generic name Capmatinib Sotorasib
Indications Non-small cell lung cancer (NSCLC) with MET exon 14 skipping mutations Non-small cell lung cancer (NSCLC) with KRAS G12C mutation
Mechanism of action MEK inhibitor KRAS G12C inhibitor
Brand names Tabrecta Lumakras
Administrative route Oral Oral
Side effects Peripheral edema, nausea, fatigue, vomiting, dyspnea, and decreased appetite Diarrhea, musculoskeletal pain, nausea, fatigue, liver damage, and cough
Contraindications Hypersensitivity to capmatinib or any of the excipients Hypersensitivity to sotorasib or any of the excipients
Drug class Tyrosine kinase inhibitor Small molecule kinase inhibitor
Manufacturer Novartis Pharmaceuticals Corporation Amgen Inc.

Efficacy

Tabrecta (Capmatinib) Efficacy in Lung Cancer

Tabrecta, known generically as capmatinib, is a medication specifically approved for the treatment of adults with non-small cell lung cancer (NSCLC) that is metastatic and has mutations leading to mesenchymal-epithelial transition (MET) exon 14 skipping. This targeted therapy has shown efficacy in clinical trials for patients with this particular genetic alteration, which is present in a small percentage of NSCLC cases. In a pivotal phase II study, capmatinib demonstrated a notable objective response rate (ORR), meaning that a significant number of patients experienced a reduction in tumor size. This response was observed both in patients who had received prior treatment for lung cancer and in those who were treatment-naïve.

The efficacy of Tabrecta is particularly notable given the historical difficulty in treating MET exon 14 skipping mutations. The responses in patients treated with Tabrecta were also durable, with many patients experiencing prolonged periods of disease control. This has marked an important advancement in personalized medicine for lung cancer, offering a new hope for patients with this specific genetic profile.

Lumakras (Sotorasib) Efficacy in Lung Cancer

Lumakras, with the generic name sotorasib, is another novel medication that has been approved for use in treating NSCLC, specifically targeting the KRAS G12C mutation. This mutation was once thought to be "undruggable," but Lumakras has emerged as an effective treatment option for patients harboring this mutation. In clinical trials, sotorasib has shown an encouraging ORR in patients with the KRAS G12C mutation who had previously undergone standard treatment.

The approval of Lumakras was based on the results from a phase II trial which demonstrated significant tumor shrinkage and a median duration of response that indicates a potential for long-term benefit in a patient population with limited treatment options. The advent of Lumakras has thus represented a significant breakthrough in the field of targeted therapy for lung cancer, offering a new line of treatment for patients with the KRAS G12C mutation, which accounts for a substantial subset of NSCLC cases.

Regulatory Agency Approvals

Tabrecta
  • 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 Tabrecta or Lumakras today

If Tabrecta 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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