Imfinzi (durvalumab) vs Exkivity (mobocertinib)

Imfinzi (durvalumab) vs Exkivity (mobocertinib)

Imfinzi (durvalumab) is an immune checkpoint inhibitor designed to treat certain types of urothelial carcinoma and non-small cell lung cancer (NSCLC) by helping the immune system recognize and attack cancer cells. Exkivity (mobocertinib) is a kinase inhibitor specifically indicated for adult patients with NSCLC that have specific mutations (EGFR exon 20 insertion mutations) as detected by an FDA-approved test. The choice between Imfinzi and Exkivity would depend on the specific type and genetic profile of the NSCLC; therefore, a physician would determine the appropriate medication based on the patient's individual cancer characteristics and biomarker status.

Difference between Imfinzi and Exkivity

Metric Imfinzi (durvalumab) Exkivity (mobocertinib)
Generic name Durvalumab Mobocertinib
Indications Urothelial carcinoma, non-small cell lung cancer (NSCLC) Non-small cell lung cancer (NSCLC) with EGFR Exon20 insertion mutations
Mechanism of action PD-L1 inhibitor, immune checkpoint inhibitor Tyrosine kinase inhibitor
Brand names Imfinzi Exkivity
Administrative route Intravenous infusion Oral
Side effects Fatigue, musculoskeletal pain, constipation, decreased appetite, nausea, peripheral edema, urinary tract infection, pyrexia, dyspnea, cough, pneumonitis, rash, diarrhea, etc. Diarrhea, rash, nausea, stomatitis, vomiting, decreased appetite, paronychia, dry skin, decreased weight, etc.
Contraindications Patients with severe hypersensitivity to durvalumab or any of its excipients Patients with severe hypersensitivity to mobocertinib or any of its excipients
Drug class Antineoplastic, monoclonal antibody Antineoplastic, kinase inhibitor
Manufacturer AstraZeneca Takeda Oncology

Efficacy

Imfinzi (Durvalumab) in Lung Cancer Treatment

Imfinzi (durvalumab) is a monoclonal antibody that is part of a class of cancer treatments known as immune checkpoint inhibitors. Specifically, it targets the PD-L1 protein found on the surface of many cancer cells. By blocking PD-L1, Imfinzi helps to reactivate the immune system to recognize and attack cancer cells. The efficacy of Imfinzi has been particularly noted in the treatment of non-small cell lung cancer (NSCLC). In clinical trials, Imfinzi has shown a significant improvement in progression-free survival in patients with locally advanced, unresectable NSCLC who have not progressed following concurrent platinum-based chemotherapy and radiation therapy. The drug has been approved for this indication by regulatory agencies, making it an important option in the management of this type of lung cancer.

Exkivity (Mobocertinib) in Lung Cancer Treatment

Exkivity (mobocertinib) is an oral tyrosine kinase inhibitor that has been developed to target specific mutations in non-small cell lung cancer. It is designed to inhibit the activity of the epidermal growth factor receptor (EGFR) exon 20 insertion mutations, which are a group of alterations associated with poor prognosis and limited treatment options. In clinical studies, Exkivity has demonstrated efficacy in patients with metastatic NSCLC harboring these mutations. The drug has shown a notable response rate, indicating a reduction in tumor size, and has also been associated with a duration of response that is clinically meaningful. This has led to its approval for patients with EGFR exon 20 insertion mutation-positive NSCLC who have received prior platinum-based chemotherapy.

Comparative Efficacy in Lung Cancer

While both Imfinzi and Exkivity are used in the treatment of non-small cell lung cancer, they are indicated for different patient populations within this broad category of lung cancer. Imfinzi is primarily used for locally advanced cases where the cancer has not progressed after chemoradiation therapy, whereas Exkivity is utilized for a specific subset of metastatic NSCLC with EGFR exon 20 insertion mutations. The efficacy of each medication is highly dependent on the patient's specific type of lung cancer and its molecular profile. Therefore, it is critical for healthcare providers to perform genetic testing to identify patients who are likely to benefit from these targeted therapies.

Conclusion

In conclusion, both Imfinzi and Exkivity have shown significant efficacy in the treatment of different forms of non-small cell lung cancer. Imfinzi's role in enhancing the immune response against cancer cells and Exkivity's targeted approach against specific genetic mutations exemplify the advancements in personalized cancer therapy. It is important for patients to undergo appropriate diagnostic testing to determine the most effective treatment plan based on the molecular characteristics of their cancer. As with all medications, the use of Imfinzi and Exkivity should be guided by a healthcare professional, taking into account the individual patient's health status and treatment history.

Regulatory Agency Approvals

Imfinzi
  • 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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If Imfinzi or Exkivity 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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