Lumakras (sotorasib) vs Augtyro (repotrectinib)

Lumakras (sotorasib) vs Augtyro (repotrectinib)

Lumakras (sotorasib) is specifically approved for the treatment of non-small cell lung cancer (NSCLC) with a KRAS G12C mutation in patients who have received at least one prior systemic therapy. Augtyro (repotrectinib), on the other hand, is designed to target cancers with NTRK (neurotrophic tyrosine receptor kinase) gene fusions, ROS1, or ALK (anaplastic lymphoma kinase) genomic alterations and is being investigated in clinical trials for various solid tumors, including NSCLC. The choice between Lumakras and Augtyro would depend on the specific genetic alterations present in a patient's tumor, and a healthcare provider would recommend a treatment based on comprehensive genomic profiling of the cancer.

Difference between Lumakras and Augtyro

Metric Lumakras (sotorasib) Augtyro (repotrectinib)
Generic name Sotorasib Repotrectinib
Indications Non-small cell lung cancer (NSCLC) with KRAS G12C mutation Advanced solid tumors with NTRK gene fusion, ROS1 or ALK-positive
Mechanism of action KRAS G12C inhibitor Tyrosine kinase inhibitor
Brand names Lumakras Augtyro
Administrative route Oral Oral
Side effects Diarrhea, hepatotoxicity, cough, musculoskeletal pain, etc. Dizziness, fatigue, constipation, myalgia, etc.
Contraindications Patients with severe hepatic impairment Not established
Drug class Antineoplastic agent Antineoplastic agent
Manufacturer Amgen Inc. Turning Point Therapeutics, Inc.

Efficacy

Lumakras (sotorasib) Efficacy in Lung Cancer

Lumakras (sotorasib) is a novel medication specifically designed to target the KRAS G12C mutation in non-small cell lung cancer (NSCLC). This mutation is present in approximately 13% of patients with NSCLC. Lumakras functions as a KRAS G12C inhibitor, directly targeting the mutated protein and hindering its ability to promote tumor growth. Clinical trials have demonstrated that Lumakras can lead to significant tumor shrinkage and prolonged progression-free survival in patients with the KRAS G12C mutation who have previously undergone treatment with chemotherapy and/or immunotherapy.

The efficacy of Lumakras was evaluated in a phase 2 trial known as CodeBreaK 100, which involved patients with advanced NSCLC harboring the KRAS G12C mutation. The trial reported a response rate of approximately 37.1%, with a median duration of response of 11.1 months. This data suggests that Lumakras is an effective treatment option for patients with this specific genetic profile of lung cancer, offering a targeted approach that was not previously available.

Augtyro (repotrectinib) Efficacy in Lung Cancer

Augtyro (repotrectinib) is an investigational, next-generation tyrosine kinase inhibitor designed to target ROS1 and TRK A/B/C in NSCLC. It is specifically formulated to overcome resistance to prior ROS1 inhibitors and to have increased brain penetration, potentially addressing both primary and metastatic brain tumors. While Augtyro is still in the clinical trial phase, early results have shown promise in treating ROS1-positive lung cancer, which accounts for a small subset of NSCLC cases.

In early clinical studies, repotrectinib has shown efficacy in patients with ROS1-positive NSCLC, including those who have developed resistance to prior ROS1 inhibitors. The preliminary data indicates that repotrectinib can produce responses in both treatment-naive and pre-treated patients. However, as repotrectinib is still under investigation, further studies are required to fully establish its efficacy and safety profile. The ongoing clinical trials will provide more definitive information on the potential of Augtyro as a treatment for lung cancer patients with specific genetic alterations.

Regulatory Agency Approvals

Lumakras
  • European Medical Agency (EMA), European Union
  • Food and Drug Administration (FDA), USA
  • Medicines & Healthcare products Regulatory Agency (MHRA), United Kingdom
Augtyro
  • Food and Drug Administration (FDA), USA

Access Lumakras or Augtyro today

If Lumakras or Augtyro 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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