Alunbrig (brigatinib) vs Vegzelma (bevacizumab-adcd)

Alunbrig (brigatinib) vs Vegzelma (bevacizumab-adcd)

Alunbrig (brigatinib) is a tyrosine kinase inhibitor specifically designed to target and treat non-small cell lung cancer (NSCLC) with an ALK mutation, offering a targeted approach for patients with this genetic marker. Vegzelma (bevacizumab-adcd) is a biosimilar to the original bevacizumab formulation and is used to treat various forms of cancer by inhibiting angiogenesis, the process by which tumors develop new blood vessels. When deciding between Alunbrig and Vegzelma, it is essential to consider the specific type of cancer, the presence of an ALK mutation, and the overall treatment goals, as these medications have different mechanisms of action and are approved for different indications.

Difference between Alunbrig and Vegzelma

Metric Alunbrig (brigatinib) Vegzelma (bevacizumab-adcd)
Generic name Brigatinib Bevacizumab-adcd
Indications Treatment of anaplastic lymphoma kinase (ALK)-positive metastatic non-small cell lung cancer (NSCLC) Treatment of metastatic colorectal cancer, non-squamous non-small cell lung cancer, glioblastoma, metastatic renal cell carcinoma, cervical cancer, and epithelial ovarian, fallopian tube, or primary peritoneal cancer
Mechanism of action ALK inhibitor Monoclonal antibody that inhibits angiogenesis by binding to vascular endothelial growth factor (VEGF)
Brand names Alunbrig Vegzelma
Administrative route Oral Intravenous
Side effects Nausea, diarrhea, fatigue, cough, headache, among others Hypertension, proteinuria, fatigue, hemorrhage, among others
Contraindications Hypersensitivity to brigatinib or any component of the formulation Hypersensitivity to bevacizumab, bevacizumab-adcd or any component of the formulation; gastrointestinal perforation; serious hemorrhage
Drug class Tyrosine kinase inhibitor Monoclonal antibody
Manufacturer Takeda Pharmaceuticals Celltrion Healthcare

Efficacy

Alunbrig (brigatinib) Efficacy in Lung Cancer

Alunbrig (brigatinib) is a targeted therapy approved for the treatment of non-small cell lung cancer (NSCLC) with specific genetic alterations. It is particularly indicated for patients who have anaplastic lymphoma kinase (ALK)-positive metastatic NSCLC who have progressed on or are intolerant to crizotinib, which is another ALK inhibitor. Clinical trials have demonstrated that brigatinib has significant efficacy in this patient population. The ALTA-1L trial, for instance, showed that brigatinib significantly delayed disease progression compared to crizotinib in patients with ALK-positive NSCLC who had not received prior treatment with an ALK inhibitor. The overall response rate and duration of response were also favorable, indicating that Alunbrig is an effective treatment option for this subset of lung cancer patients.

Vegzelma (bevacizumab-adcd) Efficacy in Lung Cancer

Vegzelma (bevacizumab-adcd) is a biosimilar to the original bevacizumab product, which is a monoclonal antibody that inhibits vascular endothelial growth factor (VEGF). VEGF plays a key role in angiogenesis, which is the formation of new blood vessels that tumors need to grow and metastasize. Bevacizumab, and by extension its biosimilar Vegzelma, is used in combination with chemotherapy for the treatment of non-squamous NSCLC. Its efficacy was established on the basis of a totality of evidence, including analytical, preclinical, and clinical data that demonstrate Vegzelma is highly similar to the reference product, bevacizumab, with no clinically meaningful differences in terms of safety, purity, and potency in the treatment of NSCLC.

Studies on the original bevacizumab have shown that when used in combination with chemotherapy, it can extend the lives of patients with advanced non-squamous NSCLC compared to chemotherapy alone. This benefit is presumed to carry over to Vegzelma given its biosimilarity. The addition of bevacizumab to chemotherapy has been shown to improve response rates and extend progression-free survival, making it a valuable component in the treatment regimen for eligible patients with advanced lung cancer.

It is important to note that the efficacy of both Alunbrig and Vegzelma may vary based on individual patient characteristics and the presence of specific biomarkers. These medications are part of a personalized approach to cancer treatment, and their use should be guided by a healthcare professional with expertise in oncology. As with all medications, the benefits of Alunbrig and Vegzelma must be weighed against their potential risks and side effects, and their use should be in accordance with their approved labeling and clinical guidelines.

Regulatory Agency Approvals

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

Access Alunbrig or Vegzelma today

If Alunbrig or Vegzelma 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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