Tecentriq (Atezolizumab) vs Vizimpro (dacomitinib)

Tecentriq (Atezolizumab) vs Vizimpro (dacomitinib)

Tecentriq (atezolizumab) is an immune checkpoint inhibitor that works by blocking the protein PD-L1, which is involved in suppressing the immune system's response against cancer cells, and is commonly used for treating various types of cancer, including non-small cell lung cancer (NSCLC), urothelial carcinoma, and triple-negative breast cancer. Vizimpro (dacomitinib) is a tyrosine kinase inhibitor that targets the epidermal growth factor receptor (EGFR) and is used specifically for the first-line treatment of patients with metastatic NSCLC with EGFR exon 19 deletion or exon 21 L858R substitution mutations. The choice between Tecentriq and Vizimpro would depend on the patient's specific type of cancer, genetic mutation status, overall health, and treatment goals, and should be made in consultation with an oncologist who can evaluate the individual's unique situation.

Difference between Tecentriq and Vizimpro

Metric Tecentriq (Atezolizumab) Vizimpro (dacomitinib)
Generic name Atezolizumab Dacomitinib
Indications Urothelial carcinoma, non-small cell lung cancer, triple-negative breast cancer Non-small cell lung cancer with EGFR exon 19 deletion or exon 21 L858R mutations
Mechanism of action PD-L1 inhibitor, immune checkpoint inhibitor EGFR inhibitor, tyrosine kinase inhibitor
Brand names Tecentriq Vizimpro
Administrative route Intravenous infusion Oral
Side effects Fatigue, nausea, cough, shortness of breath, decreased appetite Diarrhea, rash, paronychia, stomatitis, decreased appetite
Contraindications None known None known
Drug class Monoclonal antibody, immune checkpoint inhibitor Tyrosine kinase inhibitor
Manufacturer Genentech (Roche) Pfizer

Efficacy

Efficacy of Tecentriq (Atezolizumab) in Lung Cancer

Tecentriq (Atezolizumab) is an immune checkpoint inhibitor specifically targeting the PD-L1 protein, which is used in the treatment of various types of lung cancer, including non-small cell lung cancer (NSCLC) and small cell lung cancer (SCLC). In clinical trials, Tecentriq has shown efficacy in improving survival rates in patients with NSCLC when used alone or in combination with other therapies. For instance, the IMpower110 study demonstrated that Tecentriq improved overall survival in patients with high PD-L1 expression compared to chemotherapy. Additionally, the IMpower130 and IMpower150 trials indicated that the combination of Tecentriq with chemotherapy and bevacizumab improved progression-free survival and overall survival in NSCLC patients.

Efficacy of Tecentriq in Small Cell Lung Cancer

In the treatment of extensive-stage small cell lung cancer (ES-SCLC), Tecentriq has also shown benefits. The IMpower133 trial found that adding Tecentriq to chemotherapy with carboplatin and etoposide led to a significant improvement in overall survival and progression-free survival compared to chemotherapy alone. These findings have established Tecentriq as a valuable treatment option for ES-SCLC, providing a new hope for patients with this aggressive form of lung cancer.

Efficacy of Vizimpro (dacomitinib) in Lung Cancer

Vizimpro (dacomitinib) is a pan-human epidermal growth factor receptor (HER) tyrosine kinase inhibitor indicated for the first-line treatment of patients with metastatic NSCLC with epidermal growth factor receptor (EGFR) exon 19 deletion or exon 21 L858R substitution mutations as detected by an FDA-approved test. In clinical trials, Vizimpro has demonstrated efficacy in improving progression-free survival compared to gefitinib, another EGFR inhibitor, in patients with previously untreated NSCLC with EGFR mutations. The ARCHER 1050 study, a pivotal phase III trial, showed that patients treated with Vizimpro had a significantly longer median progression-free survival than those treated with gefitinib.

Conclusion

Both Tecentriq and Vizimpro have shown significant efficacy in the treatment of different types of lung cancer. Tecentriq's role in improving survival outcomes in NSCLC and SCLC highlights the importance of immune checkpoint inhibitors in cancer therapy. Meanwhile, Vizimpro's effectiveness in targeting EGFR mutations in NSCLC offers a potent option for patients with specific genetic profiles. Ongoing research and clinical trials continue to refine the use of these drugs and expand our understanding of their efficacy in lung cancer treatment.

Regulatory Agency Approvals

Tecentriq
  • European Medical Agency (EMA), European Union
  • Food and Drug Administration (FDA), USA
  • Health Canada
  • Pharmaceuticals and Medical Devices Agency (PMDA), Japan
  • Therapeutic Goods Administration (TGA), Australia
  • Medsafe (NZ)
Vizimpro
  • European Medical Agency (EMA), European Union
  • Food and Drug Administration (FDA), USA

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If Tecentriq or Vizimpro 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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