Tecentriq (Atezolizumab) vs Imfinzi (durvalumab)

Tecentriq (Atezolizumab) vs Imfinzi (durvalumab)

Tecentriq (atezolizumab) and Imfinzi (durvalumab) are both immune checkpoint inhibitors, but they target different proteins; Tecentriq blocks PD-L1 while Imfinzi blocks PD-L1 and CTLA-4, which can influence their effectiveness in different types of cancer. Tecentriq is approved for use in several types of cancer including non-small cell lung cancer, small cell lung cancer, urothelial carcinoma, and triple-negative breast cancer, depending on the specific characteristics of the cancer and previous treatments. Imfinzi is approved for the treatment of non-small cell lung cancer, extensive-stage small cell lung cancer, and bladder cancer, and the choice between the two drugs would depend on the cancer type, stage, patient's overall health, and previous treatments, as well as the specific indications approved by regulatory agencies.

Difference between Tecentriq and Imfinzi

Metric Tecentriq (Atezolizumab) Imfinzi (durvalumab)
Generic name Atezolizumab Durvalumab
Indications Urothelial carcinoma, non-small cell lung cancer (NSCLC), small cell lung cancer (SCLC), hepatocellular carcinoma, and melanoma Non-small cell lung cancer (NSCLC), extensive-stage small cell lung cancer (SCLC), and bladder cancer
Mechanism of action PD-L1 inhibitor, enhances T-cell function PD-L1 inhibitor, enhances T-cell function
Brand names Tecentriq Imfinzi
Administrative route Intravenous infusion Intravenous infusion
Side effects Fatigue, decreased appetite, nausea, urinary tract infections, fever, and constipation Fatigue, rash, muscle pain, constipation, decreased appetite, and nausea
Contraindications Severe hypersensitivity to atezolizumab or any of its components Severe hypersensitivity to durvalumab or any of its components
Drug class Monoclonal antibody, Immune checkpoint inhibitor Monoclonal antibody, Immune checkpoint inhibitor
Manufacturer Genentech (Roche) AstraZeneca

Efficacy

Efficacy of Tecentriq (Atezolizumab) in Lung Cancer

Tecentriq (Atezolizumab) is a monoclonal antibody designed to target and inhibit the protein PD-L1, which is involved in suppressing the immune system's response against cancer cells. In the context of lung cancer, Tecentriq has shown efficacy in treating non-small cell lung cancer (NSCLC), particularly in patients with high PD-L1 expression in their tumors. Clinical trials have demonstrated that Tecentriq can improve overall survival rates compared to chemotherapy alone. It has been approved for use as a first-line treatment in metastatic NSCLC with no EGFR or ALK genomic tumor aberrations and high PD-L1 expression, as well as in combination with chemotherapy for the initial treatment of extensive-stage small cell lung cancer (SCLC).

Efficacy of Imfinzi (Durvalumab) in Lung Cancer

Imfinzi (Durvalumab) is another PD-L1 inhibitor that has been studied for its efficacy in lung cancer treatment. It is particularly noted for its role in the treatment of stage III NSCLC following chemoradiation therapy. In a pivotal trial, durvalumab demonstrated a significant improvement in progression-free survival when given to patients with stage III NSCLC who did not have disease progression after two or more cycles of platinum-based chemoradiation therapy. This led to its approval for this indication, offering a new standard of care for these patients. Durvalumab has also been investigated in other stages of NSCLC and in combination with other therapies, showing promise in improving patient outcomes.

Comparative Efficacy in Lung Cancer

Both Tecentriq and Imfinzi have shown to be effective in improving survival outcomes in lung cancer patients in their respective approved indications. Direct comparisons of efficacy between the two drugs are less common, as they have been studied in slightly different patient populations and stages of lung cancer. However, both drugs represent important options in the immunotherapy landscape for lung cancer, and the choice of therapy may depend on specific patient factors, including the stage of cancer, PD-L1 expression levels, and prior treatments.

Considerations and Ongoing Research

While Tecentriq and Imfinzi have made significant strides in the treatment of lung cancer, ongoing research continues to evaluate their full potential. Studies are looking at various combinations of immunotherapy with other treatments, such as chemotherapy, targeted therapy, and radiation therapy, to determine the most effective treatment regimens. Additionally, biomarkers are being investigated to better predict which patients will benefit most from these therapies. As the understanding of lung cancer biology and the immune system improves, the efficacy of treatments like Tecentriq and Imfinzi may be further optimized to provide personalized care for lung cancer patients.

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)
Imfinzi
  • European Medical Agency (EMA), European Union
  • Food and Drug Administration (FDA), USA
  • Health Canada
  • Therapeutic Goods Administration (TGA), Australia
  • Medsafe (NZ)

Access Tecentriq or Imfinzi today

If Tecentriq or Imfinzi 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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