Tecentriq (Atezolizumab) vs Cosela (trilaciclib)
Tecentriq (Atezolizumab) vs Cosela (trilaciclib)
Tecentriq (atezolizumab) is an immune checkpoint inhibitor used primarily to treat various types of cancer, including non-small cell lung cancer, small cell lung cancer, urothelial carcinoma, and triple-negative breast cancer by enhancing the body's immune response against cancer cells. Cosela (trilaciclib), on the other hand, is a cyclin-dependent kinase inhibitor designed to protect bone marrow cells from damage caused by chemotherapy, and it is used to decrease the incidence of chemotherapy-induced myelosuppression in adults receiving certain types of chemotherapy for extensive-stage small cell lung cancer. When deciding between Tecentriq and Cosela, it is important to consider the type of cancer being treated, the goal of therapy (whether it is direct treatment of the cancer or protection from chemotherapy side effects), and the specific treatment regimen recommended by the healthcare provider.
Difference between Tecentriq and Cosela
Metric | Tecentriq (Atezolizumab) | Cosela (trilaciclib) |
---|---|---|
Generic name | Atezolizumab | Trilaciclib |
Indications | Urothelial carcinoma, non-small cell lung cancer, small cell lung cancer, hepatocellular carcinoma, and melanoma | Used to decrease the incidence of chemotherapy-induced myelosuppression |
Mechanism of action | PD-L1 inhibitor that enables the activation of T-cells and boosts immune response against cancer cells | CDK4/6 inhibitor that helps protect bone marrow and immune system function during chemotherapy |
Brand names | Tecentriq | Cosela |
Administrative route | Intravenous infusion | Intravenous infusion |
Side effects | Fatigue, decreased appetite, nausea, urinary tract infections, fever, and others | Fatigue, hypocalcemia, increased aspartate aminotransferase, headache, pneumonia, and others |
Contraindications | Patients with hypersensitivity to atezolizumab or any of its excipients | Patients with hypersensitivity to trilaciclib or any of its excipients |
Drug class | Monoclonal antibody, Immune checkpoint inhibitor | Cyclin-dependent kinase inhibitor |
Manufacturer | Genentech (Roche) | G1 Therapeutics |
Efficacy
Efficacy of Tecentriq (Atezolizumab) in Lung Cancer
Tecentriq (Atezolizumab) is an immune checkpoint inhibitor specifically designed to target and block the programmed death-ligand 1 (PD-L1) on tumor cells and tumor-infiltrating immune cells. This blockade enhances the ability of the immune system to detect and fight cancer cells. Tecentriq has shown efficacy in the treatment of non-small cell lung cancer (NSCLC) and small cell lung cancer (SCLC). In clinical trials, Tecentriq has been shown to improve survival rates in patients with NSCLC, particularly those with high PD-L1 expression. It has been approved for use as a first-line treatment in combination with chemotherapy for patients with metastatic non-squamous NSCLC without EGFR or ALK mutations and as a monotherapy in cases where tumors express PD-L1 on ≥50% of tumor cells with no EGFR or ALK genomic tumor aberrations present.
Efficacy of Tecentriq in Combination Therapies for Lung Cancer
In addition to its use as a monotherapy, Tecentriq has been evaluated in combination with other therapies. When combined with chemotherapy, or with bevacizumab and chemotherapy, Tecentriq has been shown to provide a significant improvement in progression-free survival (PFS) and overall survival (OS) in patients with metastatic non-squamous NSCLC. These combination treatments have become a standard of care for patients with advanced lung cancer, reflecting the enhanced efficacy of Tecentriq when used in conjunction with other therapeutic agents.
Efficacy of Cosela (Trilaciclib) in Lung Cancer
Cosela (Trilaciclib) is a cyclin-dependent kinase 4/6 (CDK4/6) inhibitor that is used to prevent chemotherapy-induced myelosuppression in adult patients with extensive-stage small cell lung cancer (ES-SCLC) who are receiving a platinum-based chemotherapy regimen. The efficacy of Cosela in lung cancer is not directly antitumoral, but rather supportive, as it helps protect bone marrow function during chemotherapy. This can lead to fewer instances of severe neutropenia, a common and potentially serious side effect of chemotherapy that can lead to treatment delays and increased risk of infection. Clinical trials have demonstrated that patients treated with Cosela experienced a significant reduction in the duration of severe neutropenia in the first cycle of chemotherapy compared to placebo.
Overall Considerations in Lung Cancer Treatment with Tecentriq and Cosela
While Tecentriq works by harnessing the body's immune system to combat lung cancer, Cosela functions by protecting the body's normal cells from the harmful effects of chemotherapy. Both medications represent advances in the supportive care and treatment of lung cancer, offering patients improved outcomes and quality of life. However, the efficacy of these medications can vary based on individual patient factors, the type and stage of lung cancer, and the specific treatment regimen employed. As with all medications, the use of Tecentriq and Cosela should be guided by a healthcare professional, taking into account the potential benefits and risks for each patient.
Regulatory Agency Approvals
Tecentriq
Cosela
Access Tecentriq or Cosela today
If Tecentriq or Cosela are not approved or available in your country (e.g. due to supply issues), you can access them via Everyone.org.
How it works
Make an enquiry
Choose the medicine you want to buy, answer a couple of questions, and upload your prescription to speed things up. We’ll get back to you within 24 hours.
Make an enquiry
Choose the medicine you want to buy, answer a couple of questions, and upload your prescription to speed things up. We’ll get back to you within 24 hours.
Breeze through the paperwork
We'll guide you through the required documents for importing unapproved medicine, ensuring you have all the necessary information.
Get a personalized quote
We’ll prepare a quote for you, including medicine costs and any shipping, administrative, or import fees that may apply.
Receive your medicine
Accept the quote and we’ll handle the rest - sourcing and safely delivering your medicine.
Some text on this page has been automatically generated. Speak to your physician before you start a new treatment or medication.
Let's talk
If you have any questions, call us or send us a message through WhatsApp or email:
Contact us