Afinitor (everolimus) vs Libtayo (cemiplimab)

Afinitor (everolimus) vs Libtayo (cemiplimab)

Afinitor (everolimus) is an mTOR inhibitor used primarily to treat various types of cancer, including advanced renal cell carcinoma, certain breast cancers, and neuroendocrine tumors, as well as to prevent organ rejection in transplant patients. Libtayo (cemiplimab) is a PD-1 blocking antibody used in immunotherapy for treating advanced cutaneous squamous cell carcinoma, basal cell carcinoma, and non-small cell lung cancer. The choice between Afinitor and Libtayo would depend on the specific type and stage of cancer being treated, as well as the patient's overall health, previous treatments, and potential drug interactions, so a healthcare provider would need to evaluate the patient's individual condition to determine the most appropriate treatment option.

Difference between Afinitor and Libtayo

Metric Afinitor (everolimus) Libtayo (cemiplimab)
Generic name Everolimus Cemiplimab
Indications Advanced hormone receptor-positive, HER2-negative breast cancer, advanced neuroendocrine tumors, renal cell carcinoma, tuberous sclerosis complex-associated seizures, and others Cutaneous squamous cell carcinoma (CSCC), basal cell carcinoma (BCC), and non-small cell lung cancer (NSCLC)
Mechanism of action mTOR inhibitor, which inhibits cell proliferation, angiogenesis, and glucose uptake Programmed death receptor-1 (PD-1) blocking antibody, which enhances the immune system's ability to fight cancer
Brand names Afinitor, Afinitor Disperz, Zortress Libtayo
Administrative route Oral Injection (intravenous)
Side effects Mouth ulcers, infections, rash, fatigue, diarrhea, edema, abdominal pain, nausea, fever, and others Fatigue, rash, diarrhea, musculoskeletal pain, and pruritus
Contraindications Hypersensitivity to everolimus or other rapamycin derivatives, recent vaccination with live vaccines, pregnancy Hypersensitivity to cemiplimab or its excipients
Drug class mTOR inhibitor PD-1 inhibitor
Manufacturer Novartis Pharmaceuticals Corporation Regeneron Pharmaceuticals, Inc.

Efficacy

Efficacy of Afinitor (Everolimus) in Lung Cancer

Afinitor (everolimus) is a medication that belongs to a class of drugs known as mTOR inhibitors. It is primarily approved for the treatment of various types of tumors, including advanced renal cell carcinoma and certain types of breast cancer. The efficacy of Afinitor in lung cancer, specifically non-small cell lung cancer (NSCLC), has been explored in clinical trials. While everolimus has shown some efficacy in the treatment of NSCLC, particularly in patients with specific genetic alterations such as TSC1 or TSC2 mutations, it is not a first-line treatment for lung cancer and is generally considered for use when other therapies have failed or are not suitable.

In clinical studies, everolimus has demonstrated a capacity to stabilize disease progression in some patients with NSCLC. However, its role in lung cancer treatment is limited compared to other more established therapies. The use of everolimus in lung cancer may be considered off-label, and it is important for healthcare providers to weigh the potential benefits against the risks and to consider individual patient factors when prescribing this medication for lung cancer.

Efficacy of Libtayo (Cemiplimab) in Lung Cancer

Libtayo (cemiplimab) is a relatively newer treatment option that has been approved for certain types of cancer. It is a monoclonal antibody that falls under the category of immune checkpoint inhibitors, specifically targeting the PD-1 receptor on T cells. Cemiplimab has been approved for the treatment of patients with metastatic or locally advanced cutaneous squamous cell carcinoma (CSCC) who are not candidates for curative surgery or curative radiation. Its efficacy in lung cancer has been a subject of research, particularly in NSCLC.

Recent studies have shown promising results for the use of Libtayo in the treatment of advanced NSCLC, especially in patients with high levels of PD-L1 expression. In a pivotal phase 3 trial, cemiplimab significantly improved overall survival and progression-free survival compared to chemotherapy in patients with advanced NSCLC who had not received prior systemic treatment and whose tumors expressed PD-L1 on at least 50% of tumor cells. Based on these findings, Libtayo has been granted approval for first-line treatment of patients with advanced NSCLC with high PD-L1 expression. This marks a significant advancement in the therapeutic options available for this patient population, providing an effective immunotherapy option that harnesses the patient's own immune system to combat cancer.

Regulatory Agency Approvals

Afinitor
  • 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
Libtayo
  • European Medical Agency (EMA), European Union
  • Food and Drug Administration (FDA), USA
  • Health Canada

Access Afinitor or Libtayo today

If Afinitor or Libtayo 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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