Tagrisso (osimertinib) vs Alunbrig (brigatinib)
Tagrisso (osimertinib) vs Alunbrig (brigatinib)
Tagrisso (osimertinib) is a third-generation, oral, irreversible epidermal growth factor receptor (EGFR) tyrosine kinase inhibitor (TKI) specifically designed to treat non-small cell lung cancer (NSCLC) with EGFR mutations, including T790M mutations. Alunbrig (brigatinib) is a second-generation anaplastic lymphoma kinase (ALK) inhibitor used to treat NSCLC that is ALK-positive. When deciding between the two, the choice is largely dependent on the specific genetic mutations of the patient's cancer; Tagrisso is chosen for EGFR mutations, while Alunbrig is selected for ALK-positive cases.
Difference between Tagrisso and Alunbrig
Metric | Tagrisso (osimertinib) | Alunbrig (brigatinib) |
---|---|---|
Generic name | Osimertinib | Brigatinib |
Indications | Non-small cell lung cancer (NSCLC) with specific EGFR mutations | Non-small cell lung cancer (NSCLC) with ALK positive mutations |
Mechanism of action | EGFR tyrosine kinase inhibitor | ALK tyrosine kinase inhibitor |
Brand names | Tagrisso | Alunbrig |
Administrative route | Oral | Oral |
Side effects | Diarrhea, rash, dry skin, nail toxicity, stomatitis, etc. | Nausea, diarrhea, fatigue, cough, headache, etc. |
Contraindications | Hypersensitivity to osimertinib or excipients | Hypersensitivity to brigatinib or excipients |
Drug class | Tyrosine kinase inhibitor | Tyrosine kinase inhibitor |
Manufacturer | AstraZeneca | Takeda Pharmaceuticals |
Efficacy
Introduction to Tagrisso (Osimertinib)
Tagrisso (osimertinib) is a third-generation, irreversible epidermal growth factor receptor (EGFR) tyrosine kinase inhibitor (TKI) specifically designed for the treatment of certain types of non-small cell lung cancer (NSCLC). It is particularly effective in patients with tumors that have EGFR T790M mutation, which is a common resistance mechanism to earlier generation EGFR inhibitors. Osimertinib has shown a significant improvement in progression-free survival (PFS) compared to standard first-line treatments in patients with NSCLC harboring EGFR mutations.
Efficacy of Tagrisso in Clinical Trials
Clinical trials have demonstrated the efficacy of Tagrisso in treating NSCLC. The FLAURA study, a pivotal phase III clinical trial, compared osimertinib to standard EGFR-TKIs (erlotinib or gefitinib) in the first-line treatment of patients with NSCLC with EGFR mutations. The results showed that osimertinib significantly prolonged PFS, with a median of 18.9 months compared to 10.2 months in the control group. Moreover, Tagrisso was associated with a higher objective response rate (ORR) and a longer duration of response (DoR).
Introduction to Alunbrig (Brigatinib)
Alunbrig (brigatinib) is a second-generation anaplastic lymphoma kinase (ALK) inhibitor used for the treatment of ALK-positive NSCLC. It was designed to overcome resistance to crizotinib, the first-generation ALK inhibitor. Brigatinib has been shown to be effective in patients who have progressed on crizotinib and is also being evaluated as a first-line treatment. It has demonstrated high efficacy in terms of PFS and ORR in patients with ALK-positive NSCLC.
Efficacy of Alunbrig in Clinical Trials
The efficacy of Alunbrig was highlighted in the ALTA-1L trial, which is a phase III study comparing brigatinib to crizotinib in ALK-positive NSCLC patients who had not received prior ALK inhibitor therapy. The trial results indicated that brigatinib significantly improved PFS compared to crizotinib. Additionally, brigatinib showed a higher intracranial ORR in patients with brain metastases, which is a common complication in ALK-positive NSCLC. This suggests that brigatinib may be particularly beneficial for patients with CNS involvement.
Regulatory Agency Approvals
Tagrisso
Alunbrig
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