Xeloda () vs Vegzelma (bevacizumab-adcd)
Xeloda () vs Vegzelma (bevacizumab-adcd)
Xeloda (capecitabine) is an orally-administered chemotherapeutic agent commonly used to treat various types of cancer, including breast, colorectal, and gastric cancers, by interfering with DNA production, which is necessary for cancer cell growth and survival. Vegzelma (bevacizumab-adcd) is a biosimilar to the original bevacizumab, which is a monoclonal antibody administered via injection that inhibits angiogenesis, the process by which tumors develop their own blood supply, and is used to treat various cancers, including colorectal, lung, glioblastoma, kidney, and ovarian cancers. The choice between Xeloda and Vegzelma would depend on the specific type of cancer being treated, the stage of the disease, the patient's overall health, and the treatment plan recommended by the oncologist, as these medications have different mechanisms of action and are often used to treat different cancer types or in combination with other therapies.
Difference between Xeloda and Vegzelma
Metric | Xeloda () | Vegzelma (bevacizumab-adcd) |
---|---|---|
Generic name | Capecitabine | Bevacizumab-adcd |
Indications | Colorectal cancer, gastric cancer, breast cancer | Metastatic colorectal cancer, non-squamous non-small cell lung cancer, glioblastoma, metastatic renal cell carcinoma, cervical cancer |
Mechanism of action | Antimetabolite (thymidylate synthase inhibitor) | Monoclonal antibody that inhibits angiogenesis by targeting VEGF-A |
Brand names | Xeloda | Vegzelma |
Administrative route | Oral | IV infusion |
Side effects | Hand-foot syndrome, diarrhea, nausea, vomiting, fatigue | Hypertension, proteinuria, hemorrhage, gastrointestinal perforation, impaired wound healing |
Contraindications | Severe renal impairment, dihydropyrimidine dehydrogenase (DPD) deficiency | Hypersensitivity to bevacizumab or its excipients, pregnancy |
Drug class | Antimetabolite, chemotherapy agent | Monoclonal antibody, antineoplastic agent |
Manufacturer | Hoffmann-La Roche | Celltrion Healthcare |
Efficacy
Xeloda (Capecitabine) in Colorectal Cancer
Xeloda (capecitabine) is an oral chemotherapeutic agent that is commonly used in the treatment of colorectal cancer. It is a prodrug that is enzymatically converted to 5-fluorouracil (5-FU) in the body, where it inhibits DNA synthesis and slows the growth of cancer cells. Xeloda has been shown to be effective both as a monotherapy and in combination with other drugs for the treatment of metastatic colorectal cancer. In clinical trials, Xeloda has demonstrated a significant improvement in overall survival and progression-free survival when compared to the standard regimens of intravenous 5-FU/LV (leucovorin).
The efficacy of Xeloda in the adjuvant setting, which is the treatment given after primary therapy to reduce the risk of cancer recurrence, has also been established. Studies have indicated that Xeloda is at least as effective as the standard bolus 5-FU/LV regimen for patients with stage III colon cancer. The convenience of oral administration and the favorable safety profile make Xeloda a valuable option for patients with colorectal cancer.
Vegzelma (Bevacizumab-adcd) in Colorectal Cancer
Vegzelma (bevacizumab-adcd) is a biosimilar to the original bevacizumab, a monoclonal antibody that targets vascular endothelial growth factor (VEGF), thereby inhibiting angiogenesis, the formation of new blood vessels that tumors need to grow and metastasize. Bevacizumab, and by extension its biosimilar Vegzelma, is approved for use in combination with chemotherapy for the treatment of metastatic colorectal cancer. The efficacy of Vegzelma in colorectal cancer has been demonstrated to be comparable to that of the reference product, bevacizumab, in clinical trials.
In studies, the addition of bevacizumab to chemotherapy has shown a significant improvement in survival outcomes for patients with metastatic colorectal cancer. This includes an increase in overall survival and progression-free survival when compared to chemotherapy alone. As a biosimilar, Vegzelma is expected to provide a similar clinical benefit, offering an alternative treatment option that may be more cost-effective while maintaining the same efficacy and safety profile as the reference product.
It is important to note that the use of both Xeloda and Vegzelma in colorectal cancer is based on extensive clinical trials and real-world evidence. The combination of these agents with other chemotherapeutic drugs has become a cornerstone in the management of colorectal cancer, offering patients a chance for improved outcomes and quality of life. As with any medical treatment, the efficacy of these medications can vary from patient to patient, and their use should be individualized based on the patient's specific condition and response to therapy.
Regulatory Agency Approvals
Xeloda
Vegzelma
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