Portrazza (necitumumab) vs Vizimpro (dacomitinib)
Portrazza (necitumumab) vs Vizimpro (dacomitinib)
Portrazza (necitumumab) is a monoclonal antibody designed to block the activity of EGFR, used as a first-line treatment for advanced squamous non-small cell lung cancer (NSCLC) in combination with chemotherapy. Vizimpro (dacomitinib) is a small molecule tyrosine kinase inhibitor that also targets the EGFR pathway, but it is indicated for the first-line treatment of patients with metastatic NSCLC with EGFR exon 19 deletion or exon 21 L858R substitution mutations. The choice between Portrazza and Vizimpro would depend on the patient's specific type of NSCLC, the presence of EGFR mutations, and their overall health profile, which should be evaluated by a healthcare professional.
Difference between Portrazza and Vizimpro
Metric | Portrazza (necitumumab) | Vizimpro (dacomitinib) |
---|---|---|
Generic name | Necitumumab | Dacomitinib |
Indications | Metastatic squamous non-small cell lung cancer (NSCLC) | First-line treatment of patients with metastatic non-small cell lung cancer (NSCLC) with epidermal growth factor receptor (EGFR) exon 19 deletion or exon 21 L858R substitution mutations |
Mechanism of action | Epidermal growth factor receptor (EGFR) antagonist | EGFR tyrosine kinase inhibitor |
Brand names | Portrazza | Vizimpro |
Administrative route | Intravenous infusion | Oral |
Side effects | Rash, hypomagnesemia, venous thromboembolism | Diarrhea, rash, paronychia, stomatitis |
Contraindications | Hypersensitivity to necitumumab or its excipients | Hypersensitivity to dacomitinib or its excipients |
Drug class | Monoclonal antibody | Tyrosine kinase inhibitor |
Manufacturer | Eli Lilly and Company | Pfizer Inc. |
Efficacy
Efficacy of Portrazza (necitumumab) in Lung Cancer
Portrazza (necitumumab) is a monoclonal antibody designed for the treatment of lung cancer, specifically for patients with metastatic squamous non-small cell lung cancer (NSCLC). It targets the epidermal growth factor receptor (EGFR), which is often overexpressed in squamous NSCLC cells. The efficacy of Portrazza was established in a clinical trial that compared necitumumab in combination with chemotherapy (gemcitabine and cisplatin) to chemotherapy alone. The study demonstrated a statistically significant improvement in overall survival for patients receiving the combination of necitumumab and chemotherapy compared to those who received chemotherapy alone. This marked Portrazza as an important option for the first-line treatment of patients with advanced squamous NSCLC.
Efficacy of Vizimpro (dacomitinib) in Lung Cancer
Vizimpro (dacomitinib) is a kinase inhibitor used in the treatment of lung cancer, particularly for the first-line treatment of patients with metastatic NSCLC with EGFR exon 19 deletion or exon 21 L858R substitution mutations as detected by an FDA-approved test. The efficacy of Vizimpro was evaluated in a randomized, multicenter, open-label, active-controlled trial, where it was compared to another EGFR inhibitor, gefitinib. The results showed that Vizimpro significantly improved progression-free survival (PFS) compared to gefitinib. Additionally, a higher response rate was observed in patients treated with Vizimpro, indicating its effectiveness as a targeted therapy for patients with EGFR-mutated NSCLC.
Both Portrazza and Vizimpro represent advances in the targeted therapy approach for lung cancer treatment. By focusing on specific genetic mutations and pathways that are more prevalent in certain subtypes of NSCLC, these medications offer a more personalized treatment option that can lead to better outcomes for patients. It is important for patients to undergo biomarker testing to determine the presence of EGFR mutations to ensure the appropriate use of these therapies.
While the efficacy of these drugs marks a significant step forward in the management of lung cancer, it is crucial for healthcare providers to consider the individual patient's health status, potential side effects, and other available treatments when determining the best therapeutic strategy. The use of Portrazza and Vizimpro should be guided by an in-depth understanding of the patient's specific type of lung cancer and the molecular alterations that drive its growth and progression.
Regulatory Agency Approvals
Portrazza
Vizimpro
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