Opdivo (Nivolumab) vs Vegzelma (bevacizumab-adcd)

Opdivo (Nivolumab) vs Vegzelma (bevacizumab-adcd)

Opdivo (nivolumab) is an immune checkpoint inhibitor specifically designed to harness the body's immune system to help detect and fight cancer cells, making it a form of immunotherapy commonly used in various types of cancers, such as melanoma, lung cancer, and kidney cancer. Vegzelma (bevacizumab-adcd) is a biosimilar to the original bevacizumab (Avastin) and works by inhibiting vascular endothelial growth factor (VEGF), thereby impeding the growth of blood vessels that supply tumors, and is used in the treatment of certain types of cancer, including colorectal, lung, glioblastoma, kidney, and cervical cancers. The choice between Opdivo and Vegzelma would depend on the type and stage of cancer, the patient's overall health, previous treatments, and the specific treatment goals, as these medications have different mechanisms of action and are approved for different indications.

Difference between Opdivo and Vegzelma

Metric Opdivo (Nivolumab) Vegzelma (bevacizumab-adcd)
Generic name Nivolumab Bevacizumab-adcd
Indications Various types of cancers including melanoma, lung cancer, kidney cancer, bladder cancer, head and neck cancers, and others. Metastatic colorectal cancer, non-squamous non-small cell lung cancer, glioblastoma, metastatic renal cell carcinoma, cervical cancer, and ovarian cancer, among others.
Mechanism of action Programmed death-1 (PD-1) immune checkpoint inhibitor that promotes T-cell immune response against cancer cells. Monoclonal antibody that inhibits angiogenesis by targeting vascular endothelial growth factor A (VEGF-A).
Brand names Opdivo Vegzelma
Administrative route Intravenous infusion Intravenous infusion
Side effects Fatigue, rash, musculoskeletal pain, pruritus, diarrhea, nausea, and others. Hypertension, fatigue, diarrhea, abdominal pain, headache, and others.
Contraindications Individuals with hypersensitivity to nivolumab or any of its excipients. Individuals with hypersensitivity to bevacizumab, bevacizumab-adcd, or any of its excipients.
Drug class Immune checkpoint inhibitor Monoclonal antibody
Manufacturer Bristol Myers Squibb Celltrion Healthcare

Efficacy

Efficacy of Opdivo (Nivolumab) in Lung Cancer

Opdivo (Nivolumab) is a checkpoint inhibitor that has shown significant efficacy in the treatment of lung cancer, particularly non-small cell lung cancer (NSCLC). It works by targeting the PD-1 pathway, which cancer cells often exploit to evade the immune system. By blocking this pathway, Opdivo enables the immune system to better recognize and attack cancer cells. Clinical trials have demonstrated improved survival rates in patients with NSCLC who have received Opdivo compared to those who received traditional chemotherapy. Specifically, in a study known as CheckMate-057, patients with advanced NSCLC who had progressed during or after chemotherapy showed a median overall survival of 12.2 months with Opdivo, compared to 9.4 months with docetaxel, a standard chemotherapy drug.

Efficacy of Vegzelma (bevacizumab-adcd) in Lung Cancer

Vegzelma (bevacizumab-adcd) is a biosimilar to the original bevacizumab (Avastin) and is designed to inhibit vascular endothelial growth factor (VEGF), thereby impeding the growth of blood vessels that supply tumors with oxygen and nutrients. In the context of lung cancer, specifically NSCLC, Vegzelma has been shown to be effective when used in combination with chemotherapy. The efficacy of Vegzelma in treating lung cancer is derived from studies conducted on the reference product, bevacizumab. These studies have demonstrated that adding bevacizumab to standard chemotherapy can lead to an improvement in progression-free survival and, in some cases, overall survival in patients with non-squamous NSCLC.

It is important to note that the use of these medications is dependent on the specific characteristics of the lung cancer, such as the histology and genetic mutations present in the tumor. For example, Opdivo has been approved for use as a first-line treatment in patients with metastatic NSCLC whose tumors express PD-L1, as well as in patients who have previously been treated with chemotherapy. Vegzelma, on the other hand, is typically used in combination with chemotherapy as a first-line treatment for patients with non-squamous NSCLC without EGFR or ALK mutations.

Both Opdivo and Vegzelma represent significant advancements in the treatment of lung cancer, offering patients new options that can lead to better outcomes. However, as with all medications, the efficacy of these drugs can vary from patient to patient, and they are associated with different side effect profiles that need to be carefully managed by healthcare professionals. Ongoing research continues to refine the use of these drugs and to explore their potential in combination with other therapies for the treatment of lung cancer.

Regulatory Agency Approvals

Opdivo
  • 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
  • Medsafe (NZ)
Vegzelma
  • European Medical Agency (EMA), European Union
  • Food and Drug Administration (FDA), USA

Access Opdivo or Vegzelma today

If Opdivo or Vegzelma 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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