Opdivo (Nivolumab) vs Krazati (adagrasib)

Opdivo (Nivolumab) vs Krazati (adagrasib)

Opdivo (nivolumab) is an immunotherapy drug that works by blocking the PD-1 protein on immune cells, thereby enhancing the body's immune response against cancer cells, and is used to treat a variety of cancers including melanoma, lung cancer, and kidney cancer. Krazati (adagrasib) is a targeted therapy that specifically inhibits the KRAS G12C mutation, a specific genetic alteration found in certain cancers, and is used to treat non-small cell lung cancer (NSCLC) with the KRAS G12C mutation. The choice between Opdivo and Krazati would depend on the specific type and genetic profile of the cancer; a healthcare provider would recommend the appropriate medication based on the patient's individual medical condition, the presence of specific biomarkers, and the overall treatment plan.

Difference between Opdivo and Krazati

Metric Opdivo (Nivolumab) Krazati (adagrasib)
Generic name Nivolumab Adagrasib
Indications Various types of cancers including melanoma, lung cancer, kidney cancer, bladder cancer, head and neck cancers, and others. Non-small cell lung cancer (NSCLC) with KRAS G12C mutation.
Mechanism of action Programmed death receptor-1 (PD-1) blocking antibody, which helps the immune system attack cancer cells. Covalent inhibitor of KRAS G12C mutation, which is involved in tumor cell growth and survival.
Brand names Opdivo Krazati
Administrative route Intravenous infusion Oral
Side effects Fatigue, rash, musculoskeletal pain, pruritus, diarrhea, nausea, and others. Nausea, vomiting, diarrhea, fatigue, increased liver enzymes, and others.
Contraindications Severe hypersensitivity to nivolumab or any of its excipients. Not well established; however, patients should be monitored for liver function, QT interval prolongation, and other potential risks.
Drug class Immune checkpoint inhibitor KRAS G12C inhibitor
Manufacturer Bristol-Myers Squibb Mirati Therapeutics

Efficacy

Efficacy of Opdivo (Nivolumab) in Lung Cancer Treatment

Opdivo (nivolumab) is a medication that falls under the class of drugs known as immune checkpoint inhibitors. It specifically targets the PD-1 (programmed death-1) receptor on the surface of T-cells. By blocking this receptor, Opdivo prevents cancer cells from evading the immune response, thereby allowing the immune system to recognize and attack the cancer cells. Opdivo has shown significant efficacy in the treatment of non-small cell lung cancer (NSCLC), which is the most common type of lung cancer. Clinical trials have demonstrated that Opdivo can improve overall survival rates in patients with advanced NSCLC, particularly in those who have previously been treated with chemotherapy.

Moreover, the efficacy of Opdivo has been evaluated in various settings within lung cancer treatment, including as a first-line treatment and in combination with other therapies. Studies have indicated that when used as a monotherapy, Opdivo can lead to durable responses and long-term survival benefits in a subset of patients. Additionally, when combined with other agents such as ipilimumab, another immune checkpoint inhibitor, there is an observed synergistic effect that can enhance the anti-tumor response in certain populations of lung cancer patients.

Efficacy of Krazati (Adagrasib) in Lung Cancer Treatment

Krazati (adagrasib) is a newer medication designed to target a specific genetic mutation known as KRAS G12C, which can be present in non-small cell lung cancer (NSCLC). This mutation has historically been considered "undruggable," but Krazati represents a significant advancement as it selectively inhibits the KRAS G12C mutant protein. The efficacy of Krazati in lung cancer treatment has been demonstrated in clinical trials, where it has shown promising results in shrinking tumors and slowing disease progression in patients with the KRAS G12C mutation.

While the prevalence of the KRAS G12C mutation in NSCLC patients is about 13%, for those who do harbor this mutation, Krazati offers a targeted approach that can lead to better disease control and potentially improved outcomes. The response rates observed in trials indicate a meaningful clinical benefit, with a significant proportion of patients experiencing tumor reduction. Continued research is being conducted to further understand the full potential of Krazati in the treatment landscape of lung cancer, including its use in combination with other therapies and in different lines of treatment.

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)
Krazati
  • European Medical Agency (EMA), European Union
  • Food and Drug Administration (FDA), USA

Access Opdivo or Krazati today

If Opdivo or Krazati 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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