Vizimpro (dacomitinib) vs Gavreto (pralsetinib)

Vizimpro (dacomitinib) vs Gavreto (pralsetinib)

Vizimpro (dacomitinib) is a pan-human epidermal growth factor receptor (HER) inhibitor primarily used for the first-line treatment of patients with metastatic non-small cell lung cancer (NSCLC) with EGFR exon 19 deletion or exon 21 L858R substitution mutations. Gavreto (pralsetinib) is a RET kinase inhibitor indicated for the treatment of adults with metastatic RET fusion-positive NSCLC, as well as for certain types of thyroid cancers with RET alterations. The choice between Vizimpro and Gavreto would depend on the specific genetic alterations present in a patient's cancer, as each medication targets different mutations, and a healthcare provider would recommend a treatment based on molecular testing results.

Difference between Vizimpro and Gavreto

Metric Vizimpro (dacomitinib) Gavreto (pralsetinib)
Generic name Dacomitinib Pralsetinib
Indications First-line treatment for patients with metastatic non-small cell lung cancer (NSCLC) with EGFR exon 19 deletion or exon 21 L858R substitution mutations. Treatment for adult patients with metastatic RET fusion-positive non-small cell lung cancer (NSCLC), and advanced or metastatic RET-mutant medullary thyroid cancer (MTC).
Mechanism of action Irreversible inhibitor of the epidermal growth factor receptor (EGFR) tyrosine kinase. Selective RET kinase inhibitor.
Brand names Vizimpro Gavreto
Administrative route Oral Oral
Side effects Diarrhea, rash, paronychia, stomatitis, decreased appetite, dry skin, decreased weight, alopecia. Constipation, hypertension, fatigue, musculoskeletal pain, and diarrhea.
Contraindications None known beyond hypersensitivity to dacomitinib. None known beyond hypersensitivity to pralsetinib.
Drug class Tyrosine kinase inhibitor Tyrosine kinase inhibitor
Manufacturer Pfizer Blueprint Medicines Corporation in collaboration with Genentech (a member of the Roche Group)

Efficacy

Vizimpro (dacomitinib) Efficacy in Lung Cancer

Vizimpro (dacomitinib) is a kinase inhibitor specifically designed to target the epidermal growth factor receptor (EGFR) tyrosine kinase, which is known to play a critical role in the pathogenesis of certain types of lung cancer. Its efficacy has been demonstrated in patients with non-small cell lung cancer (NSCLC) that have EGFR exon 19 deletion or exon 21 L858R substitution mutations as detected by an FDA-approved test. In a key clinical trial, Vizimpro showed a significant improvement in progression-free survival compared to another EGFR inhibitor, gefitinib, in previously untreated patients with NSCLC harboring these mutations. This has established Vizimpro as a first-line treatment option for patients with metastatic NSCLC with these specific genetic alterations.

Gavreto (pralsetinib) Efficacy in Lung Cancer

Gavreto (pralsetinib) is another targeted therapy, which is a selective RET kinase inhibitor. It is approved for the treatment of adult patients with metastatic RET fusion-positive NSCLC. The efficacy of Gavreto was evaluated in a series of clinical trials that included patients with RET fusion-positive NSCLC who were treatment-naïve or had undergone prior treatment. The trials demonstrated a high response rate in patients treated with Gavreto, with a significant percentage achieving partial or complete responses. The durability of the response was also noteworthy, suggesting that Gavreto can offer a robust clinical benefit in this patient population.

Both Vizimpro and Gavreto represent a shift towards personalized medicine in the treatment of lung cancer, where the presence of specific genetic alterations in a patient’s tumor can guide the choice of therapy. The efficacy of these drugs underscores the importance of molecular testing in the diagnosis and treatment planning for patients with NSCLC. By targeting specific mutations, these drugs can potentially offer improved outcomes compared to traditional chemotherapy regimens.

It is important for healthcare providers to consider the individual patient's cancer characteristics and overall health when recommending treatment options. As with any medication, the efficacy of Vizimpro and Gavreto can vary from patient to patient, and potential side effects should be carefully weighed against the benefits. Ongoing research and clinical trials continue to refine the use of these medications and expand our understanding of their role in the management of lung cancer.

Regulatory Agency Approvals

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

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If Vizimpro or Gavreto 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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