Odomzo (sonidegib) vs Zynyz (retifanlimab-dlwr)

Odomzo (sonidegib) vs Zynyz (retifanlimab-dlwr)

Odomzo (sonidegib) is a medication specifically approved for the treatment of locally advanced basal cell carcinoma (BCC) that has recurred following surgery or radiation therapy, or for those who are not candidates for these treatments, and it functions by inhibiting the Hedgehog signaling pathway which is important in the development of these cancer cells. Zynyz (retifanlimab-dlwr), on the other hand, is an anti-PD-1 therapy used for the treatment of advanced or metastatic squamous cell carcinoma of the anal canal (SCAC) that has progressed following chemotherapy, and it works by enhancing the immune system's ability to attack cancer cells. When deciding between the two, it is crucial to consider the type of cancer being treated, as Odomzo is tailored for BCC, while Zynyz is indicated for SCAC, and the decision should be made in consultation with a healthcare professional who can evaluate the specific medical context and treatment goals.

Difference between Odomzo and Zynyz

Metric Odomzo (sonidegib) Zynyz (retifanlimab-dlwr)
Generic name Sonidegib Retifanlimab-dlwr
Indications Locally advanced basal cell carcinoma (BCC) that has recurred following surgery or radiation therapy, or those who are not candidates for surgery or radiation therapy. Advanced or metastatic solid tumors with deficient mismatch repair (dMMR) or high microsatellite instability (MSI-H) after prior treatment, and adult patients with squamous cell carcinoma of the anal canal (SCAC) who have progressed on or after platinum-based chemotherapy.
Mechanism of action Inhibits the Hedgehog signaling pathway which is active in basal cell carcinomas. Programmed death receptor-1 (PD-1) blocking antibody, which helps to promote an immune response against cancer cells.
Brand names Odomzo Zynyz
Administrative route Oral Intravenous
Side effects Muscle spasms, alopecia, dysgeusia, fatigue, nausea, musculoskeletal pain, decreased weight, decreased appetite, diarrhea, vomiting, myalgia, abdominal pain, headache. Infusion-related reactions, fatigue, rash, pruritus, constipation, decreased appetite, diarrhea, abdominal pain, joint pain, anemia.
Contraindications None known specifically; however, it should not be used in patients with severe hepatic impairment. None known specifically; however, it should be used with caution in patients with immune-mediated conditions or those on immunosuppressive therapy.
Drug class Hedgehog pathway inhibitor Anti-PD-1 monoclonal antibody
Manufacturer Sun Pharmaceutical Industries, Inc. Incysus Therapeutics, Inc.

Efficacy

Odomzo (Sonidegib) Efficacy in Treating Skin Cancer

Odomzo (sonidegib) is a medication that has been approved by the U.S. Food and Drug Administration (FDA) for the treatment of adults with locally advanced basal cell carcinoma (BCC) that has recurred following surgery or radiation therapy, or those who are not candidates for surgery or radiation therapy. Sonidegib functions as a hedgehog pathway inhibitor, which is a signaling pathway that plays a significant role in the regulation of cell growth and differentiation. Mutations in this pathway are implicated in the pathogenesis of basal cell carcinoma. Clinical trials have demonstrated the efficacy of Odomzo in shrinking or eliminating tumors in a significant proportion of patients with advanced BCC.

In a pivotal phase II clinical trial known as the BOLT study, Odomzo showed a meaningful objective response rate (ORR) in patients with locally advanced BCC. The ORR, which is the proportion of patients with tumor size reduction of a predefined amount and for a minimum time period, was an important measure of the drug's efficacy. The study reported that a significant number of patients achieved partial or complete responses, indicating a reduction in tumor size. The duration of response also supported the drug's efficacy, with many patients experiencing prolonged periods without disease progression.

Zynyz (Retifanlimab-dlwr) Efficacy in Treating Skin Cancer

Zynyz (retifanlimab-dlwr), while not specifically approved for skin cancer, is an investigational agent that has been studied for its potential in treating various types of cancer, including skin cancer. Retifanlimab is an anti-PD-1 (programmed death receptor-1) monoclonal antibody. By targeting PD-1, retifanlimab is designed to boost the body's immune response against cancer cells. The efficacy of retifanlimab in skin cancer is being evaluated in clinical trials, and results from these studies will provide insights into its potential benefits and risks for patients with this disease.

While the data on Zynyz's efficacy in skin cancer is still emerging, the mechanism of action suggests that it could be beneficial for patients with advanced or metastatic disease who have limited treatment options. The use of PD-1 inhibitors has been transformative in the management of several types of cancer, including melanoma, which is the most serious form of skin cancer. If Zynyz demonstrates similar efficacy to other PD-1 inhibitors in ongoing clinical trials, it could offer a new therapeutic option for patients with skin cancer, particularly for those with advanced stages of the disease.

Regulatory Agency Approvals

Odomzo
  • European Medical Agency (EMA), European Union
  • Food and Drug Administration (FDA), USA
  • Therapeutic Goods Administration (TGA), Australia
Zynyz
  • Food and Drug Administration (FDA), USA

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