Libtayo (cemiplimab) vs Tabrecta (capmatinib)
Libtayo (cemiplimab) vs Tabrecta (capmatinib)
Libtayo (cemiplimab) is a monoclonal antibody used as an immunotherapy for certain types of cancer, such as advanced cutaneous squamous cell carcinoma, basal cell carcinoma, and non-small cell lung cancer, by targeting and blocking the PD-1 receptor on T cells to enhance the immune response against cancer cells. Tabrecta (capmatinib) is a kinase inhibitor specifically designed to target and inhibit the activity of the MET gene in cases where there are specific mutations (METex14 skipping mutations), and it is approved for the treatment of adult patients with metastatic non-small cell lung cancer (NSCLC) who have these genetic alterations. When deciding between these two medications, it is crucial to consider the specific type of cancer and its genetic profile, as Libtayo is appropriate for a broader range of cancers with a focus on immunotherapy, while Tabrecta is tailored for a specific subset of NSCLC patients with a particular genetic mutation.
Difference between Libtayo and Tabrecta
Metric | Libtayo (cemiplimab) | Tabrecta (capmatinib) |
---|---|---|
Generic name | Cemiplimab | Capmatinib |
Indications | Used for the treatment of patients with metastatic cutaneous squamous cell carcinoma (CSCC) or locally advanced CSCC who are not candidates for curative surgery or curative radiation. | Used for the treatment of adult patients with metastatic non-small cell lung cancer (NSCLC) whose tumors have a mutation that leads to MET exon 14 skipping as detected by an FDA-approved test. |
Mechanism of action | A monoclonal antibody that targets the immune checkpoint receptor PD-1, thereby enhancing the immune response against cancer cells. | A small molecule that selectively inhibits the c-Met receptor tyrosine kinase, which is implicated in the growth and metastasis of some cancers. |
Brand names | Libtayo | Tabrecta |
Administrative route | Injection (intravenous) | Oral |
Side effects | Fatigue, rash, diarrhea, musculoskeletal pain, and nausea. | Nausea, vomiting, fatigue, edema, decreased appetite, and dyspnea. |
Contraindications | Patients with severe hypersensitivity to cemiplimab or any of its excipients. | Patients with severe hypersensitivity to capmatinib or any of its excipients. |
Drug class | Programmed death receptor-1 (PD-1) blocking antibody | MET inhibitor |
Manufacturer | Regeneron Pharmaceuticals, Inc. | Novartis Pharmaceuticals Corporation |
Efficacy
Libtayo (Cemiplimab) Efficacy in Lung Cancer
Libtayo (cemiplimab) is a fully human monoclonal antibody that has been designed to target and block the PD-1 receptor on T-cells. By doing so, it enhances the immune system's ability to fight cancer. In the context of lung cancer, specifically non-small cell lung cancer (NSCLC), Libtayo has shown significant efficacy. The FDA approved Libtayo for the first-line treatment of patients with NSCLC whose tumors have high PD-L1 expression, as determined by an FDA-approved test, with no EGFR, ALK, or ROS1 aberrations. Clinical trials have demonstrated that Libtayo can improve overall survival and progression-free survival compared to chemotherapy in this patient population.
The pivotal trial for Libtayo's approval in NSCLC was a Phase 3 study that included patients with advanced NSCLC with ≥50% PD-L1 expression. The results indicated that Libtayo reduced the risk of death by 32% compared to chemotherapy. The median overall survival was significantly longer for patients treated with Libtayo compared to those who received chemotherapy. These findings underscore the efficacy of Libtayo as a monotherapy in treating advanced NSCLC with high PD-L1 expression.
Tabrecta (Capmatinib) Efficacy in Lung Cancer
Tabrecta (capmatinib) is a kinase inhibitor that targets the MET gene, specifically the mutated form known as METex14 skipping mutation. This mutation can lead to cancer growth and spread. Tabrecta is specifically indicated for the treatment of adult patients with metastatic NSCLC whose tumors have a mutation leading to METex14 skipping, as detected by an FDA-approved test. The approval of Tabrecta was based on the overall response rate (ORR) and duration of response (DOR) seen in clinical trials.
The efficacy of Tabrecta was evaluated in a multicenter, non-randomized, open-label, multi-cohort study. The results showed that Tabrecta achieved an ORR of 68% in treatment-naive patients and 41% in previously treated patients. The median DOR was also noteworthy, with 12.6 months in treatment-naive patients and 9.7 months in previously treated patients. These findings demonstrate that Tabrecta is an effective treatment option for NSCLC patients with METex14 skipping mutation, providing a targeted therapy that can lead to a significant reduction in tumor burden and a durable response.
Regulatory Agency Approvals
Libtayo
Tabrecta
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