Libtayo (cemiplimab) vs Retsevmo (selpercatinib)

Libtayo (cemiplimab) vs Retsevmo (selpercatinib)

Libtayo (cemiplimab) is an immune checkpoint inhibitor specifically targeting the PD-1 receptor, used primarily for the treatment of certain types of skin cancers, such as advanced cutaneous squamous cell carcinoma, and non-small cell lung cancer. Retsevmo (selpercatinib), on the other hand, is a kinase inhibitor designed to treat specific types of thyroid cancer and non-small cell lung cancer that are RET fusion-positive, a specific genetic alteration. When deciding between these two medications, it is crucial to consider the specific type of cancer and its genetic makeup, as Libtayo is generally chosen for cancers with a high PD-L1 expression, while Retsevmo is selected for cancers with RET gene alterations.

Difference between Libtayo and Retsevmo

Metric Libtayo (cemiplimab) Retsevmo (selpercatinib)
Generic name Cemiplimab Selpercatinib
Indications Cutaneous squamous cell carcinoma, basal cell carcinoma, and non-small cell lung cancer RET-altered thyroid cancers and non-small cell lung cancer
Mechanism of action Programmed death receptor-1 (PD-1) blocking antibody RET kinase inhibitor
Brand names Libtayo Retsevmo
Administrative route Intravenous infusion Oral
Side effects Fatigue, rash, diarrhea, musculoskeletal pain, etc. Increased liver enzymes, hypertension, fatigue, edema, etc.
Contraindications Severe hypersensitivity to cemiplimab or its excipients Severe hypersensitivity to selpercatinib or its excipients
Drug class Monoclonal antibody, immune checkpoint inhibitor Kinase inhibitor
Manufacturer Regeneron Pharmaceuticals, Inc. Eli Lilly and Company

Efficacy

Libtayo (Cemiplimab) Efficacy in Lung Cancer

Libtayo (cemiplimab) is a fully human monoclonal antibody designed to block the immune checkpoint receptor PD-1 (programmed death-1) on T-cells. By doing so, it may help the body’s immune system fight cancer cells. In the context of non-small cell lung cancer (NSCLC), Libtayo has been studied for its efficacy in patients with advanced NSCLC with ≥50% PD-L1 expression and who have either progressed on chemotherapy or are chemotherapy-naive. Clinical trials have demonstrated that Libtayo can significantly improve overall survival and progression-free survival compared to chemotherapy. The results from these trials led to the approval of Libtayo for the first-line treatment of patients with advanced NSCLC with high PD-L1 expression.

It is important to note that the efficacy of Libtayo can vary based on the level of PD-L1 expression and the presence of certain genetic mutations. Patients with higher PD-L1 expression tend to respond better to PD-1 inhibitors like Libtayo. However, its efficacy in lung cancer patients with lower PD-L1 expression or those with certain genetic alterations may be less pronounced, and such patients may require alternative or combination therapies.

Retsevmo (Selpercatinib) Efficacy in Lung Cancer

Retsevmo (selpercatinib) is a kinase inhibitor specifically designed to target RET (rearranged during transfection) alterations. RET gene alterations, such as fusions and mutations, are key drivers in various types of cancer, including NSCLC. Selpercatinib has shown significant efficacy in NSCLC patients with RET fusion-positive tumors. Clinical trials have reported high response rates and durable responses in this patient population, leading to the approval of Retsevmo for the treatment of adults with metastatic RET fusion-positive NSCLC.

The efficacy of Retsevmo in lung cancer is particularly notable in patients who have not responded to prior treatments or who have relapsed. The targeted nature of selpercatinib allows for a more precise attack on cancer cells with RET alterations, sparing normal cells and potentially reducing the side effects associated with traditional chemotherapy. As a result, Retsevmo has become a valuable option for patients with RET fusion-positive NSCLC, offering a new line of targeted therapy with promising efficacy.

Regulatory Agency Approvals

Libtayo
  • European Medical Agency (EMA), European Union
  • Food and Drug Administration (FDA), USA
  • Health Canada
Retsevmo
  • European Medical Agency (EMA), European Union
  • Food and Drug Administration (FDA), USA

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If Libtayo or Retsevmo 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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