Kisqali (ribociclib) vs Ibrance (palbociclib)

Kisqali (ribociclib) vs Ibrance (palbociclib)

Kisqali (ribociclib) and Ibrance (palbociclib) are both oral medications used to treat HR-positive, HER2-negative advanced or metastatic breast cancer in combination with an aromatase inhibitor or fulvestrant. While both drugs are CDK4/6 inhibitors and work by interfering with the proliferation of cancer cells, there may be slight differences in their side effect profiles and dosing schedules that could influence a physician's choice for a particular patient. It is important for patients to discuss with their oncologist their specific medical history, potential drug interactions, and lifestyle considerations to determine which medication is more suitable for their individual treatment plan.

Difference between Kisqali and Ibrance

Metric Kisqali (ribociclib) Ibrance (palbociclib)
Generic name Ribociclib Palbociclib
Indications HR-positive, HER2-negative advanced or metastatic breast cancer HR-positive, HER2-negative advanced or metastatic breast cancer
Mechanism of action CDK4/6 inhibitor CDK4/6 inhibitor
Brand names Kisqali Ibrance
Administrative route Oral Oral
Side effects Neutropenia, nausea, infections, fatigue, diarrhea Neutropenia, leukopenia, infections, fatigue, nausea
Contraindications Hypersensitivity to ribociclib or any of its components Hypersensitivity to palbociclib or any of its components
Drug class CDK4/6 inhibitor CDK4/6 inhibitor
Manufacturer Novartis Pfizer

Efficacy

Kisqali (Ribociclib) Efficacy in Breast Cancer

Kisqali (ribociclib) is a targeted therapy drug used for the treatment of certain types of breast cancer. Specifically, it is indicated for the treatment of hormone receptor-positive (HR+), human epidermal growth factor receptor 2-negative (HER2-) advanced or metastatic breast cancer. Ribociclib is a cyclin-dependent kinase inhibitor (CDK4/6 inhibitor) that works by interfering with the proliferation of cancer cells. Clinical trials have demonstrated that when combined with an aromatase inhibitor or fulvestrant, ribociclib significantly improves progression-free survival (PFS) compared to the hormonal therapy alone. This improvement in PFS indicates that ribociclib is effective in delaying the progression of HR+/HER2- advanced breast cancer.

Ibrance (Palbociclib) Efficacy in Breast Cancer

Ibrance (palbociclib) is another CDK4/6 inhibitor with a similar indication to ribociclib. It is approved for the treatment of HR+, HER2- advanced or metastatic breast cancer as well. Palbociclib has shown efficacy in extending PFS when used in combination with letrozole in postmenopausal women as initial endocrine-based therapy, as well as in combination with fulvestrant in women who have received prior endocrine therapy. The improvement in PFS demonstrates that palbociclib effectively slows down the growth and spread of breast cancer cells in the affected population.

Comparison of Kisqali and Ibrance Efficacy

Both Kisqali and Ibrance have shown to be effective in the treatment of HR+, HER2- advanced or metastatic breast cancer, particularly in combination with other hormonal therapies. While direct head-to-head comparisons of ribociclib and palbociclib in clinical trials are limited, both drugs have individually shown a significant increase in PFS in their respective trials. The choice between Kisqali and Ibrance may depend on various factors, including patient characteristics, side effect profiles, dosing schedules, and the specific combination of therapies used.

Considerations for Treatment with Kisqali and Ibrance

When considering treatment with Kisqali or Ibrance, healthcare providers evaluate the overall health of the patient, the specific characteristics of the breast cancer, and previous treatments the patient may have undergone. Both medications are generally well-tolerated, but they can have side effects that need to be managed. It is important for patients to be closely monitored by their healthcare team during treatment with CDK4/6 inhibitors. The efficacy of these drugs in improving PFS has made them an important part of the treatment regimen for HR+, HER2- advanced or metastatic breast cancer.

Regulatory Agency Approvals

Kisqali
  • European Medical Agency (EMA), European Union
  • Food and Drug Administration (FDA), USA
  • Health Canada
  • Therapeutic Goods Administration (TGA), Australia
  • Medsafe (NZ)
Ibrance
  • European Medical Agency (EMA), European Union
  • Food and Drug Administration (FDA), USA
  • Health Canada
  • Therapeutic Goods Administration (TGA), Australia
  • Medsafe (NZ)

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If Kisqali or Ibrance 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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