Tabrecta (capmatinib) vs Exkivity (mobocertinib)
Tabrecta (capmatinib) vs Exkivity (mobocertinib)
Tabrecta (capmatinib) and Exkivity (mobocertinib) are both targeted therapies used in the treatment of non-small cell lung cancer (NSCLC) but are indicated for different genetic mutations. Tabrecta is specifically approved for adult patients with metastatic NSCLC that have mutations leading to MET exon 14 skipping, whereas Exkivity is designed for patients with NSCLC harboring EGFR exon 20 insertion mutations. The choice between these two medications would depend on the patient's specific type of genetic mutation, and a healthcare provider would determine the appropriate treatment based on molecular testing of the tumor.
Difference between Tabrecta and Exkivity
Metric | Tabrecta (capmatinib) | Exkivity (mobocertinib) |
---|---|---|
Generic name | Capmatinib | Mobocertinib |
Indications | Metastatic non-small cell lung cancer (NSCLC) with MET exon 14 skipping mutations | Metastatic NSCLC with EGFR Exon 20 insertion mutations |
Mechanism of action | MEK inhibitor | Tyrosine kinase inhibitor |
Brand names | Tabrecta | Exkivity |
Administrative route | Oral | Oral |
Side effects | Peripheral edema, nausea, fatigue, vomiting, dyspnea, and decreased appetite | Diarrhea, rash, nausea, stomatitis, vomiting, and decreased appetite |
Contraindications | Hypersensitivity to capmatinib or any of its excipients | Hypersensitivity to mobocertinib or any of its excipients |
Drug class | Kinase inhibitor | Kinase inhibitor |
Manufacturer | Novartis Pharmaceuticals Corporation | Takeda Pharmaceutical Company Limited |
Efficacy
Overview of Tabrecta (capmatinib) Efficacy in Treating Lung Cancer
Tabrecta (capmatinib) is a targeted therapy approved by the U.S. Food and Drug Administration (FDA) for the treatment of adult patients with non-small cell lung cancer (NSCLC) that has spread to other parts of the body (metastatic) and whose tumors have a mutation leading to mesenchymal-epithelial transition (MET) exon 14 skipping. This mutation can be detected by an FDA-approved test. The efficacy of Tabrecta was evaluated in a clinical trial where patients received capmatinib. The trial demonstrated a notable objective response rate (ORR), which is the percentage of patients whose tumor size reduced for a certain period. The treatment has shown to be effective in shrinking tumors and slowing the progression of the disease in patients with the specific genetic alteration.
Efficacy of Tabrecta in Different Patient Populations
The clinical trial for Tabrecta included patients who were previously treated for cancer as well as those who had not received prior treatment. The efficacy results showed that both previously treated and untreated patients with MET exon 14 skipping-mutated metastatic NSCLC responded to Tabrecta. The response rates and duration of response varied between these populations, but the data supported the use of Tabrecta across different lines of therapy in this specific subset of lung cancer patients.
Overview of Exkivity (mobocertinib) Efficacy in Treating Lung Cancer
Exkivity (mobocertinib) is another targeted therapy approved by the FDA for adult patients with NSCLC that has spread to other parts of the body and harbors specific mutations in the epidermal growth factor receptor (EGFR) gene, namely exon 20 insertion mutations. These mutations can also be identified using an FDA-approved test. The efficacy of Exkivity was established in a multi-center, non-randomized, open-label clinical trial. Patients treated with mobocertinib experienced a significant ORR, indicating that the drug was effective in shrinking tumors. The duration of response varied among patients, but the approval of Exkivity provided a new treatment option for patients with this challenging-to-treat form of lung cancer.
Efficacy of Exkivity in Previously Treated Patients
Patients enrolled in the Exkivity clinical trial had received prior treatment, including platinum-based chemotherapy and/or PD-1/PD-L1 inhibitors. Despite the presence of pre-treated disease, mobocertinib showed efficacy in inducing responses in a proportion of patients. The data suggested that Exkivity could be an effective treatment for patients with EGFR exon 20 insertion mutation-positive NSCLC who have exhausted other treatment options. The approval of Exkivity marked an important advancement in the treatment landscape for this subset of lung cancer patients.
Regulatory Agency Approvals
Tabrecta
Exkivity
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