Imfinzi (durvalumab) vs Vegzelma (bevacizumab-adcd)

Imfinzi (durvalumab) vs Vegzelma (bevacizumab-adcd)

Imfinzi (durvalumab) is an immune checkpoint inhibitor specifically designed to target the PD-L1 protein, which is often overexpressed in various types of cancer cells, thereby helping the immune system recognize and attack the cancer. Vegzelma (bevacizumab-adcd) is a biosimilar to the original bevacizumab (Avastin) and works by inhibiting vascular endothelial growth factor (VEGF), thus preventing the growth of blood vessels that feed tumors. The choice between Imfinzi and Vegzelma would depend on the type and stage of cancer being treated, as well as the patient's overall health, as these medications have different mechanisms of action and are approved for different indications.

Difference between Imfinzi and Vegzelma

Metric Imfinzi (durvalumab) Vegzelma (bevacizumab-adcd)
Generic name Durvalumab Bevacizumab-adcd
Indications Urothelial carcinoma, non-small cell lung cancer, extensive-stage small cell lung cancer Metastatic colorectal cancer, non-squamous non-small cell lung cancer, glioblastoma, metastatic renal cell carcinoma, cervical cancer, epithelial ovarian, fallopian tube, or primary peritoneal cancer
Mechanism of action PD-L1 inhibitor, immune checkpoint inhibitor that helps the immune system attack cancer cells Monoclonal antibody that inhibits angiogenesis by binding to vascular endothelial growth factor (VEGF)
Brand names Imfinzi Vegzelma
Administrative route Intravenous infusion Intravenous infusion
Side effects Fatigue, musculoskeletal pain, constipation, decreased appetite, nausea, peripheral edema, urinary tract infection Hypertension, fatigue, diarrhea, decreased appetite, abdominal pain, headache, bleeding
Contraindications Hypersensitivity to durvalumab or any of its excipients Hypersensitivity to bevacizumab, bevacizumab-containing products, or any of its excipients
Drug class Monoclonal antibody, PD-L1 inhibitor Monoclonal antibody, angiogenesis inhibitor
Manufacturer AstraZeneca Celltrion Healthcare

Efficacy

Imfinzi (Durvalumab) Efficacy in Lung Cancer

Imfinzi (durvalumab) is an immune checkpoint inhibitor specifically targeting the PD-L1 protein, which is often used by cancer cells to evade the immune system. In the context of lung cancer, durvalumab has shown efficacy, particularly in non-small cell lung cancer (NSCLC). The PACIFIC trial, a pivotal Phase III study, demonstrated that durvalumab significantly improved progression-free survival (PFS) when used as consolidation therapy in patients with locally advanced, unresectable NSCLC who had not progressed following chemoradiation therapy. The study also indicated an improvement in overall survival (OS), making durvalumab an important therapeutic option for this patient population.

Furthermore, durvalumab has been evaluated in various stages of lung cancer treatment, including as a first-line monotherapy and in combination with other therapeutic agents. The results have shown promise, with some trials reporting that the addition of durvalumab to standard chemotherapy regimens can lead to better outcomes in terms of response rates and survival metrics. However, the efficacy can vary based on the PD-L1 expression level and the presence of certain genetic mutations within the tumor.

Vegzelma (Bevacizumab-adcd) Efficacy in Lung Cancer

Vegzelma (bevacizumab-adcd) is a biosimilar to the original monoclonal antibody bevacizumab, which inhibits angiogenesis by targeting the vascular endothelial growth factor (VEGF). Bevacizumab, and by extension Vegzelma, is used in the treatment of several types of cancer, including NSCLC. In clinical trials, bevacizumab has been shown to improve outcomes when added to chemotherapy in patients with advanced non-squamous NSCLC. The addition of bevacizumab to standard chemotherapy has been associated with an increase in PFS and OS, although the magnitude of benefit can depend on factors such as the histology of the lung cancer and the line of therapy.

It is important to note that while Vegzelma is a biosimilar and is designed to have no clinically meaningful differences from bevacizumab in terms of safety, purity, and potency, specific clinical data on Vegzelma's efficacy in lung cancer may be extrapolated from the original biologic's data. The use of biosimilars like Vegzelma is expected to provide similar therapeutic outcomes to the reference product, potentially increasing accessibility due to lower costs.

Regulatory Agency Approvals

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

Access Imfinzi or Vegzelma today

If Imfinzi or Vegzelma 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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