Retsevmo (selpercatinib) vs Vegzelma (bevacizumab-adcd)

Retsevmo (selpercatinib) vs Vegzelma (bevacizumab-adcd)

Retsevmo (selpercatinib) is a targeted therapy specifically designed to inhibit RET proteins, which are often involved in driving certain types of thyroid cancer, non-small cell lung cancer, and other solid tumors. Vegzelma (bevacizumab-adcd) is a biosimilar to Avastin (bevacizumab) and works by inhibiting vascular endothelial growth factor (VEGF), thereby reducing the blood supply to tumors and is used in various cancers, including colorectal, lung, glioblastoma, and renal cell carcinoma. The choice between Retsevmo and Vegzelma would depend on the specific type of cancer a patient has and the presence of genetic mutations or biomarkers, such as RET alterations for Retsevmo or VEGF expression for Vegzelma, as well as considering the individual's overall health profile and treatment goals.

Difference between Retsevmo and Vegzelma

Metric Retsevmo (selpercatinib) Vegzelma (bevacizumab-adcd)
Generic name Selpercatinib Bevacizumab-adcd
Indications Advanced or metastatic RET fusion-positive non-small cell lung cancer (NSCLC), advanced or metastatic RET-mutant medullary thyroid cancer (MTC), and advanced RET fusion-positive thyroid cancer Metastatic colorectal cancer, non-squamous non-small cell lung cancer, glioblastoma, metastatic renal cell carcinoma, cervical cancer, and ovarian cancer
Mechanism of action RET kinase inhibitor Monoclonal antibody that inhibits angiogenesis by binding to vascular endothelial growth factor A (VEGF-A)
Brand names Retsevmo Vegzelma
Administrative route Oral Intravenous
Side effects Increased liver enzymes, hypertension, fatigue, edema, rash, constipation, and QT interval prolongation Hypertension, proteinuria, hemorrhage, arterial thromboembolism, gastrointestinal perforation, wound healing complications, and congestive heart failure
Contraindications Hypersensitivity to selpercatinib or any of its excipients Hypersensitivity to bevacizumab, bevacizumab-containing products, or any of its excipients
Drug class Tyrosine kinase inhibitor Monoclonal antibody
Manufacturer Eli Lilly and Company Celltrion Healthcare Co., Ltd.

Efficacy

Efficacy of Retsevmo (selpercatinib) in Lung Cancer

Retsevmo (selpercatinib) is a targeted therapy approved for the treatment of non-small cell lung cancer (NSCLC) with a specific genetic mutation known as RET (rearranged during transfection) fusion. Clinical trials have demonstrated that selpercatinib is highly effective in patients with RET fusion-positive NSCLC. In a pivotal phase 1/2 trial, selpercatinib showed a high response rate in patients who were previously treated with platinum-based chemotherapy. The objective response rate (ORR) was reported to be significant, indicating a reduction in tumor size in a substantial number of patients. Additionally, the duration of response (DOR) and progression-free survival (PFS) were notably improved compared to traditional chemotherapy regimens.

The efficacy of selpercatinib in treatment-naive patients with RET fusion-positive NSCLC has also been evaluated. In these patients, selpercatinib has demonstrated a robust ORR, with many patients experiencing a partial or complete response to the treatment. The safety profile of selpercatinib was found to be manageable, with adverse events consistent with those observed in previously treated patients. The results suggest that selpercatinib is a promising first-line treatment option for patients with RET fusion-positive NSCLC.

Efficacy of Vegzelma (bevacizumab-adcd) in Lung Cancer

Vegzelma (bevacizumab-adcd) is a biosimilar to the original biological drug bevacizumab, which is used in the treatment of various forms of cancer, including non-small cell lung cancer (NSCLC). Bevacizumab is a monoclonal antibody that targets vascular endothelial growth factor (VEGF), thereby inhibiting the growth of blood vessels that supply tumors. In clinical studies, bevacizumab, when combined with chemotherapy, has shown to improve outcomes in patients with advanced non-squamous NSCLC. The addition of bevacizumab to standard chemotherapy has been associated with an increase in overall survival and progression-free survival compared to chemotherapy alone.

Vegzelma, as a biosimilar, is designed to have no clinically meaningful differences in terms of safety, purity, and potency when compared to the reference product bevacizumab. Clinical trials conducted to establish the biosimilarity of Vegzelma have shown comparable efficacy and safety profiles. In patients with NSCLC, Vegzelma is expected to provide similar clinical benefits as the original bevacizumab formulation, offering an alternative option for healthcare providers and patients. It is important to note that the use of Vegzelma should be in accordance with the approved indications and in combination with other chemotherapeutic agents as per standard treatment protocols for NSCLC.

Regulatory Agency Approvals

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

Access Retsevmo or Vegzelma today

If Retsevmo 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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