Tivdak (tisotumab vedotin-tftv) vs Vegzelma (bevacizumab-adcd)

Tivdak (tisotumab vedotin-tftv) vs Vegzelma (bevacizumab-adcd)

Tivdak (tisotumab vedotin-tftv) is a tissue factor-directed antibody and microtubule inhibitor conjugate indicated for the treatment of adult patients with recurrent or metastatic cervical cancer with disease progression on or after chemotherapy. On the other hand, Vegzelma (bevacizumab-adcd) is a biosimilar to Avastin (bevacizumab) and is an angiogenesis inhibitor used to treat various types of cancer, including colorectal, lung, glioblastoma, kidney, cervical, and ovarian cancer, by inhibiting the growth of blood vessels that feed tumors. The choice between Tivdak and Vegzelma would depend on the specific type of cancer, its progression, previous treatments, and the patient's overall health profile, with Tivdak being more specific for recurrent or metastatic cervical cancer and Vegzelma having a broader range of indications in oncology.

Difference between Tivdak and Vegzelma

Metric Tivdak (tisotumab vedotin-tftv) Vegzelma (bevacizumab-adcd)
Generic name Tisotumab vedotin-tftv Bevacizumab-adcd
Indications Recurrent or metastatic cervical cancer Various types of cancer including colorectal, lung, glioblastoma, kidney, and cervical
Mechanism of action Antibody-drug conjugate targeting tissue factor Monoclonal antibody that inhibits angiogenesis by targeting VEGF-A
Brand names Tivdak Vegzelma
Administrative route Intravenous Intravenous
Side effects Fatigue, nausea, alopecia, constipation, decreased appetite, etc. Hypertension, proteinuria, hemorrhage, GI perforation, impaired wound healing, etc.
Contraindications None specifically listed; use caution in patients with bleeding or thrombosis None specifically listed; contraindicated in surgery and wound healing complications
Drug class Antibody-drug conjugate Monoclonal antibody
Manufacturer Seagen Inc. and Genmab Celltrion Healthcare

Efficacy

Efficacy of Tivdak (tisotumab vedotin-tftv) in Gynecological Cancer

Tivdak (tisotumab vedotin-tftv) is a novel therapeutic agent that has shown promise in the treatment of gynecological cancers, particularly cervical cancer. It is an antibody-drug conjugate that targets tissue factor, a protein frequently overexpressed in many types of solid tumors, including gynecological cancers. The efficacy of Tivdak was evaluated in a phase II clinical trial, which demonstrated significant activity in patients with recurrent or metastatic cervical cancer who had previously received chemotherapy. Patients treated with Tivdak experienced a meaningful reduction in tumor size, with a considerable proportion achieving partial or complete responses. This suggests that Tivdak may offer a new treatment avenue for patients with advanced cervical cancer who have limited options.

Efficacy of Vegzelma (bevacizumab-adcd) in Gynecological Cancer

Vegzelma (bevacizumab-adcd) is a biosimilar to the original bevacizumab, a monoclonal antibody designed to inhibit vascular endothelial growth factor (VEGF). VEGF plays a crucial role in angiogenesis, the process by which tumors develop new blood vessels to support their growth. Vegzelma, like its reference product, has been studied for its efficacy in various types of cancer, including gynecological malignancies such as ovarian cancer and cervical cancer. Clinical trials have shown that when combined with chemotherapy, Vegzelma can significantly improve progression-free survival in patients with advanced-stage ovarian cancer. Additionally, in cervical cancer, Vegzelma has been associated with improved overall survival when added to standard chemotherapy, compared to chemotherapy alone.

Comparative Efficacy in Gynecological Cancer

While both Tivdak and Vegzelma have demonstrated efficacy in the treatment of gynecological cancers, their mechanisms of action and specific indications differ. Tivdak's targeted approach against tissue factor makes it particularly effective for cervical cancer, whereas Vegzelma's anti-angiogenic properties extend its use to various gynecological malignancies, including ovarian cancer. The choice between these therapies would depend on the specific type of gynecological cancer, the stage of the disease, previous treatments, and the overall health of the patient. It is important for healthcare professionals to consider individual patient factors and the latest clinical evidence when making treatment decisions.

Conclusion

In conclusion, both Tivdak and Vegzelma have shown efficacy in the treatment of gynecological cancers, offering hope for patients with these challenging conditions. Tivdak's promising results in recurrent or metastatic cervical cancer and Vegzelma's improvement in survival outcomes for ovarian and cervical cancer patients highlight the advances in targeted and biosimilar therapies. As research continues, these medicines may become integral parts of treatment regimens, improving the prognosis and quality of life for patients with gynecological malignancies.

Regulatory Agency Approvals

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

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If Tivdak 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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