Opdualag (nivolumab & relatlimab) vs Zynyz (retifanlimab-dlwr)

Opdualag (nivolumab & relatlimab) vs Zynyz (retifanlimab-dlwr)

Opdualag (nivolumab and relatlimab) is a combination immunotherapy that targets two different checkpoints, PD-1 and LAG-3, which may enhance the immune response against cancer cells. Zynlonta (loncastuximab tesirine-lpyl), previously referred to as Zynyz, is an antibody-drug conjugate targeting CD19, a protein commonly found on the surface of B-cell lymphomas, and is not indicated for the same types of cancer as Opdualag. When deciding between these treatments, it is crucial to consider the specific type of cancer being treated, as Opdualag is approved for use in advanced melanoma, while Zynlonta is indicated for certain types of B-cell lymphomas, and the choice of medication should be based on the cancer's characteristics and the patient's overall health profile.

Difference between Opdualag and Zynyz

Metric Opdualag (nivolumab & relatlimab) Zynyz (retifanlimab-dlwr)
Generic name Nivolumab and Relatlimab Retifanlimab-dlwr
Indications Unresectable or metastatic melanoma Advanced or metastatic solid tumors with deficient mismatch repair (dMMR)
Mechanism of action PD-1/PD-L1 and LAG-3 checkpoint inhibition PD-1 checkpoint inhibition
Brand names Opdualag Zynyz
Administrative route Intravenous infusion Intravenous infusion
Side effects Fatigue, musculoskeletal pain, rash, pruritus, diarrhea, nausea Infusion-related reactions, fatigue, musculoskeletal pain, urinary tract infection, rash
Contraindications None known None known
Drug class Immune checkpoint inhibitors Immune checkpoint inhibitor
Manufacturer Bristol Myers Squibb Incysus Therapeutics, Inc.

Efficacy

Opdualag (nivolumab & relatlimab) in Skin Cancer Treatment

Opdualag, a combination of nivolumab and relatlimab, is a novel therapeutic approach in the treatment of skin cancer, particularly for melanoma, which is the most serious type of skin cancer. Nivolumab is a programmed death receptor-1 (PD-1) blocking antibody, and relatlimab is a lymphocyte activation gene-3 (LAG-3) blocking antibody. The efficacy of Opdualag in skin cancer was evaluated in a pivotal phase 2/3 trial, where it demonstrated a significant improvement in progression-free survival (PFS) in patients with previously untreated metastatic or unresectable melanoma. This combination harnesses the power of dual immune checkpoint inhibition, aiming to enhance the anti-tumor immune response more effectively than with PD-1 inhibition alone.

In the clinical trial, patients treated with Opdualag showed a median PFS significantly longer than those treated with nivolumab monotherapy. This suggests that the addition of relatlimab to nivolumab could provide a more robust blockade of immune checkpoints, leading to improved outcomes for patients. The trial's results have positioned Opdualag as a promising treatment option for individuals with advanced melanoma, offering a new avenue for those who may not respond to traditional therapies.

Zynyz (retifanlimab-dlwr) in Skin Cancer Treatment

Zynyz, known by its generic name retifanlimab-dlwr, is an investigational monoclonal antibody designed to inhibit the activity of the programmed death receptor-1 (PD-1) pathway. While Zynyz is being explored for various indications, its efficacy in skin cancer, particularly cutaneous squamous cell carcinoma (cSCC), has been the subject of clinical research. cSCC is the second most common form of skin cancer and can be aggressive, particularly in advanced stages. Retifanlimab-dlwr aims to enhance the body's immune response against cancer cells by preventing the inhibition of the immune system that is often mediated by the PD-1 pathway.

The clinical trials investigating the efficacy of Zynyz in skin cancer have shown promising results, with a subset of patients achieving durable responses. The data suggest that retifanlimab-dlwr has the potential to provide a new therapeutic option for patients with cSCC who have limited treatment choices, especially for those with locally advanced or metastatic disease. As with many immunotherapies, the response rates vary among individuals, and further research is ongoing to better understand the subsets of patients who may benefit the most from this treatment.

Regulatory Agency Approvals

Opdualag
  • European Medical Agency (EMA), European Union
  • Food and Drug Administration (FDA), USA
Zynyz
  • Food and Drug Administration (FDA), USA

Access Opdualag or Zynyz today

If Opdualag or Zynyz 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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