Tagrisso (osimertinib) vs Alunbrig (brigatinib)

Tagrisso (osimertinib) vs Alunbrig (brigatinib)

Tagrisso (osimertinib) is a third-generation, oral, irreversible epidermal growth factor receptor (EGFR) tyrosine kinase inhibitor (TKI) specifically designed to treat non-small cell lung cancer (NSCLC) with EGFR mutations, including T790M mutations. Alunbrig (brigatinib) is a second-generation anaplastic lymphoma kinase (ALK) inhibitor used to treat NSCLC that is ALK-positive. When deciding between the two, the choice is largely dependent on the specific genetic mutations of the patient's cancer; Tagrisso is chosen for EGFR mutations, while Alunbrig is selected for ALK-positive cases.

Difference between Tagrisso and Alunbrig

Metric Tagrisso (osimertinib) Alunbrig (brigatinib)
Generic name Osimertinib Brigatinib
Indications Non-small cell lung cancer (NSCLC) with specific EGFR mutations Non-small cell lung cancer (NSCLC) with ALK positive mutations
Mechanism of action EGFR tyrosine kinase inhibitor ALK tyrosine kinase inhibitor
Brand names Tagrisso Alunbrig
Administrative route Oral Oral
Side effects Diarrhea, rash, dry skin, nail toxicity, stomatitis, etc. Nausea, diarrhea, fatigue, cough, headache, etc.
Contraindications Hypersensitivity to osimertinib or excipients Hypersensitivity to brigatinib or excipients
Drug class Tyrosine kinase inhibitor Tyrosine kinase inhibitor
Manufacturer AstraZeneca Takeda Pharmaceuticals

Efficacy

Introduction to Tagrisso (Osimertinib)

Tagrisso (osimertinib) is a third-generation, irreversible epidermal growth factor receptor (EGFR) tyrosine kinase inhibitor (TKI) specifically designed for the treatment of certain types of non-small cell lung cancer (NSCLC). It is particularly effective in patients with tumors that have EGFR T790M mutation, which is a common resistance mechanism to earlier generation EGFR inhibitors. Osimertinib has shown a significant improvement in progression-free survival (PFS) compared to standard first-line treatments in patients with NSCLC harboring EGFR mutations.

Efficacy of Tagrisso in Clinical Trials

Clinical trials have demonstrated the efficacy of Tagrisso in treating NSCLC. The FLAURA study, a pivotal phase III clinical trial, compared osimertinib to standard EGFR-TKIs (erlotinib or gefitinib) in the first-line treatment of patients with NSCLC with EGFR mutations. The results showed that osimertinib significantly prolonged PFS, with a median of 18.9 months compared to 10.2 months in the control group. Moreover, Tagrisso was associated with a higher objective response rate (ORR) and a longer duration of response (DoR).

Introduction to Alunbrig (Brigatinib)

Alunbrig (brigatinib) is a second-generation anaplastic lymphoma kinase (ALK) inhibitor used for the treatment of ALK-positive NSCLC. It was designed to overcome resistance to crizotinib, the first-generation ALK inhibitor. Brigatinib has been shown to be effective in patients who have progressed on crizotinib and is also being evaluated as a first-line treatment. It has demonstrated high efficacy in terms of PFS and ORR in patients with ALK-positive NSCLC.

Efficacy of Alunbrig in Clinical Trials

The efficacy of Alunbrig was highlighted in the ALTA-1L trial, which is a phase III study comparing brigatinib to crizotinib in ALK-positive NSCLC patients who had not received prior ALK inhibitor therapy. The trial results indicated that brigatinib significantly improved PFS compared to crizotinib. Additionally, brigatinib showed a higher intracranial ORR in patients with brain metastases, which is a common complication in ALK-positive NSCLC. This suggests that brigatinib may be particularly beneficial for patients with CNS involvement.

Regulatory Agency Approvals

Tagrisso
  • European Medical Agency (EMA), European Union
  • Food and Drug Administration (FDA), USA
  • Health Canada
  • Therapeutic Goods Administration (TGA), Australia
  • Medsafe (NZ)
Alunbrig
  • European Medical Agency (EMA), European Union
  • Food and Drug Administration (FDA), USA
  • Pharmaceuticals and Medical Devices Agency (PMDA), Japan

Access Tagrisso or Alunbrig today

If Tagrisso or Alunbrig 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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