Lynparza (olaparib) vs Trodelvy (sacituzumab govitecan-hziy)

Lynparza (olaparib) vs Trodelvy (sacituzumab govitecan-hziy)

Lynparza (olaparib) and Trodelvy (sacituzumab govitecan-hziy) are both used to treat certain types of cancer, but they have different mechanisms of action and indications. Lynparza is a PARP inhibitor used primarily for the treatment of advanced ovarian, breast, pancreatic, and prostate cancers in patients with specific genetic mutations (such as BRCA mutations). In contrast, Trodelvy is an antibody-drug conjugate used for the treatment of metastatic triple-negative breast cancer and metastatic urothelial cancer after prior therapies have failed. For an individual deciding between these two medications, it is crucial to consider the type of cancer they have, any genetic mutations present, and their previous treatments, as these factors will determine which drug is appropriate. Consultation with an oncologist is essential to evaluate the suitability of either Lynparza or Trodelvy based on the patient's specific cancer profile and treatment history.

Difference between Lynparza and Trodelvy

Metric Lynparza (olaparib) Trodelvy (sacituzumab govitecan-hziy)
Generic name Olaparib Sacituzumab govitecan-hziy
Indications Ovarian, breast, pancreatic, and prostate cancer Metastatic triple-negative breast cancer, urothelial cancer
Mechanism of action Poly (ADP-ribose) polymerase inhibitor Antibody-drug conjugate targeting Trop-2
Brand names Lynparza Trodelvy
Administrative route Oral Intravenous
Side effects Anemia, nausea, fatigue, vomiting, etc. Neutropenia, diarrhea, nausea, fatigue, etc.
Contraindications Hypersensitivity to olaparib, breastfeeding Hypersensitivity to sacituzumab govitecan-hziy, severe neutropenia
Drug class PARP inhibitor Antibody-drug conjugate
Manufacturer AstraZeneca and Merck & Co. Immunomedics, Inc.

Efficacy

Lynparza (Olaparib) for Breast Cancer

Lynparza (olaparib) is a targeted therapy known as a PARP inhibitor, which has been shown to be effective in treating certain types of breast cancer. Specifically, it is approved for the treatment of HER2-negative metastatic breast cancer in patients who have a germline BRCA mutation. The efficacy of Lynparza in breast cancer was demonstrated in clinical trials where it was shown to significantly prolong progression-free survival compared to standard chemotherapy. Patients with BRCA-mutated, HER2-negative metastatic breast cancer who were treated with Lynparza had a median progression-free survival that was notably longer than those who received chemotherapy.

The effectiveness of Lynparza is particularly pronounced in patients with BRCA mutations due to the drug's mechanism of action. BRCA1 and BRCA2 are genes that produce proteins responsible for repairing damaged DNA. When these genes are mutated, DNA damage may not be repaired properly, leading to cancer. Lynparza works by inhibiting the PARP enzyme, which helps cancer cells with BRCA mutations to repair their DNA, thereby causing the cancer cells to die. This targeted approach makes Lynparza a valuable treatment option for patients with this specific genetic profile.

Trodelvy (Sacituzumab Govitecan-hziy) for Breast Cancer

Trodelvy (sacituzumab govitecan-hziy) is an antibody-drug conjugate that has shown efficacy in the treatment of metastatic triple-negative breast cancer (TNBC), which is a particularly aggressive and difficult-to-treat form of breast cancer. Trodelvy targets the Trop-2 receptor, which is expressed in the majority of TNBC cells, and delivers a potent chemotherapy drug directly to the cancer cells. In a pivotal phase III clinical trial, Trodelvy significantly improved progression-free survival and overall survival in patients with metastatic TNBC who had received at least two prior therapies for metastatic disease.

The benefit of Trodelvy in this patient population is significant, as there are limited treatment options for metastatic TNBC, and the prognosis is generally poor. The clinical trial results demonstrated that Trodelvy reduced the risk of disease progression or death by 59% compared to single-agent chemotherapy. Furthermore, the median overall survival was extended by several months for patients receiving Trodelvy. These findings represent a meaningful advancement in the treatment of metastatic TNBC and offer hope to patients who have exhausted other therapeutic options.

Regulatory Agency Approvals

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

Access Lynparza or Trodelvy today

If Lynparza or Trodelvy 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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