Imfinzi (durvalumab) vs Krazati (adagrasib)

Imfinzi (durvalumab) vs Krazati (adagrasib)

Imfinzi (durvalumab) is an immune checkpoint inhibitor that works by helping the immune system to detect and attack cancer cells, and it is commonly used to treat certain types of lung cancer and bladder cancer. Krazati (adagrasib), on the other hand, is a small molecule that targets a specific mutation known as KRAS G12C, which is found in some cancers, including non-small cell lung cancer. When deciding between these two medications, it is crucial to consider the specific type of cancer and its genetic makeup, as Krazati is tailored for tumors with the KRAS G12C mutation, while Imfinzi is used for a broader range of cancers and works by enhancing the overall immune response against cancer cells.

Difference between Imfinzi and Krazati

Metric Imfinzi (durvalumab) Krazati (adagrasib)
Generic name Durvalumab Adagrasib
Indications Urothelial carcinoma, non-small cell lung cancer (NSCLC), extensive-stage small cell lung cancer (ES-SCLC) Non-small cell lung cancer (NSCLC) with KRAS G12C mutation
Mechanism of action PD-L1 inhibitor KRAS G12C inhibitor
Brand names Imfinzi Krazati
Administrative route Intravenous infusion Oral
Side effects Fatigue, musculoskeletal pain, constipation, decreased appetite, nausea, peripheral edema, urinary tract infection Nausea, diarrhea, fatigue, vomiting, abdominal pain
Contraindications Hypersensitivity to durvalumab or any of its excipients Hypersensitivity to adagrasib or any of its excipients
Drug class Monoclonal antibody, Immune checkpoint inhibitor Small molecule, Kinase inhibitor
Manufacturer AstraZeneca Mirati Therapeutics

Efficacy

Imfinzi (Durvalumab) Efficacy in Lung Cancer

Imfinzi (durvalumab) is a programmed death-ligand 1 (PD-L1) blocking antibody indicated for the treatment of patients with locally advanced or metastatic urothelial carcinoma and for patients with unresectable Stage III non-small cell lung cancer (NSCLC) whose disease has not progressed following concurrent platinum-based chemotherapy and radiation therapy. In the context of lung cancer, durvalumab has shown significant efficacy, particularly in the PACIFIC trial, which evaluated its use in Stage III NSCLC. The trial demonstrated that durvalumab significantly improved median progression-free survival (PFS) compared to placebo, establishing it as a standard treatment option for patients with Stage III NSCLC following chemoradiation.

Durvalumab's efficacy in lung cancer is further underscored by its impact on overall survival (OS). In the PACIFIC trial, durvalumab treatment resulted in a substantial increase in the 2-year OS rate compared to placebo. The improvement in survival outcomes has been a pivotal factor in the adoption of durvalumab as a part of the standard of care for patients with locally advanced NSCLC who have not progressed after chemoradiotherapy.

Krazati (Adagrasib) Efficacy in Lung Cancer

Krazati (adagrasib) is a newer medication that targets a specific mutation in the KRAS gene known as G12C, which can be present in non-small cell lung cancer (NSCLC) and other solid tumors. While Krazati is not yet approved by regulatory agencies as of the last knowledge update, clinical trials have been conducted to assess its efficacy in patients with KRAS G12C-mutated NSCLC. Early trial results have shown promising activity, with a significant proportion of patients experiencing tumor shrinkage. This has led to considerable interest in adagrasib as a potential treatment option for patients with this specific genetic mutation in their tumors.

The efficacy of adagrasib is being evaluated in ongoing clinical trials, which aim to further define its benefit in terms of progression-free survival (PFS) and overall survival (OS) among patients with KRAS G12C-mutated NSCLC. As research continues, adagrasib may become an important targeted therapy for patients with NSCLC harboring the KRAS G12C mutation, offering a new avenue of personalized medicine in lung cancer treatment.

Regulatory Agency Approvals

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

Access Imfinzi or Krazati today

If Imfinzi or Krazati 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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