Retsevmo (selpercatinib) vs Krazati (adagrasib)

Retsevmo (selpercatinib) vs Krazati (adagrasib)

Retsevmo (selpercatinib) and Krazati (adagrasib) are both targeted therapies designed to treat certain types of cancers with specific genetic mutations. Retsevmo is approved for the treatment of non-small cell lung cancer (NSCLC), medullary thyroid cancer, and other types of thyroid cancers with RET gene alterations, offering a tailored approach for patients with these RET-driven tumors. Krazati, on the other hand, targets KRAS G12C-mutated tumors, and is specifically designed for patients with NSCLC who have this particular mutation, providing a personalized treatment option for this subset of cancer patients.

Difference between Retsevmo and Krazati

Metric Retsevmo (selpercatinib) Krazati (adagrasib)
Generic name Selpercatinib Adagrasib
Indications RET-altered thyroid cancers, non-small cell lung cancer KRAS G12C-mutated non-small cell lung cancer
Mechanism of action RET kinase inhibitor KRAS G12C inhibitor
Brand names Retsevmo Krazati
Administrative route Oral Oral
Side effects Increased liver enzymes, hypertension, fatigue, edema, constipation, diarrhea, dry mouth, abdominal pain Diarrhea, nausea, vomiting, fatigue, increased liver enzymes, abdominal pain
Contraindications Hypersensitivity to selpercatinib Hypersensitivity to adagrasib
Drug class Tyrosine kinase inhibitor Kinase inhibitor
Manufacturer Eli Lilly and Company Mirati Therapeutics, Inc.

Efficacy

Efficacy of Retsevmo (Selpercatinib) in Lung Cancer

Retsevmo, known by its generic name selpercatinib, is a medication specifically designed to target RET (rearranged during transfection) gene alterations. It is particularly effective in treating non-small cell lung cancer (NSCLC) with RET fusion-positive status. Clinical trials have demonstrated significant efficacy in patients with this genetic marker. In the LIBRETTO-001 trial, selpercatinib showed a high objective response rate (ORR) in patients with RET fusion-positive NSCLC who were previously treated with platinum chemotherapy. The results indicated a substantial reduction in tumor size and prolonged periods of disease control, highlighting its potential as a targeted therapy in this subset of lung cancer patients.

Furthermore, selpercatinib has been found to be effective in treating NSCLC patients with RET fusion-positive tumors who are treatment-naive. The same pivotal trial reported impressive response rates in this group, suggesting that Retsevmo could serve as a first-line treatment option. The safety profile of selpercatinib has also been favorable, with manageable side effects, which is an important consideration in the overall treatment efficacy.

Efficacy of Krazati (Adagrasib) in Lung Cancer

Krazati, with the generic name adagrasib, is another targeted therapy that has shown promise in the treatment of lung cancer. It is designed to inhibit the KRAS G12C mutation, which is a common driver in non-small cell lung cancer. The efficacy of adagrasib was evaluated in a phase I/II clinical trial, where it demonstrated significant antitumor activity in patients with NSCLC harboring the KRAS G12C mutation. The trial reported a notable objective response rate and disease control rate, indicating that Krazati could be a valuable treatment option for patients with this specific genetic alteration.

The duration of response and progression-free survival observed in patients treated with adagrasib were also encouraging, suggesting a durable effect of the medication. The treatment was generally well-tolerated, with a safety profile consistent with other targeted therapies. These findings support the potential role of Krazati in the targeted treatment landscape for NSCLC, offering a new avenue for patients with the KRAS G12C mutation.

Regulatory Agency Approvals

Retsevmo
  • European Medical Agency (EMA), European Union
  • Food and Drug Administration (FDA), USA
Krazati
  • Food and Drug Administration (FDA), USA

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If Retsevmo 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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