Gavreto (pralsetinib) vs Cosela (trilaciclib)

Gavreto (pralsetinib) vs Cosela (trilaciclib)

Gavreto (pralsetinib) is a targeted therapy known as a RET inhibitor, specifically used for treating certain types of thyroid cancer and non-small cell lung cancer with RET gene alterations. Cosela (trilaciclib), on the other hand, is a cyclin-dependent kinase inhibitor designed to protect bone marrow cells from damage caused by chemotherapy in patients with extensive-stage small cell lung cancer. When deciding between these two medications, it is crucial to consider the type of cancer being treated and the goal of therapy, as Gavreto is used to directly target cancer cells with specific genetic mutations, while Cosela is used to mitigate the side effects of chemotherapy rather than to treat cancer itself.

Difference between Gavreto and Cosela

Metric Gavreto (pralsetinib) Cosela (trilaciclib)
Generic name Pralsetinib Trilaciclib
Indications For the treatment of adult patients with metastatic RET fusion-positive non-small cell lung cancer (NSCLC) For the treatment of myelosuppression in adult patients receiving chemotherapy for extensive-stage small cell lung cancer (ES-SCLC)
Mechanism of action RET kinase inhibitor Cyclin-dependent kinase inhibitor
Brand names Gavreto Cosela
Administrative route Oral Intravenous
Side effects Fatigue, constipation, musculoskeletal pain, hypertension, and others Fatigue, hypocalcemia, hypokalemia, hypophosphatemia, increased aspartate aminotransferase, headache, pneumonia, and others
Contraindications Hypersensitivity to pralsetinib or any of the excipients Hypersensitivity to trilaciclib or any of the excipients
Drug class Tyrosine kinase inhibitor Cyclin-dependent kinase 4/6 inhibitor
Manufacturer Blueprint Medicines Corporation G1 Therapeutics, Inc.

Efficacy

Gavreto (pralsetinib) Efficacy in Treating Lung Cancer

Gavreto (pralsetinib) is a targeted therapy approved by the U.S. Food and Drug Administration (FDA) for the treatment of adult patients with metastatic non-small cell lung cancer (NSCLC) with RET fusion-positive tumors. This approval is based on the efficacy demonstrated in clinical trials, particularly for patients who have received no prior systemic therapy for metastatic disease or who have progressed on or after platinum-based chemotherapy. Pralsetinib has shown a significant response rate in these patient populations, with a considerable proportion of patients experiencing a reduction in tumor size. This has been evidenced by objective response rates (ORR) reported in clinical studies.

The efficacy of Gavreto was evaluated in a multicenter, open-label, multi-cohort clinical trial. Results from this trial indicated that treatment with pralsetinib led to a high ORR, with many patients achieving a partial or complete response. Additionally, the duration of response (DOR) was noteworthy, with a substantial number of patients maintaining their response for six months or longer. These results suggest that Gavreto is an effective treatment option for patients with RET fusion-positive NSCLC, offering a new hope for this subset of lung cancer patients.

Cosela (trilaciclib) Efficacy in Lung Cancer Management

Cosela (trilaciclib) is a different type of therapeutic agent, known as a cyclin-dependent kinase (CDK) 4/6 inhibitor, and it is used to help protect bone marrow cells from damage caused by chemotherapy in patients with extensive-stage small cell lung cancer (ES-SCLC). The FDA approval of Cosela was based on its efficacy in preserving bone marrow function and reducing the incidence of chemotherapy-induced myelosuppression, which is a common and serious side effect of chemotherapy that can lead to infections, anemia, and bleeding problems.

The efficacy of Cosela in lung cancer treatment was demonstrated in multiple randomized, placebo-controlled clinical trials. In these studies, patients with ES-SCLC who were scheduled to receive chemotherapy were administered Cosela prior to the chemotherapy. The results showed that trilaciclib significantly reduced the occurrence of severe neutropenia, a condition characterized by an abnormally low count of neutrophils, which are a type of white blood cell important for fighting infections. Furthermore, the use of Cosela was associated with a shorter duration of severe neutropenia in the first chemotherapy cycle, which is critical for maintaining the planned chemotherapy dose and schedule, thereby potentially improving overall treatment outcomes.

Regulatory Agency Approvals

Gavreto
  • European Medical Agency (EMA), European Union
  • Food and Drug Administration (FDA), USA
Cosela
  • Food and Drug Administration (FDA), USA

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If Gavreto or Cosela 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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