Xalkori (crizotinib) vs Lumakras (sotorasib)

Xalkori (crizotinib) vs Lumakras (sotorasib)

Xalkori (crizotinib) and Lumakras (sotorasib) are both targeted therapies used to treat certain types of cancer, but they are indicated for different genetic mutations. Xalkori is typically prescribed for patients with advanced non-small cell lung cancer (NSCLC) that is ALK or ROS1-positive, as it inhibits these specific proteins to slow the growth of cancer cells. On the other hand, Lumakras is approved for use in patients with NSCLC who have a specific mutation known as KRAS G12C and have received at least one prior systemic therapy; it works by directly targeting the KRAS G12C mutation. Patients should consult with their healthcare provider to determine which medication is appropriate for their specific genetic mutation and treatment history.

Difference between Xalkori and Lumakras

Metric Xalkori (crizotinib) Lumakras (sotorasib)
Generic name Crizotinib Sotorasib
Indications Non-small cell lung cancer (NSCLC), ALK-positive and ROS1-positive Non-small cell lung cancer (NSCLC), KRAS G12C-mutated
Mechanism of action ALK and ROS1 tyrosine kinase inhibitor KRAS G12C inhibitor
Brand names Xalkori Lumakras
Administrative route Oral Oral
Side effects Visual disorders, nausea, diarrhea, vomiting, edema, constipation, elevated transaminases, fatigue, decreased appetite, upper respiratory infection, dizziness, neuropathy Diarrhea, musculoskeletal pain, nausea, fatigue, liver damage, cough, abdominal pain
Contraindications Hepatic impairment, concurrent use with strong CYP3A inhibitors or inducers Hepatic impairment, severe renal impairment
Drug class Tyrosine kinase inhibitor Protein kinase inhibitor
Manufacturer Pfizer Amgen

Efficacy

Xalkori (Crizotinib) Efficacy in Lung Cancer

Xalkori (crizotinib) is a targeted therapy approved by the U.S. Food and Drug Administration (FDA) for the treatment of non-small cell lung cancer (NSCLC) that is anaplastic lymphoma kinase (ALK)-positive. The efficacy of crizotinib has been demonstrated in clinical trials where it has shown significant improvement in progression-free survival compared to chemotherapy in patients with ALK-positive NSCLC. In these studies, patients treated with crizotinib experienced a longer duration of time without disease progression, highlighting its role as an effective first-line treatment option for this specific subgroup of lung cancer patients.

Crizotinib has also been shown to have activity against tumors that harbor ROS1 rearrangements, another genetic alteration found in a small percentage of lung cancer patients. Clinical trials have reported high response rates in patients with ROS1-positive NSCLC, further establishing crizotinib's efficacy in targeting specific genetic drivers of lung cancer. The precision of crizotinib's mechanism of action allows for a more personalized approach to lung cancer treatment, which can lead to better outcomes for patients with these genetic profiles.

Lumakras (Sotorasib) Efficacy in Lung Cancer

Lumakras (sotorasib) is a novel medication that has been granted accelerated approval by the FDA for the treatment of adult patients with KRAS G12C-mutated locally advanced or metastatic NSCLC, who have received at least one prior systemic therapy. This approval is based on the positive results from a phase 2 clinical trial, which demonstrated a significant objective response rate in patients with the KRAS G12C mutation. Sotorasib specifically targets the KRAS G12C mutation, which is present in approximately 13% of patients with NSCLC, making it a promising targeted therapy for this subset of lung cancer patients.

The clinical trial data for sotorasib has shown a durable response and disease control in patients with KRAS G12C-mutated NSCLC, indicating that it can be an effective treatment option after the failure of prior therapies. The introduction of sotorasib provides a new line of defense against lung cancer and represents a milestone in the development of treatments targeting previously 'undruggable' mutations. As the first FDA-approved KRAS inhibitor, sotorasib's efficacy marks a significant advancement in the personalized treatment landscape for lung cancer.

Regulatory Agency Approvals

Xalkori
  • European Medical Agency (EMA), European Union
  • Food and Drug Administration (FDA), USA
  • Health Canada
  • Pharmaceuticals and Medical Devices Agency (PMDA), Japan
  • Therapeutic Goods Administration (TGA), Australia
Lumakras
  • European Medical Agency (EMA), European Union
  • Food and Drug Administration (FDA), USA
  • Medicines & Healthcare products Regulatory Agency (MHRA), United Kingdom

Access Xalkori or Lumakras today

If Xalkori or Lumakras 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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