Lumakras (sotorasib) vs Krazati (adagrasib)

Lumakras (sotorasib) vs Krazati (adagrasib)

Lumakras (sotorasib) and Krazati (adagrasib) are both targeted therapies designed to inhibit the KRAS G12C mutation in non-small cell lung cancer (NSCLC). Lumakras was the first FDA-approved drug for this mutation and has shown efficacy in shrinking tumors, but may have limitations in terms of brain metastases due to its molecular structure. Krazati, on the other hand, is designed to have a longer duration within the body and potentially better penetration of the blood-brain barrier, which might offer advantages for patients with brain metastases, although its approval status and clinical trial results should be consulted for the most current information.

Difference between Lumakras and Krazati

Metric Lumakras (sotorasib) Krazati (adagrasib)
Generic name Sotorasib Adagrasib
Indications Non-small cell lung cancer (NSCLC) with KRAS G12C mutation Non-small cell lung cancer (NSCLC) with KRAS G12C mutation
Mechanism of action KRAS G12C inhibitor KRAS G12C inhibitor
Brand names Lumakras Krazati
Administrative route Oral Oral
Side effects Diarrhea, hepatotoxicity, cough, musculoskeletal pain, among others Not fully characterized; similar side effects expected as with other KRAS G12C inhibitors
Contraindications None known None known
Drug class KRAS G12C inhibitor KRAS G12C inhibitor
Manufacturer Amgen Mirati Therapeutics

Efficacy

Lumakras (sotorasib) Efficacy in Lung Cancer

Lumakras, also known by its generic name sotorasib, is a medication specifically approved for the treatment of non-small cell lung cancer (NSCLC) with a particular genetic mutation known as KRAS G12C. This mutation is present in a subset of patients with NSCLC and has historically been considered challenging to target with therapy. The efficacy of Lumakras in lung cancer was demonstrated in a phase 2 clinical trial, known as CodeBreaK 100, which showed that sotorasib provided a significant benefit in terms of tumor shrinkage and disease control in patients with the KRAS G12C mutation who had previously undergone treatment with chemotherapy and/or immunotherapy.

In the trial, Lumakras achieved an objective response rate (ORR) of approximately 36%, with a median duration of response lasting 10 months. This indicated that the drug could effectively induce tumor regression in a significant proportion of patients. Additionally, the disease control rate (DCR) was reported to be around 81%, suggesting that most patients experienced either tumor shrinkage or stabilization of their disease. The median progression-free survival (PFS) was approximately 6.8 months, providing evidence of Lumakras's ability to delay disease progression in this patient population.

Krazati (adagrasib) Efficacy in Lung Cancer

Krazati, with the generic name adagrasib, is another targeted therapy for NSCLC patients harboring the KRAS G12C mutation. While adagrasib has shown promise in early clinical trials, as of the knowledge cutoff date, it has not yet received approval from regulatory agencies like the U.S. Food and Drug Administration (FDA) for the treatment of lung cancer. However, preliminary data from ongoing clinical trials suggest that adagrasib may have a similar efficacy profile to sotorasib, with the potential to provide clinical benefit to patients with this specific genetic alteration.

In early clinical trial results, adagrasib demonstrated an ORR comparable to that of sotorasib, with a substantial number of patients experiencing tumor shrinkage. The DCR for adagrasib was also high, indicating that the majority of patients achieved disease stabilization or better. The PFS data, while still maturing, suggests that adagrasib has the potential to be an effective treatment option for patients with KRAS G12C-mutated NSCLC. Further studies and ongoing clinical trials are necessary to fully establish the efficacy and safety profile of adagrasib for the treatment of lung cancer.

Regulatory Agency Approvals

Lumakras
  • European Medical Agency (EMA), European Union
  • Food and Drug Administration (FDA), USA
  • Medicines & Healthcare products Regulatory Agency (MHRA), United Kingdom
Krazati
  • Food and Drug Administration (FDA), USA

Access Lumakras or Krazati today

If Lumakras 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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