Exkivity (mobocertinib) vs Vegzelma (bevacizumab-adcd)

Exkivity (mobocertinib) vs Vegzelma (bevacizumab-adcd)

Exkivity (mobocertinib) is a kinase inhibitor specifically designed for the treatment of non-small cell lung cancer (NSCLC) with a particular mutation (EGFR exon 20 insertion mutations) and is taken orally. Vegzelma (bevacizumab-adcd) is a biosimilar to the original bevacizumab and is used to treat various types of cancer, including colorectal, lung, glioblastoma, kidney, and cervical cancers, by inhibiting angiogenesis and is administered intravenously. The choice between Exkivity and Vegzelma would depend on the specific type of cancer a patient has, the presence of certain genetic mutations, and the overall treatment plan recommended by their healthcare provider.

Difference between Exkivity and Vegzelma

Metric Exkivity (mobocertinib) Vegzelma (bevacizumab-adcd)
Generic name Mobocertinib Bevacizumab-adcd
Indications Adult patients with locally advanced or metastatic non-small cell lung cancer (NSCLC) with epidermal growth factor receptor (EGFR) exon 20 insertion mutations Metastatic colorectal cancer, non-squamous non-small cell lung cancer, glioblastoma, metastatic renal cell carcinoma, cervical cancer, and epithelial ovarian, fallopian tube, or primary peritoneal cancer
Mechanism of action Tyrosine kinase inhibitor that targets EGFR exon 20 insertion mutations Monoclonal antibody that inhibits angiogenesis by targeting vascular endothelial growth factor A (VEGF-A)
Brand names Exkivity Vegzelma
Administrative route Oral Intravenous
Side effects Diarrhea, rash, nausea, vomiting, stomatitis, decreased appetite, paronychia, dry skin, decreased weight, and increased blood creatinine Hypertension, fatigue, diarrhea, decreased appetite, abdominal pain, headache, and bleeding
Contraindications None known Hypersensitivity to bevacizumab products or any of its excipients
Drug class Tyrosine kinase inhibitor Monoclonal antibody, antineoplastic agent
Manufacturer Takeda Pharmaceutical Company Celltrion Healthcare

Efficacy

Efficacy of Exkivity (mobocertinib) in Lung Cancer

Exkivity (mobocertinib) is a targeted therapy specifically designed to treat non-small cell lung cancer (NSCLC) with a particular mutation known as epidermal growth factor receptor (EGFR) Exon20 insertion mutations. This medication is an oral tyrosine kinase inhibitor that works by blocking EGFR, which is often overactive in lung cancer cells with these mutations. Clinical trials have demonstrated that mobocertinib is effective in shrinking tumors and slowing the progression of NSCLC in patients who have the EGFR Exon20 insertion mutation and who have previously undergone platinum-based chemotherapy.

The efficacy of mobocertinib was evaluated in a multicenter, non-randomized, open-label clinical trial. The results showed a significant objective response rate (ORR), which is the percentage of patients whose cancer shrinks or disappears after treatment. Additionally, mobocertinib displayed a durable response, meaning that the effect of the treatment lasted for a considerable period. These findings suggest that Exkivity is a promising treatment option for patients with this specific genetic marker who have limited treatment options after first-line therapy.

Efficacy of Vegzelma (bevacizumab-adcd) in Lung Cancer

Vegzelma (bevacizumab-adcd) is a biosimilar to the original bevacizumab product, which is a monoclonal antibody that inhibits vascular endothelial growth factor (VEGF). By blocking VEGF, Vegzelma helps prevent the growth of new blood vessels that tumors need to grow and spread. It is used in the treatment of various forms of cancer, including NSCLC. The efficacy of Vegzelma in lung cancer is expected to be similar to that of the reference product, bevacizumab, as biosimilars must demonstrate no clinically meaningful differences in efficacy, safety, and purity compared to the original product.

In studies of bevacizumab, the drug has been shown to improve survival when combined with chemotherapy in patients with advanced non-squamous NSCLC. The addition of bevacizumab to standard chemotherapy has resulted in an increase in progression-free survival and overall survival in these patients. As Vegzelma is a biosimilar to bevacizumab, it is anticipated to offer equivalent outcomes in the treatment of NSCLC, providing an alternative option that may increase accessibility and reduce treatment costs for patients.

Regulatory Agency Approvals

Exkivity
  • Food and Drug Administration (FDA), USA
Vegzelma
  • European Medical Agency (EMA), European Union
  • Food and Drug Administration (FDA), USA

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If Exkivity or Vegzelma 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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