Krazati (adagrasib) vs Augtyro (repotrectinib)

Krazati (adagrasib) vs Augtyro (repotrectinib)

Krazati (adagrasib) and Augtyro (repotrectinib) are both targeted therapies designed to treat certain types of cancer by inhibiting specific proteins that drive tumor growth. Krazati is specifically designed to target KRAS G12C mutations in non-small cell lung cancer and potentially other solid tumors, whereas Augtyro targets NTRK, ROS1, and ALK gene alterations, making it suitable for a different set of tumor types, including lung cancer and solid tumors with these specific genetic changes. The right choice between these two medications would depend on the patient's specific type of cancer and its genetic profile, which would be determined through molecular diagnostic testing.

Difference between Krazati and Augtyro

Metric Krazati (adagrasib) Augtyro (repotrectinib)
Generic name Adagrasib Repotrectinib
Indications Non-small cell lung cancer (NSCLC) with KRAS G12C mutation Advanced solid tumors with NTRK, ROS1, or ALK gene fusions
Mechanism of action Covalent inhibitor of KRAS G12C mutation Tyrosine kinase inhibitor targeting TRK, ROS1, and ALK fusions
Brand names Krazati Augtyro
Administrative route Oral Oral
Side effects Diarrhea, nausea, vomiting, fatigue, liver enzyme elevations Dizziness, constipation, fatigue, edema, weight gain
Contraindications None known None known
Drug class KRAS inhibitor Tyrosine kinase inhibitor
Manufacturer Mirati Therapeutics Turning Point Therapeutics

Efficacy

Efficacy of Krazati (Adagrasib) in Lung Cancer

Krazati (adagrasib) is a novel medication specifically designed to target KRAS G12C-mutated non-small cell lung cancer (NSCLC). This mutation is prevalent in a subset of lung cancer patients and has historically been challenging to treat. Clinical trials have demonstrated that adagrasib can effectively inhibit the mutated KRAS protein, leading to a reduction in tumor size and growth. In studies, patients with advanced NSCLC harboring the KRAS G12C mutation who were treated with adagrasib showed a significant response rate, indicating its efficacy in shrinking tumors and, in some cases, delaying disease progression.

While the full extent of adagrasib's efficacy is still being evaluated, early results are promising. Patients have experienced prolonged periods of stable disease, and the drug has shown a manageable safety profile. It is important to note that the efficacy of adagrasib may vary based on individual patient factors, including previous treatments and the presence of other genetic mutations. Ongoing research aims to further define the populations that may benefit most from this targeted therapy.

Efficacy of Augtyro (Repotrectinib) in Lung Cancer

Augtyro (repotrectinib) is an investigational, next-generation tyrosine kinase inhibitor (TKI) designed to target ROS1 and NTRK fusions, as well as ALK mutations, which are implicated in a range of cancers, including NSCLC. In lung cancer patients with these specific genetic alterations, repotrectinib has shown promising efficacy. Clinical trials have reported significant response rates in patients with ROS1-positive NSCLC, indicating its potential as an effective treatment option for this group.

Repotrectinib's design allows it to overcome resistance mechanisms that may develop in response to earlier-generation TKIs. This has been reflected in the drug's ability to produce durable responses in patients who have previously been treated with other ROS1 inhibitors. The duration of response and overall survival rates are key measures of efficacy that are being closely monitored as clinical trials continue. The data so far suggests that Augtyro could offer a new line of therapy for patients with TKI-resistant lung cancers.

Regulatory Agency Approvals

Krazati
  • Food and Drug Administration (FDA), USA
Augtyro
  • Food and Drug Administration (FDA), USA

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