Verzenio/Verzenios (abemaciclib) vs Orserdu (elacestrant)

Verzenio/Verzenios (abemaciclib) vs Orserdu (elacestrant)

Verzenio (abemaciclib) and Orserdu (elacestrant) are both used in the treatment of certain types of breast cancer but have different mechanisms of action and indications. Verzenio is a CDK4/6 inhibitor that is often prescribed in combination with hormone therapy for HR-positive, HER2-negative advanced or metastatic breast cancer, aiming to halt the progression of cancer by inhibiting cell division. In contrast, Orserdu is a selective estrogen receptor degrader (SERD) used for the treatment of ER-positive, HER2-negative advanced or metastatic breast cancer in postmenopausal women or adult men, and it works by degrading the estrogen receptor, thus blocking the hormone's ability to promote the growth of cancer cells. When deciding which medication is appropriate, it is crucial to consider factors such as the specific characteristics of the breast cancer, previous treatments, potential side effects, and the overall treatment plan as discussed with a healthcare provider.

Difference between Verzenio/Verzenios and Orserdu

Metric Verzenio/Verzenios (abemaciclib) Orserdu (elacestrant)
Generic name Abemaciclib Elacestrant
Indications HR-positive, HER2-negative advanced or metastatic breast cancer Estrogen receptor-positive, HER2-negative advanced or metastatic breast cancer
Mechanism of action CDK4 & CDK6 inhibitor Estrogen receptor antagonist/degrader
Brand names Verzenio, Verzenios Orserdu
Administrative route Oral Oral
Side effects Diarrhea, neutropenia, nausea, abdominal pain, infections Not fully established, clinical trials ongoing
Contraindications None known None known
Drug class Antineoplastic agent, kinase inhibitor Selective estrogen receptor degrader (SERD)
Manufacturer Eli Lilly and Company Radiant Pharmaceuticals

Efficacy

Overview of Verzenio (Abemaciclib) in Breast Cancer Treatment

Verzenio (abemaciclib) is a prescription medication used for the treatment of certain types of breast cancer. Specifically, it is indicated for hormone receptor (HR)-positive, human epidermal growth factor receptor 2 (HER2)-negative advanced or metastatic breast cancer. As a CDK4/6 inhibitor, Verzenio works by interfering with the proliferation of cancer cells. Clinical trials have demonstrated that, when used in combination with endocrine therapy, Verzenio can significantly extend progression-free survival in patients with advanced or metastatic disease. Additionally, it has shown efficacy as a monotherapy in patients who have previously received hormone therapy and chemotherapy.

Efficacy of Verzenio in Clinical Settings

The efficacy of Verzenio has been affirmed through multiple clinical trials. In the MONARCH 2 study, patients treated with Verzenio in combination with fulvestrant had a median progression-free survival of 16.4 months compared to 9.3 months for those who received placebo plus fulvestrant. The MONARCH 3 trial further supported these findings, showing improved outcomes when Verzenio was added to an aromatase inhibitor as initial therapy for advanced disease. The drug's ability to delay disease progression and manage symptoms has made it a valuable option in the management of HR-positive, HER2-negative breast cancer.

Introduction to Orserdu (Elacestrant) in Breast Cancer Management

Orserdu (elacestrant) is a newer medication that has been developed for the treatment of estrogen receptor (ER)-positive, HER2-negative advanced or metastatic breast cancer in postmenopausal women or in men. Orserdu is an oral selective estrogen receptor degrader (SERD), which works by binding to the estrogen receptor and promoting its degradation, thus inhibiting the growth of cancer cells that rely on estrogen signaling. Clinical trials have shown that Orserdu is effective in patients who have received prior endocrine therapy and have developed resistance to other treatments.

Effectiveness of Orserdu in Clinical Trials

The efficacy of Orserdu was evaluated in the EMERALD phase 3 trial, which demonstrated a statistically significant improvement in progression-free survival compared to standard endocrine therapy in patients with ER-positive, HER2-negative advanced or metastatic breast cancer. The trial highlighted Orserdu's potential as a new treatment option for patients with disease progression following endocrine therapy and CDK4/6 inhibitors. The results suggest that Orserdu can provide a meaningful clinical benefit in a patient population with limited treatment options, offering hope for improved outcomes.

Regulatory Agency Approvals

Verzenio/Verzenios
  • European Medical Agency (EMA), European Union
  • Food and Drug Administration (FDA), USA
  • Health Canada
  • Therapeutic Goods Administration (TGA), Australia
Orserdu
  • Food and Drug Administration (FDA), USA

Access Verzenio/Verzenios or Orserdu today

If Verzenio/Verzenios or Orserdu 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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