Tecentriq (Atezolizumab) vs Kisqali (ribociclib)

Tecentriq (Atezolizumab) vs Kisqali (ribociclib)

Tecentriq (atezolizumab) is an immune checkpoint inhibitor designed to treat various types of cancer by enabling the immune system to recognize and combat cancer cells. It is commonly used for cancers such as non-small cell lung cancer, small cell lung cancer, urothelial carcinoma, and triple-negative breast cancer. On the other hand, Kisqali (ribociclib) is a CDK4/6 inhibitor indicated for the treatment of hormone receptor-positive, human epidermal growth factor receptor 2-negative advanced or metastatic breast cancer, often in combination with an aromatase inhibitor or fulvestrant. When deciding which medication is right for an individual, it is crucial to consider the specific type of cancer they have, as Tecentriq and Kisqali are approved for different indications and work through distinct mechanisms. A healthcare provider would assess the patient's cancer characteristics, overall health, and treatment goals before recommending one of these therapies.

Difference between Tecentriq and Kisqali

Metric Tecentriq (Atezolizumab) Kisqali (ribociclib)
Generic name Atezolizumab Ribociclib
Indications Urothelial carcinoma, non-small cell lung cancer, triple-negative breast cancer HR-positive, HER2-negative advanced or metastatic breast cancer
Mechanism of action PD-L1 inhibitor, immune checkpoint inhibitor CDK4/6 inhibitor, antineoplastic
Brand names Tecentriq Kisqali
Administrative route Intravenous infusion Oral
Side effects Fatigue, nausea, decreased appetite, urinary tract infection, fever Neutropenia, nausea, infections, fatigue, diarrhea
Contraindications None known QT prolongation, liver impairment, electrolyte abnormalities
Drug class Monoclonal antibody, Immune checkpoint inhibitor CDK4/6 inhibitor
Manufacturer Genentech (Roche) Novartis

Efficacy

Tecentriq (Atezolizumab) in Breast Cancer

Tecentriq (Atezolizumab) is an immune checkpoint inhibitor that has been studied for its efficacy in treating breast cancer, specifically in patients with triple-negative breast cancer (TNBC), which is a type of cancer that lacks the three most common types of receptors known to fuel most breast cancer growth—estrogen, progesterone, and the HER-2 gene. In this subset of breast cancer, Tecentriq has shown promise when used in combination with chemotherapy. In clinical trials, the addition of Tecentriq to chemotherapy has been associated with a significant improvement in progression-free survival (PFS) compared to chemotherapy alone. This benefit has been particularly observed in patients whose tumors express the PD-L1 protein, which is a target of Tecentriq's immune-modulating action.

Kisqali (Ribociclib) in Breast Cancer

Kisqali (Ribociclib) is a CDK4/6 inhibitor used in combination with an aromatase inhibitor or fulvestrant for the treatment of hormone receptor-positive, human epidermal growth factor receptor 2-negative (HR+/HER2-) advanced or metastatic breast cancer. Clinical trials have demonstrated that ribociclib effectively prolongs PFS in premenopausal and postmenopausal women with this type of breast cancer. When used as a first-line treatment in combination with letrozole, ribociclib has shown a significant improvement in PFS compared to letrozole alone. The efficacy of ribociclib has been consistent across various subgroups of patients, including those with visceral disease and those with bone-only disease.

Comparative Efficacy in Breast Cancer Treatment

While both Tecentriq and Kisqali are used in the treatment of breast cancer, they target different patient populations within this disease category. Tecentriq's efficacy is particularly notable in TNBC, a form of cancer that is historically difficult to treat due to the lack of targeted hormonal or HER2-directed therapies. On the other hand, Kisqali is tailored for HR+/HER2- breast cancer, which responds to hormone therapy. The efficacy of these drugs in their respective indications provides valuable options for personalized cancer treatment, addressing the unique characteristics of the patient's tumor biology.

Conclusion

In conclusion, both Tecentriq and Kisqali have shown efficacy in the treatment of breast cancer but are utilized for different subtypes of the disease. Tecentriq's combination with chemotherapy for TNBC and Kisqali's combination with hormone therapy for HR+/HER2- breast cancer represent significant advances in the management of these challenging conditions. The continued evaluation of these medicines in ongoing clinical trials and in real-world settings is crucial to further understanding their long-term efficacy and to optimize treatment strategies for patients with breast cancer.

Regulatory Agency Approvals

Tecentriq
  • 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
  • Medsafe (NZ)
Kisqali
  • European Medical Agency (EMA), European Union
  • Food and Drug Administration (FDA), USA
  • Health Canada
  • Therapeutic Goods Administration (TGA), Australia
  • Medsafe (NZ)

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If Tecentriq or Kisqali 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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