Tecentriq (Atezolizumab) vs Truqap (capivasertib)

Tecentriq (Atezolizumab) vs Truqap (capivasertib)

Tecentriq (Atezolizumab) is an immune checkpoint inhibitor that works by blocking the PD-L1 protein on cancer cells, thereby allowing the immune system to recognize and attack these cells; it is primarily used in the treatment of certain types of bladder, lung, and breast cancer. Truqap (capivasertib), on the other hand, is an investigational AKT inhibitor that targets a different pathway in cancer cells, which is involved in cell growth and survival; its use is being studied in various cancers, including breast and prostate cancer. When deciding between Tecentriq and Truqap, a patient should consider factors such as the specific type of cancer, the stage of the disease, the molecular profile of the tumor, previous treatments, and the safety profile of each drug, in consultation with their oncologist.

Difference between Tecentriq and Truqap

Metric Tecentriq (Atezolizumab) Truqap (capivasertib)
Generic name Atezolizumab Capivasertib
Indications Urothelial carcinoma, non-small cell lung cancer, triple-negative breast cancer Currently investigated in clinical trials for various cancers including breast cancer
Mechanism of action PD-L1 inhibitor, immune checkpoint inhibitor AKT kinase inhibitor
Brand names Tecentriq Truqap (investigational, not yet a brand name)
Administrative route Intravenous infusion Oral (in clinical trials)
Side effects Fatigue, nausea, decreased appetite, urinary tract infection, fever Not fully characterized, ongoing clinical trials
Contraindications None known specific to atezolizumab, caution in patients with autoimmune diseases or organ transplants Not fully characterized, ongoing clinical trials
Drug class Monoclonal antibody, cancer immunotherapy Small molecule, kinase inhibitor
Manufacturer Genentech (Roche) AstraZeneca

Efficacy

Tecentriq (Atezolizumab) Efficacy in Treating Breast Cancer

Tecentriq, also known by its generic name atezolizumab, is an immune checkpoint inhibitor that has shown efficacy in treating certain types of breast cancer. Specifically, atezolizumab has been approved for use in combination with chemotherapy for the treatment of patients with unresectable locally advanced or metastatic triple-negative breast cancer (TNBC) that is PD-L1 positive. The efficacy of Tecentriq in this context was demonstrated in a pivotal phase III trial known as IMpassion130. In this study, patients who received atezolizumab in combination with nab-paclitaxel chemotherapy showed a significant improvement in progression-free survival compared to those who received placebo plus nab-paclitaxel. Additionally, the subgroup of patients with PD-L1 positive tumors experienced an even greater benefit in terms of overall survival.

However, it is important to note that the efficacy of Tecentriq can vary based on the expression of the PD-L1 protein and the specific characteristics of the breast cancer. Atezolizumab works by targeting the PD-L1 protein on tumor cells and tumor-infiltrating immune cells, thereby enhancing the body's immune response against the cancer cells. This mechanism of action is particularly relevant in TNBC, where the lack of estrogen, progesterone, and HER2 receptors makes other targeted therapies less effective.

Truqap (Capivasertib) Efficacy in Treating Breast Cancer

Truqap, known generically as capivasertib, is an investigational drug that targets the AKT pathway, which is implicated in the growth and survival of cancer cells. Although not yet approved for clinical use, capivasertib has been evaluated in clinical trials for its efficacy in treating breast cancer. In a phase II trial, capivasertib in combination with the endocrine therapy fulvestrant showed promising results in patients with hormone receptor-positive, HER2-negative advanced breast cancer that had progressed on prior endocrine therapy. This combination led to an improvement in progression-free survival compared to placebo plus fulvestrant.

Furthermore, the ongoing phase III CAPItello-291 clinical trial is assessing the efficacy of capivasertib in combination with fulvestrant in a similar patient population. The results of this trial are eagerly awaited and will provide more definitive evidence regarding the efficacy of capivasertib in treating breast cancer. Capivasertib's mechanism of action involves inhibiting the AKT pathway, which is often activated in cancer cells, leading to uncontrolled cell growth. By targeting this pathway, capivasertib aims to reduce cancer cell proliferation and potentially improve clinical outcomes in 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)
Truqap
  • Food and Drug Administration (FDA), USA

Access Tecentriq or Truqap today

If Tecentriq or Truqap 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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