Perjeta (Pertuzumab) vs Xeloda ()

Perjeta (Pertuzumab) vs Xeloda ()

Perjeta (pertuzumab) is a monoclonal antibody designed to target the HER2 receptor, which is overexpressed in some types of breast cancer, and is typically used in combination with other drugs like trastuzumab and chemotherapy for the treatment of HER2-positive breast cancer. Xeloda (capecitabine) is an oral chemotherapy drug that is converted into 5-fluorouracil (5-FU) in the body, used to treat various types of cancer including breast, colorectal, and gastric cancers, often in patients whose cancer has metastasized. The choice between Perjeta and Xeloda would depend on the specific characteristics of the cancer, such as HER2 status, the stage and spread of the disease, and the patient's overall health and treatment goals, thus a healthcare provider would tailor the treatment plan to the individual's unique circumstances.

Difference between Perjeta and Xeloda

Metric Perjeta (Pertuzumab) Xeloda (Capecitabine)
Generic name Pertuzumab Capecitabine
Indications HER2-positive breast cancer Colorectal cancer, metastatic breast cancer
Mechanism of action HER2 dimerization inhibitor Prodrug, converted to 5-fluorouracil
Brand names Perjeta Xeloda
Administrative route IV infusion Oral
Side effects Diarrhea, rash, infusion reactions Hand-foot syndrome, diarrhea, nausea
Contraindications Hypersensitivity to pertuzumab or excipients Dihydropyrimidine dehydrogenase (DPD) deficiency
Drug class Monoclonal antibody Antimetabolite
Manufacturer Genentech (Roche) Roche

Efficacy

Efficacy of Perjeta (Pertuzumab) in Breast Cancer Treatment

Perjeta (pertuzumab) is a monoclonal antibody that is approved for use in combination with other medications to treat certain types of breast cancer. Specifically, it is indicated for the treatment of HER2-positive metastatic breast cancer, as well as for use in the neoadjuvant (pre-surgery) setting for patients with HER2-positive, locally advanced, inflammatory, or early-stage breast cancer. The efficacy of Perjeta, when used in combination with trastuzumab and chemotherapy, has been demonstrated in clinical trials to significantly improve progression-free survival and overall survival in patients with metastatic breast cancer. In the neoadjuvant setting, adding Perjeta has been shown to increase the rate of pathological complete response, which is an important prognostic indicator in breast cancer treatment.

Efficacy of Xeloda (Capecitabine) in Breast Cancer Treatment

Xeloda (capecitabine) is an oral chemotherapy drug that is used to treat breast cancer, among other types of cancer. It is a prodrug that is enzymatically converted to 5-fluorouracil (5-FU) in the body, where it inhibits DNA synthesis and slows the growth of tumor cells. Xeloda is particularly used in the treatment of metastatic breast cancer, often after failure of anthracycline- and taxane-based chemotherapy. Clinical studies have shown that Xeloda is effective in prolonging progression-free survival and has a favorable impact on overall survival in patients with metastatic breast cancer. Additionally, it is sometimes used in the adjuvant setting following surgery to reduce the risk of cancer recurrence.

Combination Therapy Including Perjeta and Xeloda

In certain clinical scenarios, Perjeta and Xeloda may be used together as part of a combination therapy regimen. The combination aims to harness the benefits of both targeted therapy and chemotherapy to exert a stronger anti-tumor effect. While Perjeta targets the HER2 receptor, which is overexpressed in HER2-positive breast cancer, Xeloda works as a cytotoxic agent that interferes with DNA synthesis. The use of these drugs in combination is based on the individual patient's treatment plan, cancer characteristics, and previous treatments. Clinical trials continue to explore the optimal use of these medications in various combinations and sequences to maximize patient outcomes.

Conclusion

Both Perjeta and Xeloda have shown efficacy in the treatment of breast cancer, particularly in the metastatic setting. Perjeta's role in improving outcomes in HER2-positive breast cancer has been well established, and Xeloda's utility as an oral chemotherapy agent offers a convenient treatment option with demonstrated benefits for patients. The use of these medications, whether individually or in combination, should be tailored to the patient's specific type of breast cancer and overall treatment plan. Ongoing research and clinical trials will continue to refine their use and provide evidence-based guidance for their incorporation into breast cancer therapy.

Regulatory Agency Approvals

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

Access Perjeta or Xeloda today

If Perjeta or Xeloda 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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