Talzenna (talazoparib) vs Tukysa (tucatinib)

Talzenna (talazoparib) vs Tukysa (tucatinib)

Talzenna (talazoparib) is a PARP inhibitor used primarily to treat certain types of breast cancer in patients who have inherited BRCA mutations. Tukysa (tucatinib), on the other hand, is a tyrosine kinase inhibitor that is used in combination with other drugs to treat HER2-positive breast cancer, which is a different subtype of breast cancer characterized by the overexpression of the HER2 protein. The choice between Talzenna and Tukysa would largely depend on the patient's specific breast cancer characteristics and genetic markers, as well as the overall treatment plan determined by their oncologist.

Difference between Talzenna and Tukysa

Metric Talzenna (talazoparib) Tukysa (tucatinib)
Generic name talazoparib tucatinib
Indications HER2-negative breast cancer with germline BRCA mutations HER2-positive breast cancer
Mechanism of action Poly (ADP-ribose) polymerase (PARP) inhibitor HER2 tyrosine kinase inhibitor
Brand names Talzenna Tukysa
Administrative route Oral Oral
Side effects Anemia, neutropenia, thrombocytopenia, fatigue, nausea, headache Diarrhea, palmar-plantar erythrodysesthesia, nausea, fatigue, hepatotoxicity
Contraindications Known hypersensitivity to talazoparib Known hypersensitivity to tucatinib
Drug class Poly (ADP-ribose) polymerase (PARP) inhibitor Tyrosine kinase inhibitor
Manufacturer Pfizer Seagen Inc.

Efficacy

Talzenna (Talazoparib) Efficacy in Breast Cancer

Talzenna (talazoparib) is a poly (ADP-ribose) polymerase (PARP) inhibitor that has been approved for use in certain patients with breast cancer. Specifically, it is indicated for the treatment of adult patients with deleterious or suspected deleterious germline BRCA-mutated, HER2-negative locally advanced or metastatic breast cancer. Patients are selected for therapy based on an FDA-approved companion diagnostic for Talzenna. The efficacy of Talzenna was demonstrated in the EMBRACA trial, a phase 3 study where patients treated with Talzenna showed a significant improvement in progression-free survival (PFS) compared to those who received standard chemotherapy. Patients receiving Talzenna had a median PFS of 8.6 months versus 5.6 months in the chemotherapy group.

Tukysa (Tucatinib) Efficacy in Breast Cancer

Tukysa (tucatinib) is an oral tyrosine kinase inhibitor that is used in combination with trastuzumab and capecitabine for the treatment of adult patients with advanced unresectable or metastatic HER2-positive breast cancer, including patients with brain metastases, who have received one or more prior anti-HER2-based regimens in the metastatic setting. The approval of Tukysa was based on the results of the HER2CLIMB trial, a randomized, double-blind, placebo-controlled, multicenter study. The trial demonstrated that patients who received Tukysa in combination with trastuzumab and capecitabine had a significant improvement in progression-free survival as well as overall survival. The median PFS was 7.8 months for patients in the Tukysa arm compared to 5.6 months for those in the control arm.

Both Talzenna and Tukysa represent important advancements in the treatment of breast cancer, offering new hope for patients with specific genetic and molecular profiles of the disease. These targeted therapies underscore the importance of personalized medicine in oncology, where treatments can be tailored to the individual characteristics of a patient's cancer. As with any medication, the efficacy of Talzenna and Tukysa can vary among individuals, and their use should be based on a comprehensive evaluation of the patient's health status and the presence of biomarkers that predict a favorable response to these drugs.

It is important for healthcare providers to stay informed about the latest clinical data and treatment guidelines to ensure that patients with breast cancer receive the most effective and appropriate therapy. Ongoing research and clinical trials continue to refine the use of these medications and expand our understanding of their role in the management of breast cancer.

Regulatory Agency Approvals

Talzenna
  • European Medical Agency (EMA), European Union
  • Food and Drug Administration (FDA), USA
  • Therapeutic Goods Administration (TGA), Australia
Tukysa
  • European Medical Agency (EMA), European Union
  • Food and Drug Administration (FDA), USA
  • Health Canada
  • Therapeutic Goods Administration (TGA), Australia
  • Swissmedic (CH)

Access Talzenna or Tukysa today

If Talzenna or Tukysa 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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