Talzenna (talazoparib) vs Orserdu (elacestrant)

Talzenna (talazoparib) vs Orserdu (elacestrant)

Talzenna (talazoparib) is a PARP inhibitor used for the treatment of certain types of breast cancer that are HER2-negative and have a BRCA mutation. Orserdu (elacestrant), on the other hand, is a selective estrogen receptor degrader (SERD) indicated for the treatment of estrogen receptor-positive (ER+), HER2-negative advanced or metastatic breast cancer in postmenopausal women or adult men. The choice between Talzenna and Orserdu would depend on the specific molecular characteristics of the breast cancer, the patient's menopausal status, and the presence of specific genetic mutations, which should be discussed with a healthcare professional.

Difference between Talzenna and Orserdu

Metric Talzenna (talazoparib) Orserdu (elacestrant)
Generic name talazoparib elacestrant
Indications BRCA-mutated HER2-negative locally advanced or metastatic breast cancer ER+/HER2- advanced or metastatic breast cancer
Mechanism of action Poly (ADP-ribose) polymerase (PARP) inhibitor Estrogen receptor antagonist/degrader
Brand names Talzenna Orserdu
Administrative route Oral Oral
Side effects Fatigue, anemia, nausea, neutropenia, headache, vomiting, hair loss, decreased appetite, diarrhea, and thrombocytopenia Nausea, vomiting, fatigue, decreased appetite, and constipation
Contraindications None known None known
Drug class Poly (ADP-ribose) polymerase inhibitor Selective estrogen receptor degrader (SERD)
Manufacturer Pfizer Inc. Radiant Pharmaceuticals

Efficacy

Talzenna (Talazoparib) Efficacy in Breast Cancer

Talzenna (talazoparib) is a poly (ADP-ribose) polymerase (PARP) inhibitor approved by the U.S. Food and Drug Administration (FDA) for the treatment of adults with deleterious or suspected deleterious germline BRCA-mutated, HER2-negative locally advanced or metastatic breast cancer. Patients selected for therapy must be identified to have a BRCA mutation using an FDA-approved test. The efficacy of Talzenna was demonstrated in a clinical trial where patients treated with talazoparib experienced a significantly longer progression-free survival compared to those who received standard chemotherapy.

In the pivotal EMBRACA trial, the median progression-free survival for patients taking Talzenna was 8.6 months compared to 5.6 months for those on chemotherapy. Additionally, a higher overall response rate was observed in the Talzenna group. These results suggest that Talzenna is an effective treatment option for patients with BRCA-mutated, HER2-negative advanced breast cancer, providing a targeted therapy that can delay disease progression.

Orserdu (Elacestrant) Efficacy in Breast Cancer

Orserdu (elacestrant) is a selective estrogen receptor degrader (SERD) that is being investigated for its efficacy in the treatment of estrogen receptor (ER)-positive, HER2-negative advanced or metastatic breast cancer. While Orserdu is not yet approved by the FDA, clinical trials are underway to evaluate its efficacy in patients who have received prior endocrine therapy. The drug is designed to bind to the estrogen receptor, induce its degradation, and thus inhibit the receptor's interaction with estrogen, which can promote the growth of breast cancer cells.

Early clinical trial results have shown promise for Orserdu in the treatment of ER-positive, HER2-negative breast cancer. In studies, Orserdu has demonstrated antitumor activity with an acceptable safety profile. The ongoing trials aim to further establish the efficacy of Orserdu in this patient population, potentially offering a new therapeutic option for individuals with advanced breast cancer who have progressed on other endocrine therapies. As research continues, the medical community awaits more definitive data on the efficacy and safety of Orserdu for the treatment of breast cancer.

Regulatory Agency Approvals

Talzenna
  • European Medical Agency (EMA), European Union
  • Food and Drug Administration (FDA), USA
  • Therapeutic Goods Administration (TGA), Australia
Orserdu
  • Food and Drug Administration (FDA), USA

Access Talzenna or Orserdu today

If Talzenna 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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