Enhertu (fam-trastuzumab deruxtecan-nxki) vs Trodelvy (sacituzumab govitecan-hziy)

Enhertu (fam-trastuzumab deruxtecan-nxki) vs Trodelvy (sacituzumab govitecan-hziy)

Enhertu (fam-trastuzumab deruxtecan-nxki) and Trodelvy (sacituzumab govitecan-hziy) are both antibody-drug conjugates used in the treatment of certain types of cancer, but they target different antigens and are approved for different indications. Enhertu is designed to target HER2-positive cancers and has been approved for use in breast cancer and gastric cancer patients who overexpress the HER2 protein. On the other hand, Trodelvy targets the Trop-2 antigen and is approved for the treatment of metastatic triple-negative breast cancer and metastatic urothelial cancer in patients who have received prior therapies. When deciding which medicine is right for an individual, it is crucial to consider the specific type of cancer, its molecular profile, and previous treatments, along with a healthcare provider's recommendation.

Difference between Enhertu and Trodelvy

Metric Enhertu (fam-trastuzumab deruxtecan-nxki) Trodelvy (sacituzumab govitecan-hziy)
Generic name Fam-trastuzumab deruxtecan-nxki Sacituzumab govitecan-hziy
Indications HER2-positive breast cancer, HER2-positive gastric or gastroesophageal junction adenocarcinoma Triple-negative breast cancer, metastatic urothelial cancer
Mechanism of action Antibody-drug conjugate targeting HER2 Antibody-drug conjugate targeting TROP-2
Brand names Enhertu Trodelvy
Administrative route Intravenous infusion Intravenous infusion
Side effects Nausea, fatigue, vomiting, alopecia, constipation, decreased appetite, anemia, neutropenia, diarrhea, leukopenia, cough, and thrombocytopenia Neutropenia, diarrhea, nausea, fatigue, anemia, vomiting, alopecia, constipation, decreased appetite, rash, and abdominal pain
Contraindications History of interstitial lung disease, pneumonitis, severe hypersensitivity to fam-trastuzumab deruxtecan-nxki or its excipients Severe hypersensitivity to sacituzumab govitecan-hziy or its excipients
Drug class Antibody-drug conjugate Antibody-drug conjugate
Manufacturer Daiichi Sankyo and AstraZeneca Gilead Sciences, Inc.

Efficacy

Enhertu (fam-trastuzumab deruxtecan-nxki) for Breast Cancer

Enhertu, also known as fam-trastuzumab deruxtecan-nxki, is a targeted therapy approved for the treatment of certain types of breast cancer. Specifically, it is indicated for patients with HER2-positive breast cancer that is unresectable or has metastasized, and who have received two or more prior anti-HER2-based regimens in the metastatic setting. Enhertu has shown significant efficacy in clinical trials, leading to improvements in overall response rate (ORR) and progression-free survival (PFS) in patients with advanced HER2-positive breast cancer. The DESTINY-Breast01 trial demonstrated a notable ORR, with a considerable proportion of patients achieving partial or complete response to the treatment.

Trodelvy (sacituzumab govitecan-hziy) for Breast Cancer

Trodelvy, known generically as sacituzumab govitecan-hziy, is an antibody-drug conjugate approved for the treatment of adult patients with metastatic triple-negative breast cancer (TNBC) who have received at least two prior therapies for metastatic disease. Trodelvy has shown a significant impact on the outcomes of patients with this aggressive form of breast cancer. Clinical trials, including the phase 3 ASCENT study, have reported that Trodelvy significantly improves PFS and overall survival (OS) compared to standard chemotherapy. The trial results have demonstrated that Trodelvy reduces the risk of disease progression or death, offering a new therapeutic option for patients with limited treatment choices.

Comparative Efficacy in Breast Cancer Treatment

When comparing Enhertu and Trodelvy, it is important to note that they are used to treat different subtypes of breast cancer and their efficacy has been evaluated in different patient populations. Enhertu is tailored for HER2-positive breast cancer, while Trodelvy is used for TNBC. Both medications have shown efficacy in their respective indications and have become valuable additions to the treatment armamentarium for breast cancer. Their roles in treatment are based on the specific molecular characteristics of the tumor, and they represent the advancement of personalized medicine in oncology.

Conclusion

In conclusion, both Enhertu and Trodelvy have demonstrated significant efficacy in the treatment of breast cancer, albeit in different subtypes. Enhertu has been a breakthrough for patients with HER2-positive disease, while Trodelvy offers hope for those with metastatic TNBC. Their development underscores the importance of targeted therapies in improving clinical outcomes for patients with breast cancer. Ongoing research continues to refine their use and explore potential benefits in various treatment settings, with the aim of improving survival and quality of life for patients affected by this disease.

Regulatory Agency Approvals

Enhertu
  • European Medical Agency (EMA), European Union
  • Food and Drug Administration (FDA), USA
  • Pharmaceuticals and Medical Devices Agency (PMDA), Japan
Trodelvy
  • European Medical Agency (EMA), European Union
  • Food and Drug Administration (FDA), USA

Access Enhertu or Trodelvy today

If Enhertu or Trodelvy 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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