Keytruda (pembrolizumab) vs Orserdu (elacestrant)

Keytruda (pembrolizumab) vs Orserdu (elacestrant)

Keytruda (pembrolizumab) is an immune checkpoint inhibitor used to treat various types of cancer by enhancing the body's immune response against cancer cells. Orserdu (elacestrant), on the other hand, is a selective estrogen receptor degrader (SERD) indicated for the treatment of certain types of breast cancer that are estrogen receptor-positive (ER+). When deciding between Keytruda and Orserdu, it is essential to consider the specific type of cancer, its molecular characteristics, and the patient's overall health status, as Keytruda is more broadly used for different cancers, while Orserdu is specifically targeted towards ER+ breast cancer.

Difference between Keytruda and Orserdu

Metric Keytruda (pembrolizumab) Orserdu (elacestrant)
Generic name Pembrolizumab Elacestrant
Indications Various cancers including melanoma, lung cancer, head and neck cancer, Hodgkin lymphoma, and others ER+/HER2- advanced or metastatic breast cancer
Mechanism of action Programmed death receptor-1 (PD-1) blocking antibody Estrogen receptor antagonist
Brand names Keytruda Orserdu
Administrative route Intravenous infusion Oral
Side effects Fatigue, musculoskeletal pain, decreased appetite, pruritus, diarrhea, nausea, rash, pyrexia, cough, dyspnea, constipation, pain in extremity, and headache Nausea, vomiting, fatigue, constipation, decreased appetite, and arthralgia
Contraindications Severe hypersensitivity to pembrolizumab or any of its excipients Not provided
Drug class Anti-PD-1 monoclonal antibody Selective estrogen receptor degrader (SERD)
Manufacturer Merck & Co. Radiant Pharmaceuticals

Efficacy

Keytruda (Pembrolizumab) Efficacy in Breast Cancer

Keytruda, known generically as pembrolizumab, is an immunotherapy drug that has shown efficacy in treating certain types of breast cancer. Specifically, Keytruda has been approved for use in combination with chemotherapy for patients with locally recurrent unresectable or metastatic triple-negative breast cancer (TNBC) whose tumors express PD-L1, as determined by an FDA-approved test. Clinical trials have demonstrated that Keytruda, when combined with chemotherapy, can significantly improve progression-free survival compared to chemotherapy alone in these patients. The improvement in overall survival, however, has been more variable and continues to be studied.

Orserdu (Elacestrant) Efficacy in Breast Cancer

Orserdu, also known as elacestrant, is a newer medication that targets estrogen receptor-positive (ER+) breast cancer, which is the most common type of breast cancer. Elacestrant is a selective estrogen receptor degrader (SERD) that works by binding to the estrogen receptor, degrading it, and thus inhibiting the receptor's interaction with estrogen. This mechanism helps to slow down or stop the growth of ER+ breast cancer cells. While Orserdu is still undergoing clinical evaluation, early trial results have shown promise in treating patients with advanced or metastatic ER+ breast cancer, particularly in those who have previously received other hormone therapies.

The efficacy of both Keytruda and Orserdu in breast cancer treatment represents an important advancement in oncology, offering new hope for patients with difficult-to-treat subtypes of the disease. As research continues, the full potential of these drugs in various breast cancer settings will become clearer, potentially leading to expanded indications and improved outcomes for patients.

It is important for patients to discuss the potential benefits and risks of these treatments with their healthcare providers, as the efficacy of Keytruda and Orserdu can vary based on individual patient characteristics and the specifics of their breast cancer diagnosis. Additionally, the use of these medications should be guided by relevant clinical guidelines and the expertise of healthcare professionals specialized in oncology.

Regulatory Agency Approvals

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

Access Keytruda or Orserdu today

If Keytruda 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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