Trodelvy (sacituzumab govitecan-hziy) vs Truqap (capivasertib)

Trodelvy (sacituzumab govitecan-hziy) vs Truqap (capivasertib)

Trodelvy (sacituzumab govitecan-hziy) is an antibody-drug conjugate specifically indicated for the treatment of metastatic triple-negative breast cancer and certain types of bladder cancer, targeting the Trop-2 receptor on cancer cells to deliver a cytotoxic drug. Truqap (capivasertib), on the other hand, is an investigational small molecule inhibitor of the AKT enzymes, which are involved in the signaling pathways associated with cancer cell growth and survival, and it is being studied for its potential use in various cancers, including breast cancer. When deciding between these medications, it is crucial to consider the specific type of cancer, the molecular characteristics of the tumor, the stage of the disease, and the patient's overall health and treatment history, as these factors can influence the effectiveness and suitability of each medication.

Difference between Trodelvy and Truqap

Metric Trodelvy (sacituzumab govitecan-hziy) Truqap (capivasertib)
Generic name Sacituzumab govitecan-hziy Capivasertib
Indications Metastatic triple-negative breast cancer, urothelial cancer Currently in clinical trials for various cancers including breast cancer, prostate cancer, and lung cancer
Mechanism of action Antibody-drug conjugate targeting TROP-2 for delivery of SN-38 AKT protein kinase inhibitor
Brand names Trodelvy Not applicable (investigational drug)
Administrative route Intravenous Oral (in clinical trials)
Side effects Nausea, neutropenia, diarrhea, fatigue, anemia, vomiting, alopecia, constipation, decreased appetite, rash Hyperglycemia, rash, diarrhea, fatigue, nausea
Contraindications Hypersensitivity to sacituzumab govitecan-hziy or its excipients Not yet established
Drug class Antibody-drug conjugate AKT inhibitor
Manufacturer Gilead Sciences, Inc. AstraZeneca

Efficacy

Trodelvy (sacituzumab govitecan-hziy) Efficacy in Breast Cancer

Trodelvy (sacituzumab govitecan-hziy) is an antibody-drug conjugate specifically indicated for the treatment of adult patients with unresectable locally advanced or metastatic triple-negative breast cancer (TNBC) who have received two or more prior systemic therapies, at least one of them for metastatic disease. The efficacy of Trodelvy in breast cancer was demonstrated in a study (IMMU-132-01) that showed a significant improvement in overall survival and progression-free survival compared to standard chemotherapy. Patients treated with Trodelvy had a median overall survival of 12.1 months compared to 6.7 months in the standard therapy group. The objective response rate was also higher in the Trodelvy-treated group, indicating a greater proportion of patients experienced tumor shrinkage.

Truqap (capivasertib) Efficacy in Breast Cancer

Truqap (capivasertib) is an investigational, oral, small molecule inhibitor of AKT, a protein that plays a key role in the PI3K/AKT/mTOR pathway, which is frequently altered in cancer cells, including those in breast cancer. While Truqap is not yet approved for any indication, it has been evaluated in clinical trials for its potential efficacy in treating certain types of breast cancer, particularly hormone receptor-positive, human epidermal growth factor receptor 2 (HER2)-negative breast cancer that has progressed after endocrine therapy. In clinical trials, capivasertib has shown promise in combination with fulvestrant, demonstrating an improvement in progression-free survival compared to placebo plus fulvestrant.

It is important to note that the safety and efficacy of Truqap (capivasertib) for the treatment of breast cancer are still under investigation, and its use is considered off-label until it receives approval from regulatory agencies such as the U.S. Food and Drug Administration (FDA). Patients and healthcare providers should consider the current evidence from clinical trials and weigh the potential benefits against the risks when considering capivasertib for off-label use in breast cancer treatment.

In conclusion, Trodelvy has shown significant efficacy in treating patients with metastatic TNBC, offering an important treatment option for a particularly aggressive form of breast cancer. Truqap, on the other hand, is still in the investigational stage but has demonstrated potential efficacy in hormone receptor-positive, HER2-negative breast cancer. Both medications represent advancements in targeted therapies for breast cancer, aiming to improve outcomes for patients with specific subtypes of the disease.

Regulatory Agency Approvals

Trodelvy
  • European Medical Agency (EMA), European Union
  • Food and Drug Administration (FDA), USA
Truqap
  • Food and Drug Administration (FDA), USA

Access Trodelvy or Truqap today

If Trodelvy or Truqap 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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