Phesgo (pertuzumab, trastuzumab, and hyaluronidase) vs Truqap (capivasertib)

Phesgo (pertuzumab, trastuzumab, and hyaluronidase) vs Truqap (capivasertib)

Phesgo is a combination therapy that includes pertuzumab and trastuzumab, two monoclonal antibodies, along with hyaluronidase, an enzyme to help with subcutaneous drug dispersion, and is specifically indicated for the treatment of HER2-positive breast cancer. Truqap (capivasertib), on the other hand, is a small molecule inhibitor targeting the AKT signaling pathway, which is involved in cancer cell growth and survival, and is used for different types of cancers, including advanced hormone receptor-positive, HER2-negative breast cancer. When deciding between Phesgo and Truqap, it is crucial to consider the specific type of breast cancer being treated, as their mechanisms of action and indications differ significantly, and a healthcare professional's guidance based on the patient's unique diagnosis and treatment history is essential.

Difference between Phesgo and Truqap

Metric Phesgo (pertuzumab, trastuzumab, and hyaluronidase) Truqap (capivasertib)
Generic name Pertuzumab, Trastuzumab, and Hyaluronidase-zzxf Capivasertib
Indications HER2-positive breast cancer (use in combination with chemotherapy) Currently being investigated for treatment of advanced cancers including breast cancer, prostate cancer, and others in clinical trials
Mechanism of action Monoclonal antibodies targeting HER2 receptors and enzyme aiding drug absorption AKT kinase inhibitor
Brand names Phesgo Truqap is an investigational drug and may not have a brand name yet
Administrative route Subcutaneous injection Oral (assumed as it is in clinical trials)
Side effects Hair loss, nausea, diarrhea, anemia, and others Not fully characterized, but may include diarrhea, hyperglycemia, rash, and others as observed in clinical trials
Contraindications Known hypersensitivity to active substances or excipients Not fully established, typically includes known hypersensitivity to the drug or its components
Drug class Monoclonal antibodies and enzyme Small molecule kinase inhibitor
Manufacturer Genentech (Roche Group) AstraZeneca

Efficacy

Efficacy of Phesgo in Breast Cancer

Phesgo is a combination medication that includes pertuzumab, trastuzumab, and hyaluronidase-zzxf. It is used for the treatment of HER2-positive breast cancer, which is a type of breast cancer characterized by an overexpression of the HER2 protein. Clinical trials have demonstrated that the combination of pertuzumab and trastuzumab, when used with chemotherapy, significantly improves progression-free survival and overall survival in patients with metastatic HER2-positive breast cancer. Phesgo is designed to be administered subcutaneously, providing a more convenient alternative to the intravenous formulations of pertuzumab and trastuzumab.

The efficacy of Phesgo has been evaluated in a pivotal study known as the FeDeriCa trial, which confirmed non-inferior levels of pertuzumab in the blood and comparable efficacy to the intravenous formulation when given with chemotherapy. The study also showed that the fixed-dose combination of Phesgo was effective in achieving a complete response in a significant number of patients with early breast cancer. The safety profile of Phesgo was found to be consistent with the known safety profiles of intravenous pertuzumab and trastuzumab.

Efficacy of Capivasertib (Truqap) in Breast Cancer

Capivasertib, also known by its development name AZD5363 and referred to as Truqap in some contexts, is an investigational drug that targets the AKT signaling pathway, which is implicated in the growth and survival of cancer cells. It is being studied for its potential use in treating various types of cancers, including breast cancer. In breast cancer, capivasertib has been evaluated in combination with other therapies, such as fulvestrant, in patients with advanced or metastatic hormone receptor-positive breast cancer that is also AKT1 E17K mutation-positive.

Initial studies have shown that capivasertib, when used in combination with fulvestrant, has improved progression-free survival in patients with this subtype of breast cancer. The efficacy of capivasertib is particularly notable in patients whose tumors harbor the AKT1 E17K mutation, suggesting that it may offer a targeted treatment approach for this group. However, as capivasertib is still under investigation, further clinical trials are required to fully establish its efficacy and safety profile in the treatment of breast cancer.

Regulatory Agency Approvals

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

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If Phesgo 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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