Imfinzi (durvalumab) vs Padcev (enfortumab vedotin-ejfv)

Imfinzi (durvalumab) vs Padcev (enfortumab vedotin-ejfv)

Imfinzi (durvalumab) is an immune checkpoint inhibitor that works by helping the immune system to detect and attack cancer cells, commonly used for the treatment of certain types of lung cancer and bladder cancer. Padcev (enfortumab vedotin-ejfv) is an antibody-drug conjugate that targets and delivers chemotherapy to cancer cells expressing a protein called Nectin-4, primarily used in the treatment of advanced urothelial cancer. The choice between Imfinzi and Padcev would depend on the specific type of cancer a patient has, its stage, the expression of certain proteins on cancer cells, and the overall health and treatment goals of the patient, which should be discussed with an oncologist.

Difference between Imfinzi and Padcev

Metric Imfinzi (durvalumab) Padcev (enfortumab vedotin-ejfv)
Generic name Durvalumab Enfortumab vedotin-ejfv
Indications Urothelial carcinoma, non-small cell lung cancer Locally advanced or metastatic urothelial cancer
Mechanism of action PD-L1 inhibitor Antibody-drug conjugate targeting Nectin-4
Brand names Imfinzi Padcev
Administrative route Intravenous Intravenous
Side effects Fatigue, rash, musculoskeletal pain, etc. Peripheral neuropathy, fatigue, rash, etc.
Contraindications Hypersensitivity to durvalumab or excipients Hypersensitivity to enfortumab vedotin-ejfv or excipients
Drug class Immune checkpoint inhibitor Antibody-drug conjugate
Manufacturer AstraZeneca Astellas Pharma, Seattle Genetics

Efficacy

Imfinzi (Durvalumab) Efficacy in Urothelial Carcinoma

Imfinzi (durvalumab) is a programmed death-ligand 1 (PD-L1) blocking antibody used in the treatment of urothelial carcinoma, which is a type of bladder cancer. The efficacy of Imfinzi in urothelial carcinoma was demonstrated in a phase III clinical trial known as the DANUBE study. In this study, Imfinzi was evaluated for its ability to improve overall survival compared to standard chemotherapy in patients with locally advanced or metastatic urothelial carcinoma. The results indicated that Imfinzi provided a significant improvement in survival in patients whose tumors expressed PD-L1 on at least 25% of their tumor cells, highlighting its potential as a targeted therapy for this subgroup of patients.

Padcev (Enfortumab Vedotin-ejfv) Efficacy in Urothelial Carcinoma

Padcev (enfortumab vedotin-ejfv) is an antibody-drug conjugate specifically indicated for the treatment of adults with locally advanced or metastatic urothelial cancer who have previously received a PD-1 or PD-L1 inhibitor and a platinum-containing chemotherapy, or who are ineligible for cisplatin-containing chemotherapy and have previously received one or more prior lines of therapy. The efficacy of Padcev was established in a phase II clinical trial known as EV-201. The trial showed that Padcev achieved a meaningful objective response rate in patients with locally advanced or metastatic urothelial carcinoma, with a significant proportion of patients experiencing partial or complete responses to the treatment.

Both Imfinzi and Padcev represent important advancements in the treatment of urothelial carcinoma, offering hope to patients with advanced disease. The efficacy of these drugs underscores the importance of continued research and development in targeted therapies and personalized medicine approaches in oncology. As with all medications, the efficacy of Imfinzi and Padcev must be weighed against their safety profiles, and treatment decisions should be individualized based on patient-specific factors and preferences.

It is important for healthcare providers to stay informed about the latest clinical trial data and treatment guidelines to optimize the use of these therapies in the management of urothelial carcinoma. Additionally, patients should engage in discussions with their healthcare providers to understand the potential benefits and risks associated with these treatments and to determine the most appropriate therapeutic strategy for their individual case.

Regulatory Agency Approvals

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

Access Imfinzi or Padcev today

If Imfinzi or Padcev 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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