Kisqali (ribociclib) vs Nerlynx (neratinib)

Kisqali (ribociclib) vs Nerlynx (neratinib)

Kisqali (ribociclib) and Nerlynx (neratinib) are both targeted therapies used in the treatment of certain types of breast cancer, but they work in different ways and are used in different contexts. Kisqali is a CDK4/6 inhibitor that is typically used in combination with an aromatase inhibitor or fulvestrant for the treatment of HR-positive, HER2-negative advanced or metastatic breast cancer in postmenopausal women, as well as in men. On the other hand, Nerlynx is a tyrosine kinase inhibitor that is used as an extended adjuvant treatment for early-stage, HER2-positive breast cancer following adjuvant trastuzumab-based therapy, regardless of menopausal status. The choice between Kisqali and Nerlynx would depend on the specific characteristics of the breast cancer, such as hormone receptor and HER2 status, as well as the patient's previous treatments and overall health profile. It is crucial for patients to discuss with their oncologist to determine which medication is most appropriate for their individual condition.

Difference between Kisqali and Nerlynx

Metric Kisqali (ribociclib) Nerlynx (neratinib)
Generic name Ribociclib Neratinib
Indications Hormone receptor (HR)-positive, human epidermal growth factor receptor 2 (HER2)-negative advanced or metastatic breast cancer Extended adjuvant treatment of HER2-positive early-stage breast cancer
Mechanism of action Cyclin-dependent kinase 4/6 (CDK4/6) inhibitor Tyrosine kinase inhibitor
Brand names Kisqali Nerlynx
Administrative route Oral Oral
Side effects Neutropenia, nausea, infections, fatigue, diarrhea Diarrhea, nausea, abdominal pain, fatigue, vomiting
Contraindications Known hypersensitivity to ribociclib or any of its excipients Known hypersensitivity to neratinib or any of its excipients
Drug class Antineoplastic agent Antineoplastic agent
Manufacturer Novartis Pharmaceuticals Corporation Puma Biotechnology, Inc.

Efficacy

Efficacy of Kisqali (Ribociclib) in Breast Cancer

Kisqali (ribociclib) is a targeted therapy that has shown efficacy in the treatment of certain types of breast cancer. Ribociclib is a cyclin-dependent kinase inhibitor (CDK4/6 inhibitor) that is used in combination with an aromatase inhibitor or fulvestrant for the treatment of hormone receptor-positive, human epidermal growth factor receptor 2-negative (HR+/HER2-) advanced or metastatic breast cancer. Clinical trials have demonstrated that ribociclib, when used in combination with these therapies, can significantly improve progression-free survival in premenopausal and postmenopausal women. The MONALEESA trials, a series of Phase III studies, have been pivotal in establishing the efficacy of ribociclib, showing a delay in disease progression and, in some cases, an improvement in overall survival.

Efficacy of Nerlynx (Neratinib) in Breast Cancer

Nerlynx (neratinib) is an oral tyrosine kinase inhibitor that is specifically effective for the extended adjuvant treatment of HER2-positive early-stage breast cancer. It is used after an initial course of trastuzumab-based therapy. The efficacy of neratinib was primarily demonstrated in the ExteNET study, a large international, double-blind, placebo-controlled, Phase III trial. In this study, neratinib significantly reduced the risk of invasive disease recurrence or death by 34% compared to placebo. The benefit of neratinib has been observed in patients who have completed one year of adjuvant trastuzumab therapy, suggesting its role in reducing the risk of recurrence in this specific population of breast cancer patients.

Both Kisqali and Nerlynx represent important advances in the treatment of breast cancer, offering new hope for improved outcomes. While they target different pathways and are used in different patient populations, their development underscores the importance of personalized medicine in oncology. It is critical for patients and healthcare providers to discuss the potential benefits and risks of these medications, considering individual patient factors and the specifics of the breast cancer diagnosis.

As with all medications, the efficacy of Kisqali and Nerlynx must be weighed against their side effect profiles and the individual patient's overall health status. Ongoing research and clinical trials continue to refine the understanding of how best to use these drugs in the complex landscape of breast cancer treatment. It is through such evidence-based approaches that the management of breast cancer continues to evolve, offering patients more effective and targeted therapeutic options.

Regulatory Agency Approvals

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

Access Kisqali or Nerlynx today

If Kisqali or Nerlynx 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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