Tivdak (tisotumab vedotin-tftv) vs Elahere (mirvetuximab soravtansine-gynx)

Tivdak (tisotumab vedotin-tftv) vs Elahere (mirvetuximab soravtansine-gynx)

Tivdak (tisotumab vedotin-tftv) is an antibody-drug conjugate specifically indicated for the treatment of adult patients with recurrent or metastatic cervical cancer who have progressed on or after chemotherapy. It targets tissue factor, which is commonly expressed on cervical cancer cells, and delivers a cytotoxic agent directly to the tumor cells. Elahere (mirvetuximab soravtansine-gynx), on the other hand, is an antibody-drug conjugate designed for the treatment of adults with folate receptor alpha (FRα)-positive, platinum-resistant epithelial ovarian, fallopian tube, or primary peritoneal cancer who have received one to three prior systemic treatment regimens. It binds to the FRα-expressing cancer cells and releases a potent anti-tumor agent. When deciding between the two, a patient's specific cancer type, receptor status, and previous treatments should be considered in consultation with a healthcare provider to determine the most appropriate therapy.

Difference between Tivdak and Elahere

Metric Tivdak (tisotumab vedotin-tftv) Elahere (mirvetuximab soravtansine-gynx)
Generic name tisotumab vedotin-tftv mirvetuximab soravtansine-gynx
Indications For the treatment of recurrent or metastatic cervical cancer For the treatment of ovarian cancer
Mechanism of action Antibody-drug conjugate targeting tissue factor Antibody-drug conjugate targeting folate receptor alpha
Brand names Tivdak Elahere
Administrative route Intravenous infusion Intravenous infusion
Side effects Fatigue, nausea, alopecia, constipation, decreased appetite, etc. Fatigue, diarrhea, nausea, abdominal pain, anemia, etc.
Contraindications Hypersensitivity to tisotumab vedotin-tftv or excipients Hypersensitivity to mirvetuximab soravtansine-gynx or excipients
Drug class Antibody-drug conjugate Antibody-drug conjugate
Manufacturer Seagen Inc. and Genmab ImmunoGen, Inc.

Efficacy

Efficacy of Tivdak (tisotumab vedotin-tftv) in Gynecological Cancer

Tivdak (tisotumab vedotin-tftv) is a first-in-class antibody-drug conjugate indicated for the treatment of adult patients with recurrent or metastatic cervical cancer with disease progression on or after chemotherapy. The efficacy of Tivdak was evaluated in a single-arm clinical trial which included patients with recurrent or metastatic cervical cancer who had received prior chemotherapy. The major efficacy outcome measures were the objective response rate (ORR) and the duration of response (DOR). Results from the trial showed that Tivdak achieved a meaningful ORR, with a notable proportion of patients experiencing partial or complete response to the treatment. Additionally, a significant number of these responses were observed to be durable, indicating potential long-term benefits for patients treated with Tivdak.

Efficacy of Elahere (mirvetuximab soravtansine-gynx) in Gynecological Cancer

Elahere (mirvetuximab soravtansine-gynx) is an investigational antibody-drug conjugate targeting folate receptor alpha (FRα), which is highly expressed in certain types of cancer, including ovarian cancer. Elahere is designed to deliver a potent cytotoxic agent specifically to FRα-expressing cancer cells. While Elahere has shown promise in early clinical trials, it is important to note that as of the knowledge cutoff date, Elahere has not yet received approval from regulatory authorities such as the U.S. Food and Drug Administration (FDA). Clinical trials have been conducted to assess the efficacy of Elahere in patients with platinum-resistant ovarian cancer, and the results have demonstrated encouraging response rates and progression-free survival in patients with high FRα expression.

Both Tivdak and Elahere represent advancements in targeted therapies for gynecological cancers, with Tivdak already approved for use in cervical cancer and Elahere showing potential in the treatment of ovarian cancer. It is important for healthcare providers to consider the specific characteristics of each patient's cancer, such as biomarker expression, when determining the appropriateness of these therapies. As research continues, these medicines may offer new hope for patients with gynecological cancers who have limited treatment options.

In conclusion, Tivdak has demonstrated efficacy in treating recurrent or metastatic cervical cancer, offering a new treatment avenue for patients who have progressed on prior chemotherapy. Elahere, though not yet approved, shows potential in treating FRα-positive platinum-resistant ovarian cancer. Both drugs exemplify the shift towards personalized medicine in oncology, aiming to improve outcomes for patients with gynecological cancers by targeting specific pathways involved in tumor growth and progression.

Regulatory Agency Approvals

Tivdak
  • Food and Drug Administration (FDA), USA
Elahere
  • Food and Drug Administration (FDA), USA

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