Mektovi (binimetinib) vs Libtayo (cemiplimab)

Mektovi (binimetinib) vs Libtayo (cemiplimab)

Mektovi (binimetinib) is a targeted therapy known as a MEK inhibitor used primarily in combination with another medication to treat unresectable or metastatic melanoma with a specific type of abnormal BRAF gene. Libtayo (cemiplimab), on the other hand, is an immune checkpoint inhibitor that works by enhancing the body's immune response against cancer cells, and it is used for the treatment of advanced stages of cutaneous squamous cell carcinoma (CSCC), basal cell carcinoma (BCC), and non-small cell lung cancer (NSCLC), among other indications. The choice between Mektovi and Libtayo would depend on the type of cancer, its genetic mutations, the overall health of the patient, and the treatment goals, and should be made in consultation with an oncologist who can assess the specific characteristics of the patient's cancer.

Difference between Mektovi and Libtayo

Metric Mektovi (binimetinib) Libtayo (cemiplimab)
Generic name Binimetinib Cemiplimab
Indications Advanced melanoma with a BRAF mutation, as part of combination therapy Cutaneous squamous cell carcinoma (CSCC), basal cell carcinoma (BCC), and non-small cell lung cancer (NSCLC) that are locally advanced or metastatic and have progressed despite other treatments
Mechanism of action MEK inhibitor, which interferes with the MEK/ERK pathway Programmed death receptor-1 (PD-1) blocking antibody
Brand names Mektovi Libtayo
Administrative route Oral Injection (intravenous)
Side effects Fatigue, rash, nausea, abdominal pain, arthralgia, ocular toxicities Fatigue, rash, diarrhea, musculoskeletal pain, pruritus
Contraindications None specifically listed; use caution in patients with cardiac dysfunction, retinal disorders, or hepatic impairment None specifically listed; contraindicated in patients with a history of severe hypersensitivity to cemiplimab or any of its excipients
Drug class Antineoplastic agent, MEK inhibitor Antineoplastic agent, immune checkpoint inhibitor
Manufacturer Array BioPharma Inc. (a subsidiary of Pfizer) Regeneron Pharmaceuticals, Inc.

Efficacy

Mektovi (binimetinib) for Skin Cancer

Mektovi, also known by its generic name binimetinib, is a medication that has been approved for the treatment of skin cancer, specifically unresectable or metastatic melanoma with a BRAF V600E or V600K mutation as detected by an FDA-approved test. This medication is used in combination with another drug called encorafenib. The efficacy of Mektovi in treating this form of skin cancer has been demonstrated in clinical trials. In a pivotal phase 3 trial, the combination of binimetinib and encorafenib showed a significant improvement in progression-free survival compared to treatment with vemurafenib, a BRAF inhibitor, alone.

The combination treatment has been found to reduce the risk of disease progression or death by approximately 44% compared to vemurafenib monotherapy. Moreover, the objective response rate, which is the proportion of patients with a significant reduction in tumor size, was higher in the combination therapy group. These results indicate that Mektovi, when used in combination with encorafenib, can be an effective treatment option for patients with BRAF-mutant melanoma, offering a potential delay in disease progression and a higher likelihood of tumor shrinkage.

Libtayo (cemiplimab) for Skin Cancer

Libtayo, with the generic name cemiplimab, is a monoclonal antibody that has been approved for the treatment of patients with metastatic or locally advanced cutaneous squamous cell carcinoma (CSCC) who are not candidates for curative surgery or curative radiation. Cemiplimab works as an immune checkpoint inhibitor, targeting the PD-1/PD-L1 pathway, which cancer cells often exploit to evade the immune system. By blocking this pathway, Libtayo can enhance the body's immune response against the cancer cells.

The efficacy of Libtayo in treating CSCC has been evaluated in a number of clinical trials, including a pivotal phase 2 study. In this study, cemiplimab demonstrated a high rate of durable response, with a significant proportion of patients experiencing a reduction in tumor size. The overall response rate reported was encouraging, and many patients achieved a partial or complete response. Additionally, the duration of response with Libtayo has been notable, with many patients maintaining their response for six months or longer. These findings suggest that Libtayo can be an effective treatment option for advanced CSCC, providing meaningful clinical benefits to patients who have limited treatment alternatives.

Regulatory Agency Approvals

Mektovi
  • European Medical Agency (EMA), European Union
  • Food and Drug Administration (FDA), USA
  • Pharmaceuticals and Medical Devices Agency (PMDA), Japan
Libtayo
  • European Medical Agency (EMA), European Union
  • Food and Drug Administration (FDA), USA
  • Health Canada

Access Mektovi or Libtayo today

If Mektovi or Libtayo 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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