Odomzo (sonidegib) vs Opdualag (nivolumab & relatlimab)

Odomzo (sonidegib) vs Opdualag (nivolumab & relatlimab)

Odomzo (sonidegib) is a medication specifically approved for the treatment of locally advanced basal cell carcinoma (BCC) that has recurred following surgery or radiation therapy, or for those who are not candidates for these treatments, and it works by inhibiting the Hedgehog signaling pathway which is active in BCC. Opdualag, a combination of nivolumab and relatlimab, is an immunotherapy treatment designed to stimulate the patient's immune system to attack cancer cells, and it is used for melanoma, not BCC. When deciding between these medications, it is crucial to consider the type of skin cancer diagnosed, as Odomzo is tailored for BCC, while Opdualag is indicated for advanced melanoma, thus the choice of treatment would largely depend on the specific cancer diagnosis and its stage.

Difference between Odomzo and Opdualag

Metric Odomzo (sonidegib) Opdualag (nivolumab & relatlimab)
Generic name Sonidegib Nivolumab & Relatlimab
Indications Locally advanced basal cell carcinoma (BCC) that has recurred following surgery or radiation therapy, or for those who are not candidates for surgery or radiation therapy. Unresectable or metastatic melanoma.
Mechanism of action Hedgehog pathway inhibitor Immune checkpoint inhibitor (PD-1 and LAG-3)
Brand names Odomzo Opdualag
Administrative route Oral Intravenous
Side effects Muscle spasms, alopecia, dysgeusia, fatigue, nausea, musculoskeletal pain, decreased weight, decreased appetite, vomiting, myalgia, diarrhea, and pruritus. Fatigue, rash, musculoskeletal pain, pruritus, diarrhea, and nausea.
Contraindications Pregnancy, severe hepatic impairment No formal contraindications listed; however, should be used with caution in patients with autoimmune diseases or those receiving immunosuppressive therapy.
Drug class Antineoplastic agent Immunotherapy
Manufacturer Sun Pharmaceutical Industries Bristol-Myers Squibb

Efficacy

Odomzo (Sonidegib) Efficacy in Treating Skin Cancer

Odomzo, with the active ingredient sonidegib, is a medication that has been approved for the treatment of adults with locally advanced basal cell carcinoma (BCC) that has recurred following surgery or radiation therapy, or those who are not candidates for surgery or radiation therapy. BCC is the most common form of skin cancer. Sonidegib works by inhibiting the Hedgehog signaling pathway, which is active in BCC cells, thereby stopping the cancer cells from growing. Clinical trials have demonstrated that Odomzo can reduce tumor size in a significant proportion of patients with advanced BCC, offering a therapeutic option for a condition that can be challenging to treat.

In a pivotal phase II clinical trial known as BOLT (Basal cell carcinoma Outcomes in LDE225 Trial), Odomzo showed a meaningful tumor response in patients with locally advanced BCC. The trial reported an objective response rate (ORR) in these patients, indicating that the tumor size was reduced by a certain percentage. The duration of response also suggested that Odomzo can provide a lasting effect in a subset of patients. However, the efficacy can vary, and not all patients may respond to the treatment. It is also important to consider the potential side effects and discuss these with a healthcare provider when considering Odomzo as a treatment option.

Opdualag (Nivolumab & Relatlimab) Efficacy in Treating Skin Cancer

Opdualag is a combination of two immunotherapy drugs, nivolumab and relatlimab, used in the treatment of melanoma, a more aggressive form of skin cancer. Nivolumab is a PD-1 (programmed death-1) inhibitor, while relatlimab blocks the LAG-3 (lymphocyte-activation gene 3) immune checkpoint. The combination is designed to enhance the body's immune response against melanoma cells. Clinical trials have shown that the dual blockade of PD-1 and LAG-3 can lead to improved outcomes in patients with advanced melanoma compared to the use of PD-1 inhibitors alone.

The efficacy of Opdualag in melanoma was evaluated in a phase II/III clinical trial, which demonstrated a significant improvement in progression-free survival (PFS) for patients with untreated advanced melanoma when compared to nivolumab monotherapy. The combination therapy has shown a higher response rate, indicating that a greater number of patients experienced tumor shrinkage. This combination represents an advancement in the immunotherapeutic approach to melanoma, potentially offering patients a more effective treatment option. As with any treatment, the benefits of Opdualag must be weighed against its potential side effects, and it is crucial for patients to have a thorough discussion with their healthcare provider regarding the suitability of this treatment for their individual case.

Regulatory Agency Approvals

Odomzo
  • European Medical Agency (EMA), European Union
  • Food and Drug Administration (FDA), USA
  • Therapeutic Goods Administration (TGA), Australia
Opdualag
  • European Medical Agency (EMA), European Union
  • Food and Drug Administration (FDA), USA

Access Odomzo or Opdualag today

If Odomzo or Opdualag 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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