Cotellic (cobimetinib) vs Mektovi (binimetinib)

Cotellic (cobimetinib) vs Mektovi (binimetinib)

Cotellic (cobimetinib) and Mektovi (binimetinib) are both oral medications used in combination with other drugs to treat melanoma that cannot be removed by surgery or is metastatic and has a specific type of abnormal "BRAF" gene. Cotellic is typically used in combination with vemurafenib, another targeted therapy, and has a dosing schedule of 21 days on treatment followed by 7 days off. Mektovi, on the other hand, is used in combination with encorafenib and is taken continuously without a break. The choice between the two would depend on the specific treatment regimen recommended by the healthcare provider, potential side effects, and the patient's overall health condition.

Difference between Cotellic and Mektovi

Metric Cotellic (cobimetinib) Mektovi (binimetinib)
Generic name cobimetinib binimetinib
Indications Used in combination with vemurafenib for the treatment of patients with unresectable or metastatic melanoma with a BRAF V600E or V600K mutation Used in combination with encorafenib for the treatment of patients with unresectable or metastatic melanoma with a BRAF V600E or V600K mutation
Mechanism of action MEK inhibitor, which works by inhibiting mitogen-activated protein kinase enzymes MEK1 and MEK2 MEK inhibitor, which works by inhibiting mitogen-activated protein kinase enzymes MEK1 and MEK2
Brand names Cotellic Mektovi
Administrative route Oral Oral
Side effects Diarrhea, photosensitivity, nausea, fever, vomiting, and elevated liver enzymes Acneiform dermatitis, nausea, vomiting, abdominal pain, and elevated creatine phosphokinase
Contraindications None known beyond hypersensitivity to cobimetinib or any of its components None known beyond hypersensitivity to binimetinib or any of its components
Drug class MEK inhibitor MEK inhibitor
Manufacturer Genentech (a member of the Roche Group) Array BioPharma Inc. (a subsidiary of Pfizer)

Efficacy

Efficacy of Cotellic (Cobimetinib) in Treating Skin Cancer

Cotellic (cobimetinib) is a medication that has been approved for use in combination with another drug called Zelboraf (vemurafenib) for the treatment of a specific type of skin cancer known as melanoma. The efficacy of Cotellic is specifically targeted towards melanomas that exhibit a certain genetic mutation known as BRAF V600E or V600K mutation. Clinical trials have demonstrated that when cobimetinib is combined with vemurafenib, patients experience a significant improvement in progression-free survival compared to vemurafenib alone. This combination has been shown to shrink tumors in a higher percentage of patients and has also been associated with a delay in the growth of cancer.

It is important to note that Cotellic is not suitable for all patients with skin cancer. Its use is restricted to those who have tumors with the BRAF V600 mutation, which must be confirmed by an FDA-approved test prior to starting treatment. The presence of this mutation is critical for the efficacy of the drug, as cobimetinib targets the abnormal protein produced by this mutated gene to inhibit tumor growth.

Efficacy of Mektovi (Binimetinib) in Treating Skin Cancer

Mektovi (binimetinib) is another medication approved for the treatment of melanoma with the BRAF V600E or V600K mutation. Similar to cobimetinib, binimetinib is used in combination with a BRAF inhibitor, specifically encorafenib (Braftovi), to enhance its effectiveness. Clinical studies have shown that the combination of Mektovi and Braftovi improves overall survival and progression-free survival in patients with advanced melanoma when compared to BRAF inhibitor monotherapy. The combination therapy has been associated with a higher response rate, meaning that more patients experience tumor shrinkage.

As with cobimetinib, the use of Mektovi is contingent upon the presence of the BRAF V600E or V600K mutation in the tumor, as determined by an FDA-approved diagnostic test. The targeted action of binimetinib on the mutated BRAF protein allows for a more precise treatment approach, which can lead to better outcomes for patients with this specific genetic profile. However, the effectiveness of Mektovi can vary among individuals, and healthcare providers consider various factors, including the patient's overall health and the extent of the disease, when recommending this treatment.

Regulatory Agency Approvals

Cotellic
  • European Medical Agency (EMA), European Union
  • Food and Drug Administration (FDA), USA
  • Therapeutic Goods Administration (TGA), Australia
Mektovi
  • European Medical Agency (EMA), European Union
  • Food and Drug Administration (FDA), USA
  • Pharmaceuticals and Medical Devices Agency (PMDA), Japan

Access Cotellic or Mektovi today

If Cotellic or Mektovi 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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