Perjeta (Pertuzumab) vs Phesgo (pertuzumab, trastuzumab, and hyaluronidase)

Perjeta (Pertuzumab) vs Phesgo (pertuzumab, trastuzumab, and hyaluronidase)

Perjeta (pertuzumab) is a monoclonal antibody used in combination with trastuzumab and chemotherapy to treat HER2-positive breast cancer, typically administered intravenously. Phesgo combines pertuzumab, trastuzumab, and hyaluronidase in a single subcutaneous injection, offering a more convenient administration route and potentially reducing treatment time. When deciding between Perjeta and Phesgo, a patient should consider factors such as the stage of cancer, treatment setting, and personal preference for administration method, while also consulting with their healthcare provider to determine the most appropriate and effective treatment option for their specific condition.

Difference between Perjeta and Phesgo

Metric Perjeta (Pertuzumab) Phesgo (pertuzumab, trastuzumab, and hyaluronidase)
Generic name Pertuzumab Pertuzumab, Trastuzumab, and Hyaluronidase-zzxf
Indications HER2-positive breast cancer HER2-positive breast cancer
Mechanism of action HER2/neu receptor antagonist HER2/neu receptor antagonist
Brand names Perjeta Phesgo
Administrative route IV infusion Subcutaneous injection
Side effects Diarrhea, alopecia, neutropenia, nausea Diarrhea, alopecia, neutropenia, nausea, injection site reactions
Contraindications Hypersensitivity to pertuzumab or excipients Hypersensitivity to active substances or excipients
Drug class Monoclonal antibody Combination monoclonal antibodies/enzyme
Manufacturer Genentech (Roche) Genentech (Roche)

Efficacy

Efficacy of Perjeta (Pertuzumab) in Breast Cancer

Perjeta (pertuzumab) is a monoclonal antibody that is used in the treatment of breast cancer. Pertuzumab specifically targets the HER2 receptor, a protein that is overexpressed in some types of breast cancer. The efficacy of Perjeta in treating breast cancer has been demonstrated in several clinical trials. When used in combination with trastuzumab and chemotherapy, Perjeta has been shown to significantly improve progression-free survival in patients with HER2-positive metastatic breast cancer. Additionally, this combination has been associated with an increase in the overall survival rate of patients when compared to the use of trastuzumab and chemotherapy alone.

Phesgo (pertuzumab, trastuzumab, and hyaluronidase) in Breast Cancer Treatment

Phesgo is a combination of two monoclonal antibodies, pertuzumab and trastuzumab, with hyaluronidase, an enzyme that increases tissue permeability, allowing the drugs to be administered subcutaneously. This combination targets the HER2 receptor and is used for the treatment of HER2-positive breast cancer. Phesgo has been shown to be as effective as the intravenous formulations of pertuzumab and trastuzumab when used in a neoadjuvant setting (before surgery) and in the adjuvant setting (after surgery) for early breast cancer. It provides a more convenient administration route and reduces the treatment time for patients.

Impact on Survival and Disease Progression

The addition of pertuzumab to the standard treatment regimen for HER2-positive breast cancer has a significant impact on survival outcomes. Clinical trials have demonstrated that the use of pertuzumab in combination with trastuzumab and chemotherapy leads to an extension in the overall survival of patients with metastatic breast cancer. Moreover, in the early breast cancer setting, this combination has been shown to improve disease-free survival, suggesting that patients have a longer period without disease progression or recurrence.

Considerations and Ongoing Research

While the efficacy of Perjeta and Phesgo in the treatment of HER2-positive breast cancer is well-established, ongoing research continues to evaluate the long-term benefits and potential new indications for these medications. Studies are also examining the use of pertuzumab and trastuzumab in different combinations and sequences to optimize outcomes for patients with breast cancer. As with all cancer treatments, the efficacy of these drugs can vary based on individual patient characteristics and the specifics of the disease, and they should be used under the guidance of a healthcare professional.

Regulatory Agency Approvals

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

Access Perjeta or Phesgo today

If Perjeta or Phesgo 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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