Trikafta* (elexacaftor/tezacaftor/ivacaftor; ivacaftor) vs Symkevi* (tezacaftor/ivacaftor)

Trikafta* (elexacaftor/tezacaftor/ivacaftor; ivacaftor) vs Symkevi* (tezacaftor/ivacaftor)

Trikafta, which combines elexacaftor, tezacaftor, and ivacaftor, is a more recent cystic fibrosis treatment option that targets the F508del mutation in the CFTR gene and is suitable for patients 12 years and older with at least one F508del mutation. Symkevi, a combination of tezacaftor and ivacaftor, is also used to treat cystic fibrosis in patients with the F508del mutation or certain other mutations in the CFTR gene, but it is generally considered less potent than Trikafta. When deciding between these medications, one should consider factors such as age, specific genetic mutations, overall health, and the drug's efficacy profile, as Trikafta has been shown to result in more significant improvements in lung function and other outcomes compared to earlier treatment options like Symkevi.

Difference between Trikafta* and Symkevi*

Metric Trikafta* (elexacaftor/tezacaftor/ivacaftor; ivacaftor) Symkevi* (tezacaftor/ivacaftor)
Generic name Elexacaftor/Tezacaftor/Ivacaftor and Ivacaftor Tezacaftor/Ivacaftor
Indications Cystic fibrosis in patients aged 12 years and older with at least one F508del mutation in the CFTR gene Cystic fibrosis in patients aged 12 years and older with two copies of the F508del mutation or one copy of the F508del mutation and a second mutation that responds to tezacaftor/ivacaftor
Mechanism of action CFTR modulator therapy CFTR modulator therapy
Brand names Trikafta Symkevi
Administrative route Oral Oral
Side effects Headache, upper respiratory tract infection, abdominal pain, diarrhea, rash, increased liver enzymes, nasal congestion, increased blood creatinine, rhinorrhea, influenza, sinusitis, and increased blood bilirubin Headache, nasopharyngitis, dizziness, oropharyngeal pain, upper respiratory tract infection, sinusitis, influenza, nasal congestion, abdominal pain, increased liver enzymes
Contraindications Use of certain drugs (e.g., strong CYP3A inhibitors), history of hypersensitivity to any component of the product Use of certain drugs (e.g., strong CYP3A inhibitors), history of hypersensitivity to any component of the product
Drug class CFTR modulators CFTR modulators
Manufacturer Vertex Pharmaceuticals Vertex Pharmaceuticals

Efficacy

Efficacy of Trikafta in Treating Cystic Fibrosis

Trikafta, a combination of elexacaftor, tezacaftor, and ivacaftor, is a groundbreaking treatment for cystic fibrosis (CF) that targets the underlying cause of the disease in individuals with at least one F508del mutation in the CFTR gene, which is the most common mutation causing CF. Clinical trials have demonstrated that Trikafta significantly improves lung function, as measured by the percent predicted forced expiratory volume in one second (ppFEV1), in patients aged 12 years and older. The improvement in lung function is associated with a reduction in pulmonary exacerbations and an improvement in body mass index (BMI), both of which are critical factors in the management of CF.

The efficacy of Trikafta has been shown to be sustained over the long term, with patients continuing to experience benefits from the treatment. The drug's ability to enhance the function of the defective CFTR protein leads to better clearance of mucus from the lungs, reduced infection and inflammation, and overall improvements in respiratory symptoms. This has marked a significant advancement in the treatment paradigm for CF, providing hope for better disease management and improved quality of life for patients.

Efficacy of Symkevi in Treating Cystic Fibrosis

Symkevi, which combines tezacaftor and ivacaftor, is another CFTR modulator therapy used in the treatment of CF in patients who have specific mutations in the CFTR gene. It is indicated for those with two copies of the F508del mutation or one copy of the F508del mutation and a second mutation that is responsive to the drug. Symkevi has been shown to improve lung function, as evidenced by increases in ppFEV1, in clinical trials involving patients aged 12 years and older. The treatment has also been associated with reductions in pulmonary exacerbations and improvements in other measures of disease severity, such as nutritional status and quality of life.

While Symkevi is not as broadly effective as Trikafta, given its indication for a more specific patient population, it still represents a significant improvement in the treatment of eligible CF patients. Symkevi's efficacy in improving lung function and reducing exacerbations helps to slow the progression of CF and can lead to better long-term health outcomes for patients. The introduction of Symkevi, alongside Trikafta, has expanded the options available for personalized medicine approaches in CF care, allowing for more tailored treatments based on individual genetic profiles.

Regulatory Agency Approvals

Trikafta*
  • Food and Drug Administration (FDA), USA
Symkevi*
  • European Medical Agency (EMA), European Union
  • Food and Drug Administration (FDA), USA

Access Trikafta* or Symkevi* today

If Trikafta* or Symkevi* 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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