Fyarro (sirolimus protein-bound particles (albumin-bound)) vs Ogsiveotm (nirogacestat)

Fyarro (sirolimus protein-bound particles (albumin-bound)) vs Ogsiveotm (nirogacestat)

Fyarro (sirolimus protein-bound particles for injectable suspension, albumin-bound) is an mTOR inhibitor used specifically for the treatment of adults with locally advanced unresectable or metastatic malignant perivascular epithelioid cell tumors (PEComa), a rare type of cancer. On the other hand, Ogsiveo™ (nirogacestat) is an investigational gamma-secretase inhibitor intended to be used for the treatment of desmoid tumors, which are rare, non-metastatic tumors that can arise in connective tissues. When deciding between these two medications, it is crucial to consider the specific type of tumor being treated, as each medication targets different pathways and types of tumors, and the decision should be made in consultation with a healthcare provider who can evaluate the individual's unique medical condition and treatment history.

Difference between Fyarro and Ogsiveo

Metric Fyarro (sirolimus protein-bound particles (albumin-bound)) Ogsiveotm (nirogacestat)
Generic name Sirolimus protein-bound Nirogacestat
Indications Advanced malignant perivascular epithelioid cell tumors (PEComa) Desmoid tumors
Mechanism of action mTOR inhibitor Gamma-secretase inhibitor
Brand names Fyarro Ogsiveotm
Administrative route Intravenous Oral
Side effects Mucositis, rash, fatigue, nausea, edema, anemia, hyperglycemia, etc. Diarrhea, fatigue, nausea, abdominal pain, cough, decreased appetite, etc.
Contraindications Hypersensitivity to sirolimus or any excipient Not established
Drug class mTOR inhibitor Gamma-secretase inhibitor
Manufacturer Aadi Bioscience SpringWorks Therapeutics

Efficacy

Fyarro (sirolimus protein-bound particles for injectable suspension, albumin-bound)

Fyarro, which is the brand name for sirolimus protein-bound particles (albumin-bound), is a novel formulation of sirolimus designed to treat advanced malignant perivascular epithelioid cell tumors (PEComa), a rare form of soft tissue sarcoma. The efficacy of Fyarro was evaluated in a clinical trial known as AMPECT, which was an open-label, single-arm, multicenter study. The primary endpoint was the objective response rate (ORR), and the results demonstrated a significant ORR in patients with advanced PEComa who received Fyarro. This indicates that Fyarro can effectively reduce tumor size in a proportion of patients with this specific type of soft tissue sarcoma.

Ogsiveotm (nirogacestat)

Ogsiveotm, the brand name for nirogacestat, is an investigational, oral gamma-secretase inhibitor that is being studied for its potential use in the treatment of desmoid tumors, which are a type of soft tissue sarcoma. The efficacy of Ogsiveotm has been evaluated in clinical trials focusing on patients with desmoid tumors. In these studies, nirogacestat has shown promise in stabilizing tumor growth and reducing tumor size. However, it is important to note that as of the knowledge cutoff date, Ogsiveotm has not yet received approval from regulatory agencies for the treatment of desmoid tumors or any other form of soft tissue sarcoma, and its efficacy and safety are still under investigation.

It is critical for healthcare professionals to consider the specific subtype of soft tissue sarcoma when evaluating the efficacy of new treatments like Fyarro and Ogsiveotm. Each subtype may respond differently to various therapeutic agents. Therefore, while Fyarro has shown efficacy in PEComa, and Ogsiveotm has demonstrated potential benefits in desmoid tumors, their effectiveness may not be directly comparable across all forms of soft tissue sarcoma due to the heterogeneity of the disease.

Patients with soft tissue sarcoma and their healthcare providers are encouraged to discuss all available treatment options, including new therapies and those used off-label, to determine the most appropriate course of action based on the individual patient's condition and the latest clinical evidence. As research continues, the efficacy profiles of drugs like Fyarro and Ogsiveotm may become clearer, potentially leading to new approved indications and improved outcomes for patients with various subtypes of soft tissue sarcoma.

Regulatory Agency Approvals

Fyarro
  • Food and Drug Administration (FDA), USA
Ogsiveo
  • Food and Drug Administration (FDA), USA

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If Fyarro or Ogsiveo 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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