Symdeko* (tezacaftor / ivacaftor) vs Kalydeco* (ivacaftor)

Symdeko* (tezacaftor / ivacaftor) vs Kalydeco* (ivacaftor)

Symdeko (tezacaftor/ivacaftor) is a combination medication used for the treatment of cystic fibrosis in patients who have at least one mutation in the CFTR gene that is responsive to the drug, and it can be prescribed for individuals 6 years and older. Kalydeco (ivacaftor), on the other hand, is a single-agent medication specifically indicated for patients with cystic fibrosis who have one of several specific mutations in the CFTR gene, suitable for patients 4 months and older, depending on the specific mutation. The choice between Symdeko and Kalydeco would depend on the patient's specific CFTR mutation(s), age, and overall health profile, and a healthcare provider would conduct genetic testing and consider these factors before recommending the appropriate treatment.

Difference between Symdeko* and Kalydeco*

Metric Symdeko* (tezacaftor / ivacaftor) Kalydeco* (ivacaftor)
Generic name Tezacaftor / Ivacaftor Ivacaftor
Indications Cystic fibrosis in patients age 6 years and older with specific mutations in the CFTR gene Cystic fibrosis in patients age 6 months and older with specific mutations in the CFTR gene
Mechanism of action Tezacaftor improves the conduction of chloride ions through the CFTR channel; Ivacaftor increases the time the channel remains open Increases the time that the CFTR channels remain open
Brand names Symdeko Kalydeco
Administrative route Oral Oral
Side effects Headache, nausea, sinus congestion, dizziness, rash, increased liver enzymes Headache, upper respiratory tract infection, abdominal pain, diarrhea, rash, nausea, dizziness
Contraindications Use of certain medications that are strong CYP3A inducers, liver disease Liver disease, use of certain medications that are strong CYP3A inducers or inhibitors
Drug class CFTR modulator CFTR modulator
Manufacturer Vertex Pharmaceuticals Vertex Pharmaceuticals

Efficacy

Efficacy of Symdeko (tezacaftor/ivacaftor) in Cystic Fibrosis

Symdeko, a combination of tezacaftor and ivacaftor, has been shown to be effective in treating certain individuals with cystic fibrosis (CF). This medication is specifically designed for patients who have at least one mutation in the CFTR gene that is responsive to the drug. Clinical trials have demonstrated that Symdeko can lead to improvements in lung function, as measured by the percent predicted forced expiratory volume in one second (ppFEV1). Patients taking Symdeko have also reported fewer pulmonary exacerbations and an improved quality of life compared to those not receiving the treatment.

Efficacy of Kalydeco (ivacaftor) in Cystic Fibrosis

Kalydeco, which contains the active ingredient ivacaftor, is another medication approved for the treatment of cystic fibrosis in patients with specific mutations in the CFTR gene. Ivacaftor works by enhancing the function of the defective CFTR protein caused by these mutations. The efficacy of Kalydeco has been established through various clinical trials, where it has been shown to significantly improve lung function, reduce sweat chloride levels (a diagnostic marker of CF), and decrease the rate of pulmonary exacerbations. Additionally, patients on Kalydeco have reported improvements in weight gain and overall health status.

Comparative Efficacy and Considerations

When comparing Symdeko and Kalydeco, it is essential to consider the specific genetic mutations of the CFTR gene present in an individual with cystic fibrosis. While both medications have shown efficacy in improving lung function and reducing exacerbations, their use is contingent upon the presence of mutations that are responsive to these treatments. The choice between Symdeko and Kalydeco will depend on the patient's genotype and the recommendations of a healthcare professional. It is also worth noting that these medications are part of a class of drugs known as CFTR modulators, which target the underlying cause of the disease rather than just its symptoms.

Conclusion

In conclusion, both Symdeko (tezacaftor/ivacaftor) and Kalydeco (ivacaftor) have been proven to be efficacious in the treatment of cystic fibrosis for patients with specific CFTR mutations. These medications represent a significant advancement in the management of CF, offering patients the potential for improved lung function, reduced complications, and a better quality of life. However, the effectiveness of these drugs is highly dependent on the patient's genetic profile, and therefore genetic testing is an essential step before initiating treatment. As with any medication, the use of Symdeko or Kalydeco should be under the guidance of a healthcare professional with expertise in treating cystic fibrosis.

Regulatory Agency Approvals

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

Access Symdeko* or Kalydeco* today

If Symdeko* or Kalydeco* 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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