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Keytruda vs. Tecentriq

Head-to-head comparisons of medication uses, side effects, warnings, and more.

Key takeaways

Keytruda (pembrolizumab) and Tecentriq (atezolizumab) are both immunotherapy medications used to treat various types of cancer, including non-small cell lung cancer and liver cancer. They work by activating your immune system to attack cancer cells. However, they belong to different classes. Keytruda is a programmed death-1 (PD-1) pathway inhibitor, while Tecentriq is a programmed death-ligand 1 (PD-L1) inhibitor. Keytruda is given as an intravenous (IV) infusion every 3 or 6 weeks, depending on the dose, while Tecentriq is administered every 2, 3, or 4 weeks. Both medications can cause immune-related side effects like rash, diarrhea, and trouble breathing, but the frequency and severity can vary. Both medications require careful monitoring for side effects, and you might need to take a break from treatment or use corticosteroids to manage them. Neither medication is available in generic form, and both are given by IV infusion by a healthcare professional.

Keytruda

(pembrolizumab)

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Tecentriq

(atezolizumab)

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Summary for Keytruda

Prescription only

Keytruda (pembrolizumab) is an immunotherapy medication. It helps treat many different kinds of cancer. This can include lung cancer, breast cancer, and melanoma. It works as a PD-1 inhibitor to turn on your immune system and help it attack the cancer better. Keytruda (pembrolizumab) is given as an infusion through the vein at a medical center or clinic. It's given either every 3 weeks or every 6 weeks, depending on your treatment plan. Side effects can include tiredness, diarrhea, rash, and trouble breathing. Your cancer treatment might be just Keytruda (pembrolizumab), or it might be given with other cancer therapies.

Indications for Keytruda

Pros and Cons for Keytruda

Pros

  • Recommended first-choice treatment for many types of cancers under certain situations
  • Given every 3 or 6 weeks, depending on the treatment plan
  • Less likely to cause nausea, vomiting, and hair loss than traditional chemotherapy

Cons

  • Given as an injection through the vein
  • Might cause immune-related side effects like diarrhea, rash, and lung problems
  • Might need to take a break from treatment and take a corticosteroid to manage some side effects

Common Side Effects for Keytruda

Warnings for Keytruda

  • Immune-related side effects
  • Infusion-related reactions
  • Complications from stem cell transplants
  • Harm to an unborn baby

Summary for Tecentriq

Prescription only

Tecentriq (atezolizumab) is an immunotherapy medication that’s used to treat several different types of cancer, like lung cancer, liver cancer, and melanoma. It turns on your immune system to fight cancer. But this can sometimes cause side effects like rash, diarrhea, and lung problems that might need temporary treatment with corticosteroids. Tecentriq (atezolizumab) is given through the vein (intravenously, IV) at an infusion center or provider’s office.

Indications for Tecentriq

  • Non-small cell lung cancer (NSCLC)
    • Early-stage cancer that’s had surgery and chemotherapy, given by itself
    • Cancer that has spread (metastatic), given by itself or with chemotherapy
  • Advanced small cell lung cancer (SCLC), given with chemotherapy
  • Certain liver cancers that can’t be surgically removed or has spread, given with Avastin (bevacizumab)
  • Advanced melanoma in people with a specific mutation, given with other targeted therapy
  • Advanced alveolar soft part sarcoma (ASPS)

Pros and Cons for Tecentriq

Pros

  • Doesn’t cause side effects, like nausea, vomiting, and hair loss, that are common with traditional chemotherapy
  • First-choice treatment option for certain small-cell and non-small-cell lung and liver cancers
  • Uses your body’s own immune system to fight cancer

Cons

  • Might cause immune-related side effects like diarrhea, rash, and lung problems
  • Might require treatment breaks and a corticosteroid to manage side effects
  • Given through an IV, which requires using a needle

Common Side Effects for Tecentriq

  • Low red blood cells (anemia; up to 69%)
  • Other abnormal lab test results (up to 48%)
  • Low white blood cells (up to 49%)
  • Tiredness (up to 44%)
  • Higher liver enzyme levels in blood (up to 38%)
  • Cough (up to 26%)
  • Lower appetite (up to 23%)
  • Trouble breathing (up to 22%)
  • Muscle pain (up to 20%)
  • Nausea (up to 18%)

Warnings for Tecentriq

  • Immune-related side effects
  • Infusion reactions
  • Stem cell transplant complications
  • Harm to unborn baby

Prices with our coupons for Keytruda vs. Tecentriq

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Keytruda4 cartons / 2 vials of 100mg/4ml
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Tecentriq1 vial / 20ml of 60mg/ml
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