Cabozantinib Generic vs. Brand: What’s the Difference in Cost and Efficacy?

Published: 23, Dec 2024

Cabozantinib Generic vs. Brand: What’s the Difference in Cost and Efficacy?

Cancer treatment can be challenging and expensive. One important medication used to treat several types of cancers is Cabozantinib. It works best for kidney and liver cancer patients.

This drug is available in generic and FDA-approved brand versions that doctors prescribe as cancer medications.

  • Cabometyx - Used for renal cell carcinoma and hepatocellular carcinoma. It is available in tablet form, making it convenient for patients who requires this medication.
  • Cometriq - This treats medullary thyroid cancer specifically. Unlike Cabometyx, Cometriq comes in capsule form and is only approved for use in this form. 

Both versions share the same active ingredient but differ in form, cost, availability, and insurance coverage. This detailed breakdown explains the main differences between generic and branded Cabozantinib. We focus on two vital factors: cost-effectiveness and treatment efficacy.


What Is Cabozantinib?

Cabozantinib is a cancer medication approved by the FDA. It works by slowing the growth and spread of cancer cells. Doctors often use it to treat:

  • Renal Cell Carcinoma (RCC) is a type of kidney cancer.
  • Liver cancer (hepatocellular carcinoma).
  • Thyroid cancer (medullary thyroid carcinoma).

Generic Cabozantinib comes in tablets like Kabonib Cabozantinib 60mg Tablets, Cabometyx 40mg, and Cabometyx 60mg, or capsules under the name Cometriq.

This medication attacks cancer cells directly and stops tumors from developing their blood supply. This all-encompassing approach makes cabozantinib the lifeblood of treatment, especially when you have advanced cases where other treatments fail to work.

Cabozantinib stands out from other cancer medications through its unique mechanism of action. 

The drug's main targets include:

  • VEGFR2 (vascular endothelial growth factor receptor 2)
  • MET (hepatocyte growth factor receptor)
  • AXL
  • RET
  • KIT

Available dosage forms include:

StrengthTypical Usage
60mgStarting dose
40mgDose reduction
20mgFurther adjustment


What Is Cabometyx?

Cabometyx is the brand-name version of Cabozantinib. It is widely recognized and trusted by doctors and patients. Cabometyx is often used for:

  • Treating advanced renal cell carcinoma (RCC).
  • Treating liver cancer in people who already tried other treatments.
  • Helping people with medullary thyroid cancer.


Generic Cabozantinib vs. Cabometyx

The generic version of Cabozantinib contains the same active ingredient as Cabometyx. Let’s compare the two based on important factors:

1. Cost

  • Generic Cabozantinib Cost: Generic medications are usually much cheaper than brand-name drugs because they don’t involve the same research and marketing expenses.
  • Cabometyx Price: Cabometyx, being a brand-name drug, is more expensive. However, some insurance plans may partially cover the cost.

2. Efficacy

  • The FDA sets strict rules to ensure generic versions of cabozantinib deliver the same benefits as branded versions.


Generic Cabozantinib vs. Brand Cabozantinib: Understanding the Cost Difference

A common reason that brand-name products like Cabometyx are costly is because of all the research, development, and marketing efforts that the company has invested in creating the product. 

The generic counterpart, on the other hand, is a fraction of the cost as it is released after the patent has expired. 

Other drug makers produce generics that have the same registered component as that of the branded drug called Cabozantinib and thus have similar effects. 

This means a tablet could cost $250 to $350, but the generic tablet would be reasonable, say $100, and $50 or less in some other locations which translates to a reduction in cost of around 30% to 50%. 

The apparent price gap allows the generic to be appealing to a lot of the population that are out of insurance coverage, and to those that do not have full coverage on expensive brand-name medications. 


FDA Requirements for Generic Efficacy and Safety

Generic medications must meet tough bioequivalence standards. Absorption rates should fall between 80-125% of the branded version. The FDA enforces these requirements through:

  • Similar active ingredient concentration
  • The same strength and dosage form
  • Equal safety and effectiveness standards
  • Equivalent manufacturing quality standards
  • Consistent batch testing protocols


Addressing Common Misconceptions

Here's how generic and branded versions stack up:

AspectGeneric RequirementsBrand Requirements
Active IngredientSimilarStandard
ManufacturingFDA GMP StandardsFDA GMP Standards
Clinical BenefitSame as BrandBaseline
Quality TestingOngoingOngoing


3. Availability
  • Generic Cabozantinib is more widely available in many regions and may be easier to access. Cabometyx is a trusted brand, but it might be harder to find in some areas due to high demand or limited supply.

Side Effects :

Cabometyx and generic Cabozantinib share the same active molecule, cabozantinib, which is likely to have the same side effects. 

Common side effects include:
  • Diarrhea
  • Fatigue
  • Nausea and vomiting
  • High blood pressure
  • Hand-foot syndrome (redness or swelling of hands and feet)

How to Choose Between Generic Cabozantinib and Cabometyx

Choosing between the generic and the brand version depends on a few factors:

  • Cost: If you’re on a budget, the generic version of Cabozantinib might be the better choice.
  • Doctor’s Advice: Some doctors may recommend Cabometyx due to its established reputation.
  • Insurance Coverage: Check with your insurance to see which option they will cover more.
  • Availability: In some cases, the generic might be easier to get.


Common FAQ’S

1. What is Cabometyx used for?

 Cabometyx is used to treat advanced kidney cancer, liver cancer, and thyroid cancer.

2. How much does Cabometyx cost?

 The price of Cabometyx can vary depending on the dosage (Cabometyx 40mg, Cabometyx 60mg) and your location. It’s usually more expensive than the generic version.

3. Are Cabometyx and generic Cabozantinib equally effective?

 Yes, the FDA ensures that both have the same level of effectiveness.

4. What are the side effects of Cabometyx?

 Common side effects include diarrhea, tiredness, and high blood pressure.

5. Why is Cabometyx more expensive than generic Cabozantinib?

 Brand-name drugs like Cabometyx spend more on research, development, and marketing, which makes them costlier.

Conclusion

Both Cabometyx and generic Cabozantinib are effective cancer treatments. The biggest difference is their price. The generic option is cheaper and just as good, while Cabometyx has the trust of being a well-known brand. Talk to your doctor about which option is best for your treatment.

Remember, this blog is for informational purposes only and should not be considered a substitute for professional medical advice. Always consult your healthcare provider before making any changes to your treatment