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Two New Drugs for Idiopathic Pulmonary Fibrosis
The Medical Letter on Drugs and Therapeutics • Dec 08, 2014 (Issue 1457)
pregnancy.
Nintedanib is a tyrosine kinase inhibitor that reduces
fibroblast activity by binding ...
The FDA has approved 2 oral drugs for treatment
of idiopathic pulmonary fibrosis (IPF). Pirfenidone
(Esbriet) has been available in Europe since 2011 and
in Canada since 2012. Nintedanib (Ofev) is available
only in the US.
Gardasil 9 - A Broader HPV Vaccine
The Medical Letter on Drugs and Therapeutics • Mar 30, 2015 (Issue 1465)
of sexual activity,
with a cumulative incidence of 40% within 16 months.
Although most HPV infections ...
The FDA has now approved a recombinant, 9-valent,
human papillomavirus (HPV) vaccine (Gardasil 9 –
Merck) for use in girls and women 9-26 years old and
boys 9-15 years old. The new vaccine is indicated to
prevent diseases associated with infection with HPV
types 6, 11, 16, 18, 31, 33, 45, 52, and 58, which include
genital warts and cervical, vulvar, vaginal, and anal
precancerous lesions and cancer. Two recombinant
HPV vaccines are already available in the US: Gardasil
prevents disease associated with HPV types 6, 11, 16,
and 18, and Cervarix prevents disease associated
with HPV...
Polidocanol (Varithena) for Varicose Veins
The Medical Letter on Drugs and Therapeutics • Aug 03, 2015 (Issue 1474)
atmosphere and the other pressurized oxygen;
joining the 2 canisters activates the product, which ...
An injectable foam formulation of the sclerosing
agent polidocanol (Varithena – Provensis/BTG)
has been approved by the FDA for treatment of
incompetent veins and visible varicosities of the great
saphenous vein system. It is the first foam therapy to
be approved for this indication, but polidocanol and
other sclerosants have been used for years as foam
formulations compounded by physicians. Polidocanol
is also available in a liquid formulation (Asclera)
to treat smaller veins. Sodium tetradecyl sulfate
(Sotradecol) is FDA-approved in a liquid formulation
for use in...
Mepolizumab (Nucala) for Severe Eosinophilic Asthma
The Medical Letter on Drugs and Therapeutics • Jan 18, 2016 (Issue 1486)
,
and activation of eosinophils. Mepolizumab binds to
IL-5 receptors, reducing the production and survival ...
The FDA has approved mepolizumab (Nucala - GSK), a
subcutaneously injected humanized interleukin-5 (IL-5) antagonist monoclonal antibody, for maintenance
treatment of severe asthma in patients ≥12 years old
who have an eosinophilic phenotype.
Inhaled Levodopa (Inbrija) for Parkinson's Disease
The Medical Letter on Drugs and Therapeutics • May 20, 2019 (Issue 1572)
with other
active treatments are available to date.
Table 1. Pharmacology
Class Dopamine precursor
Formulation 42 ...
The FDA has approved Inbrija (Acorda), an orally
inhaled dry-powder formulation of levodopa, for
intermittent treatment of "off" episodes in patients
with Parkinson's disease (PD) being treated with
carbidopa/levodopa (Sinemet, and others).
Molnupiravir - An Oral Antiviral Drug for COVID-19
The Medical Letter on Drugs and Therapeutics • Jan 24, 2022 (Issue 1642)
― The nucleoside analog metabolite
of molnupiravir retains activity against the Alpha
(B.1.1.7), Beta (B.1.351 ...
The investigational oral antiviral drug molnupiravir
(Merck/Ridgeback Biotherapeutics) was granted an
FDA Emergency Use Authorization (EUA) on December
23, 2021 for treatment of mild to moderate COVID-19
in outpatients ≥18 years old who are at high risk of
progressing to severe disease, including hospitalization
or death (see Table 1), and for whom alternative treatment options are
not available or clinically appropriate. Paxlovid (Pfizer),
nirmatrelvir copackaged with ritonavir, was granted
an EUA on December 22, 2021. The IV antiviral drug
remdesivir (Veklury) was approved by the...
Epsolay - A Benzoyl Peroxide Cream for Rosacea
The Medical Letter on Drugs and Therapeutics • Feb 06, 2023 (Issue 1669)
vehicle alone once daily for 12 weeks. Patients who
used the active product had statistically ...
Epsolay (Galderma), a 5% benzoyl peroxide cream,
has been approved by the FDA for treatment of
inflammatory lesions of rosacea in adults. It is the first
product containing benzoyl peroxide to be approved
in the US for treatment of rosacea. Benzoyl peroxide
formulations approved for acne have been used off-label
to treat rosacea for years, but itching and burning
have limited their use.
Med Lett Drugs Ther. 2023 Feb 6;65(1669):21-2 doi:10.58347/tml.2023.1669c | Show Introduction Hide Introduction
Eflapegrastim (Rolvedon) for Prevention of Chemotherapy-Induced Febrile Neutropenia
The Medical Letter on Drugs and Therapeutics • May 29, 2023 (Issue 1677)
and stimulates neutrophil proliferation,
differentiation, migration, and activity.
Recombinant G-CSF injections ...
Eflapegrastim-xnst ((Rolvedon) [Spectrum]; previously
called Rolontis), a granulocyte colony-stimulating
factor (G-CSF) conjugated to an Fc fragment of human
IgG4, has been approved by the FDA to decrease
the incidence of infection, as manifested by febrile
neutropenia, in adults with nonmyeloid malignancies
receiving myelosuppressive chemotherapy that can
cause clinically significant febrile neutropenia.
Med Lett Drugs Ther. 2023 May 29;65(1677):83-4 doi:10.58347/tml.2023.1677b | Show Introduction Hide Introduction
Balfaxar: Another Four-Factor PCC for Warfarin Reversal
The Medical Letter on Drugs and Therapeutics • Feb 19, 2024 (Issue 1696)
hours, but restoration of
vitamin K-dependent coagulation factor activity
and normalization of the INR ...
Balfaxar (Octapharma), a human plasma-derived
four-factor prothrombin complex concentrate (PCC),
has been approved by the FDA for rapid reversal of
warfarin anticoagulation in adults who require an
urgent surgical/invasive procedure. It is the second
four-factor PCC to become available in the US;
Kcentra, which has been available since 2013, is
approved for the same indication and for urgent
reversal of warfarin anticoagulation in adults with
acute major bleeding. Balfaxar is marketed in Canada
and Europe as Octaplex.
Med Lett Drugs Ther. 2024 Feb 19;66(1696):31-2 doi:10.58347/tml.2024.1696d | Show Introduction Hide Introduction
Tebentafusp (Kimmtrak) for Uveal Melanoma (online only)
The Medical Letter on Drugs and Therapeutics • Jun 24, 2024 (Issue 1705)
events (due to T-cell
activation) and skin-related reactions (due to gp
100–positive melanocytes ...
The FDA has approved tebentafusp-tebn (Kimmtrak –
Immunocore), a first-in-class bispecific gp100
peptide-HLA-directed CD3 T-cell engager, for
treatment of HLA-A*02:01-positive unresectable or
metastatic uveal melanoma in adults.
Med Lett Drugs Ther. 2024 Jun 24;66(1705):e107-8 doi:10.58347/tml.2024.1705f | Show Introduction Hide Introduction