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COVID-19 Updates
The Medical Letter on Drugs and Therapeutics • Apr 18, 2022 (Issue 1648)
® Vol. 64 (1648) April 18, 2022
64
The FDA has begun to restrict use of the anti-SARSCoV-
2 ...
The FDA has expanded the Emergency Use Authorizations
(EUAs) for the mRNA COVID-19 vaccines
manufactured by Pfizer-BioNTech (Comirnaty) and
Moderna (Spikevax) to allow for their use as a second
booster dose ≥4 months after a first booster dose in
adults ≥50 years old and in persons aged ≥12 years
(Pfizer) or ≥18 years (Moderna) who have undergone
solid organ transplantation or have a condition that
compromises the immune system to a similar extent.
Ciltacabtagene Autoleucel (Carvykti) for Multiple Myeloma (online only)
The Medical Letter on Drugs and Therapeutics • Nov 14, 2022 (Issue 1663)
and the overall survival
rate was 80.9%.2
e189
The Medical Letter ® Vol. 64 Published online November 14, 2022 ...
The FDA has approved ciltacabtagene autoleucel
(Carvykti – Janssen), a B-cell maturation antigen
(BCMA)-directed genetically-modified cellular product,
for treatment of relapsed or refractory
multiple myeloma in adults who received ≥4 prior
lines of therapy, including a proteasome inhibitor,
an immunomodulatory drug, and an anti-CD38
monoclonal antibody. Carvykti is an individualized
cellular product prepared from the patient's own
T cells, which are genetically modified to express
chimeric antigen receptors (CAR) and then infused
back into the patient. Idecabtagene...
Mobocertinib (Exkivity) for Non-Small Cell Lung Cancer (online only)
The Medical Letter on Drugs and Therapeutics • Nov 28, 2022 (Issue 1664)
® Vol. 64 Published online November 28, 2022
1. JL Leal et al. EGFR exon 20 insertion mutations ...
Mobocertinib (Exkivity – Takeda), an oral kinase
inhibitor, has received accelerated approval from the
FDA for treatment of locally advanced or metastatic
non-small cell lung cancer (NSCLC) with epidermal
growth factor receptor (EGFR) exon 20 insertion
mutations in adults whose disease has progressed on
or after platinum-based chemotherapy. Accelerated
approval was based on the overall response rate and
duration of response. Mobocertinib is the second
drug to become available in the US for this indication;
the IV EGFR-MET bispecific antibody amivantamab
(Rybrevant) was approved...
Opdualag for Metastatic Melanoma (online only)
The Medical Letter on Drugs and Therapeutics • Jan 23, 2023 (Issue 1668)
treatment with nivolumab/ipilimumab remains to be determined.
e20
The Medical Letter ® Vol. 65 Published ...
Opdualag (BMS), a fixed-dose combination of two
immune checkpoint inhibitors — nivolumab (Opdivo),
a programmed death receptor-1 (PD-1) inhibitor, and
relatlimab-rmbw, a lymphocyte-activation gene-3
(LAG-3) blocking antibody — has been approved by
the FDA for treatment of unresectable or metastatic
melanoma in patients ≥12 years old. Relatlimab, which
is only available in combination with nivolumab, is
the first LAG-3 blocking antibody to become available
in the US. Immune checkpoint inhibitors, including
the anti-CTLA-4 antibody ipilimumab (Yervoy) and
the PD-1 inhibitors...
Med Lett Drugs Ther. 2023 Jan 23;65(1668):e19-20 doi:10.58347/tml.2023.1668g | Show Introduction Hide Introduction
Lecanemab (Leqembi) for Alzheimer's Disease
The Medical Letter on Drugs and Therapeutics • Feb 06, 2023 (Issue 1669)
Letter ® Vol. 65 (1669) February 6, 2023
18
2 weeks for 18 months. The primary endpoint was
the change ...
Lecanemab-irmb (Leqembi – Biogen/Eisai), an IV
amyloid beta-directed monoclonal antibody, has
received accelerated approval from the FDA for
treatment of Alzheimer's disease. The label states
that treatment with Leqembi should be initiated in
patients with mild cognitive impairment (MCI) or
mild dementia, the population in which the drug was
initiated in clinical trials. Lecanemab is the second
IV amyloid-beta directed monoclonal antibody to be
approved for this indication; aducanumab (Aduhelm)
was approved in 2021 and has the same restrictions
on treatment...
Med Lett Drugs Ther. 2023 Feb 6;65(1669):17-8 doi:10.58347/tml.2023.1669a | Show Introduction Hide Introduction
In Brief: A New Indication for Dabrafenib (Tafinlar) and Trametinib (Mekinist) Combination Therapy (online only)
The Medical Letter on Drugs and Therapeutics • Feb 06, 2023 (Issue 1669)
The Medical Letter ® Vol. 65 Published online January 24, 2023
1. V Subbiah et al. Dabrafenib plus trametinib ...
The oral kinase inhibitors dabrafenib (Tafinlar – GSK)
and trametinib (Mekinist – Novartis) have received
accelerated approval by the FDA for use together
for a fifth indication: treatment of unresectable or
metastatic solid tumors with a BRAF V600E mutation
in patients ≥6 years old who have progressed
following prior treatment and have no satisfactory
alternative treatment options. The combination is not
approved for treatment of colorectal cancer because
of known intrinsic resistance to BRAF inhibition and
dabrafenib is not approved for use in patients with
wild-type BRAF...
Med Lett Drugs Ther. 2023 Feb 6;65(1669):e26-7 doi:10.58347/tml.2023.1669f | Show Introduction Hide Introduction
Live Fecal Microbiota (Rebyota) for Prevention of CDI Recurrence
The Medical Letter on Drugs and Therapeutics • Mar 06, 2023 (Issue 1671)
are
available.
The Medical Letter ® Vol. 65 (1671) March 6, 2023
36
1. CR Kelly et al. ACG clinical ...
The FDA has approved Rebyota (Ferring), a rectally-administered,
live fecal microbiota suspension, for
prevention of additional recurrences of Clostridioides
difficile infection (CDI) following antibiotic treatment
for a recurrent episode of CDI in adults. Rebyota is
the first microbiome-based treatment to be approved
for this indication. It is not approved for initial
treatment of CDI. Fecal microbiota transplantation
(FMT) has been used in patients with multiple
CDI recurrences.
Med Lett Drugs Ther. 2023 Mar 6;65(1671):35-6 doi:10.58347/tml.2023.1671b | Show Introduction Hide Introduction
In Brief: Expanded Heart Failure Indication for Dapagliflozin (Farxiga)
The Medical Letter on Drugs and Therapeutics • Jun 26, 2023 (Issue 1679)
; eGFR = estimated glomerular filtration rate; HF = heart failure
The Medical Letter ® Vol. 65 (1679 ...
The sodium-glucose cotransporter 2 (SGLT2)
inhibitor dapagliflozin (Farxiga – AstraZeneca) was
approved by the FDA in 2020 to reduce the risk of
cardiovascular death and hospitalization for heart
failure (HF) in adults with heart failure with reduced
ejection fraction (HFrEF). The indication has now
been expanded to include a reduction in the risk
of urgent HF visits and use in adults with any left
ventricular ejection fraction (LVEF).
Med Lett Drugs Ther. 2023 Jun 26;65(1679):101-2 doi:10.58347/tml.2023.1679c | Show Introduction Hide Introduction
Lodoco: Low-Dose Colchicine for Cardiovascular Event Prevention
The Medical Letter on Drugs and Therapeutics • Oct 02, 2023 (Issue 1686)
.
The Medical Letter ® Vol. 65 (1686) October 2, 2023Medical
Letter Myinfla gout Colcrys Lodoco colchicine ...
Colchicine (Colcrys, and others), which has been
available in the US for decades for prophylaxis
and treatment of gout flares and other indications
in oral formulations that contain 0.6 mg of the
drug, has now been approved in 0.5-mg tablets as
Lodoco (Agepha) to reduce the risk of myocardial
infarction (MI), stroke, coronary revascularization,
and cardiovascular death in adults with established
atherosclerotic disease or multiple risk factors for
cardiovascular disease.
Med Lett Drugs Ther. 2023 Oct 2;65(1686):156-7 doi:10.58347/tml.2023.1686b | Show Introduction Hide Introduction
AD-Detect — A Blood Test for Alzheimer's Disease
The Medical Letter on Drugs and Therapeutics • Oct 30, 2023 (Issue 1688)
.
The Medical Letter ® Vol. 65 (1688) October 30, 2023
Letter
AD, past diagnosed brain trauma or head injury ...
AD-Detect (Quest), a blood test to evaluate
Alzheimer's disease risk, is being marketed directly
to consumers. It has not been cleared or approved
by the FDA (laboratory-developed tests like this
one currently do not need FDA authorization to be
marketed).
Med Lett Drugs Ther. 2023 Oct 30;65(1688):175-6 doi:10.58347/tml.2023.1688b | Show Introduction Hide Introduction