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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.
Med Lett Drugs Ther. 2022 Apr 18;64(1648):63-4 |  Show IntroductionHide Introduction

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...
Med Lett Drugs Ther. 2022 Nov 14;64(1663):e188-9 |  Show IntroductionHide Introduction

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...
Med Lett Drugs Ther. 2022 Nov 28;64(1664):e197-8 |  Show IntroductionHide Introduction

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 IntroductionHide 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 IntroductionHide 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 IntroductionHide 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 IntroductionHide 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 IntroductionHide 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 IntroductionHide 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 IntroductionHide Introduction