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In Brief: Midostaurin (Rydapt) for AML and Advanced Systemic Mastocytosis (online only)

   
The Medical Letter on Drugs and Therapeutics • Aug 14, 2017  (Issue 1527)
0.78). The 4-year overall survival rate was 51.4% with midostaurin and 44.3% with placebo.1 Common ...
The FDA has approved the oral multikinase inhibitor midostaurin (Rydapt – Novartis) for first-line treatment, in addition to standard chemotherapy, of adults with FLT3 (fms-like tyrosine kinase 3) mutation-positive acute myeloid leukemia (AML). About 30% of patients with AML have FLT3 mutations. Midostaurin is also approved as a single agent for treatment of adults with aggressive systemic mastocytosis, systemic mastocytosis with associated hematological neoplasm, or mast-cell leukemia. In mastocytosis, midostaurin targets mutant c-KIT, not FLT3.In a randomized, double-blind trial, 717...
Med Lett Drugs Ther. 2017 Aug 14;59(1527):e140 |  Show IntroductionHide Introduction

In Brief: A Shorter Treatment Regimen for Tuberculosis (online only)

   
The Medical Letter on Drugs and Therapeutics • Aug 23, 2021  (Issue 1631)
adherence.1 THE CLINICAL TRIAL — Study 31/A5349 was a randomized, open-label trial in which 2516 patients ...
In a clinical trial conducted by the CDC's Tuberculosis Trials Consortium in collaboration with the NIH-funded AIDS Clinical Trials Group, a new 4-month regimen for treatment of drug-susceptible pulmonary tuberculosis was found to be noninferior to 6 months of standard treatment.
Med Lett Drugs Ther. 2021 Aug 23;63(1631):e3 |  Show IntroductionHide Introduction

In Brief: Brexucabtagene autoleucel (Tecartus) for Acute Lymphoblastic Leukemia (online only)

   
The Medical Letter on Drugs and Therapeutics • Jun 12, 2023  (Issue 1678)
in 2017 for treatment of relapsed or refractory B-cell precursor ALL in patients ≤25 years old.1 ...
Brexucabtagene autoleucel (Tecartus – Kite) has been approved by the FDA for treatment of adults with relapsed or refractory B-cell precursor acute lymphoblastic leukemia (ALL). It was previously approved for treatment of relapsed or refractory mantle cell lymphoma. Tecartus is an individualized cellular product prepared from the patients own T cells, which are genetically modified to express chimeric antigen receptors (CAR) and then infused back into the patient. The CAR T-cell immunotherapy tisagenlecleucel (Kymriah) was approved in 2017 for treatment of relapsed or refractory...
Med Lett Drugs Ther. 2023 Jun 12;65(1678):e105-6   doi:10.58347/tml.2023.1678f |  Show IntroductionHide Introduction

In Brief: Femlyv – An Orally Disintegrating Hormonal Contraceptive

   
The Medical Letter on Drugs and Therapeutics • Dec 09, 2024  (Issue 1717)
pregnancy.1 DOSAGE AND ADMINISTRATION ― Femlyv is supplied in cartons containing 3 blister cards. Each ...
Femlyv (Millicent), an orally disintegrating tablet containing ethinyl estradiol and norethindrone acetate, has been approved by the FDA for prevention of pregnancy in females with a body mass index (BMI) ≤35 kg/m2. It is the first hormonal contraceptive to become available in an orally disintegrating tablet formulation. Traditional oral and chewable tablets containing ethinyl estradiol and norethindrone acetate in a wide range of doses, including those found in Femlyv, have been available in the US for years.
Med Lett Drugs Ther. 2024 Dec 9;66(1717):200   doi:10.58347/tml.2024.1717c |  Show IntroductionHide Introduction

Comparison Table: Amyloid Beta-Directed Antibodies for Alzheimer's Disease (online only)

   
The Medical Letter on Drugs and Therapeutics • Mar 30, 2026  (Issue 1751)
autoinjector Dosage 350 mg x 1, then 700 mg at week 4, 1050 mg at week 8, and 1400 mg every 4 weeks by IV ...
View the Comparison Table: Amyloid Beta-Directed Antibodies for Alzheimer's Disease
Med Lett Drugs Ther. 2026 Mar 30;68(1751):e59-60   doi:10.58347/tml.2026.1751d |  Show IntroductionHide Introduction

Atazanavir (Reyataz) and Emtricitabine (Emtriva) for HIV Infection

   
The Medical Letter on Drugs and Therapeutics • Nov 10, 2003  (Issue 1169)
by the FDA for treatment of HIV-1 infection. Both are taken once daily, unlike most anti-HIV drugs ...
Atazanavir (Reyataz - Bristol-Myers Squibb), a new protease inhibitor (PI), and emtricitabine (Emtriva - Gilead), a nucleoside analogue reverse transcriptase inhibitor (NRTI) chemically similar to lamivudine, have been approved by the FDA for treatment of HIV-1 infection. Both are taken once daily, unlike most anti-HIV drugs.
Med Lett Drugs Ther. 2003 Nov 10;45(1169):90-2 |  Show IntroductionHide Introduction

Micafungin (Mycamine) for Fungal Infections

   
The Medical Letter on Drugs and Therapeutics • Jun 20, 2005  (Issue 1211)
Infections Micafungin sodium (Mycamine – Astellas), the second echinocandin antifungal 1 to become ...
Micafungin sodium (Mycamine - Astellas), the second echinocandin antifungal to become available in the US, has been approved by the FDA for intravenous treatment of esophageal candidiasis and prophylaxis of invasive Candida infections in patients undergoing hematopoietic stem cell transplantation (HSCT).
Med Lett Drugs Ther. 2005 Jun 20;47(1211):51-2 |  Show IntroductionHide Introduction

Treatment of Community-Associated MRSA Infections

   
The Medical Letter on Drugs and Therapeutics • Feb 13, 2006  (Issue 1228)
system. 1 CA-MRSA INFECTIONS — Strains of CA-MRSA, unlike hospital-associated (HA) MRSA strains ...
Methicillin-resistant Staphylococcus aureus (MRSA) infections, which have been a concern for many years, previously occurred primarily in hospitalized patients and those recently treated with antibiotics. In the past few years, there has been an increasing incidence worldwide of community-associated (CA) MRSA infections in patients without recent antibiotic exposure or contact with the healthcare system.
Med Lett Drugs Ther. 2006 Feb 13;48(1228):13-4 |  Show IntroductionHide Introduction

Degarelix (Firmagon) for Prostate Cancer

   
The Medical Letter on Drugs and Therapeutics • Oct 19, 2009  (Issue 1323)
(Plenaxis), 1 the first GnRH antagonist approved by the FDA, was withdrawn from the US market because ...
The FDA has approved degarelix (Firmagon - Ferring), a synthetic decapeptide gonadotropin-releasing hormone (GnRH) receptor antagonist, for rapid medical castration of men with advanced prostate cancer. Abarelix (Plenaxis), the first GnRH antagonist approved by the FDA, was withdrawn from the US market because of immediate hypersensitivity reactions.
Med Lett Drugs Ther. 2009 Oct 19;51(1323):82-3 |  Show IntroductionHide Introduction

Ophthalmic Besifloxacin (Besivance)

   
The Medical Letter on Drugs and Therapeutics • Dec 14, 2009  (Issue 1327)
, this product was developed specifically for ophthalmic use in a specialized vehicle Table 1. Some Ophthalmic ...
The FDA has approved the fluoroquinolone besifloxacin 0.6% ophthalmic suspension (Besivance - Bausch & Lomb) for treatment of bacterial conjunctivitis caused by susceptible bacteria. According to the manufacturer, this product was developed specifically for ophthalmic use in a specialized vehicle designed to prolong contact time on the ocular surface. Besifloxacin is not available for systemic use.
Med Lett Drugs Ther. 2009 Dec 14;51(1327):101-3 |  Show IntroductionHide Introduction