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Radium-223 (Xofigo) for Prostate Cancer

   
The Medical Letter on Drugs and Therapeutics • Sep 30, 2013  (Issue 1426)
Not metabolized Decay half-life 11.4 days Elimination Primarily in feces Table 1. Pharmacology STANDARD ...
Radium Ra 223 dichloride (Xofigo – Bayer), a radiotherapeutic drug, has been approved by the FDA for intravenous treatment of castration-resistant prostate cancer with symptomatic bone metastases and no known visceral metastatic disease.
Med Lett Drugs Ther. 2013 Sep 30;55(1426):79-80 |  Show IntroductionHide Introduction

Paroxetine (Brisdelle) for Hot Flashes

   
The Medical Letter on Drugs and Therapeutics • Oct 28, 2013  (Issue 1428)
of depression and other psychiatric disorders.1 STANDARD TREATMENT —For many years, the standard treatment ...
The FDA has approved a low-dose formulation of the selective serotonin reuptake inhibitor (SSRI) paroxetine mesylate (Brisdelle – Noven Therapeutics) for treatment of moderate-to-severe vasomotor symptoms associated with menopause. It is the first non-hormonal therapy to be approved for this indication. Paroxetine mesylate (Pexeva) and paroxetine hydrochloride (Paxil, and generics) are marketed in higher doses for treatment of depression and other psychiatric disorders.
Med Lett Drugs Ther. 2013 Oct 28;55(1428):85-6 |  Show IntroductionHide Introduction

A Stool DNA Test (Cologuard) for Colorectal Cancer Screening

   
The Medical Letter on Drugs and Therapeutics • Oct 13, 2014  (Issue 1453)
45 for African Americans.1 When colonoscopy is not available or the patient declines the procedure ...
The FDA has approved Cologuard (Exact Sciences), a stool DNA test, to screen average-risk adults ≥50 years old for colorectal cancer.
Med Lett Drugs Ther. 2014 Oct 13;56(1453):100-1 |  Show IntroductionHide Introduction

Secondary Prevention of Stroke

   
The Medical Letter on Drugs and Therapeutics • Dec 08, 2014  (Issue 1457)
ischemic attack (TIA).1 ASPIRIN — Aspirin monotherapy has been shown to reduce the risk of secondary ...
Recent guidelines from the American Heart Association and American Stroke Association reviewed antithrombotic therapy options for secondary prevention of stroke in patients who have had a stroke or transient ischemic attack (TIA).
Med Lett Drugs Ther. 2014 Dec 8;56(1457):125-6 |  Show IntroductionHide Introduction

Axicabtagene Ciloleucel (Yescarta) for B-Cell Lymphoma (online only)

   
The Medical Letter on Drugs and Therapeutics • Jul 16, 2018  (Issue 1551)
-cell precursor acute lymphoblastic leukemia (ALL) in patients ≤25 years old,1 was recently also ...
The FDA has approved axicabtagene ciloleucel (Yescarta – Kite) for treatment of adults with relapsed or refractory CD19+ large B-cell lymphoma after ≥2 lines of systemic therapy. Yescarta 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. It is the second CAR T-cell immunotherapy to become available in the US. Tisagenlecleucel (Kymriah), a CAR T-cell product previously approved for treatment of relapsed or refractory B-cell...
Med Lett Drugs Ther. 2018 Jul 16;60(1551):e122-3 |  Show IntroductionHide Introduction

OTC Primatene Mist Returns

   
The Medical Letter on Drugs and Therapeutics • Jan 28, 2019  (Issue 1564)
have been diagnosed with mild intermittent asthma by a healthcare professional.1 The original version of Primatene ...
The FDA has approved over-the-counter (OTC) sale of inhaled epinephrine (Primatene Mist – Amphastar), a nonselective alpha and beta agonist, for temporary relief of mild symptoms of intermittent asthma in patients ≥12 years old who have been diagnosed with mild intermittent asthma by a healthcare professional. The original version of Primatene Mist, which was approved by the FDA in 1967, was removed from the market in 2011 because the metered-dose inhaler (MDI) contained ozone-depleting chlorofluorocarbon (CFC) propellants; the new MDI contains hydrofluoroalkane (HFA)...
Med Lett Drugs Ther. 2019 Jan 28;61(1564):9-10 |  Show IntroductionHide Introduction

In Brief: Abemaciclib (Verzenio) for Early Breast Cancer

   
The Medical Letter on Drugs and Therapeutics • Dec 13, 2021  (Issue 1639)
, early breast cancer at high risk of recurrence and a Ki-67 score >20%.1 HR-POSITIVE, HER2-NEGATIVE ...
The oral cyclin-dependent kinase (CDK) 4/6 inhibitor abemaciclib (Verzenio – Lilly), which was approved by the FDA in 2017 for treatment of hormone receptor (HR)-positive, human epidermal growth factor receptor 2 (HER2)-negative advanced or metastatic breast cancer, has now been approved for use in combination with endocrine therapy (tamoxifen or an aromatase inhibitor) for adjuvant treatment of patients with HR-positive, HER2-negative, node-positive, early breast cancer at high risk of recurrence and a Ki-67 score ≥20%.
Med Lett Drugs Ther. 2021 Dec 13;63(1639):199-200 |  Show IntroductionHide Introduction

Efgartigimod alfa (Vyvgart) for Myasthenia Gravis

   
The Medical Letter on Drugs and Therapeutics • Apr 18, 2022  (Issue 1648)
complement inhibitor eculizumab (Soliris) was approved for the same indication in 2017. Table 1 ...
Efgartigimod alfa-fcab (Vyvgart – Argenx), a first-in-class neonatal Fc receptor (FcRn) antagonist, has been approved by the FDA for IV treatment of generalized myasthenia gravis in adults who are anti-acetylcholine receptor (AChR) antibody positive. The IV complement inhibitor eculizumab (Soliris) was approved for the same indication in 2017.
Med Lett Drugs Ther. 2022 Apr 18;64(1648):62-3 |  Show IntroductionHide Introduction

Idecabtagene Vicleucel (Abecma) for Multiple Myeloma (online only)

   
The Medical Letter on Drugs and Therapeutics • Nov 14, 2022  (Issue 1663)
a complete response or better. Median progression-free survival was 8.8 months.1 A longterm follow-up study ...
The FDA has approved idecabtagene vicleucel (Abecma – BMS), 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. Abecma 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. Ciltacabtagene autoleucel...
Med Lett Drugs Ther. 2022 Nov 14;64(1663):e190-1 |  Show IntroductionHide Introduction

Polatuzumab vedotin (Polivy) for Lymphoma (online only)

   
The Medical Letter on Drugs and Therapeutics • May 29, 2023  (Issue 1677)
, and prednisone (R-CHOP). The risk of relapse is highest within one year following treatment.1 MECHANISM ...
Polatuzumab vedotin-piiq (Polivy – Genentech), a CD79b-directed antibody and microtubule inhibitor conjugate, has been approved by the FDA for use in combination with rituximab, cyclophosphamide, doxorubicin, and prednisone (R-CHP) for first-line treatment of diffuse large B-cell lymphoma (DLBCL), not otherwise specified (NOS), or high-grade B-cell lymphoma (HGBL) in adults who have an International Prognostic Index (IPI) score ≥2. The drug was previously approved for use in combination with bendamustine and rituximab for treatment of patients with relapsed or refactory DLBCL,...
Med Lett Drugs Ther. 2023 May 29;65(1677):e89-90   doi:10.58347/tml.2023.1677f |  Show IntroductionHide Introduction