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MenQuadfi - A New Meningococcal (A, C, W, and Y) Vaccine
The Medical Letter on Drugs and Therapeutics • May 17, 2021 (Issue 1624)
impairment. Rates of
meningococcal disease are highest in infants ...
The FDA has licensed MenQuadfi (Sanofi Pasteur),
a quadrivalent polysaccharide conjugate vaccine
that uses tetanus toxoid as a protein carrier, for
prevention of invasive meningococcal disease caused
by Neisseria meningitidis serogroups A, C, W, and Y
(MenACWY) in persons ≥2 years old.
Drugs for Acne
The Medical Letter on Drugs and Therapeutics • Feb 05, 2024 (Issue 1695)
in 2016.1
PATHOGENESIS
The pathogenesis of acne is multifactorial: follicular
hyperkeratinization ...
Acne is common among adolescents and adults.
Guidelines for treatment of acne were last published
by the American Academy of Dermatology in 2016.
Med Lett Drugs Ther. 2024 Feb 5;66(1695):17-20 doi:10.58347/tml.2024.1695a | Show Introduction Hide Introduction
Molnupiravir - An Oral Antiviral Drug for COVID-19
The Medical Letter on Drugs and Therapeutics • Jan 24, 2022 (Issue 1642)
of progressing to severe disease, including
hospitalization or death (see Table 1), and for whom
alternative ...
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...
Erdafitinib (Balversa) for Urothelial Carcinoma (online only)
The Medical Letter on Drugs and Therapeutics • May 13, 2024 (Issue 1702)
. It is not
recommended for use in patients who are eligible
for but have not received prior PD-1 (programmed
death ...
Erdafitinib (Balversa – Janssen), an oral kinase
inhibitor, has received full approval from the FDA
for treatment of locally advanced or metastatic
urothelial carcinoma in adults with susceptible
FGFR3 (fibroblast growth factor receptor) genetic
alterations who had disease progression on or after
at least one prior line of systemic therapy. It is not
recommended for use in patients who are eligible
for but have not received prior PD-1 (programmed
death receptor-1) or PD-L1 (programmed death-ligand
1) inhibitor therapy. Erdafitinib is the first
oral FGFR kinase inhibitor to be...
Med Lett Drugs Ther. 2024 May 13;66(1702):e83-4 doi:10.58347/tml.2024.1702g | Show Introduction Hide Introduction
In Brief: Retifanlimab (Zynyz) for Merkel Cell Carcinoma (online only)
The Medical Letter on Drugs and Therapeutics • Apr 17, 2023 (Issue 1674)
), a programmed
death receptor-1 (PD-1) blocking antibody, has
received accelerated approval from the FDA ...
Retifanlimab-dlwr (Zynyz – Incyte), a programmed
death receptor-1 (PD-1) blocking antibody, has
received accelerated approval from the FDA for
treatment of metastatic or recurrent locally advanced
Merkel cell carcinoma (MCC) in adults. Accelerated
approval of the drug was based on the response rate
and duration of response. Retifanlimab is the third
drug to be approved in the US for treatment of MCC;
pembrolizumab (Keytruda), a PD-1 blocking antibody,
is approved for the same indication as retifanlimab
in patients ≥12 years old and avelumab (Bavencio),
a programmed death...
Med Lett Drugs Ther. 2023 Apr 17;65(1674):e73-4 doi:10.58347/tml.2023.1674h | Show Introduction Hide Introduction
Daridorexant (Quviviq) for Insomnia
The Medical Letter on Drugs and Therapeutics • Jul 11, 2022 (Issue 1654)
) and lemborexant (Dayvigo)
were approved earlier.1,2
Pronunciation Key
Daridorexant: da ree” doe rek’ sant ...
The FDA has approved daridorexant (Quviviq –
Idorsia), an orexin receptor antagonist, for treatment
of sleep-onset and/or sleep-maintenance insomnia
in adults. Daridorexant is the third orexin receptor
antagonist to be approved for this indication;
suvorexant (Belsomra) and lemborexant (Dayvigo)
were approved earlier.
In Brief: A New Torsemide Formulation (Soaanz) for Edema (online only)
The Medical Letter on Drugs and Therapeutics • Aug 19, 2024 (Issue 1709)
In Brief: A New Torsemide Formulation (Soaanz) for Edema
1. FDA. Center for Drug Evaluation ...
The FDA has approved Soaanz (Sarfez), a new
formulation of the loop diuretic torsemide, for
treatment of edema associated with heart failure or
renal disease in adults. Torsemide has been available
generically for years for treatment of hypertension and
treatment of edema due to heart failure, renal disease,
or hepatic disease. According to the manufacturer,
Soaanz tablets are formulated to provide a gradual
and sustained diuresis, lowering the risk of excessive
urination and hypokalemia.
Med Lett Drugs Ther. 2024 Aug 19;66(1709):e141 doi:10.58347/tml.2024.1709h | Show Introduction Hide Introduction
In Brief: Rybelsus R2 Rebranded as Ozempic
The Medical Letter on Drugs and Therapeutics • Apr 13, 2026 (Issue 1752)
1.5-, 4-, and 9-mg tablets, which
were previously approved by the FDA (but never
marketed) as the R2 ...
Oral semaglutide 1.5-, 4-, and 9-mg tablets, which
were previously approved by the FDA (but never
marketed) as the R2 formulation of Rybelsus, have
now been approved as Ozempic (see Table 1). Both
the original R1 formulation of Rybelsus (3-, 7-, and
14-mg tablets) and the renamed Ozempic tablets are
FDA-approved for treatment of type 2 diabetes and
to reduce the risk of major adverse cardiovascular
events (MACE) in adults with type 2 diabetes who are
at risk for these events. The R1 (Rybelsus) and R2
(Ozempic) formulations are not interchangeable on a
mg-per-mg basis; Ozempic...
Med Lett Drugs Ther. 2026 Apr 13;68(1752):64 doi:10.58347/tml.2026.1752f | Show Introduction Hide Introduction
Lonapegsomatropin (Skytrofa) for Growth Hormone Deficiency
The Medical Letter on Drugs and Therapeutics • Feb 07, 2022 (Issue 1643)
from their biosimilars.
Table 1. Pharmacology
Class Recombinant human growth hormone
Formulation 3, 3.6, 4.3, 5.2, 6.3 ...
Lonapegsomatropin-tcgd (Skytrofa – Ascendis), a long-acting prodrug of recombinant human growth hormone (rhGH), has been approved by the FDA for
once-weekly subcutaneous (SC) treatment of growth
failure due to inadequate secretion of endogenous
growth hormone in children ≥1 year old who weigh
≥11.5 kg. It is the first once-weekly rhGH product to be
approved in the US; other available rhGH formulations
are administered more frequently.
Teclistamab-cqyv (Tecvayli) For Multiple Myeloma (online only)
The Medical Letter on Drugs and Therapeutics • Nov 14, 2022 (Issue 1663)
: The dose is titrated over one week, followed by 1.5
mg/kg SC once weekly.
▶ Cost: One dose for a 70-kg ...
Teclistamab-cqyv (Tecvayli – Janssen), a bispecific
B-cell maturation antigen (BCMA)-directed CD3
T-cell engager, has been granted accelerated
approval by the FDA 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. Accelerated approval
was based on response rate. Teclistamab is the first
bispecific BCMA-directed CD3 T-cell engager to be
approved in the US.
