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Quizartinib (Vanflyta) for Acute Myeloid Leukemia (online only)

   
The Medical Letter on Drugs and Therapeutics • Oct 16, 2023  (Issue 1687)
, the primary endpoint, was 31.9 months in the quizartinib arm and 15.1 months in the placebo arm ...
The FDA has approved the oral kinase inhibitor quizartinib (Vanflyta – Daiichi Sankyo) for use in combination with standard cytarabine and anthracycline induction and cytarabine consolidation, and as maintenance monotherapy following consolidation chemotherapy in adults with FLT3 internal tandem duplication (ITD)-positive, newly-diagnosed acute myeloid leukemia (AML).
Med Lett Drugs Ther. 2023 Oct 16;65(1687):e169-70   doi:10.58347/tml.2023.1687d |  Show IntroductionHide Introduction

Inclisiran (Leqvio) Monotherapy for LDL-Cholesterol Reduction

   
The Medical Letter on Drugs and Therapeutics • Sep 15, 2025  (Issue 1737)
). Inclisiran had previously been approved for use only in combination with statin therapy.1 Table 1. Some ...
Inclisiran (Leqvio – Novartis), a subcutaneously injected small interfering RNA (siRNA) that decreases LDL-cholesterol (LDL-C) levels by reducing synthesis of proprotein convertase subtilisin/kexin type 9 (PCSK9), has been approved by the FDA for use with or without a statin to reduce LDL-C in adults with hypercholesterolemia, including heterozygous familial hypercholesterolemia (HeFH). Inclisiran had previously been approved for use only in combination with statin therapy.
Med Lett Drugs Ther. 2025 Sep 15;67(1737):148-9   doi:10.58347/tml.2025.1737c |  Show IntroductionHide Introduction

Sublingual Cyclobenzaprine (Tonmya) for Fibromyalgia

   
The Medical Letter on Drugs and Therapeutics • Jan 19, 2026  (Issue 1746)
, and their use has been limited by adverse effects.1,2 Oral cyclobenzaprine has improved pain and sleep quality ...
The FDA has approved Tonmya (Tonix), a sublingual tablet formulation of the skeletal muscle relaxant cyclobenzaprine, for treatment of fibromyalgia in adults. Cyclobenzaprine is available in immediate-release tablets and extended-release capsules for short-term treatment of muscle spasms and has been used off-label for treatment of fibromyalgia.
Med Lett Drugs Ther. 2026 Jan 19;68(1746):9-10   doi:10.58347/tml.2026.1746a |  Show IntroductionHide Introduction

Drugs for Hypertension

   
The Medical Letter on Drugs and Therapeutics • May 27, 2024  (Issue 1703)
Combination Products ............................................ p 87 Table 1. Initial Treatment ...
American College of Cardiology/American Heart Association (ACC/AHA) guidelines for treatment of hypertension were last published in 2018. Treatment of hypertensive urgencies and emergencies is not discussed here.
Med Lett Drugs Ther. 2024 May 27;66(1703):81-8   doi:10.58347/tml.2024.1703a |  Show IntroductionHide Introduction

Lurbinectedin (Zepzelca) for Small-Cell Lung Cancer (online only)

   
The Medical Letter on Drugs and Therapeutics • Nov 14, 2022  (Issue 1663)
follow-up of 17.1 months, the overall response rate was 35.2% and the median duration of response ...
The alkylating agent lurbinectedin (Zepzelca – Jazz) has received accelerated approval from the FDA for treatment of metastatic small-cell lung cancer (SCLC) in adults with disease progression on or after platinum-based chemotherapy. Accelerated approval was based on the overall response rate and duration of response. About 13-15% of lung cancers are small-cell cancers. Most SCLCs occur in patients who are current or former smokers.
Med Lett Drugs Ther. 2022 Nov 14;64(1663):e198-9 |  Show IntroductionHide Introduction

Olutasidenib (Rezlidhia) for Acute Myeloid Leukemia (online only)

   
The Medical Letter on Drugs and Therapeutics • Apr 03, 2023  (Issue 1673)
isocitrate dehydrogenase-1 (IDH1) inhibitor, has been approved by the FDA for treatment of relapsed ...
Olutasidenib (Rezlidhia – Rigel), an oral isocitrate dehydrogenase-1 (IDH1) inhibitor, has been approved by the FDA for treatment of relapsed or refractory acute myeloid leukemia (AML) in adults with a susceptible IDH1 mutation. It is the second drug that targets cancer metabolism to be approved for this indication; ivosidenib (Tibsovo) was approved in 2022.
Med Lett Drugs Ther. 2023 Apr 3;65(1673):e58-9   doi:10.58347/tml.2023.1673e |  Show IntroductionHide Introduction

In Brief: Two Doses of Jynneos for Mpox (online only)

   
The Medical Letter on Drugs and Therapeutics • Jun 02, 2023  (Issue 5065)
Table 1) receive two doses of the Jynneos vaccine. The recommendation follows reports of a recent ...
The CDC is recommending that persons at high risk of mpox (see Table 1) receive two doses of the Jynneos vaccine. The recommendation follows reports of a recent cluster of mpox cases in the US and warnings about the risk of a renewed outbreak during the spring and summer as people gather for festivals and other events. The CDC does not recommend routine immunization against mpox for the general population.
Med Lett Drugs Ther. 2023 Jun 2;65(5065):1-2   doi:10.58347/tml.2023.5065a |  Show IntroductionHide Introduction

Lifileucel (Amtagvi): A Cellular Therapy for Melanoma (online only)

   
The Medical Letter on Drugs and Therapeutics • Apr 29, 2024  (Issue 1701)
receptor-1 (PD-1) inhibitor, and if BRAF V600 mutation-positive, a BRAF inhibitor with or without ...
Lifileucel (Amtagvi – Iovance), a tumor-derived autologous T-cell immunotherapy, has received accelerated approval from the FDA for one-time treatment of adults with unresectable or metastatic melanoma previously treated with a programmed death receptor-1 (PD-1) inhibitor, and if BRAF V600 mutation-positive, a BRAF inhibitor with or without a mitogen-activated kinase (MEK) inhibitor. It is the first cellular therapy to be approved for use in solid tumors. Accelerated approval of lifileucel was based on objective response rates.
Med Lett Drugs Ther. 2024 Apr 29;66(1701):e77-8   doi:10.58347/tml.2024.1701h |  Show IntroductionHide Introduction

Tebentafusp (Kimmtrak) for Uveal Melanoma (online only)

   
The Medical Letter on Drugs and Therapeutics • Jun 24, 2024  (Issue 1705)
). Overall survival at 1 year, the primary endpoint, was 73% with tebentafusp and 59% with chemotherapy ...
The FDA has approved tebentafusp-tebn (Kimmtrak – Immunocore), a first-in-class bispecific gp100 peptide-HLA-directed CD3 T-cell engager, for treatment of HLA-A*02:01-positive unresectable or metastatic uveal melanoma in adults.
Med Lett Drugs Ther. 2024 Jun 24;66(1705):e107-8   doi:10.58347/tml.2024.1705f |  Show IntroductionHide Introduction

Elecsys — A Second Blood Test for Alzheimer's Disease

   
The Medical Letter on Drugs and Therapeutics • Feb 02, 2026  (Issue 1747)
by the FDA; the Lumipulse G pTau217/ β-Amyloid 1-42 Plasma Ratio test was cleared in 2025 (see Table 1).1 ...
Elecsys Phospho-Tau (181P) Plasma (Roche), a blood-based diagnostic test, has been cleared by the FDA to aid in the initial assessment of amyloid plaque pathology associated with Alzheimer's disease (AD) in patients ≥55 years old with signs of cognitive decline. It is the second blood test for AD biomarkers to be cleared by the FDA; the Lumipulse G pTau217/β-Amyloid 1-42 Plasma Ratio test was cleared in 2025 (see Table 1).
Med Lett Drugs Ther. 2026 Feb 2;68(1747):18-20   doi:10.58347/tml.2026.1747b |  Show IntroductionHide Introduction