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In Brief: Zanubrutinib (Brukinsa) for CLL or SLL (online only)

   
The Medical Letter on Drugs and Therapeutics • Feb 20, 2023  (Issue 1670)
difference. The overall response rate (ORR) was 93% with zanubrutinib and 85% with bendamustine/rituximab.1 ...
The Bruton's tyrosine kinase (BTK) inhibitor zanubrutinib (Brukinsa), which was previously approved by the FDA for treatment of mantle cell lymphoma, Waldenström's macroglobulinemia, and relapsed or refractory marginal zone lymphoma, has now been approved for treatment of chronic lymphocytic leukemia (CLL) or small lymphocytic lymphoma (SLL) in adults. The BTK inhibitors ibrutinib (Imbruvica) and acalabrutinib (Calquence) were approved earlier for treatment of CLL and SLL.
Med Lett Drugs Ther. 2023 Feb 20;65(1670):e33-4   doi:10.58347/tml.2023.1670e |  Show IntroductionHide Introduction

In Brief: OTC Ivermectin for Head Lice

   
The Medical Letter on Drugs and Therapeutics • Jun 26, 2023  (Issue 1679)
IN BRIEF OTC Ivermectin for Head Lice 1. MJ Chen and MD Creinin. Mifepristone with buccal ...
Topical ivermectin lotion 0.5% (Sklice, and generics), which has been available by prescription since 2012, is now FDA-approved for sale over the counter (OTC) for treatment of head lice in patients ≥6 months old. Ivermectin is also available by prescription as a 1% cream (Soolantra) approved for topical treatment of inflammatory lesions of rosacea and in oral tablets (Stromectol, and generics) for treatment of various parasitic infections.
Med Lett Drugs Ther. 2023 Jun 26;65(1679):103-4   doi:10.58347/tml.2023.1679e |  Show IntroductionHide Introduction

Talquetamab (Talvey) for Multiple Myeloma (online only)

   
The Medical Letter on Drugs and Therapeutics • Sep 04, 2023  (Issue 1684)
(MonumenTAL-1; summarized in the package insert) that included 232 patients who received ≥4 prior systemic ...
Talquetamab-tgvs (Talvey – Janssen), a bispecific GPRC5D-directed 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 the response rate and durability of response. Talquetamab is the first bispecific GPRC5D-directed T-cell engager to be approved in the US
Med Lett Drugs Ther. 2023 Sep 4;65(1684):e149-50   doi:10.58347/tml.2023.1684e |  Show IntroductionHide Introduction

Vorasidenib (Voranigo) for Low-Grade Glioma (online only)

   
The Medical Letter on Drugs and Therapeutics • Nov 11, 2024  (Issue 1715)
survival was significantly longer with vorasidenib than with placebo (27.7 months vs 11.1 months ...
The FDA has approved vorasidenib (Voranigo – Servier), an oral isocitrate dehydrogenase (IDH) inhibitor, for treatment of grade 2 astrocytoma or oligodendroglioma in patients ≥12 years old with an IDH1 or IDH2 mutation. It is the first systemic treatment to be approved in the US for this indication.
Med Lett Drugs Ther. 2024 Nov 11;66(1715):e188-9   doi:10.58347/tml.2024.1715g |  Show IntroductionHide Introduction

Telisotuzumab Vedotin (Emrelis) for Non-Small Cell Lung Cancer (online only)

   
The Medical Letter on Drugs and Therapeutics • Aug 04, 2025  (Issue 1734)
appetite, and peripheral edema. Ocular and severe pulmonary toxicity can occur. ▶ Dosage: 1.9 mg/kg ...
Telisotuzumab vedotin-tllv (Emrelis – Abbvie), a c-Met-directed antibody and microtubule inhibitor conjugate, has received accelerated approval from the FDA for treatment of locally advanced or metastatic nonsquamous non-small cell lung cancer (NSCLC) in adults with high c-Met protein overexpression [≥50% of tumor cells with strong (3+) staining] who received prior systemic therapy. Accelerated approval was based on the overall response rate and duration of response.
Med Lett Drugs Ther. 2025 Aug 4;67(1734):e132-3   doi:10.58347/tml.2025.1734e |  Show IntroductionHide Introduction

Vericiguat (Verquvo) for Heart Failure

   
The Medical Letter on Drugs and Therapeutics • Mar 08, 2021  (Issue 1619)
thromboembolic pulmonary hypertension, was the first.1 Pronunciation Key Vericiguat: ver” i sig’ ue at Verquvo ...
The FDA has approved vericiguat (Verquvo – Merck), an oral soluble guanylate cyclase (sGC) stimulator, to reduce the risk of hospitalization for heart failure and cardiovascular (CV) death following a worsening heart failure event (hospitalization for heart failure or treatment with IV diuretics as an outpatient) in patients with symptomatic chronic heart failure and left ventricular ejection fraction (LVEF) <45%. Vericiguat is the second sGC stimulator to be marketed in the US. Riociguat (Adempas), which is FDA-approved for treatment of pulmonary arterial hypertension...
Med Lett Drugs Ther. 2021 Mar 8;63(1619):36-7 |  Show IntroductionHide Introduction

Evinacumab (Evkeeza) for Homozygous Familial Hypercholesterolemia

   
The Medical Letter on Drugs and Therapeutics • May 03, 2021  (Issue 1623)
in the US is about 1:250,000 persons.1,2 STANDARD TREATMENT — High-intensity statin therapy (atorvastatin 40-80 mg ...
The FDA has approved evinacumab-dgnb (Evkeeza – Regeneron), an angiopoietin-like 3 (ANGPTL3) inhibitor, for adjunctive IV treatment of homozygous familial hypercholesterolemia (HoFH) in patients ≥12 years old. Evinacumab is the first ANGPTL3 inhibitor to be approved in the US.
Med Lett Drugs Ther. 2021 May 3;63(1623):66-7 |  Show IntroductionHide Introduction

Sunscreens

   
The Medical Letter on Drugs and Therapeutics • Jun 23, 2025  (Issue 1731)
can cause erythema, photoaging, and skin cancer.1,2 Sunscreens are widely used to reduce these risks ...
Excessive exposure to ultraviolet (UV) radiation can cause erythema, photoaging, and skin cancer. Sunscreens are widely used to reduce these risks, but questions remain about their effectiveness and safety. In 2021, the FDA proposed a rule that would require additional safety studies for some sunscreen active ingredients and mandate better UVA protection in sunscreen products.
Med Lett Drugs Ther. 2025 Jun 23;67(1731):97-102   doi:10.58347/tml.2025.1731a |  Show IntroductionHide Introduction

Mavacamten (Camzyos) for Obstructive Hypertrophic Cardiomyopathy

   
The Medical Letter on Drugs and Therapeutics • Jun 13, 2022  (Issue 1652)
is sometimes given with disopyramide to decrease its anticholinergic adverse effects.1 Surgical septal ...
The FDA has approved mavacamten (Camzyos – MyoKardia/BMS), a modulator of cardiac myosin, to improve functional capacity and symptoms in adults with New York Heart Association (NYHA) class II or III obstructive hypertrophic cardiomyopathy (HCM) who have a baseline left ventricular ejection fraction (LVEF) ≥55%. Mavacamten is the first drug in its class to become available in the US.
Med Lett Drugs Ther. 2022 Jun 13;64(1652):89-91 |  Show IntroductionHide Introduction

Risankizumab (Skyrizi) - An IL-23 Antagonist for Crohn's Disease

   
The Medical Letter on Drugs and Therapeutics • Dec 26, 2022  (Issue 1666)
for treatment of plaque psoriasis and psoriatic arthritis.1 STANDARD TREATMENT ― The tumor necrosis factor ...
The injectable interleukin (IL)-23 antagonist risankizumab-rzaa (Skyrizi – Abbvie) has been approved by the FDA for treatment of moderately to severely active Crohn's disease (CD) in adults. Risankizumab was approved earlier for treatment of plaque psoriasis and psoriatic arthritis.
Med Lett Drugs Ther. 2022 Dec 26;64(1666):205-7 |  Show IntroductionHide Introduction