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Pitolisant (Wakix) for Narcolepsy

   
The Medical Letter on Drugs and Therapeutics • Feb 08, 2021  (Issue 1617)
; it has not been compared to first-line treatments.1 A sodium oxybate oral solution (Xyrem) and a mixed-salt oxybate oral ...
The FDA has approved pitolisant (Wakix – Harmony), a histamine-3 (H3)-receptor antagonist/inverse agonist, for treatment of excessive daytime sleepiness (EDS) or cataplexy in adults with narcolepsy. It is the first H3-receptor antagonist/inverse agonist to become available in the US and the first non-controlled substance to receive FDA approval for these indications. Pitolisant has been available in Europe since 2016.
Med Lett Drugs Ther. 2021 Feb 8;63(1617):19-21 |  Show IntroductionHide Introduction

In Brief: Anaphylaxis with Glatiramer Acetate

   
The Medical Letter on Drugs and Therapeutics • Feb 17, 2025  (Issue 1722)
acetate (Copaxone, Glatopa, and generics) about a risk of anaphylaxis.1 Glatiramer has been used ...
The FDA has required a new boxed warning in the label of the subcutaneously injected immunomodulatory drug glatiramer acetate (Copaxone, Glatopa, and generics) about a risk of anaphylaxis. Glatiramer has been used for years to treat relapsing forms of multiple sclerosis (MS).
Med Lett Drugs Ther. 2025 Feb 17;67(1722):32   doi:10.58347/tml.2025.1722e |  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

Airsupra: An Inhaled Albuterol/Budesonide Combination for Asthma

   
The Medical Letter on Drugs and Therapeutics • Mar 18, 2024  (Issue 1698)
hours. They do not decrease airway inflammation.1 Treatment guidelines now recommend that most ...
The FDA has approved Airsupra (AstraZeneca), a metered-dose inhaler containing the short-acting beta2-agonist (SABA) albuterol and the inhaled corticosteroid (ICS) budesonide, for use as needed for treatment or prevention of bronchoconstriction and to reduce the risk of exacerbations in patients ≥18 years old with asthma. Airsupra is the first combination of a SABA and an ICS to become available in the US. It is not approved for use as maintenance therapy.
Med Lett Drugs Ther. 2024 Mar 18;66(1698):41-3   doi:10.58347/tml.2024.1698a |  Show IntroductionHide Introduction

Drugs for Gout

   
The Medical Letter on Drugs and Therapeutics • Oct 30, 2023  (Issue 1688)
with an NSAID, colchicine, or a systemic corticosteroid. An IL-1 inhibitor can be used when these drugs ...
Drugs for gout are used to reduce the pain and inflammation of acute flares, decrease the frequency of exacerbations, and lower serum urate levels to prevent recurrent flares, development of tophi, and joint damage.
Med Lett Drugs Ther. 2023 Oct 30;65(1688):169-75   doi:10.58347/tml.2023.1688a |  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

Caplacizumab (Cablivi) for iTTP

   
The Medical Letter on Drugs and Therapeutics • Oct 19, 2020  (Issue 1609)
purpura (iTTP; formerly called acquired thrombotic thrombocytopenic purpura [aTTP]) in adults.1 ...
Caplacizumab-yhdp (Cablivi – Sanofi /Genzyme), a von Willebrand factor-directed antibody fragment, has been approved by the FDA for use in combination with plasma exchange and immunosuppressive therapy for treatment of immune-mediated thrombotic thrombocytopenic purpura (iTTP; formerly called acquired thrombotic thrombocytopenic purpura [aTTP]) in adults. It is the first drug to be approved in the US for this indication.
Med Lett Drugs Ther. 2020 Oct 19;62(1609):163-4 |  Show IntroductionHide Introduction

Capivasertib (Truqap) for Breast Cancer (online only)

   
The Medical Letter on Drugs and Therapeutics • Feb 19, 2024  (Issue 1696)
) inhibitor such as palbociclib (Ibrance).1,2 MECHANISM OF ACTION ― The PI3K/AKT/PTEN signaling pathway ...
The oral kinase inhibitor capivasertib (Truqap – AstraZeneca), a first-in-class AKT inhibitor, has been approved by the FDA for use in combination with the selective estrogen receptor degrader (SERD) fulvestrant (Faslodex, and generics) for treatment of hormone receptor (HR)-positive, human epidermal growth factor receptor 2 (HER2)-negative, locally advanced or metastatic breast cancer in adults with one or more PIK3CA/AKT1/PTEN-alterations who had disease progression on at least one endocrine-based regimen for metastatic disease or recurrence on or within 12 months of completing...
Med Lett Drugs Ther. 2024 Feb 19;66(1696):e32-3   doi:10.58347/tml.2024.1696e |  Show IntroductionHide Introduction

Repotrectinib (Augtyro) for Non-Small Cell Lung Cancer (online only)

   
The Medical Letter on Drugs and Therapeutics • Feb 19, 2024  (Issue 1696)
to 2% of NSCLC cases have genetic rearrangements of the ROS protooncogene 1 (ROS1) gene. The standard ...
The FDA has approved the oral tyrosine kinase inhibitor repotrectinib (Augtyro – BMS) for treatment of locally advanced or metastatic ROS1-positive non-small cell lung cancer (NSCLC) in adults. Repotrectinib is the third oral tyrosine kinase inhibitor to be approved for this indication in the US; crizotinib (Xalkori) and entrectinib (Rozlytrek) were approved earlier.
Med Lett Drugs Ther. 2024 Feb 19;66(1696):e36-7   doi:10.58347/tml.2024.1696g |  Show IntroductionHide Introduction