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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.
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 Introduction Hide 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.
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 Introduction Hide 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 Introduction Hide 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 Introduction Hide 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 Introduction Hide 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.
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 Introduction Hide 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 Introduction Hide Introduction