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In Brief: Expanded Heart Failure Indication for Empagliflozin (Jardiance)

   
The Medical Letter on Drugs and Therapeutics • Apr 18, 2022  (Issue 1648)
(HFrEF; LVEF ≤40%), regardless of whether or not they have type 2 diabetes.1 The indication has now ...
The sodium-glucose cotransporter 2 (SGLT2) inhibitor empagliflozin (Jardiance – Boehringer Ingelheim) was approved by the FDA in 2021 to reduce the risk of hospitalization for heart failure (HF) and cardiovascular death in patients with heart failure with reduced ejection fraction (HFrEF; LVEF ≤40%), regardless of whether or not they have type 2 diabetes. The indication has now been expanded to include patients with HF with any ejection fraction. Empagliflozin is the first SGLT2 inhibitor to be approved in the US for this indication.
Med Lett Drugs Ther. 2022 Apr 18;64(1648):57 |  Show IntroductionHide Introduction

In Brief: Furoscix - A Subcutaneous Furosemide Infusor for Heart Failure

   
The Medical Letter on Drugs and Therapeutics • Jan 23, 2023  (Issue 1668)
diuretic resistance.1 EFFICACY AND SAFETY — FDA approval of the of the new formulation was based ...
The FDA has approved Furoscix (scPharmaceuticals), a subcutaneous formulation of the loop diuretic furosemide administered via a single-use, on-body infusor, for treatment of congestion due to fluid overload in adults with New York Heart Association (NYHA) Class II-III chronic heart failure (HF). Furosemide (Lasix, and generics) has been available for years in oral and IV formulations.
Med Lett Drugs Ther. 2023 Jan 23;65(1668):14-5   doi:10.58347/tml.2023.1668d |  Show IntroductionHide Introduction

COVID-19 Update: Tocilizumab (Actemra) FDA-Approved for Treatment of COVID-19 (online only)

   
The Medical Letter on Drugs and Therapeutics • Jan 09, 2023  (Issue 1667)
supplemental oxygen, mechanical ventilation, or extracorporeal membrane oxygenation (ECMO).1 Tocilizumab ...
The interleukin-6 (IL-6) receptor antagonist tocilizumab (Actemra – Genentech) has been approved by the FDA for IV treatment of COVID-19 in hospitalized adults who are receiving a systemic corticosteroid and require supplemental oxygen, mechanical ventilation, or extracorporeal membrane oxygenation (ECMO). Tocilizumab was previously available for this indication under an Emergency Use Authorization (EUA); it remains available under an EUA for treatment of children 2-17 years old who are hospitalized with COVID-19 and require oxygen support.
Med Lett Drugs Ther. 2023 Jan 9;65(1667):e9   doi:10.58347/tml.2023.1667d |  Show IntroductionHide Introduction

In Brief: Adstiladrin – A Gene Therapy for Bladder Cancer (online only)

   
The Medical Letter on Drugs and Therapeutics • Mar 06, 2023  (Issue 1671)
. The median duration of response was 9.7 months.1 ADVERSE EFFECTS — The most common adverse effects ...
Nadofaragene firadenovec-vncg (Adstiladrin – Ferring), an adenoviral vector-based gene therapy, has been approved by the FDA for treatment of adults with high-risk Bacillus Calmette-Guérin (BCG)-unresponsive non-muscle invasive bladder cancer (NMIBC) with carcinoma in situ with or without papillary tumors. It is the first adenoviral vector-based gene therapy to be approved in the US for this indication. The immune checkpoint inhibitor pembrolizumab (Keytruda) was approved for the same indication in 2021.
Med Lett Drugs Ther. 2023 Mar 6;65(1671):e40-1   doi:10.58347/tml.2023.1671e |  Show IntroductionHide Introduction

In Brief: Prevention of Measles

   
The Medical Letter on Drugs and Therapeutics • Jun 09, 2025  (Issue 1730)
whose vaccination history was unknown.1 TRANSMISSION — The measles virus can be transmitted by direct ...
According to the Centers for Disease Control (CDC), as of April 24 there have been 844 confirmed cases of measles in the US in 2025; 11% of cases have resulted in hospitalization and 3 patients have died. The majority of cases (96%) have been in unvaccinated persons or in those whose vaccination history was unknown
Med Lett Drugs Ther. 2025 Jun 9;67(1730):94-5   doi:10.58347/tml.2025.1730d |  Show IntroductionHide Introduction

In Brief: Abemaciclib (Verzenio) for Early Breast Cancer

   
The Medical Letter on Drugs and Therapeutics • Dec 13, 2021  (Issue 1639)
, early breast cancer at high risk of recurrence and a Ki-67 score >20%.1 HR-POSITIVE, HER2-NEGATIVE ...
The oral cyclin-dependent kinase (CDK) 4/6 inhibitor abemaciclib (Verzenio – Lilly), which was approved by the FDA in 2017 for treatment of hormone receptor (HR)-positive, human epidermal growth factor receptor 2 (HER2)-negative advanced or metastatic breast cancer, has now been approved for use in combination with endocrine therapy (tamoxifen or an aromatase inhibitor) for adjuvant treatment of patients with HR-positive, HER2-negative, node-positive, early breast cancer at high risk of recurrence and a Ki-67 score ≥20%.
Med Lett Drugs Ther. 2021 Dec 13;63(1639):199-200 |  Show IntroductionHide Introduction

Efgartigimod alfa (Vyvgart) for Myasthenia Gravis

   
The Medical Letter on Drugs and Therapeutics • Apr 18, 2022  (Issue 1648)
complement inhibitor eculizumab (Soliris) was approved for the same indication in 2017. Table 1 ...
Efgartigimod alfa-fcab (Vyvgart – Argenx), a first-in-class neonatal Fc receptor (FcRn) antagonist, has been approved by the FDA for IV treatment of generalized myasthenia gravis in adults who are anti-acetylcholine receptor (AChR) antibody positive. The IV complement inhibitor eculizumab (Soliris) was approved for the same indication in 2017.
Med Lett Drugs Ther. 2022 Apr 18;64(1648):62-3 |  Show IntroductionHide Introduction

Idecabtagene Vicleucel (Abecma) for Multiple Myeloma (online only)

   
The Medical Letter on Drugs and Therapeutics • Nov 14, 2022  (Issue 1663)
a complete response or better. Median progression-free survival was 8.8 months.1 A longterm follow-up study ...
The FDA has approved idecabtagene vicleucel (Abecma – BMS), a B-cell maturation antigen (BCMA)-directed genetically-modified cellular product, 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. Abecma is an individualized cellular product prepared from the patient’s own T cells, which are genetically modified to express chimeric antigen receptors (CAR) and then infused back into the patient. Ciltacabtagene autoleucel...
Med Lett Drugs Ther. 2022 Nov 14;64(1663):e190-1 |  Show IntroductionHide Introduction

Polatuzumab vedotin (Polivy) for Lymphoma (online only)

   
The Medical Letter on Drugs and Therapeutics • May 29, 2023  (Issue 1677)
, and prednisone (R-CHOP). The risk of relapse is highest within one year following treatment.1 MECHANISM ...
Polatuzumab vedotin-piiq (Polivy – Genentech), a CD79b-directed antibody and microtubule inhibitor conjugate, has been approved by the FDA for use in combination with rituximab, cyclophosphamide, doxorubicin, and prednisone (R-CHP) for first-line treatment of diffuse large B-cell lymphoma (DLBCL), not otherwise specified (NOS), or high-grade B-cell lymphoma (HGBL) in adults who have an International Prognostic Index (IPI) score ≥2. The drug was previously approved for use in combination with bendamustine and rituximab for treatment of patients with relapsed or refactory DLBCL,...
Med Lett Drugs Ther. 2023 May 29;65(1677):e89-90   doi:10.58347/tml.2023.1677f |  Show IntroductionHide Introduction

Asciminib (Scemblix) for Chronic Myeloid Leukemia (online only)

   
The Medical Letter on Drugs and Therapeutics • Jun 12, 2023  (Issue 1678)
of tyrosine kinase inhibitors will need a change in their treatment regimen by 5 years.1 MECHANISM OF ACTION ...
Asciminib (Scemblix – Novartis), an oral kinase inhibitor, has been approved by the FDA for treatment of adults with Philadelphia chromosome-positive chronic myeloid leukemia (Ph+ CML) in chronic phase (CP) previously treated with ≥2 tyrosine kinase inhibitors and for adults with Ph+ CML in CP with a T315I mutation.
Med Lett Drugs Ther. 2023 Jun 12;65(1678):e107-8   doi:10.58347/tml.2023.1678g |  Show IntroductionHide Introduction