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In Brief: A New Prostate Cancer Indication for Darolutamide (Nubeqa) (online only)

   
The Medical Letter on Drugs and Therapeutics • Jun 19, 2023  (Issue 1679)
of nonmetastatic castration-resistant prostate cancer (nmCRPC).1 MECHANISM OF ACTION — Androgen receptors ...
The androgen receptor inhibitor darolutamide (Nubeqa – Bayer) has been approved by the FDA for use in combination with docetaxel for treatment of metastatic hormone-sensitive prostate cancer (mHSPC). The drug was previously approved for treatment of nonmetastatic castration-resistant prostate cancer (nmCRPC).
Med Lett Drugs Ther. 2023 Jun 19;65(1679):e108   doi:10.58347/tml.2023.1679h | Show Introduction Hide Introduction

Drugs for Migraine

   
The Medical Letter on Drugs and Therapeutics • Jun 12, 2023  (Issue 1678)
.1 Treatment of pain when it is still mild to moderate in intensity improves headache response ...
An oral nonopioid analgesic is often sufficient for acute treatment of mild to moderate migraine pain without severe nausea or vomiting. A triptan is the drug of choice for treatment of moderate to severe migraine in most patients without vascular disease. Treatment of pain when it is still mild to moderate in intensity improves headache response and reduces the risk of recurrence.
Med Lett Drugs Ther. 2023 Jun 12;65(1678):89-96   doi:10.58347/tml.2023.1678a | Show Introduction Hide Introduction

Comparison Table: Triptans for Migraine (online only)

   
The Medical Letter on Drugs and Therapeutics • Jun 12, 2023  (Issue 1678)
6.25, 12.5 mg tabs 20, 40 mg tabs 2.5 mg tabs 1, 2.5 mg tabs 5, 10 mg tabs, ODTs Imitrex and generics ...
View the Comparison Table: Triptans for Migraine
Med Lett Drugs Ther. 2023 Jun 12;65(1678):e97-9   doi:10.58347/tml.2023.1678b | Show Introduction Hide Introduction

Comparison Table: Some Drugs for Migraine Prevention in Adults (online only)

   
The Medical Letter on Drugs and Therapeutics • Jun 12, 2023  (Issue 1678)
mg/day over 4 wks: wk 1: 25 mg in the evening; wk 2: 25 mg in the morning and evening; wk 3: 25 ...
View the Comparison Table: Some Drugs for Migraine Prevention in Adults
Med Lett Drugs Ther. 2023 Jun 12;65(1678):e100-2   doi:10.58347/tml.2023.1678c | Show Introduction Hide Introduction

Epcoritamab (Epkinly) for Diffuse Large B-Cell Lymphoma (DLBCL) (online only)

   
The Medical Letter on Drugs and Therapeutics • Jun 12, 2023  (Issue 1678)
or refractory follicular lymphoma, a common subtype of non-Hodgkin's lymphoma.1 Pronunciation Key ...
Epcoritamab-bysp (Epkinly – Genmab), a bispecific CD20-directed CD3 T-cell engager, has received accelerated approval from the FDA for subcutaneous treatment of relapsed or refractory diffuse large B-cell lymphoma (DLBCL), not otherwise specified, including DLBCL arising from indolent lymphoma, and high-grade B-cell lymphoma after ≥2 lines of systemic therapy. Epcoritamab is the second T-cell-engaging bispecific antibody to become available in the US for treatment of non-Hodgkin's lymphoma; mosunetuzumab-axgb (Lunsumio) was recently approved for relapsed or refractory...
Med Lett Drugs Ther. 2023 Jun 12;65(1678):e103-4   doi:10.58347/tml.2023.1678d | Show Introduction Hide Introduction

Sotorasib (Lumakras) for NSCLC (online only)

   
The Medical Letter on Drugs and Therapeutics • Jun 12, 2023  (Issue 1678)
. Sotorasib is the first KRAS inhibitor to be approved in the US. chemotherapy and a programmed death 1 (PD ...
Sotorasib (Lumakras — Amgen), an oral KRAS inhibitor, has received accelerated approval by the FDA for treatment of KRAS G12C-mutated locally advanced or metastatic non-small cell lung cancer (NSCLC) in adults who received at least one prior systemic therapy. Accelerated approval was based on the overall response rate and duration of response. KRAS mutations are found in 25-30% of non-squamous-cell NSCLC cases and the G12C mutation is the most common KRAS mutation. Sotorasib is the first KRAS inhibitor to be approved in the US.
Med Lett Drugs Ther. 2023 Jun 12;65(1678):e104-5   doi:10.58347/tml.2023.1678e | Show Introduction Hide 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 Introduction Hide 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 Introduction Hide 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 Introduction Hide Introduction

COVID-19 Update: An EUA for Vilobelimab (Gohibic) for COVID-19

   
The Medical Letter on Drugs and Therapeutics • May 29, 2023  (Issue 1677)
is the first anti-C5a antibody to become available in the US.1 STANDARD TREATMENT ― The NIH recommends ...
The investigational anti-complement component 5a (C5a) antibody vilobelimab (Gohibic – InflaRx) has been granted an FDA Emergency Use Authorization (EUA) for IV treatment of hospitalized adults with COVID-19 beginning within 48 hours after invasive mechanical ventilation (IMV) or extracorporeal membrane oxygenation (ECMO) is started. Vilobelimab is the first anti-C5a antibody to become available in the US.
Med Lett Drugs Ther. 2023 May 29;65(1677):86-7   doi:10.58347/tml.2023.1677d | Show Introduction Hide Introduction