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In Brief: Melphalan (Hepzato) for Uveal Melanoma (online only)

   
The Medical Letter on Drugs and Therapeutics • Sep 04, 2023  (Issue 1684)
duration of response was 14 months.1 ADVERSE EFFECTS — In the FOCUS trial, cytopenias, fatigue, nausea ...
...
Med Lett Drugs Ther. 2023 Sep 4;65(1684):e148   doi:10.58347/tml.2023.1684d | Show Introduction Hide 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 Introduction Hide Introduction

Lecanemab (Leqembi) Granted Full Approval for Early Alzheimer's Disease

   
The Medical Letter on Drugs and Therapeutics • Aug 21, 2023  (Issue 1683)
-approval for the same indication.1-3 from baseline at 18 months in the CDR-SB score was +1 ...
Lecanemab-irmb (Leqembi – Eisai/Biogen), the IV amyloid-directed monoclonal antibody that received accelerated approval from the FDA in January 2023 for treatment of early Alzheimer's disease, has now received full approval from the FDA based on a trial showing that it slowed cognitive and functional decline in patients with mild cognitive impairment (MCI) or mild Alzheimer's disease dementia and confirmed presence of brain amyloid. The IV amyloid-directed monoclonal antibody aducanumab (Aduhelm) has received only an accelerated FDA-approval for the same indication.
Med Lett Drugs Ther. 2023 Aug 21;65(1683):129-30   doi:10.58347/tml.2023.1683a | Show Introduction Hide Introduction

Bexagliflozin (Brenzavvy) — A Fifth SGLT2 Inhibitor for Type 2 Diabetes

   
The Medical Letter on Drugs and Therapeutics • Aug 21, 2023  (Issue 1683)
in the US for this indication (see Table 4).1 SGLT2 INHIBITORS — SGLT2 inhibitors decrease renal glucose reabsorption ...
Bexagliflozin (Brenzavvy – TheracosBio), a sodium-glucose cotransporter 2 (SGLT2) inhibitor, has been approved by the FDA to improve glycemic control in adults with type 2 diabetes. It is the fifth SGLT2 inhibitor to be approved in the US for this indication (see Table 4).
Med Lett Drugs Ther. 2023 Aug 21;65(1683):130-2   doi:10.58347/tml.2023.1683b | Show Introduction Hide Introduction

Once-Weekly or Once-Monthly Subcutaneous Buprenorphine (Brixadi) for Opioid Use Disorder

   
The Medical Letter on Drugs and Therapeutics • Aug 21, 2023  (Issue 1683)
monthly, was the first.1 Buprenorphine is also available for treatment of opioid use disorder ...
The FDA has approved a subcutaneously injected, extended-release formulation of the mu-opioid receptor partial agonist and kappa-opioid receptor antagonist buprenorphine (Brixadi – Braeburn) for once-weekly or once-monthly treatment of moderate to severe opioid use disorder. Brixadi is the second subcutaneously injected buprenorphine formulation to be approved in the US; Sublocade, which is administered once monthly, was the first. Buprenorphine is also available for treatment of opioid use disorder in sublingual formulations with and without the opioid antagonist...
Med Lett Drugs Ther. 2023 Aug 21;65(1683):133-5   doi:10.58347/tml.2023.1683c | Show Introduction Hide Introduction

Linaclotide (Linzess) for Functional Constipation

   
The Medical Letter on Drugs and Therapeutics • Aug 21, 2023  (Issue 1683)
idiopathic constipation and irritable bowel syndrome with constipation in adults.1 The drug has now ...
The guanylate cyclase-C receptor agonist linaclotide (Linzess – Abbvie/Ironwood) was first approved by the FDA in 2012 for treatment of chronic idiopathic constipation and irritable bowel syndrome with constipation in adults. The drug has now been approved for treatment of functional constipation in patients 6-17 years old. Linaclotide is the only drug to be approved in the US for treatment of functional constipation.
Med Lett Drugs Ther. 2023 Aug 21;65(1683):135-6   doi:10.58347/tml.2023.1683d | Show Introduction Hide Introduction

Empagliflozin (Jardiance) for Type 2 Diabetes in Children (online only)

   
The Medical Letter on Drugs and Therapeutics • Aug 21, 2023  (Issue 1683)
has been available since 2000 for this indication. The injectable glucagon-like peptide-1 (GLP-1) receptor agonists ...
The sodium-glucose cotransporter 2 (SGLT2) inhibitor empagliflozin has been available for years alone (Jardiance – Boehringer Ingelheim) and in combination with metformin (Synjardy) to improve glycemic control in adults with type 2 diabetes. Both products have now been approved for use in children ≥10 years old. Empagliflozin is the second oral drug to become available in the US for treatment of type 2 diabetes in children; metformin has been available since 2000 for this indication. The injectable glucagon-like peptide-1 (GLP-1) receptor agonists liraglutide (Victoza) and...
Med Lett Drugs Ther. 2023 Aug 21;65(1683):e137   doi:10.58347/tml.2023.1683e | Show Introduction Hide Introduction

In Brief: A New Endometrial Cancer Indication for Dostarlimab (Jemperli) (online only)

   
The Medical Letter on Drugs and Therapeutics • Aug 21, 2023  (Issue 1683)
for curative surgery or radiation.1 MECHANISM OF ACTION — Binding of PD-L1 and PD-L2 to programmed death ...
The immune checkpoint inhibitor dostarlimab-gxly (Jemperli – GSK) has been approved by the FDA for use in combination with carboplatin and paclitaxel for treatment of adults with mismatch repair deficient (dMMR) or microsatellite instability-high (MSI-H) primary advanced or recurrent endometrial cancer. Dostarlimab was recently granted regular approval for treatment of adults with dMMR recurrent or advanced endometrial cancer that progressed on or following a prior platinum-containing regimen in any setting and who are not candidates for curative surgery or radiation.
Med Lett Drugs Ther. 2023 Aug 21;65(1683):e138   doi:10.58347/tml.2023.1683f | Show Introduction Hide Introduction

Drugs for Anxiety Disorders

   
The Medical Letter on Drugs and Therapeutics • Aug 07, 2023  (Issue 1682)
for those ≤7 years old or ≥65 years old because of insufficient evidence.1 PHARMACOTHERAPY Several drug ...
Anxiety disorders (generalized anxiety disorder, panic disorder, social anxiety disorder, and various phobias) are the most common form of psychiatric illness. They can be treated effectively with cognitive behavioral therapy (CBT) and/or pharmacotherapy.
Med Lett Drugs Ther. 2023 Aug 7;65(1682):121-8   doi:10.58347/tml.2023.1682a | Show Introduction Hide Introduction

Glofitamab (Columvi) for Diffuse Large B-Cell Lymphoma (online only)

   
The Medical Letter on Drugs and Therapeutics • Aug 07, 2023  (Issue 1682)
), which is given subcutaneously, was approved earlier.1 Unlike epcoritamab, glofitamab is not approved ...
Glofitamab-gxbm (Columvi – Genentech), a bispecific CD20-directed CD3 T-cell engager, has received accelerated approval from the FDA for IV treatment of relapsed or refractory diffuse large B-cell lymphoma (DLBCL), not otherwise specified, or large B-cell lymphoma (LBCL) arising from follicular lymphoma after ≥2 lines of systemic therapy. Accelerated approval was based on response rates and durability of response. Glofitamab is the second T-cell-engaging bispecific antibody to be approved in the US for treatment of DLBCL; epcoritamab-bysp (Epkinly), which is given...
Med Lett Drugs Ther. 2023 Aug 7;65(1682):e129-30   doi:10.58347/tml.2023.1682b | Show Introduction Hide Introduction