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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

Osimertinib (Tagrisso) for Adjuvant Treatment of NSCLC (online only)

   
The Medical Letter on Drugs and Therapeutics • Aug 07, 2023  (Issue 1682)
to IIIA disease, 5-year overall survival was 88% with osimertinib and 78% with placebo.1 ADVERSE ...
The FDA has approved osimertinib (Tagrisso – AstraZeneca), an oral kinase inhibitor, for adjuvant treatment of non-small cell lung cancer (NSCLC) after tumor resection in adults who have epidermal growth factor receptor (EGFR) exon 19 deletions or exon 21 L858R mutations. Osimertinib is the first targeted therapy to be approved in the US for this indication. The drug was previously approved for first-line treatment of adults with NSCLC with EGFR exon 19 deletions or exon 21 L858R mutations and for treatment of EGFR T790M mutation-positive NSCLC in adults whose disease progressed...
Med Lett Drugs Ther. 2023 Aug 7;65(1682):e131-2   doi:10.58347/tml.2023.1682c | Show Introduction Hide Introduction

In Brief: Tafasitamab (Monjuvi) for Diffuse Large B-Cell Lymphoma (online only)

   
The Medical Letter on Drugs and Therapeutics • Aug 07, 2023  (Issue 1682)
on days 1 to 21 of each 28-day cycle) for up to 12 cycles, followed by tafasitamab alone until disease ...
Tafasitamab-cxix (Monjuvi – Morphosys), a CD19-directed cytolytic antibody, has received accelerated approval from the FDA for use in combination with lenalidomide (Revlimid) for treatment of relapsed or refractory diffuse large B-cell lymphoma (DLBCL), not otherwise specified, including DLBCL arising from low grade lymphoma, in adults who are not eligible for autologous stem cell transplant. Accelerated approval was based on overall response rates.
Med Lett Drugs Ther. 2023 Aug 7;65(1682):e133   doi:10.58347/tml.2023.1682d | Show Introduction Hide Introduction

Talazoparib (Talzenna) for Prostate Cancer (online only)

   
The Medical Letter on Drugs and Therapeutics • Aug 07, 2023  (Issue 1682)
in another HR gene. Table 1. Pharmacology Class Poly(ADP-ribose) polymerase (PARP) inhibitor Formulation ...
The oral poly(ADP-ribose) polymerase (PARP) inhibitor talazoparib (Talzenna – Pfizer) has been approved by the FDA for use in combination with the androgen receptor blocker enzalutamide (Xtandi) for treatment of adults with homologous recombination repair (HRR) gene-mutated metastatic castration-resistant prostate cancer (mCRPC). The drug has been available since 2018 for treatment of deleterious or suspected deleterious germline BRCA-mutated (gBRCAm), HER2-negative locally advanced or metastatic breast cancer.
Med Lett Drugs Ther. 2023 Aug 7;65(1682):e134-5   doi:10.58347/tml.2023.1682e | Show Introduction Hide Introduction

Tofersen (Qalsody) for ALS

   
The Medical Letter on Drugs and Therapeutics • Jul 24, 2023  (Issue 1681)
(ALS) in adults who have a mutation in the superoxide dismutase 1 (SOD1) gene. About 2% of patients ...
Tofersen (Qalsody – Biogen), an intrathecally administered antisense oligonucleotide, has received accelerated approval from the FDA for treatment of amyotrophic lateral sclerosis (ALS) in adults who have a mutation in the superoxide dismutase 1 (SOD1) gene. About 2% of patients with ALS have mutations in the SOD1 gene. Tofersen is the first drug to be approved in the US that targets a genetic cause of ALS. Accelerated approval of the drug was based on the surrogate endpoint of a reduction in plasma neurofilament light chain, which is considered likely to predict clinical...
Med Lett Drugs Ther. 2023 Jul 24;65(1681):113-4   doi:10.58347/tml.2023.1681a | Show Introduction Hide Introduction

Sotagliflozin (Inpefa) for Heart Failure

   
The Medical Letter on Drugs and Therapeutics • Jul 24, 2023  (Issue 1681)
), an oral sodium-glucose cotransporter 1 and 2 (SGLT1/2) inhibitor, to reduce the risk of hospitalization ...
The FDA has approved sotagliflozin (Inpefa – Lexicon), an oral sodium-glucose cotransporter 1 and 2 (SGLT1/2) inhibitor, to reduce the risk of hospitalization for heart failure (HF), urgent HF visits, and cardiovascular death in adults with either HF (with any left ventricular ejection fraction [LVEF]) or type 2 diabetes, chronic kidney disease (CKD), and other cardiovascular risk factors. Sotagliflozin is the first dual SGLT1/2 inhibitor to be approved in the US. Unlike SGLT2 inhibitors, it is not FDA-approved to improve glycemic control in adults with type 2 diabetes....
Med Lett Drugs Ther. 2023 Jul 24;65(1681):114-6   doi:10.58347/tml.2023.1681b | Show Introduction Hide Introduction

Zavegepant (Zavzpret) for Acute Treatment of Migraine

   
The Medical Letter on Drugs and Therapeutics • Jul 24, 2023  (Issue 1681)
prevention.1,2 Atogepant (Qulipta), another oral CGRP receptor antagonist, and four parenterally ...
The FDA has approved zavegepant nasal spray (Zavzpret – Pfizer) for acute treatment of migraine with or without aura in adults. Zavzpret is the first nasal spray formulation of a calcitonin gene-related peptide (CGRP) receptor antagonist ("gepant") to become available in the US.
Med Lett Drugs Ther. 2023 Jul 24;65(1681):116-8   doi:10.58347/tml.2023.1681c | Show Introduction Hide Introduction

Inspire for Obstructive Sleep Apnea

   
The Medical Letter on Drugs and Therapeutics • Jul 24, 2023  (Issue 1681)
1) for treatment with the surgically implanted hypoglossal nerve stimulation system (Inspire Upper ...
The FDA recently expanded the eligibility criteria (see Table 1) for treatment with the surgically implanted hypoglossal nerve stimulation system (Inspire Upper Airway Stimulation – Inspire Medical Systems). The device has been advertised lately on radio and television.
Med Lett Drugs Ther. 2023 Jul 24;65(1681):118-20   doi:10.58347/tml.2023.1681d | Show Introduction Hide Introduction

Relugolix (Orgovyx) for Advanced Prostate Cancer (online only)

   
The Medical Letter on Drugs and Therapeutics • Jul 24, 2023  (Issue 1681)
2008 for the same indication.1 Pronunciation and Abbreviation Key: Relugolix: rel” ue goe’ lix ...
The oral gonadotropin-releasing hormone (GnRH) receptor antagonist relugolix (Orgovyx – Myovant Sciences/Pfizer) has been approved by the FDA for treatment of advanced prostate cancer in adults. It is the first oral GnRH receptor antagonist to become available in the US; degarelix (Firmagon), an injectable GnRH receptor antagonist, has been available since 2008 for the same indication.
Med Lett Drugs Ther. 2023 Jul 24;65(1681):e121-2   doi:10.58347/tml.2023.1681e | Show Introduction Hide Introduction