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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

Live Fecal Microbiota Oral Capsules (Vowst) for Prevention of CDI Recurrence

   
The Medical Letter on Drugs and Therapeutics • May 29, 2023  (Issue 1677)
indication.1 Neither product is approved for acute treatment of CDI. Description: Oral capsule containing ...
The FDA has approved Vowst (Seres Therapeutics/Nestle HealthScience), an oral capsule containing live fecal microbiota spores, for prevention of additional recurrences of Clostridioides difficile infection (CDI) in adults. Vowst is the first orally administered microbiota-based treatment to be approved for this indication. A rectally-administered live fecal microbiota-based suspension (Rebyota) was approved in 2022 for the same indication. Neither product is approved for acute treatment of CDI.
Med Lett Drugs Ther. 2023 May 29;65(1677):81-2   doi:10.58347/tml.2023.1677a | Show Introduction Hide Introduction

Eflapegrastim (Rolvedon) for Prevention of Chemotherapy-Induced Febrile Neutropenia

   
The Medical Letter on Drugs and Therapeutics • May 29, 2023  (Issue 1677)
decrease the duration of chemotherapy-induced neutropenia and the incidence of infection.1 The Fc ...
Eflapegrastim-xnst ((Rolvedon) [Spectrum]; previously called Rolontis), a granulocyte colony-stimulating factor (G-CSF) conjugated to an Fc fragment of human IgG4, has been approved by the FDA to decrease the incidence of infection, as manifested by febrile neutropenia, in adults with nonmyeloid malignancies receiving myelosuppressive chemotherapy that can cause clinically significant febrile neutropenia.
Med Lett Drugs Ther. 2023 May 29;65(1677):83-4   doi:10.58347/tml.2023.1677b | Show Introduction Hide Introduction

Cariprazine (Vraylar) for Adjunctive Treatment of Depression

   
The Medical Letter on Drugs and Therapeutics • May 29, 2023  (Issue 1677)
depression, and for acute treatment of manic or mixed episodes associated with bipolar I disorder.1 Table ...
The FDA has approved the second-generation antipsychotic drug cariprazine (Vraylar — Abbvie) for adjunctive treatment of major depressive disorder (MDD) in adults. Cariprazine was previously approved for treatment of schizophrenia and bipolar depression, and for acute treatment of manic or mixed episodes associated with bipolar I disorder.
Med Lett Drugs Ther. 2023 May 29;65(1677):84-6   doi:10.58347/tml.2023.1677c | Show Introduction Hide Introduction

COVID-19 Update: Metformin to Prevent Long Covid?

   
The Medical Letter on Drugs and Therapeutics • May 29, 2023  (Issue 1677)
ward than in those who did not (43.1% and 27.5% vs 5.7%). It was most prevalent in adult females.1 ...
Results from a double-blind trial suggest that off-label use of the oral antihyperglycemic drug metformin in patients with COVID-19 may decrease the risk of post-acute sequelae of SARS-CoV-2 infection ("long COVID").
Med Lett Drugs Ther. 2023 May 29;65(1677):87-8   doi:10.58347/tml.2023.1677e | Show Introduction Hide 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 Introduction Hide Introduction

Omidubicel (Omisirge) for Neutrophil Recovery Following Myeloablative Conditioning Therapy (online only)

   
The Medical Letter on Drugs and Therapeutics • May 29, 2023  (Issue 1677)
donors) is often used, but it can delay the time to neutrophil engrafment.1 Before undergoing stem cell ...
The FDA has approved omidubicel-onlv (Omisirge – Gamida Cell), a nicotinamide-modified, allogeneic hematopoietic progenitor cell therapy derived from cord blood, to reduce the time to neutrophil recovery and the risk of infection in patients ≥12 years old with hematologic malignancies who will undergo umbilical cord blood transplantation following myeloablative conditioning therapy. Hematopoietic progenitor cell (HPC) umbilical cord products (e.g., Allocord, Clevecord, Ducord) have been available in the US for years for the same indication. Cord blood banks also supply cord...
Med Lett Drugs Ther. 2023 May 29;65(1677):e93-4   doi:10.58347/tml.2023.1677h | Show Introduction Hide Introduction

Enfortumab Vedotin (Padcev) for Urothelial Cancer (online only)

   
The Medical Letter on Drugs and Therapeutics • May 22, 2023  (Issue 1677)
received enfortumab vedotin 1.25 mg/kg IV on days 1 an 8 of a 21-day cycle, followed by pembrolizumab 200 ...
Enfortumab vedotin-ejfv (Padcev – Astellas), a nectin-4-directed antibody and microtubule inhibitor conjugate, has received accelerated approval from the FDA for use with the immune checkpoint inhibitor pembrolizumab (Keytruda) for treatment of locally advanced or metastatic urothelial cancer in adults who are ineligible for cisplatin-containing chemotherapy. Accelerated approval was based on tumor response rates and the durability of response.
Med Lett Drugs Ther. 2023 May 22;65(1677):e91-2   doi:10.58347/tml.2023.1677g | Show Introduction Hide Introduction