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FDA Advisory Panel Unanimously Recommends Approval of Lilly's Alzheimer's Drug Donanemab

  • An FDA advisory committee voted 11-0 to recommend approval of Eli Lilly's donanemab for early Alzheimer's disease, concluding that benefits outweigh risks despite safety concerns.
  • Clinical studies demonstrated that donanemab significantly reduced amyloid plaque buildup in the brain and plasma phosphorylated tau levels, key biomarkers of Alzheimer's disease.
  • If approved later this year, donanemab would become the second drug on the market to treat Alzheimer's disease, with Lilly expecting blockbuster sales potential.
  • The unanimous recommendation positions donanemab for a market showdown with existing competitor Leqembi following anticipated FDA approval.

InnoCare Advances Dual Regulatory Milestones with Tafasitamab BLA Acceptance and BCL2 Inhibitor ICP-248 Clinical Trial Approval in China

  • China's NMPA has accepted and granted priority review to InnoCare's biologics license application for tafasitamab plus lenalidomide combination therapy for relapsed or refractory diffuse large B-cell lymphoma patients ineligible for stem cell transplant.
  • The company received separate approval to initiate clinical trials of its novel BCL2 inhibitor ICP-248 in combination with azacitidine for acute myeloid leukemia treatment in China.
  • DLBCL represents the most common non-Hodgkin lymphoma type globally, accounting for 45.8% of all NHL cases in China, highlighting significant unmet medical need.
  • These regulatory advances strengthen InnoCare's hemato-oncology pipeline with complementary mechanisms targeting CD19 and BCL2 pathways across different blood cancer indications.

Three RSV Vaccines Now Available for Older Adults as FDA Approves Moderna's mRESVIA

  • The FDA has approved three RSV vaccines for adults 60 years and older, with Moderna's mRESVIA joining GSK's Arexvy and Pfizer's Abrysvo in the market as of May 2024.
  • Clinical trials demonstrate high efficacy rates across all three vaccines, with Arexvy showing 82.6% effectiveness, Abrysvo achieving 88.9% efficacy, and mRESVIA demonstrating 83.7% protection against RSV-associated lower respiratory tract disease.
  • The vaccines employ different approaches, with Abrysvo being bivalent targeting both RSV A and B strains, Arexvy containing an adjuvant for enhanced immune response, and mRESVIA utilizing mRNA technology.
  • Pharmacists are positioned to play a crucial role in RSV vaccination efforts, given their accessibility and expertise, as nine in ten Americans live within five miles of a pharmacy.

Regeneron's Lynozyfic Receives FDA Approval for Multiple Myeloma with 70% Response Rate

  • Regeneron's Lynozyfic (linvoseltamab-gcpt) received accelerated FDA approval for relapsed or refractory multiple myeloma patients with at least four prior treatments.
  • The first-in-class BCMAxCD3 bispecific antibody demonstrated a 70% overall response rate with 45% achieving complete response or better in the pivotal LINKER-MM1 trial.
  • The therapy features a flexible maintenance schedule that can extend to every four weeks based on patient response, potentially reducing treatment burden.
  • The approval includes a Boxed Warning for cytokine release syndrome and neurological toxicities, with availability through a Risk Evaluation and Mitigation Strategy program.

Roche's Columvi Demonstrates 41% Reduction in Death Risk in Phase III DLBCL Trial

  • Roche's Phase III STARGLO study showed Columvi plus chemotherapy reduced death risk by 41% versus rituximab plus chemotherapy in relapsed/refractory diffuse large B-cell lymphoma patients.
  • The combination achieved a median overall survival of 25.5 months compared to 12.9 months for the control arm, with complete response rates of 58.5% versus 25.3%.
  • Results position Columvi as the first CD20xCD3 bispecific antibody to demonstrate survival benefit in DLBCL in a randomized Phase III trial.
  • The data will be submitted to global health authorities including FDA and EMA to support conversion from accelerated to full approval.

Leqembi's Slow Adoption: Challenges and Progress in Alzheimer's Treatment

  • Leqembi, the first FDA-approved drug shown to slow Alzheimer's progression, has experienced slower-than-expected adoption despite its groundbreaking status in treating the disease.
  • Healthcare systems face significant implementation challenges, including establishing diagnostic protocols, monitoring systems for side effects, and navigating complex insurance coverage issues for the $26,000-per-year treatment.
  • Despite modest clinical benefits and potential side effects like brain swelling and bleeding, some patients report improvements in short-term memory, offering hope as researchers continue developing easier administration methods and complementary treatments.

FDA Grants Accelerated Approval to Krazati Plus Cetuximab for KRAS G12C-Mutated Colorectal Cancer

  • The FDA granted accelerated approval to Krazati (adagrasib) plus cetuximab for adults with KRAS G12C-mutated locally advanced or metastatic colorectal cancer who have received prior standard chemotherapy treatments.
  • The combination therapy targets a specific genetic mutation and is approved for patients whose tumors are determined to have the KRAS G12C mutation by an FDA-approved test.
  • The most common adverse reactions include rash, nausea, diarrhea, vomiting, fatigue, and musculoskeletal pain, occurring in at least 20% of patients.
  • This approval represents a significant advancement in precision medicine for colorectal cancer patients with this specific genetic alteration.

Fresenius Kabi Launches First Actemra® Biosimilar in U.S. Market as Biosimilar Landscape Expands

• Fresenius Kabi has launched Tyenne® (tocilizumab-aazg), the first biosimilar of Actemra® to enter the U.S. market, following FDA approval in March 2024 for both intravenous and subcutaneous formulations.
• Accord BioPharma received FDA approval for Hercessi™ (trastuzumab-strf), becoming the sixth Herceptin® biosimilar approved in the U.S., while Xbrane's Xlucane™ (ranibizumab) received a Complete Response Letter from the FDA.
• The expanding biosimilar market continues to challenge reference products with significant annual sales, with Actemra® generating approximately $3 billion, Herceptin® $1.77 billion, and Lucentis® $1.475 billion in 2023.

FDA Approves Pfizer's $3.5 Million Gene Therapy Beqvez for Hemophilia B Treatment

  • The FDA approved Pfizer's Beqvez, a one-time gene therapy for adults with moderate to severe hemophilia B, marking the company's first gene therapy approval in the U.S.
  • The treatment carries a $3.5 million price tag before insurance and rebates, making it one of the most expensive drugs in the United States.
  • Beqvez enables patients to produce factor IX protein themselves, potentially eliminating the need for regular intravenous infusions administered multiple times per week or month.
  • The therapy will compete with CSL Behring's Hemgenix, another gene therapy for hemophilia B approved in 2022 with a similar $3.5 million price point.

FDA Approves ImmunityBio's Anktiva for Bladder Cancer, Marking Major Milestone for Soon-Shiong's Immunotherapy Approach

  • The FDA has approved ImmunityBio's lead drug Anktiva for treating a common form of bladder cancer, representing a significant breakthrough after years of development and regulatory challenges.
  • Anktiva harnesses the body's natural killer cells and T-cells to fight cancer, with clinical trials showing the ability to eliminate bladder cancer cells for at least four years.
  • ImmunityBio plans to begin distributing Anktiva to healthcare providers by mid-May 2024, with the company having built a three-year stockpile of the drug during the FDA review process.

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