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FDA Authorizes Novavax's Protein-Based COVID-19 Vaccine for US Adults

• The US Food and Drug Administration has authorized Novavax's protein-based COVID-19 vaccine for adults, making it the fourth COVID-19 shot available in the United States.
• Novavax's vaccine uses traditional protein-based technology that has been employed for decades against diseases like hepatitis B and influenza, potentially appealing to the 27 million unvaccinated American adults skeptical of mRNA platforms.
• The US government has secured 3.2 million Novavax doses to be released after quality testing, though European uptake has been limited with only about 242,000 doses administered since its December launch.

Eagle Pharmaceuticals Submits NDA for Landiolol, Ultra-Short-Acting Beta Blocker for Critical Care Tachycardia

  • Eagle Pharmaceuticals announced that AOP Orphan Pharmaceuticals submitted a new drug application to the FDA for landiolol, seeking approval for short-term reduction of ventricular rate in patients with supraventricular tachycardia.
  • Landiolol is an ultra-short-acting, cardio-selective beta-1 adrenergic blocker with a β1:β2 ratio of 255:1, making it the most cardioselective beta blocker available.
  • The drug is already commercially available in Japan and several European markets, with multiple clinical studies demonstrating its safety and efficacy for rapid short-term control of tachyarrhythmias.
  • If approved, Eagle expects five years of new chemical entity exclusivity and anticipates approval by mid-year 2023 based on FDA feedback from a Type C meeting.

Eskayef Pharmaceuticals Becomes Third Bangladeshi Company to Receive US FDA Approval for Manufacturing Facility

  • Eskayef Pharmaceuticals Ltd received US FDA approval for its solid manufacturing facility in Tongi, Gazipur, becoming the third Bangladeshi pharmaceutical company to achieve this milestone after Square and Beximco Pharma.
  • The approval enables Eskayef to export Pregabalin capsules in eight different strengths (25mg to 300mg) to the US market, with the anti-epileptic and neuropathic pain medication set to launch shortly.
  • This achievement follows more than five years of efforts and represents a significant step toward Bangladesh's pharmaceutical export growth, which reached $169 million in 2020-21, more than doubling from $83 million five years earlier.
  • The FDA approval validates Eskayef's manufacturing quality standards and opens doors to the world's largest pharmaceutical market, reinforcing the company's global presence across 67 countries.

Moderna's COVID-19 Vaccine Spikevax Receives Full FDA Approval, Marking Company's First Licensed Product

  • Moderna's COVID-19 vaccine Spikevax received full FDA approval for individuals 18 years and older, becoming the company's first licensed product in the United States.
  • The approval was based on clinical trial data showing 93% efficacy in preventing COVID-19 and 98% effectiveness in preventing severe disease among 28,451 participants.
  • Spikevax has now received regulatory approval in more than 70 countries, with Moderna having shipped 807 million doses globally in 2021.
  • The vaccine maintains the same formulation as the emergency-use authorization version and is administered as a two-dose primary series one month apart.

Polatuzumab Vedotin Shows Superior Efficacy in First-Line DLBCL Treatment and Confirms Long-Term Benefits in Relapsed Disease

  • The phase 3 POLARIX trial demonstrated that polatuzumab vedotin plus R-CHP (pola-R-CHP) significantly improved progression-free survival compared to standard R-CHOP in previously untreated DLBCL patients, reducing the risk of disease progression by 27%.
  • Long-term follow-up data from the GO29365 study confirmed durable disease control with polatuzumab vedotin plus bendamustine and rituximab in relapsed/refractory DLBCL, with 25% of patients achieving ongoing responses lasting over 2 years.
  • Both studies showed manageable safety profiles for polatuzumab vedotin combinations, with peripheral neuropathy rates comparable to standard regimens and no new safety signals identified with extended follow-up.

FDA Approves First Eye Drops for Presbyopia Treatment, Offering Alternative to Reading Glasses

  • The FDA has approved Vuity (pilocarpine HCl ophthalmic solution) 1.25% as the first prescription eye drops to treat presbyopia in adults, potentially benefiting an estimated 128 million Americans with this age-related vision condition.
  • Clinical trials involving 750 participants aged 40-55 demonstrated that Vuity works within 15 minutes and lasts up to six hours, allowing patients to read three or more additional lines on vision charts without compromising distance vision.
  • The drops use pilocarpine to reduce pupil size and increase depth of field, with side effects limited to headaches and eye redness in less than 5% of patients during Phase III studies.
  • Allergan/AbbVie's approval was based on two pivotal Phase III studies (GEMINI 1 and GEMINI 2) that met primary endpoints for improved near vision in low-light conditions versus placebo on day 30.

FDA Approves Insightec's Exablate Neuro for Advanced Parkinson's Disease Treatment

  • The FDA has approved Insightec's Exablate Neuro focused ultrasound system for treating advanced Parkinson's disease patients with mobility, rigidity, or dyskinesia symptoms through incisionless pallidotomy.
  • The treatment uses focused ultrasound waves to precisely target and ablate the globus pallidus without requiring brain implants or surgical incisions, reducing infection risk compared to invasive surgery.
  • This approval expands the device's indications beyond essential tremor and tremor-dominant Parkinson's disease, with 37 medical centers in the US currently using the technology.
  • Parkinson's disease affects an estimated one million patients in the United States, with the new approval providing a less invasive surgical option when medications are not well tolerated.

Real-World Evidence Increasingly Influences FDA Drug Approvals, Study Finds

  • A systematic review of FDA approval documents from 2019-2021 found that 85% of new drug and biologic approvals incorporated real-world evidence (RWE) in some form, with the proportion increasing from 75% in 2019 to 96% in the first half of 2021.
  • Among 88 approvals that included RWE studies intended to support safety or effectiveness, 74% influenced FDA's benefit-risk assessment, with 9% serving as substantial or primary evidence and 65% providing supportive evidence.
  • FDA's documented feedback on RWE studies highlighted common issues including methodological problems, sample size concerns, and omission of patient-level data, emphasizing the importance of fit-for-purpose data selection and rigorous study design.

FDA Approves Breakthrough Twice-Yearly HIV Prevention Drug Lenacapavir with Nearly 100% Efficacy

  • The FDA has approved lenacapavir, a breakthrough preventative treatment for HIV that offers nearly 100 percent protection from the virus and could change the course of the AIDS epidemic.
  • The new drug represents a significant advancement in HIV prevention with its twice-yearly dosing schedule, potentially improving patient adherence compared to daily prevention medications.
  • Despite the promising therapeutic breakthrough, deep cuts to health initiatives could hinder the rollout of this potentially game-changing HIV prevention treatment.

FDA Approves Zanubrutinib for Waldenström's Macroglobulinemia Treatment

  • The FDA has approved zanubrutinib (Brukinsa) for treating adult patients with Waldenström's macroglobulinemia, marking the second therapy specifically approved for this rare lymphoma.
  • The approval was based on the phase 3 ASPEN trial comparing zanubrutinib to ibrutinib, showing a higher very good partial response rate of 28% versus 19% respectively.
  • Zanubrutinib demonstrated improved tolerability compared to the first-generation BTK inhibitor ibrutinib across several clinically important side effects.
  • The drug is administered orally at either 160 mg twice daily or 320 mg once daily, offering patients a convenient single-agent treatment option.

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