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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.

UK Approves First COVID-19 Monoclonal Antibody Treatment as AstraZeneca Reports 77% Efficacy in Prevention Trial

  • The UK's MHRA approved Ronapreve, the first monoclonal antibody therapy specifically designed to treat and prevent COVID-19, developed by Regeneron and Roche.
  • The treatment combines two monoclonal antibodies administered by injection or infusion, working by binding to the virus and preventing respiratory system entry.
  • AstraZeneca simultaneously announced that its AZD7442 antibody combination reduced COVID-19 symptom risk by 77% in a trial of 5,172 participants, with over three-quarters having comorbidities affecting vaccine response.
  • Both treatments represent significant advances for vulnerable populations who may not respond adequately to COVID-19 vaccines alone.

FDA Approves Aduhelm: First Disease-Modifying Alzheimer's Treatment in Nearly Two Decades

  • The FDA granted accelerated approval to Biogen's aducanumab (Aduhelm) as the first disease-modifying Alzheimer's treatment in nearly two decades, despite divided expert opinions on its clinical efficacy.
  • Aduhelm, priced at $56,000 annually, works by reducing amyloid plaques in the brain and will require monthly intravenous infusions with comprehensive clinical and MRI monitoring for potential adverse effects.
  • As part of the accelerated approval, Biogen must conduct a Phase 4 confirmatory trial, while experts view this approval as a potential catalyst for developing more effective Alzheimer's treatments targeting multiple pathways.

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