CDER Breakthrough Therapy Designation Approvals Data As of December 31, 2020 Total of 190 Approvals
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BAFF-Neutralizing Interaction of Belimumab Related to Its Therapeutic Efficacy for Treating Systemic Lupus Erythematosus
ARTICLE DOI: 10.1038/s41467-018-03620-2 OPEN BAFF-neutralizing interaction of belimumab related to its therapeutic efficacy for treating systemic lupus erythematosus Woori Shin1, Hyun Tae Lee1, Heejin Lim1, Sang Hyung Lee1, Ji Young Son1, Jee Un Lee1, Ki-Young Yoo1, Seong Eon Ryu2, Jaejun Rhie1, Ju Yeon Lee1 & Yong-Seok Heo1 1234567890():,; BAFF, a member of the TNF superfamily, has been recognized as a good target for auto- immune diseases. Belimumab, an anti-BAFF monoclonal antibody, was approved by the FDA for use in treating systemic lupus erythematosus. However, the molecular basis of BAFF neutralization by belimumab remains unclear. Here our crystal structure of the BAFF–belimumab Fab complex shows the precise epitope and the BAFF-neutralizing mechanism of belimumab, and demonstrates that the therapeutic activity of belimumab involves not only antagonizing the BAFF–receptor interaction, but also disrupting the for- mation of the more active BAFF 60-mer to favor the induction of the less active BAFF trimer through interaction with the flap region of BAFF. In addition, the belimumab HCDR3 loop mimics the DxL(V/L) motif of BAFF receptors, thereby binding to BAFF in a similar manner as endogenous BAFF receptors. Our data thus provides insights for the design of new drugs targeting BAFF for the treatment of autoimmune diseases. 1 Department of Chemistry, Konkuk University, 120 Neungdong-ro, Gwangjin-gu, Seoul 05029, Republic of Korea. 2 Department of Bio Engineering, Hanyang University, 222 Wangsimni-ro, Seongdong-gu, Seoul 04763, Republic of Korea. These authors contributed equally: Woori Shin, Hyun Tae Lee, Heejin Lim, Sang Hyung Lee. -
Ocrevus (Ocrelizumab) Policy Number: C11250-A
Prior Authorization Criteria Ocrevus (ocrelizumab) Policy Number: C11250-A CRITERIA EFFECTIVE DATES: ORIGINAL EFFECTIVE DATE LAST REVIEWED DATE NEXT REVIEW DUE BY OR BEFORE 8/1/2017 2/17/2021 4/26/2022 LAST P&T J CODE TYPE OF CRITERIA APPROVAL/VERSION J2350-injection,ocrelizumab, Q2 2021 RxPA 1mg 20200428C11250-A PRODUCTS AFFECTED: Ocrevus (ocrelizumab) DRUG CLASS: Multiple Sclerosis Agents - Monoclonal Antibodies ROUTE OF ADMINISTRATION: Intravenous PLACE OF SERVICE: Specialty Pharmacy or Buy and Bill The recommendation is that medications in this policy will be for pharmacy benefit coverage and the IV infusion products administered in a place of service that is a non-hospital facility-based location (i.e., home infusion provider, provider’s office, free-standing ambulatory infusion center) AVAILABLE DOSAGE FORMS: Ocrevus SOLN 300MG/10ML FDA-APPROVED USES: Indicated for the treatment of: • Relapsing forms of multiple sclerosis (MS), to include clinically isolated syndrome, relapsing- remitting disease, and active secondary progressive disease, in adults • Primary progressive MS, in adults COMPENDIAL APPROVED OFF-LABELED USES: None COVERAGE CRITERIA: INITIAL AUTHORIZATION DIAGNOSIS: Multiple Sclerosis REQUIRED MEDICAL INFORMATION: A. RELAPSING FORMS OF MULTIPLE SCLEROSIS: 1. Documentation of a definitive diagnosis of a relapsing form of multiple sclerosis as defined by the McDonald criteria (see Appendix), including: Relapsing- remitting multiple sclerosis [RRMS], secondary-progressive multiple sclerosis [SPMS] with relapses, and progressive- relapsing multiple sclerosis [PRMS] or First clinical episode with MRI features consistent with multiple sclerosis Molina Healthcare, Inc. confidential and proprietary © 2021 This document contains confidential and proprietary information of Molina Healthcare and cannot be reproduced, distributed, or printed without written permission from Molina Healthcare. -
= 'NH., Diseases, Central Nerrous System M)Ury and Different Foims of Mflannnation
(12) INTERNATIONAL APPLICATION Pl;BLISHED 1. NDER THE PATENT COOPERATION TREATY (PCT) (19) World intellectual Property Organraation llIlllIlllIlIllllllllIlllllIIllIllIlllIlllllllllllIlllIllIlIlllIllIlIllIllIlIIIIIIIIIIIIIIIIIII International Bureau (10) International Publication Number (43) International Publication Date WO 2020/114892 Al 11 June 2020 (11.06.2020) W 4 P Gl I P 0 T (51) International Patent Classification: C07D 401/06 (200G 0 I) AGJK31/454 (200G 0l) C07D dt)J//4 (2006 01) A61P35/ttd (200G 0l) (21) International Application Number: PCT/EP2019/l)8 3014 (22) International Filing Date: 29 Nosember 2019 (29.11.2019) (25) Filing Language: Enghsh (26) Publication Language Enghsh (30) Priority Data: 1820972/i 1 03 December 20)8 (03 12 2018) EP (71) Applicant: MERCK PATENT GMBH IDE/DE]. Frm&(s- furter Strasse 230. 64293 DARMSTADT (DE) (72) Inventors: BUCHSTALLER, Hans-Peter. Ncc)sa&strasse G. G4347 GRIESHELVI (DE). ROHDICH, Feliru Saalbaus- tmssc 23. 64283 DARMSTADT (DE). (81) Designated States /unless i&themmse n&d&ct&md, /or e&ery hind of national protect«&n menial&le/ AF, AG, AL, AVI AO, AT. AU. AZ, BA, BB, BG, BH. B N. BR, BW, BY. BZ. CA. CH, CL, CN. CO, CR. C U, CZ. DE, DJ, DK. DM DO. DZ, EC. EE, EG. ES. FI, GB. GD. GE. GH, GM. GT. HN. HR. HU, ID, IL. IN, IR, IS. JO, JP, KE. KG, KH. KN, KP. KR. KW, KZ, LA. L C, LK. LR, LS, LU. LY. MA. MD, ME. WIG. MK. MN, MW, MX. MY. MZ. NA. NG. NI, NO. NZ. OM, PA. PE, PG. PH, PL. PT. QA, RO, RS. -
Monoclonal Antibody: a New Treatment Strategy Against Multiple Myeloma
antibodies Review Monoclonal Antibody: A New Treatment Strategy against Multiple Myeloma Shih-Feng Cho 1,2,3, Liang Lin 3, Lijie Xing 3,4, Tengteng Yu 3, Kenneth Wen 3, Kenneth C. Anderson 3 and Yu-Tzu Tai 3,* 1 Division of Hematology & Oncology, Department of Internal Medicine, Kaohsiung Medical University Hospital, Kaohsiung Medical University, Kaohsiung 807, Taiwan; [email protected] 2 Faculty of Medicine, College of Medicine, Kaohsiung Medical University, Kaohsiung 807, Taiwan 3 LeBow Institute for Myeloma Therapeutics and Jerome Lipper Multiple Myeloma Center, Dana-Farber Cancer Institute, Harvard Medical School, Boston, MA 02215, USA; [email protected] (L.L.); [email protected] (L.X.); [email protected] (T.Y.); [email protected] (K.W.); [email protected] (K.C.A.) 4 Department of Hematology, Shandong Provincial Hospital Affiliated to Shandong University, No. 324, Jingwu Road, Jinan 250021, China * Correspondence: [email protected]; Tel.: +1-617-632-3875; Fax: +1-617-632-2140 Received: 20 October 2017; Accepted: 10 November 2017; Published: 14 November 2017 Abstract: 2015 was a groundbreaking year for the multiple myeloma community partly due to the breakthrough approval of the first two monoclonal antibodies in the treatment for patients with relapsed and refractory disease. Despite early disappointments, monoclonal antibodies targeting CD38 (daratumumab) and signaling lymphocytic activation molecule F7 (SLAMF7) (elotuzumab) have become available for patients with multiple myeloma in the same year. Specifically, phase 3 clinical trials of combination therapies incorporating daratumumab or elotuzumab indicate both efficacy and a very favorable toxicity profile. These therapeutic monoclonal antibodies for multiple myeloma can kill target cells via antibody-dependent cell-mediated cytotoxicity, complement-dependent cytotoxicity, and antibody-dependent phagocytosis, as well as by direct blockade of signaling cascades. -
Updated: May 20, 2021 Prior Authorization Drugs (NEW ADDITIONS HIGHLIGHTED)
Updated: May 20, 2021 Prior Authorization Drugs (NEW ADDITIONS HIGHLIGHTED) A Abatacept (ORENCIA) Abemaciclib (VERZENIO) Abiraterone Acetate (ZYTIGA) Abiraterone Acetate (+ GENERIC FORMULATIONS) AbobotulinumtoxinA (DYSPORT) Abraxane (ABRAXANE) Acalabrutinib (CALQUENCE) Actemra (ACTEMRA) Adalimumab (AMGEVITA) Adalimumab (HADLIMA) Adalimumab (HULIO) Adalimumab (HUMIRA) Adalimumab (HYRIMOZ) Adalimumab (IDACIO) Adcetris (ADCETRIS) Adcirca (ADCIRCA) Adempas (ADEMPAS) Afatinib (GIOTRIF) Afinitor (AFINITOR) Aflibercept (EYLEA) Aflibercept (ZALTRAP) Afstyla (AFSTYLA) Agalsidase Alfa (REPLAGAL) Agalsidase Beta (FABRAZYM) Aimovig (AIMOVIG) Ajovy (FREMANEZUMAB) Aldesleukin (PROLEUKIN) Aldurazyme (ALDURAZYME) Alecensaro (ALECENSARO) Alectinib (ALECENSARO) Alefacept (AMEVIVE) Alemtuzumab (MABCAMPATH) Alemtuzumab (LEMTRADA) Alglucosidase Alfa (MYOZYME) Alimta (ALIMTA) Alirocumab (PRALUENT) Alpha-1-Proteinase Inhibitor (PROLASTIN - C) Alpha-1-Proteinase Inhibitor (ZEMAIRA) Alpelisib (PIQRAY) Alunbrig (ALUNBRIG) Ambrisentan (VOLIBRIS) Ambrisentan (Generic Formulations) Amevive (AMEVIVE) Amgevita (ADALIMUMAB) Amifampridine Phosphate (FIRDAPSE) Amifampridine Phosphate (RUZURGI) Anakinra (KINERET) Apalutamide (ERLEADA) Apomorphine (KYNMOBI) Apremilast (OTEZLA) Page 1 of 17 Updated: May 20, 2021 Arsenic Trioxide (TRISENOX) Arsenic Trioxide (Generic Formulations) Arzerra (ARZERRA) Asfotase Alfa (STRENSIQ) Asparaginase (ERWINASE) Asunaprevir (SUNVEPRA) Atezolizumab (TECENTRIQ) Atriance (ATRIANCE) Aubagio (AUBAGIO) Avastin (AVASTIN) Avelumab (BAVENCIO) Avonex -
DRUGS REQUIRING PRIOR AUTHORIZATION in the MEDICAL BENEFIT Page 1
Effective Date: 08/01/2021 DRUGS REQUIRING PRIOR AUTHORIZATION IN THE MEDICAL BENEFIT Page 1 Therapeutic Category Drug Class Trade Name Generic Name HCPCS Procedure Code HCPCS Procedure Code Description Anti-infectives Antiretrovirals, HIV CABENUVA cabotegravir-rilpivirine C9077 Injection, cabotegravir and rilpivirine, 2mg/3mg Antithrombotic Agents von Willebrand Factor-Directed Antibody CABLIVI caplacizumab-yhdp C9047 Injection, caplacizumab-yhdp, 1 mg Cardiology Antilipemic EVKEEZA evinacumab-dgnb C9079 Injection, evinacumab-dgnb, 5 mg Cardiology Hemostatic Agent BERINERT c1 esterase J0597 Injection, C1 esterase inhibitor (human), Berinert, 10 units Cardiology Hemostatic Agent CINRYZE c1 esterase J0598 Injection, C1 esterase inhibitor (human), Cinryze, 10 units Cardiology Hemostatic Agent FIRAZYR icatibant J1744 Injection, icatibant, 1 mg Cardiology Hemostatic Agent HAEGARDA c1 esterase J0599 Injection, C1 esterase inhibitor (human), (Haegarda), 10 units Cardiology Hemostatic Agent ICATIBANT (generic) icatibant J1744 Injection, icatibant, 1 mg Cardiology Hemostatic Agent KALBITOR ecallantide J1290 Injection, ecallantide, 1 mg Cardiology Hemostatic Agent RUCONEST c1 esterase J0596 Injection, C1 esterase inhibitor (recombinant), Ruconest, 10 units Injection, lanadelumab-flyo, 1 mg (code may be used for Medicare when drug administered under Cardiology Hemostatic Agent TAKHZYRO lanadelumab-flyo J0593 direct supervision of a physician, not for use when drug is self-administered) Cardiology Pulmonary Arterial Hypertension EPOPROSTENOL (generic) -
Alectinib Provides a New Option for ALK-Positive NSCLC Patients After Progression on Crizotinib See Commentary on Page 239
Community Translations Edited by Jame Abraham, MD, FACP Alectinib provides a new option for ALK-positive NSCLC patients after progression on crizotinib See Commentary on page 239 n December 2015, alectinib became the third ALK inhibitor approved by the United States Food and What’s new, what’s important IDrug Administration for the treatment of non-small- The US Food and Drug Administration approved alectinib to cell lung cancer (NSCLC) that displays rearrangements of treat patients with metastatic ALK-positive non-small-cell lung the anaplastic lymphoma kinase (ALK) gene. Alectinib is cancer whose disease had progressed or who could not toler- a second-generation small molecule inhibitor of the ALK ate treatment with crizotinib. In clinical trials, alectinib showed a protein that joins ceritinib in providing a useful treatment partial response of 38%-44% and an average progression-free option for patients who have progressed on crizotinib, as survival of 11.2 months. In all, 61% of patients experienced a a result of its ability to target crizotinib-resistant mutant complete or partial reduction in their brain metastatic lesions, forms of the ALK protein. Alectinib also displays enhanced with a progression-free survival of of 9.1 months. The recom- penetrance of the blood-brain barrier, which improves ef- mended dose is 600 mg orally twice daily. cacy against central nervous system (CNS) metastases. The most common side effects are fatigue, constipation, swell- Te FDA awarded alectinib accelerated approval on the ing (edema), and muscle pain (myalgia). Treatment with alec- basis of 2 phase 2, single-arm clinical trials in patients tinib may cause sunburn when patients are exposed to sunlight, with ALK-positive NSCLC who had progressed on and pregnant women should be notifed of the possible risk to crizotinib therapy, a group of patients who have few avail- the fetus, and to use contraception throughout treatment and for able treatment options. -
Pharmaceutics of Oral Anticancer Agents and Stimulants
Pharmaceutics of oral anticancer agents and stimulants Maikel Herbrink The research in this thesis was performed at the Departments of Pharmacy & Pharma- cology and Medical Oncology & Clinical Pharmacology of the Netherlands Cancer Insti- tute – Antoni van Leeuwenhoek hospital, Amsterdam, the Netherlands. Printing of this thesis was financially supported by: Netherlands Cancer Institute Chipsoft BV Pfizer BV ISBN: 978-90-393-6997-5 Design, lay-out and print Gildeprint, Enschede © Maikel Herbrink, 2018 Pharmaceutics of oral anticancer agents and stimulants Farmaceutisch onderzoek naar oraal toegediende antikankermiddelen en stimulantia (met een samenvatting in het Nederlands) Proefschrift ter verkrijging van de graad van doctor aan de Universiteit Utrecht op gezag van de rector magnificus, prof. dr. H.R.B.M. Kummeling, ingevolge het besluit van het college voor promoties in het openbaar te verdedigen op woensdag 27 juni 2018 des middags te 4.15 uur door Maikel Herbrink geboren op 2 februari 1990 te Groningen Promotoren: Prof. dr. J.H. Beijnen Prof. dr. J.H.M. Schellens Copromotor: Dr. B. Nuijen Contents Preface 9 Chapter 1: Introduction 15 1.1 Variability in bioavailability of small molecular tyrosine 17 kinase inhibitors Cancer Treat Rev. 2015 May;41(5):412-422 1.2 Inherent formulation issues of kinase inhibitors 51 J Control Release. 2016 Oct;239:118-127 1.3 High-tech drugs in creaky formulations 81 Pharm Res. 2017 Sep;34(9):1751-1753 Chapter 2: Pharmaceutical analysis of oral anticancer drug substances 89 2.1. Thermal study of pazopanib hydrochloride 91 J Therm Anal Calorim. 2017 Dec;130(3):1491-1499 2.2. -
Blincyto Pi Hcp English.Pdf
HIGHLIGHTS OF PRESCRIBING INFORMATION These highlights do not include all the information needed to use BLINCYTO® safely and effectively. See full prescribing information for BLINCYTO. - Premedicate with dexamethasone. (2.2) BLINCYTO® (blinatumomab) for injection, for intravenous use • Refer to Full Prescribing Information for important preparation and Initial U.S. Approval: 2014 administration information. (2.4, 2.5, 2.6) • Administer as a continuous intravenous infusion at a constant flow rate using an infusion pump. (2.5, 2.6) WARNING: CYTOKINE RELEASE SYNDROME and - See Section 2.5 for infusion over 24 hours or 48 hours. NEUROLOGICAL TOXICITIES - See Section 2.6 for infusion over 7 days using Bacteriostatic 0.9% See full prescribing information for complete boxed warning. Sodium Chloride Injection, USP (containing 0.9% benzyl alcohol). This option is not recommended for patients weighing less than 22 kg. • Cytokine Release Syndrome (CRS), which may be life-threatening or fatal, occurred in patients receiving BLINCYTO. Interrupt or ---------------------DOSAGE FORMS AND STRENGTHS---------------------- discontinue BLINCYTO and treat with corticosteroids as For injection: 35 mcg of lyophilized powder in a single-dose vial for recommended. (2.3, 5.1) reconstitution. (3) • Neurological toxicities, which may be severe, life-threatening, or fatal, occurred in patients receiving BLINCYTO. Interrupt or discontinue -------------------------------CONTRAINDICATIONS------------------------------ BLINCYTO as recommended. (2.3, 5.2) Known hypersensitivity -
Successful Chemotherapy Is Possible for Seemingly Inoperable Anaplastic Thyroid Cancer
® Clinical Thyroidology for the Public VOLUME 12 | ISSUE 12 | DECEMBER 2019 THYROID CANCER Successful chemotherapy is possible for seemingly inoperable anaplastic thyroid cancer BACKGROUND form of standard chemotherapy and 2 received another While the vast majority of thyroid cancers are slow tyrosine kinase inhibitor called pembrolizumab. Of the 6 growing and have an excellent prognosis, anaplastic patients that had surgery after this treatment, 4 patients thyroid cancer, which makes up <1% of all thyroid cancer, had the entire primary cancer removed and the other 2 is one of the most aggressive of all cancers, with a survival patients only had microscopic pieces of cancer left after averaging ~6 months after diagnosis. Surgery, radiation the surgery. After the surgery, 5 of 6 patients received and single drug chemotherapy is all ineffective in most standard chemotherapy and radiation to the surgical area. cases. The aim of this study is to study if combination Of the 6 patients, 4 patients had no evidence of cancer at chemotherapy will make previously inoperable anaplastic the last check, some over 2 years after surgery. The 2 other thyroid cancers safe to remove with surgery. patients did pass away from anaplastic cancer; however, there was no re-growth of cancer in the area where surgery THE FULL ARTICLE TITLE occurred. Wang JR et al 2019 Complete surgical resection following neoadjuvant dabrafenib plus trametinib in BRAFV600E- WHAT ARE THE IMPLICATIONS mutated anaplastic thyroid carcinoma. Thyroid 29:1036– OF THIS STUDY? 1043. PMID: 31319771. In selected patients with anaplastic thyroid cancer with the BRAF V600E mutation, treatment with dabrafenib SUMMARY OF THE STUDY and trametinib may increase the chance of having a In this study from the MD Anderson Cancer Center successful surgery of the primary tumor. -
Novartis R&D and Investor Update
Novartis AG Investor Relations Novartis R&D and investor update November 5, 2018 Disclaimer This presentation contains forward-looking statements within the meaning of the United States Private Securities Litigation Reform Act of 1995, that can generally be identified by words such as “potential,” “expected,” “will,” “planned,” “pipeline,” “outlook,” “agreement to acquire,” or similar expressions, or by express or implied discussions regarding potential marketing approvals, new indications or labeling for the investigational or approved products described in this presentation, or regarding potential future revenues from such products, or regarding the proposed acquisition of Endocyte, Inc. (Endocyte) by Novartis including the potential outcome and expected timing for completion of the proposed acquisition, and the potential impact on Novartis of the proposed acquisition, including express or implied discussions regarding potential future sales or earnings of Novartis, and any potential strategic benefits, synergies or opportunities expected as a result of the proposed acquisition. You should not place undue reliance on these statements. Such forward-looking statements are based on our current beliefs and expectations regarding future events, and are subject to significant known and unknown risks and uncertainties. Should one or more of these risks or uncertainties materialize, or should underlying assumptions prove incorrect, actual results may vary materially from those set forth in the forward-looking statements. There can be no guarantee that the investigational or approved products described in this presentation will be submitted or approved for sale or for any additional indications or labeling in any market, or at any particular time. Nor can there be any guarantee that such products will be commercially successful in the future. -
761094Orig1s000
CENTER FOR DRUG EVALUATION AND RESEARCH APPLICATION NUMBER: 761094Orig1s000 CLINICAL REVIEW(S) Medical Officer’s Review of BLA 761094 Review #2 BLA 761094 Submission Date: July 19, 2018 Receipt Date: July 19, 2018 Review Date: July 23, 2018 Applicant: Dompé farmaceutici S.p.A. Via Santa Lucia 6-20122 Milan, Italy Applicant’s Representative: Lamberto Dionigi. Regulatory Affairs & Drug Safety Director 39-02-5838-3559 Drug: OXERVATE (cenegermin – bkbj) ophthalmic solution, 20 mcg/mL Submitted: Reference is made to the meeting Teleconference of 15-July-2018, in which the FDA has requested to provide information available at Dompé on the use of Oxervate in the pediatric population. Pediatric patients exposed to Oxervate: Dompé confirms that Oxervate is not yet approved in Europe for use in children and no clinical studies have been conducted in this population. As far as the company is aware, four (4) Neurotrophic Keratitis (NK) pediatric patients, aged from 2 to 12 years of age, have been exposed to Oxervate. A 6-year-old child with severe NK secondary to Stuve-Wiedmann syndrome was treated with Oxervate under “Temporary Authorization for Use” (ATU) in France. Dompé reports that the corneal ulcer was completely healed at the end of the treatment. There were signs of corneal sensitivity recovery by month 8 post-treatment. A 9-year-old child with NK was treated with Oxervate under ATU in France. Dompé reports that the lesion improved, but did not completely heal with the treatment. There is no other follow-up information available. A 12-year-old child with severe NK was treated with Oxervate under Expanded Access in the US.