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The Year in Review: A Quick View of FDA Approvals in 2018

The Year in Review:   A Quick View of FDA Approvals in 2018:

FDA approvals of Novel Drugs this year increased: 56 products were considered “New Molecular Entities” by the FDA.  As you can see from the tables below, many of the new entities are advanced biologics, including 5 biosimilars.  The table is updated this year to include comments on the products that may have an impact on primary care.  The table also has a link to the FDA site for those that would like more information on a product.

For further information, check out the resource links below:

References and Best Resources for information on New Drug Approvals:

  • Table 1:  Actual New Drug Entities – includes ALL orals, Injectables, Biologicals and Biosimilar product approvals
  • Table 2: Generic Approvals – includes all generic approvals relevant to Primary Care

Number of Approvals:


2015

2016

2017

2018

New Drug Entities

40

20

46

56

Biosimilars

2

3

4

5

Generic Approvals

n/a

n/a

44

82

 

Table 1:  ACTUAL NEW ENTITIES and BIOSIMILARS:

Approval Date

Brand Name

Generic Name

Indication:

Comments related to Primary Care:

1/26/2018

Lutathera

lutetium Lu 177 dotatate

To treat a type of cancer that affects the pancreas or gastrointestinal tract called gastroenteropancreatic neuroendocrine tumors (GEP-NETs).


2/7/2018

Biktarvy

bictegravir, embitcitabine, tenofovir alafenamide

To treat infection in adults who have no antiretroviral treatment history or to replace the current antiretroviral regimen

NEW COMBO PROUCT for HIV

2/13/2018

Symdeko

tezacaftor; ivacaftor

To treat cystic fibrosis in patients age 12 years and older


2/14/2018

Erleada

apalutamide

To treat a certain type of prostate cancer using novel clinical trial endpoint


3/6/2018

Trogarzo

ibalizumab-uiyk

To treat HIV patients who have limited treatment options


3/20/2018

Ilumya

tildrakizumab

To treat adults with moderate-to-severe plaque psoriasis who are candidates for systemic therapy or phototherapy


4/17/2018

Tavalisse

fostamatinib

To treat thrombocytopenia in adult patients with persistent or chronic immune thrombocytopenia (ITP)


4/17/2018

Crysvita

burosumab-twza

To treat adults and children ages 1 year and older with x-linked hypophosphatemia (XLH), a rare, inherited form of rickets


4/19/2018

Akynzeo

fosnetupitant and palonosetron

To prevent acute and delayed nausea and vomiting associated with initial and repeat courses of highly emetogenic cancer chemotherapy


5/16/2018

Lucemyra

lofexidine hydrochloride

For the non-opioid treatment for management of opioid withdrawal symptoms in adults.  Alpha-2 agonist

Dose: 3 tabs po QID for up to 14 days. Common ADRs: hypotension, bradycardia, dizziness, somnolence, dry mouth

5/17/2018

Aimovig

erenumab-aooe

For the preventive treatment for migraine

Dose: Subcutaneous via auto-injector once a month.  Most common ADRs: injection site reactions and constipation.

5/18/2018

Lokelma

sodium zirconium cyclosilicate

To treat hyperkalemia

Dose: 10 gm TID (oral suspension in packets)  for 48 hours then once daily.  Common ADRs: edema and binding to other meds

5/21/2018

Doptelet

avatrombopag

To treat low blood platelet count (thrombocytopenia) in adults with chronic liver disease who are scheduled to undergo a medical or dental procedure


5/24/2018

Palynziq

pegvaliase-pqpz

To treat adults with a rare and serious genetic disease known as phenylketonuria (PKU)


5/31/2018

Olumiant

baricitinib

To treat moderately to severely active rheumatoid arthritis


6/13/2018

Moxidectin

moxidectin

To treat onchocerciasis due to Onchocerca volvulus in patients aged 12 years and older


6/25/2018

Epidiolex

cannabidiol

To treat rare, severe forms of epilepsy

Neuro: CBD oral solution - the first Cannibidiol product

6/25/2018

Zemdri

plazomicin

To treat adults with complicated urinary tract infections (aminoglycoside)

Dose: Once daily IV treatment

6/27/2018

Mektovi

binimetinib

To treat unresectable or metastatic melanoma


6/27/2018

Braftovi

encorafenib

To treat unresectable or metastatic melanoma


7/13/2018

TPOXX

tecovirimat

To treat smallpox


7/20/2018

Tibsovo

ivosidenib

To treat patients with relapsed or refractory acute myeloid leukemia


7/20/2018

Krintafel

tafenoquine

For the radical cure (prevention of relapse) of Plasmodium vivax malaria


7/23/2018

Orilissa

elagolix sodium

For the management of moderate to severe pain associated with endometriosis

Dose: Once daily oral formulation for up to 6 months. Common ADRs: hot flushes/night sweats, headache, nausea, insomnia, amenorrhea, anxiety, arthralgia, depression

7/27/2018

Omegaven

fish oil triglycerides

As a source of calories and fatty acids in pediatric patients with parenteral nutrition-associated cholestasis


7/31/2018

Mulpleta

lusutrombopag

To treat thrombocytopenia in adult patients with chronic liver disease who are scheduled to undergo a procedure


8/8/2018

Poteligeo

mogamulizumab-kpkc

To treat two rare types of non-Hodgkin lymphoma


8/10/2018

Onpattro

patisiran

To treat the polyneuropathy of hereditary transthyretin-mediated amyloidosis in adult patients


8/10/2018

Annovera

segesterone acetate and ethinyl estradiol vaginal system

New vaginal ring used to prevent pregnancy for an entire year

Dose: insert ring into vagina and keep in place for 3 weeks, followed by 1 week off.  Re-insert for the next cycle. 1 insert is good for 13 cycles.  Common ADRs: similar to other contraceptives: headache/migraine, N/V, bleeding irrigularities, risk of thromboembolic events.

8/10/2018

Galafold

migalastat

To treat treat adults with Fabry disease.


8/20/2018

Diacomit

stiripentol

To treat seizures associated with Dravet syndrome in patients 2 years of age and older taking clobazam


8/22/2018

Oxervate

cenegermin-bkbj

To treat neurotrophic keratitis


8/23/2018

Takhzyro

lanadelumab

To treat types I and II hereditary angioedema


8/27/2018

Xerava

eravacycline

To treat complicated intra-abdominal infections in patients 18 years of age and older (Tetracycline class)


8/30/2018

Pifeltro

doravirine

To treat HIV-1 infection in adult patients


9/13/2018

Lumoxiti

moxetumomab pasudotox-tdfk

To treat hairy cell leukemia


9/14/2018

Ajovy

fremanezumab-vfrm

For the preventive treatment of migraine in adults

Dose: Subcutaneous via auto-injector once a month or quarterly (higher dose)  Most common ADRs: injection site reactions.

9/24/2018

Copiktra

duvelisib

To treat relapsed or refractory chronic lymphocytic leukemia, small lymphocytic lymphoma and follicular lymphoma


9/27/2018

Emgality

galcanezumab-gnlm

For the preventive treatment of migraine in adults

Dose: Subcutaneous prefilled syringe.  Loading dose w/2 injections followed by monthly dose. Common ADRs: injection site reactions

9/27/2018

Vizimpro

dacomitinib

To treat metastatic non-small-cell lung cancer


9/28/2018

Libtayo

cemiplimab-rwlc

To treat cutaneous squamous cell carcinoma (CSCC)


10/1/2018

Seysara

sarecycline

To treat inflammatory lesions of non-nodular moderate to severe acne vulgaris in patients 9 years of age and older (Tetracycline class)

Dose: Once daily oral formulation. Common ADR: Nausea, rare CNS effects

10/3/2018

Nuzyra

omadacycline

To treat community-acquired bacterial pneumonia and acute bacterial skin and skin structure infections. (Tetracycline class)

Dose: available in both IV and Oral dosage forms.  After loading dose, maintenance dose is once daily for 7 to 14 days.

10/5/2018

Revcovi

elapegademase-lvlr

To treat Adenosine Deaminase-Severe Combined Immunodeficiency (ADA-SCID)


10/5/2018

Tegsedi

inotersen

To treat polyneuropathy of hereditary transthyretin-mediated amyloidosis in adults


10/16/2018

Talzenna

talazoparib

For the treatment of locally advanced or metastatic breast cancer patients with a germline BRCA mutation.


10/24/2018

Xofluza

baloxavir marboxil

For the treatment of acute uncomplicated influenza in patients who have been symptomatic for no more than 48 hours.

Dose: single oral dose within 48 hours of onset of influenza.  Common ADRs: diarrhea, bronchitis/nasopharyngitis, headach, nausea

11/2/2018

Lorbrena

lorlatinib

To treat patients with anaplastic lymphoma kinase (ALK)-positive metastatic non-small cell lung cancer


11/8/2018

Yupelri

revefenacin

To treat patients with chronic obstructive pulmonary disease (COPD). Anticholinergic inhalation soln for maintenance treatment

Dose: once daily inhalation via nebulizer. Common ADRs: cough/nasopharyngitis, URI, headache, back pain

11/16/2018

Aemcolo

rifamycin

To treat travelers’ diarrhea caused by non-invasive E. coli

Dose: Take BID for 3 days.  Avoid in patients with diarrhea complicated by fever and/or bloody stool. Most common ADRs: headache and constipation

11/20/2018

Gamifant

emapalumab-lzsg

To treat primary hemophagocytic lymphohistiocytosis (HLH)


11/21/2018

Daurismo

glasdegib

To treat newly-diagnosed acute myeloid leukemia (AML) in adult patients


11/26/2018

Vitrakvi

larotrectinib

To treat patients whose cancers have a specific genetic feature (biomarker)


11/28/2018

Firdapse

amifampridine

To treat  Lambert-Eaton myasthenic syndrome (LEMS) in adults


11/28/2018

Xospata

gilteritinib

To treat patients who have relapsed or refractory acute myeloid leukemia (AML)


5/3/2018

Andexxa

coagulation factor Xa

anticoagulation reversal agent for rivaroxaban and apixaban


BIOSIMILARS APPROVED IN 2018:


Fulphila

pegfilgrastim-jmdb

Biosimilar to Neulasta



Hyrimoz

adalimumab-adaz

Biosimilar to Humira



Retacrit

epoetin alfa-epbx

Biosimilar to Epogen/Procrit



Truxima

rituximab-abbs

Biosimilar to Rituxan



Udenyca

pegfilgrastim-cbqv

Biosimilar to Neulasta


 

 

TABLE 2: FIRST-TIME GENERIC APPROVALS:

(Price might not be lower yet, but the potential exists)

Date of approval

Brand Name

Generic Name

Class/ used for

1/19/18

Xyzal Allergy 24 hour

Levocetirizine tabs

Non-sedating antihistamine

2/15/18

Treximet

Sumatriptan with Naproxen tabs

Acute Migraine Treatment

3/8/18

Sensipar

Cinacalcet caps

Hyperparathryroidism in patients on long-term dialysis

5/11/18

Mephyton

Phytonadione tabs

Treatment of Vitamin K deficiency

5/16/18

Welchol

Colesevelam tabs

Hyperlipidemia

5/17/18

Quillivant XR

Methylphenidate ER Oral Susp

ADHD

5/22/18

Cialis

Tadalafil tabs

Erectile Dysfunction, BPH

(24 hour tablet)

5/31/18

Gelnique

Oxybutynin transdermal Gel

OAB

5/22/18

Onexto gel

Clindamycin and Benzoyl Peroxide Gel

Acne

6/14/18

Suboxone Sublingual

Buprenorphine and Naloxone SL tabs

Treatment of narcotic addiction

7/2/18

Emtriva

Emtricitabine caps

HIV

7/3/18

Uceris ER

Budesonide ER Tablets

Mild to Moderate Crohn’s disease

7/13/18

Daliresp

Roflumilast tabs

Anti-inflammatory for COPD

7/16/18

Welchol for Oral Susp

Colesevelam Packets

Hyperlipidemia

7/17/18

Saphris

Asenapine SL tabs

Schizophrenia and Bipolar

7/24/18

Cosopt

Dorzolamide/Timolol opth soln

IOP glaucoma

7/27/18

Aubagio

Terflunomide tabs

Relapsing MS

8/3/18

Adcirca

Tadalafil tabs

Pulmonary arterial hypertension

8/15/18

Minivelle

Estradiol Transdermal System

Moderate to severe vasomotor symptoms of menopause and postmenopausal osteoporosis

8/16/18

EpiPen and EpiPen Jr

Epinephrine Autodinjector

Severe Allergic Reactions/Anaphylaxis

8/28/18

Abilify DISCMELT

Aripiprazole melt tabs

Schizophrenia

9/4/18

Brilinta

Ticagrelor Tabs

Anti-platelet for post-ACS management

9/21/18

Albenza

Albendazole

Anthelmintic/Tapeworm

10/9/18

Suprax

Cefixime Caps

Antibiotic

10/17/18

Epiduo Forte

Adapalene and Benzoyl Peroxide Gel

Acne Topical


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December 19, 2018




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