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showed that rivaroxaban<br />

vascular dose, 2.5 mg twice<br />

daily, plus aspirin 100 mg<br />

once daily reduced the<br />

risk of the composite<br />

of stroke, CV death and<br />

heart attack by 24 percent<br />

compared with aspirin 100<br />

mg once daily alone in<br />

patients with CAD or PAD.<br />

Rivaroxaban was<br />

discovered by Bayer, and<br />

is being jointly developed<br />

with Janssen Research &<br />

Development, LLC.<br />

Abemaciclib<br />

for HR+ breast<br />

cancer in EU<br />

EMA has cleared<br />

abemaciclib (Verzenio) to<br />

treat women with hormone<br />

receptor-positive (HR+),<br />

epidermal growth factor<br />

receptor 2 negative (HER2-)<br />

locally advanced or metastatic<br />

breast cancer.<br />

The treatment with<br />

CDK4/6inhibitor is approved<br />

as a first-line therapy<br />

in combination with an<br />

aromatase inhibitor or<br />

fulvestrant, and as a secondline<br />

treatment after earlier<br />

endocrine drugs.<br />

The approval of<br />

abemaciclib is based on the<br />

results of the Monarch 2<br />

and Monarch 3 as secondline<br />

and first-line studies. A<br />

phase III trial called Monarch<br />

E is currently underway to<br />

determine the efficacy of<br />

abemaciclibas adjuvant<br />

therapy in early breast cancer.<br />

Earlier, Eli Lilly suspended<br />

the Phase 3 Juniper<br />

programme to extend the use<br />

of abemaciclibinto pancreatic<br />

cancer as it failed to meet the<br />

endpoints<br />

Elapegademase<br />

for ADA-SCID<br />

US FDA has granted<br />

approval for<br />

elapegademase (Revcovi) for<br />

adenosine deaminase severe<br />

combined immune deficiency<br />

(ADA-SCID).<br />

Elapegademase is a longacting<br />

drug that replaces<br />

the missing ADA enzyme in<br />

patients with ADA-SCID with<br />

an engineered, recombinant<br />

form.<br />

The new drug comes as an<br />

alternative to current animalderived<br />

enzyme replacement<br />

therapy pegademase bovine<br />

by Leadiant.<br />

Also known as bubble boy<br />

disease, ADA-SCID is an ultrarare,<br />

inherited geneticdisorder<br />

that compromises patients’<br />

immune systems and leaves<br />

patients unprotected from<br />

infections, and is fatal if<br />

untreated.<br />

The disease is typically<br />

diagnosed within the first<br />

few months of life, and<br />

undiagnosed babies with<br />

ADA-SCID usually die before<br />

Breakthrough<br />

designation for<br />

20-valent vac<br />

Pfizer’s 20-valent<br />

pneumococcal<br />

conjugate vaccine<br />

(20vPnC) candidate,<br />

PF-06482077, received<br />

breakthrough therapy<br />

designation from the US<br />

FDA for the prevention<br />

of pneumonia caused by<br />

Streptococcus pneumoniae<br />

serotypes in the vaccine in<br />

adults.<br />

The FDA decision is<br />

informed by the results<br />

of the 20vPnC Phase 2<br />

randomized, double-blind<br />

trial to evaluate the safety<br />

and immunogenicity of a<br />

multivalent pneumococcal<br />

conjugate vaccine in adults<br />

60 through 64 years of<br />

age.<br />

Anti-depressant vortioxetine<br />

launched in India<br />

Lundbeck launched vortioxetine<br />

(Brintellix) in India for the<br />

treatment of patients suffering<br />

from major depressive disorder<br />

(MDD), following approval from<br />

Drug Controller General of India<br />

(DCGI).<br />

Vortioxetine is a novel<br />

multimodal antidepressant which<br />

has been specifically designed<br />

to inhibit serotonin reuptake and<br />

modulate serotonergic receptor<br />

activity of the neurons in the brain<br />

of affected patients.<br />

It has demonstrated significant<br />

efficacy in reducing the mood<br />

symptoms in adult patients with<br />

depression as measured by<br />

traditional scales like MADRS or<br />

HAMD.<br />

The drug also improves<br />

cognitive performance in adult<br />

patients with depression, as<br />

measured with neuropsychological<br />

tests. Cognitive symptoms are<br />

part of the diagnostic criteria<br />

for depression and include the<br />

ability to concentrate, make<br />

decisions and the ability to<br />

remember, said Lundbeck.<br />

<strong>NOVEMBER</strong> <strong>2018</strong> / FUTURE MEDICINE / 35

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