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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