Sangwan Kavita, Sharma Vipasha, Goyal Parveen Kumar
Department of Pharmacy, Panipat Institute of Engineering and Technology (PIET), Samalkha, Panipat, 132102, Haryana, India.
Curr Mol Med. 2024;24(6):734-750. doi: 10.2174/1566524023666230622151034.
For any drug molecule, it is mandatory to pass the drug approval process of the concerned regulatory authority, before being marketed. The Food and Drug Administration (FDA), throughout the year, approves several new drugs for safety and efficacy. In addition to new drug approvals, FDA also works on improving access to generic drugs, aimed to lower the cost of drugs for patients and improve access to treatments. In the year 2022 twelve new drug therapies were approved for managing varying cancers.
This manuscript is focused to describe the pharmacological aspects including therapeutic uses, mechanisms of actions, pharmacokinetics, adverse effects, doses, indication for special cases, contraindications, etc., of novel FDA-approved anticancer drug therapies in the year 2022.
FDA has approved about 29% (11 out of 37) novel drug therapies for varying types of cancers such as lung cancer, breast cancer, prostate cancer, melanoma, leukemia, etc. The Center for Drug Evaluation and Research CDER has reported that 90% of these anticancer drugs (e.g. Adagrasib, Futibatinib, Mirvetuximabsoravtansinegynx, Mosunetuzumab-axb, Nivolumab and relatlimab-rmbw, Olutasidenib, Pacritinib, Tebentafusp-tebn, Teclistamab-cqyv, and Tremelimumab-actl) as orphan drugs and recommended to treat rare or uncommon cancers such as non-small cell lung cancer, metastatic intrahepatic cholangio-carcinoma, epithelial ovarian cancer, follicular lymphoma, metastatic melanoma, metastatic uveal melanoma, etc. CDER has identified six anticancer drugs (e.g. Lutetium (Lu)vipivotidetetraxetan, Mirvetuximabsoravtansine- gynx, Mosunetuzumab-axb, Nivolumab and relatlimab-rmbw, Tebentafusp-tebn, Teclistamab-cqyv) as first-in-class drugs i.e. drugs having different mechanisms of action from the already existing ones. The newly approved anticancer drugs shall provide more efficient treatment options for cancer patients. Three FDA-approved anticancer drugs in the year 2023 are also briefly described in the manuscript.
This manuscript, describing the pharmacological aspects of eleven anticancer novel drug therapies approved by the FDA, shall serve as a helpful document for cancer patients, concerned academicians, researchers, and clinicians, especially oncologists.
对于任何药物分子而言,在上市之前必须通过相关监管机构的药物审批程序。美国食品药品监督管理局(FDA)全年都会批准多种新药,以确保其安全性和有效性。除了新药审批,FDA还致力于改善仿制药的可及性,旨在降低患者的用药成本并增加治疗机会。2022年,有12种新的药物疗法被批准用于治疗各种癌症。
本手稿着重描述2022年FDA批准的新型抗癌药物疗法的药理学方面,包括治疗用途、作用机制、药代动力学、不良反应、剂量、特殊情况适应症、禁忌症等。
FDA已批准约29%(37种中的11种)的新型药物疗法用于治疗不同类型的癌症,如肺癌、乳腺癌、前列腺癌、黑色素瘤、白血病等。药物评价和研究中心(CDER)报告称,这些抗癌药物中的90%(如阿达格拉西布、富替巴替尼、米尔维妥昔单抗索拉坦辛、莫苏奈妥单抗 - axb、纳武单抗和瑞帕利单抗 - rmbw、奥卢替丁尼布、帕西替尼、替本他富 - tebn、替克利单抗 - cqyv和曲美木单抗 - actl)作为孤儿药,推荐用于治疗罕见或不常见的癌症,如非小细胞肺癌、转移性肝内胆管癌、上皮性卵巢癌、滤泡性淋巴瘤、转移性黑色素瘤、转移性葡萄膜黑色素瘤等。CDER已确定六种抗癌药物(如镥(Lu)维泊妥昔单抗四钠、米尔维妥昔单抗索拉坦辛、莫苏奈妥单抗 - axb、纳武单抗和瑞帕利单抗 - rmbw、替本他富 - tebn、替克利单抗 - cqyv)为同类首创药物,即作用机制与现有药物不同的药物。新批准的抗癌药物将为癌症患者提供更有效的治疗选择。手稿中还简要介绍了2023年FDA批准的三种抗癌药物。
本手稿描述了FDA批准的11种抗癌新型药物疗法的药理学方面,将为癌症患者、相关学者、研究人员和临床医生,尤其是肿瘤学家提供一份有用的参考文件。