New drug approvals – November 2023

Product NameADRENALINE AGUETTANT SOLUTION FOR INJECTION IN PRE-FILLED SYRINGE 0.1 MG/ML
Active Ingredient (Strength)Adrenaline tartrate equivalent to adrenaline (0.1 mg/ml)
Application typeNDA-2: New formulation / strength
Product RegistrantAGUETTANT ASIA PACIFIC PTE. LTD.
Date of Approval07/11/2023
Registration No.SIN16897P
Indications:
– Cardiopulmonary resuscitation
– Acute anaphylaxis in adults
Product NameAKYNZEO® IV CONCENTRATE FOR SOLUTION FOR INFUSION 235 MG/0.25 MG/VIAL
Active Ingredient (Strength)Fosnetupitant Chloride Hydrochloride equivalent to Fosnetupitant (235mg/vial), Palonosetron hydrochloride equivalent to Palonosetron (0.25 mg/vial)
Application typeNDA-1: New chemical entity
Product RegistrantJUNIPER BIOLOGICS PTE LTD
Date of Approval28/11/2023
Registration No.SIN16899P
Indications:
AKYNZEO IV is indicated in adults for the:
– Prevention of acute and delayed nausea and vomiting associated with highly emetogenic chemotherapy, including cisplatin.
– Prevention of acute and delayed nausea and vomiting associated with moderately emetogenic cancer chemotherapy.
Product NameLOCAMETZ 25 MICROGRAMS, KIT FOR RADIOPHARMACEUTICAL PREPARATION OF GALLIUM (68GA) GOZETOTIDE SOLUTION
Active Ingredient (Strength)Gozetotide (25μg/vial)
Application typeNDA-1: New chemical entity
Product RegistrantNOVARTIS (SINGAPORE) PTE LTD
Date of Approval30/11/2023
Registration No.SIN16904P
Indications:
Locametz, after radiolabelling with gallium-68, is indicated for the detection of prostate-specific membrane antigen (PSMA)-positive lesions with positron emission tomography (PET) in adults with prostate cancer (PCa) in the following clinical settings:
· Primary staging of patients with high-risk PCa prior to primary curative therapy,
· Suspected PCa recurrence in patients with increasing levels of serum prostate-specific antigen (PSA) after primary curative therapy,
· Identification of patients with PSMA-positive progressive metastatic castration-resistant prostate cancer (mCRPC) for whom PSMA-targeted therapy is indicated.
Product NameTRAZHER (TRASTUZUMAB) POWDER FOR CONCENTRATE FOR SOLUTION FOR INFUSION 420MG/VIAL
Active Ingredient (Strength)Trastuzumab (420 mg/vial)
Application typeNDA-3: New pack size
Product RegistrantINNOGENE KALBIOTECH PTE. LTD.
Date of Approval22/11/2023
Registration No.SIN16898P
Indications:

Trazher IV

Metastatic Breast Cancer (MBC)

Trazher is indicated for the treatment of patients with metastatic breast cancer who have tumors that overexpress HER2:
a) as monotherapy for the treatment of those patients who have received one or more chemotherapy regimens for their metastatic disease
b) in combination with paclitaxel for the treatment of those patients who have not received chemotherapy for their metastatic disease
c) in combination with an aromatase inhibitor for the treatment of postmenopausal patients with hormone-receptor positive metastatic breast cancer, not previously treated with Trazher. This indication is based on data from one Phase III trial which studied the use of Trazher in combination with anastrozole (see Clinical/ Efficacy Studies).

Experience with other aromatase inhibitors is limited.

Early Breast Cancer (EBC)

Trazher is indicated for the treatment of patients with HER2 positive early breast cancer.
– following surgery, chemotherapy (neoadjuvant or adjuvant) and radiotherapy (if applicable) (see Clinical/ Efficacy Studies).
– following adjuvant chemotherapy with doxorubicin and cyclophosphamide, in combination with paclitaxel or docetaxel.- in combination with adjuvant chemotherapy consisting of docetaxel and carboplatin.
– in combination with neoadjuvant chemotherapy followed by adjuvant Trazher therapy, for locally advanced (including inflammatory) disease or tumours > 2 cm in diameter (see Special Warnings and Precautions for Use, and Clinical/ Efficacy Studies). Trazher should only be used in patients whose tumours have either HER2 overexpression or HER2 gene amplification as determined by an accurate and validated assay.

Metastatic Gastric Cancer (MGC)

Trazher in combination with capecitabine or 5-fluorouracil and cisplatin is indicated for the treatment of patients with HER2 positive metastatic adenocarcinoma of the stomach or gastro-esophageal junction who have not received prior anti-cancer treatment for their metastatic disease.Trazher should only be used in patients with metastatic gastric cancer whose tumours have HER2 overexpression as defined by IHC2+ and a confirmatory FISH+ result, or IHC 3+, as determined by an accurate and validated assay.

HSA: Health Sciences Authority

Link to the HSA announcement: https://www.hsa.gov.sg/announcements/new-drug-approval/new-drug-approvals—november-2023


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