Clinical Insights: December 23rd, 2025
Welcome to Pillr Health’s Clinical Insights, designed to help pharmacy professionals stay up to date on the ever-changing pharmaceutical and pharmacy marketplace.
New Drug/Vaccine Approval
Exdensur™ (depemokimab-ulaa) Injection - New Drug Approval – December 16, 2025 - GSK plc (LSE/NYSE: GSK) announced that the US Food and Drug Administration (FDA) has approved Exdensur™ (depemokimab-ulaa) as an add-on maintenance treatment of severe asthma characterised by an eosinophilic phenotype in adult and pediatric patients aged 12 years and older. <Read More>
Cardamyst™ (etripamil) Nasal Spray – New Drug Approval – December 12, 2025 – Milestone Pharmaceuticals Inc. (Nasdaq: MIST) announced that the U.S. Food and Drug Administration (FDA) approved its first commercial product, Cardamyst™ (etripamil) nasal spray, a prescription medication for the conversion of acute symptomatic episodes of paroxysmal supraventricular tachycardia (PSVT) to sinus rhythm in adults. This approval marks the first time that more than two million Americans with PSVT will have a rapid-acting treatment option they can self-administer outside the emergency department or other healthcare setting. Cardamyst™ is expected to be available in retail pharmacies in the first quarter of 2026. <Read More>
Nuzolvence® (zoliflodacin) Granules for Oral Suspension - New Drug Approval – December 12, 2025 – Innoviva Specialty Therapeutics, a subsidiary of Innoviva, Inc. (NASDAQ: INVA), announced that the U.S. Food and Drug Administration (FDA) has approved Nuzolvence® (zoliflodacin) for oral suspension, a first-in-class, single-dose oral medication for the treatment of uncomplicated urogenital gonorrhea in adults and pediatric patients 12 years and older weighing at least 35 kg. <Read More>
Waskyra™ (etuvetidigene autotemcel) Suspension for Intravenous Infusion - New Drug Approval – December 9, 2025 - The U.S. Food and Drug Administration approved Waskyra™ (etuvetidigene autotemcel), the first cell-based gene therapy for the treatment of Wiskott-Aldrich syndrome (WAS). Waskyra™ is indicated for pediatric patients six months and older and adults with WAS who have a mutation in the WAS gene and for whom hematopoietic stem cell transplantation (HSCT) is appropriate and no suitable human leukocyte antigen (HLA)-matched related stem cell donor is available. <Read More>
Avance™ (acellular nerve allograft-arwx) for Surgical Implantation - New Drug Approval – December 3, 2025 – The U.S. Food and Drug Administration granted approval for Avance™ (acellular nerve allograft-arwx) in surgical implantation. Avance™ is a peripheral nerve scaffold approved for sensory nerve discontinuities (≤25mm) (breaks in the pathway of sensory nerves) in adults and pediatric patients aged one month and older. Under the Accelerated Approval pathway, Avance™ is also approved for larger sensory nerve discontinuities (>25mm), motor and mixed nerve discontinuities. <Read More>
Voyxact® (sibeprenlimab-szsi) Injection - New Drug Approval – November 25, 2025 – Otsuka Pharmaceutical Development & Commercialization, Inc. and Otsuka Pharmaceutical, Co. Ltd. (Otsuka) announce the U.S. Food and Drug Administration (FDA) has granted accelerated approval of Voyxact® (sibeprenlimab-szsi) for the reduction of proteinuria in adults with primary immunoglobulin A nephropathy (IgAN) at risk for disease progression. <Read More>
Itvisma® (onasemnogene abeparvovec-brve) Suspension for Intrathecal Injection - New Drug Approval – November 24, 2025 – Novartis announced that the US Food and Drug Administration (FDA) has approved Itvisma® (onasemnogene abeparvovec-brve) for the treatment of children two years and older, teens and adults living with spinal muscular atrophy (SMA) with a confirmed mutation in the survival motor neuron 1 (SMN1) gene, making it the first and only gene replacement therapy available for this broad population. Itvisma® is uniquely designed to address the genetic root cause of SMA with a one-time fixed dose that does not need to be adjusted for age or body weight. By replacing the SMN1 gene, Itvisma® can improve motor function, offering the potential to reduce the need for chronically administered treatment associated with other available therapies for this population. <Read More>
Hyrnuo® (sevabertinib) Tablets - New Drug Approval – November 18, 2025 – The Food and Drug Administration granted accelerated approval to sevabertinib (Hyrnuo®, Bayer HealthCare Pharmaceuticals Inc.), a kinase inhibitor, for adults with locally advanced or metastatic, non-squamous non-small cell lung cancer (NSCLC) whose tumors have HER2 (ERBB2) tyrosine kinase domain (TKD) activating mutations, as detected by an FDA-approved test, and who have received a prior systemic therapy. <Read More>
Redemplo® (plozasiran) Injection - New Drug Approval – November 18, 2025 – Arrowhead Pharmaceuticals, Inc. (NASDAQ: ARWR) announced that the U.S. Food and Drug Administration (FDA) has approved Redemplo® (plozasiran), a small interfering RNA (siRNA) medicine, as an adjunct to diet to reduce triglycerides in adults with familial chylomicronemia syndrome (FCS). FCS is a severe, rare disease, with an estimated 6,500 people in the U.S. living with genetic or clinical FCS, characterized by triglyceride levels that can be 10 to 100 times higher than normal leading to a substantially higher risk of developing acute, recurrent, and potentially fatal pancreatitis. <Read More>
New Label Expansions
Enhertu® (fam-trastuzumab deruxtecan-nxki) Injection – New Label Expansion – December 15, 2025 - AstraZeneca and Daiichi Sankyo’s Enhertu® (trastuzumab deruxtecan) in combination with pertuzumab has been approved in the US for the 1st-line treatment of adult patients with unresectable or metastatic HER2-positive breast cancer, as determined by a Food and Drug Administration (FDA)-approved test. <Read More>
Addyi® (flibanserin) Tablets – New Label Expansion – December 13, 2025 - Sprout Pharmaceuticals announced a monumental milestone for women's health: the U.S. Food and Drug Administration (FDA) has approved Addyi® (flibanserin 100 mg) for the treatment of Hypoactive Sexual Desire Disorder (HSDD) in women <65 years. This long-awaited decision closes a gap in care for millions of postmenopausal women experiencing frustrating low sexual desire and marks a historic first approval for the FDA. <Read More>
Akeega® (abiraterone acetate and niraparib) Tablets – New Label Expansion – December 12, 2025 – Johnson & Johnson (NYSE:JNJ) announced the U.S. Food and Drug Administration (FDA) approved the supplemental New Drug Application (sNDA) for Akeega® (niraparib and abiraterone acetate dual-action tablet) plus prednisone for the treatment of patients with BRCA2-mutated metastatic castration-sensitive prostate cancer (mCSPC). <Read More>
Orladeyo® (berotralstat) Capsules and Oral Pellets - New Label Expansion – December 2, 2025 – BioCryst Pharmaceuticals, Inc. (Nasdaq: BCRX) announced that the U.S. Food and Drug Administration (FDA) has approved its New Drug Application (NDA) for the use of an oral pellet formulation of once-daily Orladeyo® (berotralstat) for prophylactic therapy in pediatric patients with hereditary angioedema (HAE) aged 2 to <12 years. <Read More>
Uplizna® (inebilizumab-cdon) Injection - New Label Expansion – December 11, 2025 – Amgen (NASDAQ: AMGN) announced that the U.S. Food and Drug Administration (FDA) has approved Uplizna® (inebilizumab-cdon) for the treatment of generalized myasthenia gravis (gMG) in adults who are anti-acetylcholine receptor (AChR) and anti-muscle specific tyrosine kinase (MuSK) antibody positive. The approval offers patients a new targeted treatment option that has the potential for long-term disease control with just two doses a year, after two initial loading doses. <Read More>
Daybue® (trofinetide) Oral Solution and Powder for Oral Solution - New Label Expansion – December 11, 2025 – Acadia Pharmaceuticals Inc. (Nasdaq: ACAD) announced that the U.S. Food and Drug Administration (FDA) has approved Daybue® Stix (trofinetide) for oral solution, a dye- and preservative-free powder formulation of trofinetide for the treatment of Rett syndrome in adult and pediatric patients two years of age and older. <Read More>
Blujepa® (gepotidacin) Tablets - New Label Expansion – December 11, 2025 – GSK plc (LSE/NYSE: GSK) announced that the US Food and Drug Administration (FDA) has approved a supplemental New Drug Application for gepotidacin as an oral option for adult and pediatric patients from 12 years of age weighing at least 45 kg who have limited or no alternative options for the treatment of uncomplicated urogenital gonorrhea caused by susceptible strains of Neisseria gonorrhoeae (e.g., where standard of care is contraindicated, or where patients are intolerant or unwilling to use first line treatment). <Read More>
Omisirge® (omidubicel-onlv) Suspension for Infusion - New Label Expansion – December 5, 2025 – The U.S. Food and Drug Administration announced it has approved Omisirge® (omidubicel-onlv), the first hematopoietic stem cell transplant (HSCT) therapy to treat patients with severe aplastic anemia (SAA). Omisirge® is indicated for adults and pediatric patients 12 years and older with hematologic malignancies and now is approved for adults and pediatric patients six years and older with SAA following reduced intensity conditioning and for whom a compatible donor is not available. <Read More>
Breyanzi® (lisocabtagene maraleucel) Suspension for Intravenous Infusion - New Label Expansion – December 4, 2025 – Bristol Myers Squibb (NYSE: BMY) announced that the U.S. Food and Drug Administration (FDA) has granted approval of Breyanzi® (lisocabtagene maraleucel; liso-cel), a CD19-directed chimeric antigen receptor (CAR) T cell therapy, for the treatment of adult patients with relapsed or refractory (R/R) marginal zone lymphoma (MZL) who have received at least two prior lines of systemic therapy. <Read More>
Jaypirca® (pirtobrutinib) Tablets - New Label Expansion – December 2, 2025 – The Food and Drug Administration granted traditional approval to pirtobrutinib (Jaypirca®, Eli Lilly and Company) for adults with relapsed or refractory chronic lymphocytic leukemia or small lymphocytic lymphoma (CLL/SLL) who have previously been treated with a covalent BTK inhibitor. In 2023, FDA granted accelerated approval to pirtobrutinib for adults with CLL/SLL who have received at least two prior lines of therapy, including a BTK inhibitor and a BCL-2 inhibitor. <Read More>
Omlyclo® (omalizumab-igec) Injection - New Label Expansion – December 1, 2025 – Celltrion, Inc. announced the U.S. Food and Drug Administration (FDA) has approved a new presentation of Omlyclo® (omalizumab-igec), the first and only biosimilar designated as interchangeable with Xolair® (omalizumab), in a 300mg/2mL solution in a single-dose prefilled syringe for subcutaneous injection. In the U.S., Omlyclo® will be marketed and distributed exclusively by Celltrion USA, Inc. <Read More>
Imfinzi® (durvalumab) Injection - New Label Expansion – November 25, 2025 – AstraZeneca’s Imfinzi® (durvalumab) in combination with standard-of-care FLOT chemotherapy (fluorouracil, leucovorin, oxaliplatin, and docetaxel) has been approved in the US for the treatment of adult patients with resectable, early-stage and locally advanced (Stages II, III, IVA) gastric and gastroesophageal junction (GEJ) cancers. The approved regimen includes neoadjuvant Imfinzi in combination with chemotherapy before surgery, followed by adjuvant Imfinzi in combination with chemotherapy, then Imfinzi® monotherapy. <Read More>
Keytruda® (pembrolizumab) for Injection - New Label Expansion – November 21, 2025 – The Food and Drug Administration approved pembrolizumab (Keytruda®, Merck) or pembrolizumab and berahyaluronidase alfa-pmph (Keytruda Qlex®, Merck) with enfortumab vedotin-ejfv (Padcev®, Astellas Pharma) as neoadjuvant treatment followed by adjuvant treatment after cystectomy for adults with muscle invasive bladder cancer (MIBC) who are ineligible for cisplatin. <Read More>
Koselugo® (selumetinib) Capsules and Oral Granules - New Label Expansion – November 19, 2025 – The Food and Drug Administration approved selumetinib (Koselugo®, AstraZeneca Pharmaceuticals LP) for adults with neurofibromatosis type 1 (NF1) who have symptomatic, inoperable plexiform neurofibromas (PN). FDA previously approved selumetinib capsules and granules for pediatric patients 1 year of age and older for this indication. <Read More>
Darzalex Faspro® (daratumumab and hyaluronidase-fihj) Injection - New Label Expansion – November 19, 2025 – The Food and Drug Administration granted traditional approval to daratumumab and hyaluronidase-fihj (Darzalex Faspro®, Janssen Biotech Inc.) with bortezomib, cyclophosphamide, and dexamethasone (VCd) for newly diagnosed light chain (AL) amyloidosis. FDA granted accelerated approval for this indication in 2021. <Read More>
Eylea HD® (aflibercept) Injection - New Label Expansion – November 19, 2025 – Regeneron Pharmaceuticals, Inc. (NASDAQ: REGN) announced that the U.S. Food and Drug Administration (FDA) has approved Eylea HD® (aflibercept) Injection 8 mg for the treatment of patients with macular edema following retinal vein occlusion (RVO) with up to every 8-week dosing after an initial monthly dosing period. <Read More>
Imdelltra™ (tarlatamab-dlle) for Injection - New Label Expansion – November 19, 2025 – The Food and Drug Administration granted traditional approval to tarlatamab-dlle (Imdelltra™, Amgen Inc.) for adults with extensive stage small cell lung cancer (ES-SCLC) with disease progression on or after platinum-based chemotherapy. Tarlatamab-dlle received accelerated approval for this indication in 2024. <Read More>
Epkinly™ (epcoritamab-bysp) Injection - New Label Expansion – November 18, 2025 – The Food and Drug Administration approved epcoritamab-bysp (Epkinly™, Genmab US, Inc.) with lenalidomide and rituximab for relapsed or refractory follicular lymphoma (FL). The FDA also granted traditional approval to epcoritamab-bysp as monotherapy for relapsed or refractory FL after two or more lines of systemic therapy (epcoritamab-bysp was granted accelerated approval for this indication in 2024). <Read More>
New Drug Shortage
December 10, 2025
Doxercalciferol Injection (Discontinuation)
Spironolactone Tablet (Discontinuation)
December 08, 2025
Ampicillin Sodium Injection (Discontinuation)
December 04, 2025
Calcitriol Capsule (Discontinuation)
December 03, 2025
Sodium Chloride 0.9% Injection (Discontinuation)
December 02, 2025
Posaconazole Injection (Discontinuation)
Updated Drug Shortage
December 17, 2025
Dexmedetomidine Hydrochloride Injection (Currently in Shortage)
December 16, 2025
Amphetamine Aspartate Monohydrate, Amphetamine Sulfate, Dextroamphetamine Saccharate, Dextroamphetamine Sulfate Tablet (Currently in Shortage)
December 15, 2025
Amphetamine Aspartate Monohydrate, Amphetamine Sulfate, Dextroamphetamine Saccharate, Dextroamphetamine Sulfate Tablet (Currently in Shortage)
Lisdexamfetamine Dimesylate Capsule (Currently in Shortage)
Nitroglycerin Injection (Resolved)
Sodium Bicarbonate Injection (Currently in Shortage)
December 12, 2025
Atropine Sulfate Injection (Currently in Shortage)
Bupivacaine Hydrochloride Injection (Currently in Shortage)
Bupivacaine Hydrochloride, Epinephrine Bitartrate Injection (Currently in Shortage)
Clindamycin Phosphate Injection (Currently in Shortage)
Dobutamine Hydrochloride Injection (Currently in Shortage)
Dopamine Hydrochloride Injection (Currently in Shortage)
Epinephrine Bitartrate, Lidocaine Hydrochloride Injection (Currently in Shortage)
Etomidate Injection (Currently in Shortage)
Fentanyl Citrate Injection (Currently in Shortage)
Furosemide Injection (Currently in Shortage)
Hydromorphone Hydrochloride Injection (Currently in Shortage)
Ketorolac Tromethamine Injection (Currently in Shortage)
Lidocaine Hydrochloride Injection (Currently in Shortage)
Lorazepam Injection (Currently in Shortage)
Meperidine Hydrochloride Injection (Currently in Shortage)
Methylprednisolone Acetate Injection (Currently in Shortage)
Morphine Sulfate Injection (Currently in Shortage)
Penicillin G Benzathine Injection (Currently in Shortage)
Sodium Acetate Injection (Currently in Shortage)
Sodium Bicarbonate Injection (Currently in Shortage)
Sterile Water Injection (Currently in Shortage)
December 11, 2025
Dextrose Monohydrate 10% Injection (Currently in Shortage)
Dextrose Monohydrate 5% Injection (Currently in Shortage)
Fentanyl Citrate Injection (Currently in Shortage)
Hydromorphone Hydrochloride Injection (Currently in Shortage)
Morphine Sulfate Injection (Currently in Shortage)
Ropivacaine Hydrochloride Injection (Currently in Shortage)
Sterile Water Injection (Currently in Shortage)
New Drug Recall and Safety Alerts
No new update.
New Generic/Biosimilar Approval and Launch
Armlupeg™ (pegfilgrastim-unne) Injection - New Neulasta® Biosimilar Approval – November 28, 2025 – Global pharma major Lupin Limited (Lupin), announced that the United States Food and Drug Administration (U.S. FDA) has approved Armlupeg™ (pegfilgrastim-unne) 6 mg/0.6 mL injection for subcutaneous use in a single-dose prefilled syringe, as biosimilar to Neulasta® (pegfilgrastim) 6 mg/0.6 mL injection. The product will be manufactured at Lupin’s Biotech facility in Pune, which was inspected by the U.S. FDA prior to approval. <Read More>
Clinical and Pharmacy News
More Than 6,000 Medical Errors Every Year – December 18, 2025 - More than 20,000 cases of adverse medical events have been reported in our country over the past eight years, while more than 1,000 cases have reached the courts and received final rulings. The majority of these rulings vindicate those who filed claims after a medical error caused significant physical or psychological harm to themselves or their loved ones — and in some cases, the error even led to death. <Read More>
Combination Pills for High Blood Pressure May Simplify Treatment, Improve Long-Term Health – December 15, 2025 – Taking one pill that combines two or more blood pressure medications may help adults with high blood pressure (also known as hypertension) lower their blood pressure level faster and more effectively than taking multiple medications separately, and it may also reduce the risk of heart attack and stroke, according to a new scientific statement published in the American Heart Association’s journal Hypertension. <Read More>
Caring for Patients with Monkeypox – December 12, 2025 – Regardless of clade, monkeypox can be spread, treated, and prevented the same way. Most monkeypox patients without severe immunocompromise will recover with supportive care and pain control only. CDC's interim clinical guidance may assist clinicians in managing patients who have or are at risk for severe manifestations of monkeypox. There are no FDA-approved treatments specifically for monkeypox, but there are FDA-regulated medications that may help. <Read More>
New Guidelines Recommend Nerve Blocks for Migraine ER Treatment – December 11, 2025 – People hospitalized for a debilitating migraine should receive targeted nerve blocks rather than IV opioids to quell their pain, a major update of treatment guidelines suggests. Doctors should use a nerve block injection to stop pain signals from thrumming through the occipital nerves located near the top of the spine, a report published in Headache: The Journal of Head and Face Pain, said. <Read More>
Pharmacy and PBM Enforcement Trends: False Claims Act Risks in 2025 – December 11, 2025 – Pharmacy benefit managers (PBMs) manage prescription coverage for health plans and big employers. They decide which medicines are covered and at what price, negotiate discounts with drug makers, and set prices for pharmacies…Taken together, these matters demonstrate a renewed focus on pharmacy-related fraud. And while the financial recoveries differ dramatically, from hundreds of millions against national chains to a six-figure settlement against a small, independent pharmacy, the message is the same: Pharmacies and PBMs sit squarely in the DOJ’s enforcement sights. <Read More>
ISMP Announces New Medication Safety Best Practices – December 11, 2025 – Improving safety with IV push medications, optimizing use of scanning machine-readable codes on patient identification bands and products, and improving the culture of safety are three new Targeted Medication Safety Best Practices suggested by the Institute for Safe Medication Practices (ISMP) for 2026-2027. These add to the 22 Best Practices suggested for 2024-2025, said Christina Michalek, RPh, FASHP, the director of membership and patient safety organization at ISMP, during a presentation at the ASHP Midyear 2025 Clinical Meeting & Exhibition, in Las Vegas. ISMP also updated two existing Best Practices: to add patient weights in electronic prescriptions and discharge and after-visit summaries, and to enhance medication reconciliation policies at hospital admission during transitions of care and at discharge. <Read More>
FDA Warns Consumers Not to Use Counterfeit Ozempic® (Semaglutide) Found in U.S. Drug Supply Chain – December 5, 2025 – FDA recently seized dozens of units of counterfeit Ozempic® (semaglutide) injection 1 mg that were distributed illegally outside of Novo Nordisk's authorized supply chain. The seized counterfeit products were in the legitimate U.S. drug supply chain. The counterfeit products are labeled with lot number - PAR1229 - which also is an authentic lot number. <Read More>
340B in the News
A New Call for 340B Transparency, Reform – December 12, 2025 – In a hearing that was at once contentious and unusually bipartisan, members of the Senate Health, Education, Labor and Pensions (HELP) Committee called for stronger oversight of the federal 340B Drug Discount Program while emphasizing its continued importance to safety-net hospitals and clinics. Witnesses from the Government Accountability Office (GAO), the Congressional Budget Office (CBO), and academic medicine testified on Oct. 23 that the program, intended to help hospitals stretch scarce financial resources, has grown exponentially while oversight has not kept pace. Senators from both parties urged reform but warned against changes that could undermine access to care for rural and underserved populations. <Read More>
340B Discounts at Risk in 2025 and Beyond – December 12, 2025 – The 340B Drug Pricing Program faces intensifying scrutiny and legal battles at both state and federal levels in 2025. Pharmacy benefit managers (PBMs) are tightening point-of-sale claim identification, states are enacting anti-discrimination protections, and covered entities are waiting for the next shoe to drop. “Depending on who you’re speaking with, 340B is either the greatest thing since sliced bread—or Lord Voldemort himself,” said Jesse Dresser, Esq, a partner in Frier Levitt’s Life Sciences Department who heads the firm’s pharmacy practice group. <Read More>
