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Expected | Best selling drugs of 2024 | Top selling drugs of 2024 | iPharmaCenter

Updated: Dec 31, 2023

1. Keytruda: Revolutionizing Cancer Care

Keytruda (pembrolizumab), an immunotherapy drug by Merck, has transformed cancer treatment. Belonging to the checkpoint inhibitors class, it unleashes the immune system to target and eliminate cancer cells. FDA-approved in 2014, Keytruda has become a crucial tool in the battle against various cancers.

Mechanism of Action:

Keytruda blocks programmed death receptor-1 (PD-1) on T cells, boosting the immune response against cancer cells. By inhibiting PD-1, it enables T cells to recognize and eliminate cancer more effectively.

Indications and Approvals:

Keytruda has received approvals for the treatment of numerous cancer types, including melanoma, non-small cell lung cancer, head and neck squamous cell carcinoma, Hodgkin lymphoma, and more. The drug's versatility is reflected in its ability to target a wide range of cancers, making it a valuable therapeutic option for patients across different stages and types of the disease.

2. Ozempic: A Diabetes Game-Changer

Ozempic (semaglutide), from Novo Nordisk, is a groundbreaking type 2 diabetes medication. As a GLP-1 receptor agonist, it has regulated blood sugar levels effectively since its regulatory approval.

Mechanism of Action:

Ozempic mimics the hormone GLP-1, regulating blood sugar by stimulating insulin release, reducing glucagon production, and slowing glucose absorption. Administered weekly, it enhances patient adherence and minimizes daily management burdens.

Ozempic is administered once a week via subcutaneous injection. The once-weekly dosing schedule enhances patient adherence and convenience, minimizing the daily burden often associated with diabetes management.

3. Dupixent: Reshaping Atopic Condition Treatment

Dupixent (dupilumab) by Regeneron and Sanofi is a monoclonal antibody revolutionizing atopic condition treatment.

Mechanism of Action:

Dupixent inhibits IL-4 and IL-13, cytokines involved in allergic and inflammatory responses. This modulation alleviates symptoms in conditions like atopic dermatitis, asthma, and chronic rhinosinusitis with nasal polyposis.

4. Eliquis: Advancing Anticoagulation

Eliquis (apixaban), by Bristol-Myers Squibb and Pfizer, is a leading anticoagulant, a game-changer in preventing and treating blood clots.

Eliquis is primarily indicated for the prevention of stroke and systemic embolism in patients with non-valvular atrial fibrillation (NVAF), teatment and prevention of deep vein thrombosis (DVT) and pulmonary embolism (PE) following hip or knee replacement surgery, as well as for the treatment of DVT and PE in patients without prosthetic heart valves.

Mechanism of Action:

Eliquis selectively targets factor Xa, disrupting thrombin formation in the blood clotting cascade. Its predictable effect reduces the need for frequent monitoring.

5. Biktarvy: Revolutionizing HIV Treatment

Biktarvy, a Gilead Sciences creation, is a potent HIV medication combining bictegravir, emtricitabine, and tenofovir alafenamide.

Components and Mechanism of Action:

Biktarvy's components target different stages of the HIV life cycle, suppressing viral replication effectively and slowing disease progression.

  • Bictegravir: This integrase strand transfer inhibitor (INSTI) works by blocking the integration of viral DNA into the host cell DNA, a critical step in the replication of the virus.

  • Emtricitabine: As a nucleoside reverse transcriptase inhibitor (NRTI), emtricitabine interferes with the reverse transcriptase enzyme, preventing the conversion of viral RNA into DNA.

  • Tenofovir Alafenamide: Also an NRTI, tenofovir alafenamide inhibits reverse transcriptase and is a prodrug of tenofovir, which is active against HIV.

6. Darzalex: Monoclonal Precision in Myeloma Treatment

Darzalex (daratumumab) by Janssen Pharmaceuticals targets CD38, a surface protein on myeloma cells, transforming multiple myeloma treatment.

Mechanism of Action:

Darzalex engages immune responses like ADCC, ADCP, and CDC by binding to CD38, effectively eliminating myeloma cells. Its versatility in treatment regimens adds to its significance.

Darzalex is administered intravenously, typically in a healthcare setting. Over time, advancements in the formulation and administration of Darzalex have led to the development of subcutaneous formulations, providing a more convenient option for patients. This subcutaneous formulation has shortened administration times and reduced the burden associated with intravenous infusions.

7. Opdivo: Immune Checkpoint Inhibition in Oncology

Opdivo (nivolumab) from Bristol-Myers Squibb is an immunotherapy milestone in cancer treatment.

Mechanism of Action:

By blocking PD-1, Opdivo reactivates T cells, enhancing immune responses against cancer cells. Approved for various cancers, its success spans different stages and patient histories.

8. Comirnaty: Pioneering mRNA Vaccination

Comirnaty, Pfizer and BioNTech's mRNA vaccine is a pivotal player in the global fight against COVID-19.

Mechanism of Action:

Using mRNA technology, Comirnaty instructs cells to produce a modified SARS-CoV-2 spike protein.

9. Gardasil: Guardian Against HPV

Gardasil, Merck & Co.'s vaccine, is a preventive powerhouse against HPV and associated cancers.

Targeting HPV:

A 9-valent vaccine, Gardasil prevents infections leading to cervical, anal, and oropharyngeal cancers. Its impact on cervical cancer prevention is remarkable.

Vaccination Strategy:

Administered as a series of shots, Gardasil is typically recommended for adolescents and young adults, providing optimal protection when administered before the onset of sexual activity. The vaccine is a vital component of routine vaccination schedules globally, contributing to the overall strategy of reducing the burden of HPV-related diseases.

Impact on Cervical Cancer:

Gardasil's impact on cervical cancer prevention has been particularly significant. The vaccine has been shown to be highly effective in reducing the incidence of HPV-related cervical lesions and cancers.

10. Skyrizi: Innovative Psoriasis Relief

Skyrizi by AbbVie offers breakthrough relief for psoriasis, targeting IL-23 to modulate the immune response.

Targeting IL-23:

Selective IL-23 inhibition reduces inflammation, providing effective and lasting relief from psoriasis symptoms. Administered once weekly, it enhances patient convenience.


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