Horizon Lines: A Quarterly Review of NDAs – July-September 2025

By: Neelam Sharma MS, Lavanya Kundurthy BE and Hemant N. Joshi, Ph.D., MBA, Tara Innovations LLC

This quarterly review on New Drug Applications contains data for applications approved during the third quarter of 2025, which includes New Molecular Entities (NMEs) and new biologics. A total of 48 applications were approved by the FDA during these three months.

The NDAs approved during the third quarter of 2025 have been divided into 13 different dosage forms. Following are the percentages of those dosage forms – injection (37.5%), Oral Tablets (22.9%), Oral Capsules, Oral Suspension and Ophthalmic products 6.3% each, Oral granules 4.2%, and Sublingual tablets, Oral powder, oral solution, Otic solution, Topical, Nasal spray and for Oral solution 2.1% each. Following are the submission classifications: BLA (36.7%), Type 1 (new molecular entity, 26.5%), Type 3 (new dosage form, 28.6%), Type 4 (new combination), Type 5 (new formulation or manufacturer, 16.3%), Type 7 (drug already marketed without approved NDA, 2.0%), and Type 9 (new indication submitted as distinct NDA, consolidated with original NDA upon approval, 2.0%).

Doptelet and Doptelet Sprinkle (avatrombopag) offer a fast and durable platelet response and are the only TPO-RAs (Thrombopoietin Receptor Agonists) without dietary restrictions and liver monitoring. These are indicated for patients aged >1 and <6 years. Doptelet tablets are indicated for patients aged over 6 years. Doptelet tablets and sprinkles are not to be substituted on a mg-to-mg basis. TPO-RA bind to TPO receptors to help increase platelet production in persistent or chronic immune thrombocytopenia (ITP).

Wayrilz (Rilzabrutinib) is another new drug approved to treat adults with persistent or chronic ITP who have received a prior treatment that did not work well enough. Wayrilz may cause serious side-effects – serious infections and liver problems including drug-induced liver injury.

Biocon Biologics made an impressive performance getting three drugs approved in one quarter – Kirsty (Insulin aspart – xjhz), Aukelso (Denosumab-kyqq – biosimilar to Xgeva) and Bosaya (Denosumab-Kyqq – biosimilar to Prolia). Similarly, Shanghai Henlius Biotech received two BLAs approved in this quarter – Bildyos (Denosumab- nxxp, biosimilar to Prolia) and Bilprevda (Denosumab-nxxp – biosimilar to Xgeva). Hikma Pharma received two BLAs approved in this quarter - Enoby (Denosumab – qbde – biosimilar to Prolia) and Xtrenbo (Denosumab-qbde – biosimilar to Xgeva).

Inluriyo (Imlunestrant) is a new prescription medicine used to treat adults with advanced breast cancer or breast cancer that has spread to other parts of the body (metastatic) whose disease was previously treated with endocrine therapy. The breast cancer must be ER+ (estrogen receptor positive), HER2– (human epidermal growth factor receptor 2 negative), and ESR1-mutated (Estrogen receptor 1).

Palsonify (paltusotine) is a new once-daily oral tablet (equivalent to 20 mg or 30 mg base) approved to treat adults with acromegaly who either didn’t get much help from surgery or can’t have surgery for certain reasons. Acromegaly is a rare condition caused by too much growth hormone production usually due to a tumor in the pituitary gland.

Approval
Date

Drug name

Active
ingredients

Submission class. *

Company

Dosage form

Comments

07/02/2025

Zegfrovy

Sunvozertinib

Type 1

Dizal Jiangsu

Tablet; oral

Metastatic NSCLC targeting EGFR exon 20 insertion mutations

07/02/2025

Lynozyfic

Linvoseltamab-
gcpt

BLA

Regeneron

Solution;
injection

Treatment of patients with relapsed or refractory multiple myeloma (RRMM)

07/03/2025

Bendamustine
hydrochloride

Bendamustine
hydrochloride

Type5

DR Reddy’s

Solution;
intravenous

Anti-cancer medication used in the treatment of CLL and NHL

07/03/2025

Ekterly

Sebetralstat

Type1

KalVista

Tablet; oral

Treat symptoms of hereditary angioedema (swelling) attacks

07/15/2025

Kirsty

Insulin aspart-xjhz

BLA

Biocon Biologics

Injection;
solution

The first and only interchangeable biosimilar rapid-acting Insulin Aspart

07/16/2025

Famotidine

Famotidine

Type5

Sagent

Solution;
intravenous

Treat ulcers of the stomach and intestines

07/23/2025

Anzupgo

Delgocitinib

Type1

Leo Pharma

Cream; topical

Steroid free hand cream to treat Chronic Hand Eczema

07/23/2025

Vostally

Ramipril

Type3

Rosemont
Pharma

Solution; oral

To treat hypertension, reduce risk of cardiovascular events

07/24/2025

Sdamlo

Amlodipine
besylate

Type3

Brillian Pharma

For solution; oral

For the treatment of hypertension

07/24/2025

Doptelet
sprinkle

Avatrombopag
maleate

Type3

AkaRx inc.

Granule; oral

An oral chronic ITP medication that helps increase platelet counts

07/28/2025

Sephience

Sepiapterin

Type1

PTC Therapeutics

Powder; oral

Helps to reduce blood phenylalanine and Phenylketonuria levels

07/29/2025

Vyscoxa

Celecoxib

Type3

Carwin Pharm Assoc.

Suspension; oral

A nonsteroidal anti-inflammatory drug for osteoarthritis, rheumatoid arthritis, and ankylosing spondylitis

07/30/2025

Atmeksi

Methocarbamol

Type 9

Rosemont
Pharma

Suspension; oral

A muscle relaxant to treat acute, painful musculoskeletal conditions

07/31/2025

Vizz

Aceclidine
hydrochloride

Type1

LENZ
Therapeutics

Solution/drops;
ophthalmic

The first and only aceclidine-based eye drop approved to improve near vision

07/31/2025

Alhemo

Concizumab

BLA

Novo Nordisk

Solution;
injection

Used to prevent bleeding episodes
(prophylaxis) with hemophilia A or B

08/01/2025

E-z-disk

Barium sulfate

Type7

Bracco

Tablet; oral

Used in radiography of the esophagus, for detection of esophageal strictures

08/06/2025

Modeyso

Dordaviprone
hydrochloride

Type 1

Chimerix

Capsule; oral

The first and only treatment for recur-rent H3 K27M-mutant Diffuse Midline Glioma

08/08/2025

Hernexeos

Zongertinib

Type1

Boehringer
Ingelheim

Tablet; oral

First oral targeted treatment for HER2-
Mutant Advanced Lung Cancer

08/08/2025

Kyxata

Carboplatin

Type5

AVYXA Holdings

Solution;
intravenous

To treat ovarian carcinoma recurrent after prior chemotherapy

08/12/2025

Brinsupri

Brensocatib

Type1

Insmed Inc.

Tablet; oral

The first and only FDA-approved treatment proven to reduce bronchiectasis flares

08/15/2025

Cyklx

Articaine HCl

Type 3 & Type4

AM Genomics

Solution/drop;
ophthalmic

To anesthetize the surface of the eye before eye procedures

08/15/2025

Tonmya

Cyclobenzaprine

HCl

Type3

Tonix

Tablet; sublingual

It is the first FDA-approved therapy to treat fibromyalgia

08/21/2025

Dawnzera (autoinjector)

Donidalorsen
sodium

Type1

Ionis Pharms Inc.

Solution;
subcutaneous

First and only RNA-targeted prophylactic treatment for hereditary angioedema

08/25/2025

Camcevietm

Leuprolide
mesylate

Type5

Foresee
Pharma

Emulsion;
subcutaneous

Effective advanced prostate cancer therapy to lower testosterone

08/28/2025

Lopressor

Metoprolol
tartrate

Type5

XTM Consulting

Tablet; oral

For the treatment of hypertension, to lower blood pressure

08/29/2025

Otezla

Apremilast

Type5

Amgen Inc.

Tablet; oral

Oral tablet form

08/29/2025

Otezla xr

Apremilast

Type 5

Amgen Inc.

Tablet ER; oral

Extended-release oral tablet form

08/29/2025

Escitalopram

Escitalopram
oxalate

Type3

Almatica

Capsule; oral

A new dosage form approved

08/29/2025

Wayrilz

Rilzabrutinib

Type1

Genzyme
Corp.

Tablet; oral

For persistent or chronic immune thrombocytopenia (ITP)

08/29/2025

Leqembi
iqlik

Lecanemab-irmb

BLA

Eisai Inc.

Injectable;
injection

Subcutaneous (weekly autoinjector) maintenance dose for patients with early Alzheimer’s disease

08/29/2025

Bildyos

Denosumab-
nxxp

BLA

Shanghai
Henlius

Injectable;
injection

A biosimilar to Prolia for treatment of osteoporosis and bone loss

08/29/2025

Bilprevda

Denosumab-
nxxp

BLA

Shanghai
Henlius

Injectable;
injection

Biosimilar to Xgeva

09/09/2025

Zolymbus

Bimatoprost

Type3

Thea Pharma

Gel;
ophthalmic

For the reduction of elevated intraocular pressure in patients with open angle glaucoma or ocular hypertension

09/09/2025

Inlexzo

Gemcitabine
hydrochloride

Type3

Janssen
Biotech

System;
intravesical

For adult patients with BCG unresponsive non muscle invasive bladder cancer with carcinoma in situ, with or without papillary tumors

09/10/2025

Koselugo

Selumetinib

Type3

AstraZeneca

Granule; oral

Approval expanded to include children aged 1 year and older (in both capsule and granule formulations)

09/10/2025

Koselugo

Selumetinib
sulfate

Type3

AstraZeneca

Capsule; oral

Approval expanded to include children aged 1 year and older (in both capsule and granule formulations)

09/12/2025

Enbumyst

Bumetanide

Type3

Corstasis
Therapy

Spray; nasal

For the treatment of edema associated with congestive heart failure, liver disease and kidney disease (including nephrotic syndrome) in adults

09/16/2025

Subvenite

Lamotrigine

Type3

OWP Pharma

Suspension; oral

The first and only FDA-approved oral formulation of lamotrigine used to treat epilepsy and bipolar disorder

09/16/2025

Aukelso

Denosumab-
kyqq

BLA

Biocon
Biologics

Injectable;
injection

Biosimilar to Xgeva

09/16/2025

Bosaya

Denosumab-
kyqq

BLA

Biocon
Biologics

Injectable;
injection

Biosimilar to Prolia

09/19/2025

Forzinity

Elamipretide
hydrochloride

Type1

Stealth
Biotherapeutics

Solution;
subcutaneous

First FDA-approved treatment for Barth syndrome

09/19/2025

Keytruda
qlex

Pembrolizumab;
berahyaluronidase alfa-pmph

BLA

Merck Sharp Dohme

Injectable;
injection

Subcutaneous injection for solid tumor indications as the intravenous version of KEYTRUDA

09/24/2025

Bondlido

Lidocaine

Type5

MedRx USA Inc.

Topical system

For relief of pain associated with post herpetic neuralgia in adults

09/25/2025

Inluriyo

Imlunestrant

Type1

Eli Lilly and Co.

Tablet; oral

For adults with estrogen receptor positive (ER+), HER2 negative, ESR1 mutated advanced or metastatic breast cancer

09/25/2025

Palsonify

Paltusotine

Type 1

Crinetics Pharma Inc.

Tablet; oral

For the treatment of adults with acromegaly who have had an inadequate response to surgery and/or for whom surgery is not an option

09/26/2025

Clotic

Clotrimazole

Type 3

Laboratorios Salvat, S.A.

Solution; otic

For the treatment of fungal otitis externa (otomycosis) caused by Aspergillus and Candida species

09/26/2025

Enoby

Denosumab-
qbde

BLA

Hikma
P
harmaceuticals
USA Inc.

Solution;
injection

Biosimilar to Prolia, for treatment of osteoporosis in certain high risk populations

09/26/2025

Xtrenbo

Denosumab-
qbde

BLA

Hikma
P
harmaceuticals
USA Inc.

Solution;
injection

Biosimilar to Xgeva for preventing skeletal-related events in patients with certain cancers

BLA: Biologics License agreement, Type 1: New Molecular entity, Type 3: New dosage form, Type 4 – New combination, Type 5 – New formulation or manufacturer, Type 7 - Drug Already Marketed without Approved NDA, Type 9 - new indication submitted as distinct NDA, consolidated with original NDA after approval.


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