Horizon Lines: A Quarterly Review of NDAs – October- December 2025

This quarterly review of New Drug Applications contains data for applications approved for the first time during the last quarter of 2025, which includes New Molecular Entities (NMEs) and new biologics. A total of 40 applications were approved by the FDA during these three months. Based on submission classification, they can be divided as – Type 1: 24.4%, Type 2: 4.9%, Type 3: 14.6%, Type 4: 2.4%, Type 5: 9.8%, Type 9: 2.4%, Type 10: 2.4%, Gas: 2.4% and BLA: 36.6%. Clearly, the focus was on developing new biological products.

The last quarter of 2025 approvals were divided into 10 different dosage forms. Following are the percentages of those dosage forms – 20% tablets, 50% injectable, 7.5% each for capsules and oral solutions, and 2.5% each for nasal spray, ophthalmic solution, oral film, gas, oral pellets and oral suspension. All the BLAs except one (Wegovy) were injectable products.

Ferabright™, is the first and only FDA-approved iron-based contrast agent indicated for magnetic resonance imaging (MRI) of the brain in adults with known or suspected malignant neoplasms in the brain to visualize lesions with a disrupted blood-brain barrier. Ferabright is an advanced superparamagnetic iron oxide nanoparticle contrast agent engineered for high relaxivity. It significantly enhances image contrast and precision in brain tumor delineation compared to non-contrast MRI, offering clinicians a new tool for diagnostic imaging and improved patient care.

Cardamyst™ is a prescription medicine used to help restore normal heart rhythm in adults who have symptoms of sudden episodes of fast heartbeat called paroxysmal supraventricular tachycardia (PSVT). It is the first and only self-administered nasal spray for adults with PSVT.

Javadin™ is the only FDA-approved, immediate-release, ready-to-use oral liquid clonidine formulation for hypertension control. It is a central alpha-2 adrenergic agonist, indicated for the treatment of hypertension in adult patients to lower blood pressure. Lowering blood pressure has been shown to reduce the risk of fatal and nonfatal cardiovascular events, primarily strokes and myocardial infarctions.

Wegovy (Semaglutide) tablets 25 mg have been introduced by Novo Nordisk, Inc. It is the first and only GLP-1 medication available as a tablet. The pill form of Wegovy is more affordable than the injection and it is more convenient to administer. It mimics GLP-1 hormone to reduce appetite, slow digestion and improve blood sugar regulation.

Yartemlea (Narsoplimab-wuug) is a MASP-2 inhibitor (mannan-binding lectin-associated serine protease 2) indicated for the treatment of hematopoietic stem cell transplant-associated thrombotic microangiopathy (TA-TMA). It is a recombinant human immunoglobulin G4 (IgG4) monoclonal antibody produced in Chinese Hamster Ovary cells. The approximate molecular weight is 143 kDa.

Rybrevant Faspro™ (amivantamab and hyaluronidase-Ipuj) is a prescription medicine used to treat adults with non-small cell lung cancer (NSCLC) that has spread to other parts of the body (metastatic) or cannot be removed by surgery, and has certain abnormal epidermal growth factor receptor (EGFR) gene(s). Hyaluronidase temporarily breaks down hyaluronan - a major component of the extracellular matrix in subcutaneous tissue - which otherwise creates physical resistance to injecting and absorbing large-volume biologic drugs like monoclonal antibodies.

Approval
Date

Drug Name

Active
Ingredients

Submission
Classification *

Company

Type Of Dosage Form/ Route

Comments

10/02/2025

Eydenzelt

Aflibercept-Boav

BLA

Celltrion Inc

Injectable;
Injection

Treat several serious retinal diseases

10/07/2025

Lasix Onyu

Furosemide

Type 3

Sq Innovation

Solution;
Subcutaneous

Treatment of edema in adult patients with CHF

10/07/2025

Jascayd

Nerandomilast

Type 1

Boehringer
Ingelheim

Tablet; Oral

Idiopathic pulmonary fibrosis, progressive pulmonary fibrosis)

10/16/2025

Ferabright

Ferumoxytol

Type 10

Covis

Solution;
Intravenous

First and only iron-based MRI contrast agent in adults.

10/17/2025

Epioxa Hd/Epioxa Kit

Riboflavin 5'-
Phosphate
Sodium

Type 5

Glaukos

Solution/Drops;
Ophthalmic

First non-invasive topical drug therapy for corneal collagen cross-linking for keratoconus.

10/22/2025

Contepo

Fosfomycin Disodium

Type 2

Meitheal

Powder;
Intravenous

Treatment of complicated urinary tract infections (cutis), including acute pyelonephritis.

10/23/2025

Dehydrated
Alcohol

Alcohol

Type 5

Royal Pharma

Solution;
Intravenous

Treatment of methanol poisoning in combination with hemodialysis

10/23/2025

Javadin

Clonidine HCl

Type 3

Azurity

Solution; Oral

First ready-to-use oral liquid formulation of clonidine to help lower blood pressure

10/23/2025

Blenrep

Belantamab Mafodotin-Blmf

BLA

Glaxo SmithKline LLC

Injectable;
Injection

For relapsed or refractory multiple myeloma

10/24/2025

Rocuronium
Bromide

Rocuronium
Bromide

Type 5

B. Braun
Medical

Solution;
Intravenous

Adjunct to general anesthesia for intubation and muscle relaxation during surgery or mechanical ventilation

10/24/2025

Lynkuet

Elinzanetant

Type 1

Bayer
Healthcare

Capsule; Oral

To reduce moderate to severe hot flashes associated with menopause.

10/24/2025

Resniben

Cabozantinib

Type 5

Azurity

Tablet; Oral

Tentative approval

10/25/2025

Carbon
Dioxide,
USP

Carbon Dioxide

Gas

Roberts Oxygen Co. Inc.

Gas; Inhalation

Designated medical gas

10/29/2025

Jubereq

Denosumab-
Desu

BLA

Accord
Biopharma
Inc.

Injectable;
Subcutaneous

Biosimilar to Xgeva® (denosumab)

10/29/2025

Osvyrti

Denosumab-
Desu

BLA

Accord
Biopharma
Inc.

Injectable;
Subcutaneous

Biosimilar to Prolia® (denosumab)

11/03/2025

Kygevvi

Doxecitine;
Doxribtimine

Type 1

UCB Inc.

For Solution;
Oral

First FDA approved therapy for TK2 deficiency (thymidine kinase 2 deficiency)

11/13/2025

Komzifti

Ziftomenib

Type 1

Kura Oncology

Capsule; Oral

For a specific type of blood cancer.

11/13/2025

Poherdy

Pertuzumab-
Dpzb

BLA

Shanghai
Henlius
Biotech

Injectable;
Intravenous

Interchangeable to Perjeta

11/18/2025

Redemplo

Plozasiran
Sodium

Type 1

Arrowhead
Pharma

Solution;
Subcutaneous

Treatment for a rare lipid disorder

11/19/2025

Hyrnuo

Sevabertinib

Type 1

Bayer Healthcare

Tablet; Oral

Approved under the accelerated approval pathway.

11/21/2025

Ruxolitinib

Ruxolitinib

Type 2

Apotex Inc.

Tablet; Oral

Cancer growth blocker.

11/25/2025

Voyxact

Sibeprenlimab-
Szsi

BLA

Otsuka Pharma Co.

Injectable;
Injection

To reduce protein in the urine with a kidney disease.

 

Approval
Date

Drug Name

Active
Ingredients

Submission
Classification *

Company

Type Of Dosage Form/ Route

Comments

11/28/2025

Armlupeg

Pegfilgrastim-
Unne

BLA

Lupin Ltd.

Injection;
Solution

To reduce the incidence of febrile neutropenia in patients treated with chemotherapy

12/11/2025

Orladeyo

Berotralstat 2 HCl

Type 3

Biocryst
Pharma

Pellets; Oral

To prevent attacks of hereditary angioedema (HAE) for ages 12 and older

12/11/2025

Daybue
Stix

Trofinetide

Type 3

Acadia Pharma Inc.

Solution; Oral

The first and only FDA-approved treatment for RETT syndrome.

12/12/2025

Cardamyst

Etripamil

Type 1

Milestone Pharma USA

Spray; Nasal

First and only FDA-approved, self-administered medicine to help restore normal heart rhythm in adults with PSYT.

12/12/2025

Nuzolvence

Zoliflodacin

Type 1

Entasis
Therapeuticcs

For Suspension

Single-dose oral treatment for urogenital gonorrhea.

12/12/2025

Lerochol

Lerodalcibep-
Liga

BLA

LIB Therapeutics, Inc.

Injectable; Injection

To reduce low-density lipoprotein cholesterol (LDL-C)

12/16/2025

Vybrique

Sildenafil Citrate

Type 3

IBSA

Film; Oral

To treat erectile dysfunction (ED).

12/16/2025

Exdensur

Depemokimab-
Ulaa

BLA

GlaxoSmithKline LLC

Injection

Maintenance treatment for severe asthma, eosinophilic type; the first and only asthma biologic - just 2 doses a year

12/17/2025

Rybrevant
Faspro

Amivantamab And Hyaluronidase-Ipuj

BLA

Janssen
Biotech

Injection

The first and only subcutaneous therapy for epidermal growth factor receptor-mutated non-small cell lung cancer

12/18/2025

Nufymco

Ranibizumab-Leyk

BLA

Formycon Ag

Injection

Interchangeable ranibizumab biosimilar, for retinal diseases

12/19/2025

Myqorzo

Aficamten

Type 1

Cytokinetics

Tablet; Oral

Used to treat adults with symptomatic obstructive cardiomyopathy (OHCM).

12/19/2025

Jascayd
NDA

Nerandomilast

Type 9

Boehringer
Ingelheim

Tablet; Oral

To treat idiopathic pulmonary fibrosis (IPF) in adult patients.

12/19/2025

Boncresa

Denosumab-Mobz

BLA

Amneal Pharma LLC

Injectable;
Subcutaneous

To increase bone mass and reduce fracture risk

12/19/2025

Oziltus
BLA

Denosumab-Mobz

BLA

Amneal Pharma LLC

Injectable;
Subcutaneous

To reduce bone complications, control tumor-related bone disease, and manage cancer-related hypercalcemia.

12/22/2025

Mucinex 12 Hr Cold & Fever

Dextromethorphan/
Guaifenesin/
Naproxen

Type 4

Reckitt
Benckiser
Health

Tablet, Extended Release; Oral

To loosen phlegm (mucus) and thin bronchial secretions, reduces cough

12/22/2025

Wegovy

Semaglutide

BLA, Type 3

Novo
Nordisk
Inc.

Tablet

The first and only GLP-1 weight-loss medication available in a pill

12/23/2025

Yartemlea

Narsoplimab-
Wuug

BLA

Omeros Corp.

Injection

The first and only FDA–approved treatment for TA-TMA

12/30/2025

Nereus

Tradipitant

Type 1

Vanda Pharma Inc.

Capsule; Oral

The first new pharmacologic motion sickness treatment in over 40 years.

BLA: Biologics License agreement, Type 1: New Molecular entity, Type 2: New active ingredient, Type 3: New dosage form, Type 4 – New combination, Type 5 – New formulation or manufacturer, Type 9 - new indication submitted as distinct NDA, consolidated with original NDA after approval, Type 10 - New Indication Submitted as Distinct NDA - Not Consolidated.


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