Horizon Lines: A Quarterly Review of NDAs – January-March, 2026

This quarterly review on New Drug Applications contain data for applications approved during the first quarter of 2026, which includes New Molecular Entities (NMEs) and new biologics. A total of 28applications were approved by FDA during these three months.

The NDAs approved during the first quarter of 2026 have been divided into eight different dosage forms. Following are the percentages of those dosage forms – Injection (53.6%), Tablets (10.7%), Capsules (7.1%), Oral solution (10.7%), Gas (7.1%), and other (3.6% each, topical ointment, tablet for oral suspension, and ophthalmic solution). Recently, there has been more focus on injectable formulations. Following are the submission classifications: BLA (20.0%), Type 1 (New Molecular Entity, 23.3%), Type 3 (New Dosage Form, 20.0%), Type 4 (New Combination, 6.7%), Type 5 (New Formulation or Manufacturer, 23.3%) and Gas/Air – 6.7%

Menkes disease is caused by mutations in genes coding for the copper-transport protein ATP7A leading to copper deficiency. It causes growth failure and nervous system deterioration in children. Zycubo contains copper histidinate. This is the first and only treatment for Menkes disease.

Yuvezzi (Brimonidine and Carbachol) has been approved to treat presbyopia in adults. Presbyopia is a physiological insufficiency of optimal accommodation associated with aging of eyes. It has two actives – carbachol and brimonidine. Carbochol helps pupils to get smaller (constrict), making it easier to focus up close. Brimonidine helps keep pupils from getting too large (dilate).

Arginase 1 is an enzyme found mainly in the liver and it plays a role in various biological processes. Loargys (Pegzilarginase-NBLN) is the first enzyme replacement therapy for Arginase – 1 deficiency. Arginase -1 is involved in the urea cycle. This cycle detoxifies ammonia, a highly toxic product of protein and amino acid breakdown. 

Lynavoy (Linerixibat) is the first oral IBAT inhibitor for treating cholestatic pruritus in adults with primary biliary cholangitis. IBAT (ileal bile acid transport) inhibitors are used to treat pruritic. IBAT reduce the levels of bile acids in circulation.

Approval

Date

Drug
name

Active
ingredients

Submission

class. *

Dosage
form

Company

Comments

01/12/2026

Zycubo

Copper
histidinate

Type 1

Sentynl Therapeutics, Inc.

Powder;
Subcutaneous

First and only FDA-approved treatment for Menkes disease in pediatric patients

01/15/2026

Filkri

Filgrastim-
laha

BLA

Accord Biopharma Inc.

Injectable;
Injection

FDA-approved biosimilar to Neupogen (filgrastim)

01/21/2026

Avtozma

Tocilizumab-
Anoh

BLA

Celltrion Inc.

Injectable;
IV infusion;
Subcutaneous

First biological treatment approved for psoriatic arthritis in adults

01/26/2026

Quiofic

Folic acid

Type 3

CMP Development LLC

Solution; Oral

Used to treat megaloblastic anemias caused by folic acid deficiency

01/28/2026

Yuvezzi

Brimonidine

tartrate;
carbachol

Type 3 and Type 4

Visus

Solution
Ophthalmic

For the treatment of presbyopia in adults

02/02/2026

Air

Air

Air

General Air Service &
Supply Company

Gas; Inhalation

Respiratory therapy

02/03/2026

Vykoura

Leucovorin
calcium

Type 5

Avyxa Holdings

Solution; IM, IV

Folate analog injectable medication used in cancer treatment

02/12/2026

Adquey

Difamilast

Type 1

Acrotech
Biopharma

Ointment;
Topical

Nonsteroidal topical ointment to treat atopic dermatitis (eczema)

02/13/2026

Avopef

Etoposide

Type 3

Avyxa Holdings

Vial; Multidose

Topoisomerase inhibitor used to treat certain types of cancer

02/13/2026

Rybrevant

Faspro

Amivantamab and Hyaluronidase

BLA

Janssen Biotech

Vial; Single-Use

Treat advanced non–small cell lung cancer (NSCLC) with certain EGFR mutation

02/17/2026

Medical air, USP

Air

Air

Unknown

Gas; Inhalation

Used for respiratory support in hospitals

02/20/2026

Favlyxa

Fluorouracil

Type 5

Avyxa Holdings

Solution;
Intravenous

Reformulated oncology product

02/20/2026

Bysanti

Milsaperidone

Type 1

Vanda Pharma Inc.

Tablet; Oral

For the treatment of schizophrenia and acute manic/mixed episodes of bipolar I disorder in adults

 

Approval

Date

Drug
name

Active
ingredients

Submission class. *

Dosage
form

Company

Comments

02/23/2026

Loargys

Pegzilarginase-

NBLN

BLA

Immedica Pharma AB

Injectable;
Injection

The first enzyme replacement therapy for arginase-1 deficiency (hyperargininemia) in patients aged 2 years and older

02/25/2026

Desmoda

Desmopressin

acetate

Type 3

Eton

Solution; Oral

The first FDA-approved liquid formulation for treating central diabetes insipidus

02/27/2026

Duloxetine
hydrochloride

Duloxetine HCl

Type 5

Almatica

Capsule, DR Pellets; Oral

New formulation

02/27/2026

Yuviwel

Navepegritide

Type 1

Ascendis

Powder;
Subcutaneous

New pediatric rare disease drug (achondroplasia)

02/27/2026

Prezcobix
ped

Cobicistat;
darunavir
ethanolate

Type 3

Janssen

Tablet, For Oral Suspension

Expanded use to younger pediatric patients

03/06/2026

Pylarify
truvu

Piflufolastat f-18

Type 5

Aphelion

Solution;
Intravenous

Updated imaging agent

03/17/2026

Icotyde

Icotrokinra HCl

Type 1

Janssen
Biotech

Tablet; Oral

For moderate-to-severe plaque psoriasis

03/17/2026

Lynavoy

Linerixibat

Type 1

GlaxoSmithKline

Tablet; Oral

The first oral IBAT inhibitor for treating itching (cholestatic pruritus) in adults with primary biliary cholangitis

03/19/2026

Flavalta

Epinephrine bitartrate;
lidocaine HCl

Type 5

Deproco

Solution;
Injection

Labeling/manufacturing documentation update

03/19/2026

Kitprozy

Carfilzomib

Type 5

Amneal
Pharma

Vial; Single-Use

Tentative approval

03/20/2026

Atoncy

Atomoxetine HCl

Type 3

Map77

Solution; Oral

Reformulated oral solution of atomoxetine for ADHD

03/24/2026

Avlayah

Tividenofusp alfa-eknm

BLA

Denali

Therapeutics
Inc.

Injection; Powder, For Solution

For the treatment of neurologic manifestations of Hunter syndrome.

03/25/2026

Lifyorli

Relacorilant

Type 1

Corcept
Therapeutics

Capsule; Oral

It is the first FDA-approved selective glucocorticoid receptor antagonist (SGRA) in oncology use

03/27/2026

Ponlimsi

Denosumab-adet

BLA

Teva
Pharmaceuticals,
Inc.

Injectable;
Subcutaneous

A biosimilar to Prolia

03/30/2026

Epinephrine

Epinephrine

Type 4 and Type 5

Baxter
Heallthcare
Corp.

Solution; IM, IM,
Subcutaneous

Updated the label, removed the minimum age requirement

Type 1 – New Molecular Entity, Type 3 – New Dosage Form, Type 4 - New Combination, Type 5 - New Formulation or New Manufacturer, BLA – Biologics License Application, Subcu – subcutaneous.


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