Horizon Lines: A Quarterly Review of NDAs – April to June 2026

This quarterly review on New Drug Applications contains data for applications approved for the first time during the second quarter of 2026, which includes New Molecular Entities (NMEs) and new biologics. A total of 29 applications were approved by FDA during these three months. Based on submission classification, they can be divided as – Type 1: 32.2%, Type 3: 3.2%, Type 4: 12.9%, Type 5: 19.6%, Type 8: 3.2%, and BLA: 29.0%. Clearly, the focus was on developing New Molecular Entities and new biological products.

The approvals were divided into six different dosage forms. Following are the percentages of those dosage forms – 31.3% tablets, 41.4% injectable, 3.5% each for capsules, metered inhaler and topical gel and 10.3% for powder for injection. All the BLAs were injectable products.

Cipepofol (Chinese trade name: Sishuning) became the first China-originated innovative intravenous anesthetic to enter the global market. This milestone has officially opened the door to the global high-standard pharmaceutical market and secured its entry ticket. The internationalization journey of Cipepofol epitomizes the shift from “Made in China” to “Innovated in China”.

Zaynich is a novel injectable antibiotic developed to treat serious bacterial infections, especially complicated urinary tract infections. It is a combination of two components; cefepime, a fourth-generation cephalosporin antibiotic, and zidebactam, a new molecule developed by Wockhardt. Zaynich is the first fully homegrown Indian antibiotic to receive this recognition, marking a historic achievement for India. By creating Zaynich, Indian scientists have demonstrated that the country can also become a leader in pharmaceutical innovation.

Decnupaz is an antibody-drug conjugate. It works by targeting BPDCN cells that have a protein – CD123 on them. Thus, Decnupaz is a targeted drug delivery for CD-123.

Hepcludex (bulevirtide-gmod) is a prescription medicine used to treat chronic (long-lasting) hepatitis delta virus (HDV) infection in adults without cirrhosis or with compensated cirrhosis. This indication is approved under accelerated approval based on a decrease in HDV RNA and alanine aminotransferase (ALT) normalization. An improvement in disease-related clinical outcomes has not been established.

Approval Date

Drug Name

Active Ingredients

Submission Classification *

Company

Type of Dosage Form/Route

Comments

04/01/2026

Foundayo

Orforglipron
Calcium

Type 1

Eli Lilly And Co.

Tablet

The only GLP-1 pill for weight loss with no food or water restrictions

04/20/2026

Idvynso

Doravirine;
Islatravir

Type 1, Type 4

MSD

Tablet

First and only non-INSTI, tenofovir-free, once-daily 2-drug regimen for HIV-1

04/24/2026

Saphnelo

Anifrolumab-Fnia

BLA

AstraZeneca

Injection

For moderate to severe lupus (SLE)

04/29/2026

Langlara

Insulin Glargine-Aldy

BLA

Sunshine Lake Pharma Co. Ltd.

Subcutaneous
injection

Long-acting insulin analog for diabetes

05/01/2026

Jakafi XR

Ruxolitinib
Phosphate

Type 5

Incyte Corp.

Tablet, ER

To treat polycythemia
vera (PV)

05/01/2026

Veppanu

Vepdegestrant

Type 1

Rigel Pharma

Tablet

The first FDA-approved PROTAC protein degrader.

05/01/2026

Evdi

Trabectedin

Type 5

Apotex

Injection
Solution

For the treatment of metastatic liposarcoma

05/07/2026

Dolutegravi,
Lamivudine
Tenofovir
Disoproxil
Fumarate

Dolutegravir;
Lamivudine;
Tenofovir
Disoproxil
Fumarate

Type 4

Aspen Sa
Operations (Pty) Ltd

Tablet; Oral

To treat human immunodeficiency virus (HIV) infection

05/07/2026

Ennumo

Pegfilgrastim-PCCG

BLA

Accord
Biopharma

Subcutaneous
injection

It is a leukocyte growth factor

05/13/2026

Beqalzi

Sonrotoclax

Type 1

Beone
Medicines USA

Tablet

BCL-2 inhibitor for relapsed or refractory mantle cell lymphoma (MCL)

05/14/2026

Trimbow

Beclomethasone Dipropionate; Formoterol Fumarate; Glycopyrrolate

Type 4

Chiesi

Aerosol,
Metered;
Inhalation

For chronic obstructive pulmonary disease (COPD) and asthma

05/15/2026

Baxfendy

Baxdrostat

Type 1

AstraZeneca

Tablet

First and only aldosterone synthase inhibitor for adult hypertension

05/15/2026

Immgolis

Golimumab-Sldi

BLA

Accord
Biopharma Inc.

Injection;
Solution

First interchangeable biosimilars to Simponi/Simponi Aria (golimumab)

05/15/2026

Immgolis
Intri

Golimumab-Sldi

BLA

Accord
Biopharma Inc.

Injection
Solution

FDA-approved first interchangeable golimumab biosimilars for RA and ulcerative colitis

05/22/2026

Differin E
piduo

Adapalene;
Benzoyl Peroxide

Type 8

Galderma Labs LP

Gel; Topical

First dual-active clinically proven acne treatment

05/22/2026

Hepcludex

Bulevirtide-Gmod

BLA

Gilead
Sciences Inc.

Powder for Injection

First and only HDV treatment for adults without cirrhosis or with compensated cirrhosis

05/27/2026

Decnupaz

Pivekimab Sunirine-Pvzy

BLA

AbbVie Inc.

Injection

The first targeted antibody-drug conjugate with blastic plasmacytoid dendritic cell neoplasm (BPDCN).

05/29/2026

Cavhanza

Nilotinib

Type 5

Flex Pharma

Tablet, ODT

ODT Philadelphia chromosome-positive chronic myeloid leukemia (Ph+ CML)

05/29/2026

Xocova

Ensitrelvir

Type 1

Shionogi

Tablet

The first and only oral antiviral approved for post-exposure prophylaxis (PEP) of COVID-19

05/29/2026

Cipepofol

Cipepofol

Type 1

Haisco Pharma

Injection

The first China-originated innovative intravenous anesthetic to enter the U.S. market

05/29/2026

Zaynich

Cefepime HCl;
Zidebactam

Type 1, Type 4

Wockhardt Bio Ag

Powder for Injection

First India-discovered and developed new chemical entity FDA-approved for cUTI.

06/02/2026

Tiocystin

Tiopronin

Type 5

Casper Pharma LLC

Tablet

For prevention of cystine stones in adults and children ≥9 years

06/02/2026

Ranluspec

Ranibizumab-Hkdz

BLA

Lupin Limited

Injection

For wet age-related macular degeneration and other retinal vascular conditions

06/12/2026

Ambelvist

Gadoquatrane

Type 1

Bayer Healthcare

Solution

The lowest-dose macrocyclic gadolinium-based contrast agent (mgbca) for MRI

06/16/2026

Aprepitant

Aprepitant

Type 5

Azurity

Emulsion;
Injection

As a ready-to-use intravenous antiemetic.

06/17/2026

Utebzi

Tebipenem
Pivoxil HBr

Type 1

GlaxoSmithKline

Tablet

The first and only oral carbapenem antibiotic for adults

06/24/2026

Navitrux

Fosaprepitant
Dimeglumine

Type 5

Avyxa Holdings

Powder for
Injection

To prevent acute and delayed nausea and vomiting linked to initial and repeat courses of cancer chemotherapy

06/26/2026

Lumvoa

Veligrotug-Vvze

BLA

Viridian
Therapeutics

Injection

First treatment authorized for thyroid eye disease

06/29/2026

Abanta

Apixaban

Type 3

Azurity

Capsule

Tentatively approved

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, and Type 8 – Prescription to OTC switch


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