More Heart, Less Skin: US FDA’s 2025 Novel Approvals Should Reflect Pipeline Shifts

Only one-third of novel agents with 2025 goal dates come from the traditional oncology, hematology and neuroscience strongholds. Immunodermatology also is cooling, while cardiovascular drugs return to the front burner.

The US FDA is looking at a shifting landscape of potential novel agents in the class of 2025. (Shutterstock)
Key Takeaways
  • Cardiovascular drug development is returning to the spotlight by building on the explosive growth across cardiometabolic conditions with potential therapies that have mechanisms familiar (PCSK9 inhibition, calcium channel blockade, cardiac myosin inhibition) and pioneering (cell therapy).
  • Only one immunodermatology agent is under review after being one of the most active spaces of recent years.
  • The class of novel agents vying for approval in 2025 are less concentrated in oncology, hematology and neuroscience than recent years, driven by a drop-off in blood disorder candidates.

While the FDA is facing a disrupted and uncharted future, drug development offers a few certainties, including that oncology and neuroscience still dominate the novel agents seeking approval. But the...

The FDA started with the year with at least 60 novel agents under review, according to the Pink Sheet US FDA Performance Tracker’s User Fee Goal...

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