1. Icosapent ethyl (Vascepa)
- Indication:
Adjunct to diet to reduce triglyceride (TG) levels in adult patients with severe (≥500mg/dL) hypertriglyceridemia.
- Pharmacology:
Icosapent ethyl is an ethyl ester of the omega-3 fatty acid eicosapentaenoic acid (EPA).
- Studies suggest that eicosapentaenoic acid reduces hepatic very low-density lipoprotein triglycerides (VLDL-TG) synthesis and/or secretion and enhances TG clearance from circulating VLDL particles.
- Potential mechanisms of action include
- increased ß-oxidation;
- inhibition of acyl-CoA:1,2-diacylglycerol acyltransferase (DGAT);
- decreased lipogenesis in the liver; and
- increased plasma lipoprotein lipase activity.
2. Cabozantinib (Cometriq)
Treatment of progressive, metastatic medullary thyroid cancer.
Pharmacology:
Cabozantinib inhibits the tyrosine kinase activity of RET, MET, VEGFR-1, -2 and -3, KIT, TRKB, FLT-3, AXL, and TIE-2.
These receptor tyrosine kinases are involved in both normal cellular function and pathologic processes such as oncogenesis, metastasis, tumor angiogenesis, and maintenance of the tumor microenvironment.