The CDMO/CMO Report: What’s Trending in Drug Products?

What dosage forms are leading the way among new drug approvals thus far in 2025? DCAT Value Chain Insights examines the key trends and latest developments in drug delivery and drug-product development and manufacturing.

By Patricia Van Arnum, Editorial Director, DCAT, pvanarnum@dcat.org

New drug approvals & dosage forms
For CDMOs/CMOs providing formulation development and drug-product manufacturing, important indicators to look at are trends in new drug approvals and the related dosage forms of these products. In looking at new drug approvals thus far in 2025 and the dosage forms/route of administration for those drugs, there was a fairly balanced distribution between dosage forms with oral drug delivery and dosage forms with non-oral drug delivery. Through July 31, 2025, FDA’s Center for Drug Evaluation and Research had approved 22 new molecular entities and biological therapeutics. Of these 22 new drug approvals, nine are drugs delivered via injections, infusions, or subcutaneously, 10 new drugs are delivered orally (tablet, capsule, or powder for oral delivery), two drugs were solutions/drops for ophthalmic use, and one product was a cream for topical drug delivery (see Table I at the end of the article).

New drugs delivered via injections, infusions or subcutaneously included AbbVie’s Emrelis (telisotuzumab vedotin-tllv), an antibody drug conjugate (ADC) for treating locally advanced or metastatic, non-squamous non-small cell lung cancer and AstraZeneca/Daiichi Sankyo’s Datroway (datopotamab deruxtecan-dlnk), an ADC for treating unresectable or metastatic, HR-positive, HER2-negative breast cancer. Also gaining approval was Johnson & Johnson’s Imaavy (nipocalimab-aahu) for treating generalized myasthenia gravis, Merck & Co.’s Enflonsia (clesrovimab-cfor) for treating respiratory syncytial virus-based lower respiratory tract disease in neonates and infants, and Sanofi’s Qfitlia (fitusiran) for preventing or reducing the frequency of bleeding episodes in hemophilia A or B.

Among mid-sized companies with new drug approved delivered via injections, infusions or subcutaneously included CSL Behring’s Andembry (garadacimab-gxii) for treating hereditary angioedema and Regeneron Pharmaceuticals’ Lynozyfic (linvoseltamab-gcpt) for treating relapsed or refractory multiple myeloma.

Among smaller companies with new drug approved delivered via injections, infusions or subcutaneously are Akeso’s penpulimab-kcqx (penpulimab-kcqx) for treating recurrent or metastatic non-keratinizing nasopharyngeal carcinoma and Medexus’ Grafapex (treosulfan), a preparative regimen for allogeneic hematopoietic stem cell transplantation for acute myeloid leukemia and myelodysplastic syndrome.

Specialty dosage forms among the new drugs approved thus far in 2025 included: Alcon’s Tryptyr (acoltremon ophthalmic solution) for treating dry-eye disease and Lenz Therapeutics’ Vizz (aceclidine ophthalmic solutions) for treating presbyopia, a gradual loss of the eye’s ability to focus on near objects. LEO Pharma also received approval for Anzupgo (delgocitinib), a cream delivered topically for treating moderate-to-severe chronic hand eczema.

New drug approvals and oral drug delivery
Among the larger pharmaceutical companies with new drugs for oral delivery included GlaxoSmithKline’s Blujepa (gepotidacin) for teating noncomplicated urinary tract infections, Merck KGaA’s Gomekli (mirdametinib) for treating neurofibromatosis Type 1, and Novartis’ Vanrafia (atrasentan) for treating proteinuria in adults with primary  immunoglobulin A nephropathy.

Other companies with new products approved thus far in 2205 with oral drug delivery include Dizal (Jiangsu) Pharmaceutical with Zegfrovy (sunvozertinib) for treating certain forms of locally advanced or metastatic non-small cell lung cancer and Nuvation Bio with Ibtrozi (taletrectinib) for treating locally advanced or metastatic ROS1-positive non-small cell lung cancer. Other approvals of products for oral drug delivery included: Kalvista Pharmaceuticals’ Ekterly (sebetralstat) for treating acute attacks of hereditary angioedema; Ono Pharmaceutical’s Romvimza (vimseltinib) for treating symptomatic tenosynovial giant cell tumor; PTC Therapeutics’ Sephience (sepiapterin) for treating hyperphenylalaninemia in patients with sepiapterin-responsive phenylketonuria, in conjunction with a phenylalanine-restricted diet; Verastem’s Avmapki Fakzynja Co-Pack (avutometinib and defactinib) for treating KRAS-mutated recurrent low-grade serous ovarian cancer after prior systemic therapy; and Vertex Pharmaceuticals’ Journavx (suzetrigine) for treating moderate-to-severe acute pain.

Table I: Mid-Year Review 2025: New Drug Approvals by the Center for Drug Evaluation and Research, US Food and Drug Administration’s Center for Drug Evaluation and Research (as of July 31, 2025)  
AbbVie  Emrelis (telisotuzumab vedotin-tllv)  Antibody drug conjugate; BLA
Vial; Single-dose 
Locally advanced or metastatic, non-squamous non-small cell lung cancer  
Alcon  Tryptyr (acoltremon ophthalmic solution)  Small molecule; NDA
Solution/Drops; Ophthalmic
Dry eye disease  
Akeso  penpulimab-kcqx (penpulimab-kcqx)  Biologic; BLA
Injectable; Intravenous 
Recurrent or metastatic non-keratinizing nasopharyngeal carcinoma  
AstraZeneca/Daiichi Sankyo  Datroway (datopotamab deruxtecan-dlnk)  Antibody drug conjugate; BLA
Injectable; IV (Infusion) &
Injectable; Injection
Unresectable or metastatic, HR-positive, HER2-negative breast cancer  
CSL Behring  Andembry (garadacimab-gxii)    Biologic; BLA
Injectable; Subcutaneous 
Hereditary angioedema  
Dizal (Jiangsu) Pharmaceutical  Zegfrovy (sunvozertinib)  Small molecule; NDA
Tablet; Oral
Certain forms of locally advanced or metastatic non-small cell lung cancer  
GlaxoSmithKline  Blujepa (gepotidacin)   Small molecule; NDA
Tablet; Oral  
Uncomplicated urinary tract infections  
Nuvation Bio  Ibtrozi (taletrectinib)  Small molecule; NDA
Capsule; Oral
Locally advanced or metastatic ROS1-positive non-small cell lung cancer  
Johnson & Johnson   Imaavy  
(nipocalimab-aahu)  
Biologic; BLA
Injectable; Injection
Generalized myasthenia gravis  
Kalvista Pharmaceuticals  Ekterly (sebetralstat)  Small molecule; NDA
Tablet; Oral
Acute attacks of hereditary angioedema  
Lenz Therapeutics Vizz (aceclidine ophthalmic solutions) Small molecule; NDA
Solution; Drops
Presbyopia, a gradual loss of the eye’s ability to focus on near objects 
LEO Pharma Anzupgo (delgocitinib) Small molecule; NDA
Cream; Topical
Moderate-to-severe chronic hand eczema when topical corticosteroids are not advisable or produce an inadequate response 
Medexus  Grafapex (treosulfan)  Small molecule; NDA
Powder; Intravenous
Preparative regimen for allogeneic hematopoietic stem cell transplantation for acute myeloid leukemia and myelodysplastic syndrome  
Merck & Co. Inc.   Enflonsia (clesrovimab-cfor)  Biologic; BLA 
Injection; Solution
Respiratory syncytial virus lower respiratory tract disease in neonates and infants  
Merck KGaA*  Gomekli (mirdametinib)   Small molecule; NDA
Tablet, for suspension; Oral
Capsule; Oral 
Neurofibromatosis Type 1   
Novartis   Vanrafia (atrasentan)   Small molecule; NDA
Tablet; Oral
Protein in the urine (proteinuria) in adults with primary  immunoglobulin A nephropathy   
Ono Pharmaceutical  Romvimza (vimseltinib)   Small molecule; NDA
Capsule; Oral
Symptomatic tenosynovial giant cell tumor  
PTC Therapeutics Sephience (sepiapterin) Small molecule; NDA
Powder; Oral
Hyperphenylalaninemia in patients with sepiapterin-responsive phenylketonuria, in conjunction with a phenylalanine-restricted diet 
Regeneron Pharmaceuticals  Lynozyfic (linvoseltamab-gcpt)  Biologic; BLA
Solution; Injection
Relapsed or refractory multiple myeloma  
Sanofi  Qfitlia (fitusiran)  Small molecule; NDA 
Solution; Subcutaneous
Prevent or reduce the frequency of bleeding episodes in hemophilia A or B  
Verastem  Avmapki Fakzynja Co-Pack (avutometinib and defactinib)  Small molecule; NDA
Capsule, Tablet; Oral 
KRAS-mutated recurrent low-grade serous ovarian cancer (LGSOC) after prior systemic therapy  
Vertex Pharmaceuticals   Journavx (suzetrigine)  Small molecule; NDA
Tablet; Oral
Moderate-to-severe acute pain  
Merck KGaA acquired SpringWorks Therapeutic in July 2025 and with the acquisition, Gomekli (mirdametinib).  NDA is new drug application; BLA is biologics license application.  
Source: Center for Drug Evaluation and Research, US Food and Drug Administration 
  

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