Here are 5 important decisions by the FDA to keep an eye on in the last part of the year.

The text discusses developments in the pharmaceutical industry, focusing on new drugs and treatments seeking approval from the U.S. Food and Drug Administration (FDA). Here’s a simplified summary:

1. **Heart Disease Treatment**: A rare heart condition called transthyretin amyloidosis cardiomyopathy is the focus of new drug developments. Pfizer already has an approved drug, and companies like BridgeBio Pharma and Alnylam Pharmaceuticals have drugs in the final testing stages. BridgeBio’s drug, acoramidis, might soon be approved, adding competition in a market worth billions.

2. **Lung Cancer Drug**: AstraZeneca and Daiichi Sankyo are awaiting FDA approval for a new lung cancer drug, dato-dxd, that targets specific cancer proteins. While it shows promise, its effectiveness compared to existing treatments is still under review.

3. **Cystic Fibrosis Treatment**: Vertex Pharmaceuticals is seeking approval for a new cystic fibrosis treatment called “vanza triple,” which could be more convenient for patients and offer longer patent protection than its current best-seller, Trikafta.

4. **Gene Therapy for Rare Disorder**: PTC Therapeutics is waiting for FDA approval of Upstaza, a gene therapy for a rare nervous system disorder, AADC deficiency. The drug is already approved in Europe, but the U.S. process has been slower.

5. **Cancer Immunotherapy**: Bristol Myers Squibb is looking to launch a new version of its successful cancer drug Opdivo, administered through an injection under the skin, which could offer a more convenient option for patients and help maintain the company’s revenue as existing patents expire.

Overall, these developments highlight the competitive nature of the pharmaceutical industry and the potential impact of new drug approvals on both patients and companies.

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