From Teriparatide to Pembrolizumab: CDSCO Clears Import of r-DNA Drugs via CT-18 Route

Written By :  Susmita Roy
Published On 2026-01-26 08:28 GMT   |   Update On 2026-01-26 08:28 GMT
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New Delhi: The Central Drugs Standard Control Organisation (CDSCO) has granted multiple CT-18 approvals between January 2020 and December 2025 for recombinant DNA (r-DNA) origin drugs and biologics, enabling companies to import these products into India for sale and distribution.

CT-18 permissions are issued under the New Drugs and Clinical Trials Rules and are specifically related to import of unapproved new drugs or biologics into the country. These approvals mark an important step in expanding access to advanced protein-based therapies used in oncology, endocrinology, autoimmune disorders, osteoporosis, and metabolic diseases.

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The approved products include monoclonal antibodies, recombinant hormones, peptide analogues, and other biologics developed through recombinant DNA technology. Such drugs include therapies for osteoporosis (e.g., Teriparatide), cancer biologics, immunology products, and metabolic disorder treatments, all of which are produced using genetically engineered cell systems rather than chemical synthesis. These medicines play a crucial role in treating chronic, life-threatening, and rare conditions, offering targeted mechanisms of action, improved safety profiles, and better therapeutic outcomes. Their approval for import ensures Indian patients gain access to globally developed advanced biologics.

Also Read:CDSCO Clears Over 100 rDNA Drugs and Biologics Between 2020-25, Boosting Access to Advanced Therapies

The list of r-DNA origin drugs approved to be imported in 2025 includes AstraZeneca Pharma India Ltd’s Eculizumab and multiple approvals for Durvalumab across new indications, alongside MSD Pharmaceuticals Pvt. Ltd’s Sotatercept and Pembrolizumab, Roche Products (India) Pvt. Ltd’s Polatuzumab Vedotin, Atezolizumab, and Crovalimab, Novo Nordisk India Pvt. Ltd’s Insulin Icodec, Semaglutide Injection, and Concizumab, Intas Pharmaceuticals Ltd’s Serplulimab, Sun Pharmaceutical Industries Ltd’s Tildrakizumab (r-DNA origin), Bristol-Myers Squibb India Pvt. Ltd’s Luspatercept, Novartis Healthcare Pvt. Ltd’s Secukinumab, Bayer Pharmaceuticals Pvt. Ltd’s Antihemophilic Factor (Recombinant Factor VIII), Pfizer Products India Pvt. Ltd’s Marstacimab, and Eisai Pharmaceuticals India Pvt. Ltd’s Lecanamab, reflecting a strong pipeline of recombinant biologics spanning oncology, hematology, immunology, endocrinology, and rare diseases approved for import and marketing during the year.

List of new drugs (r-DNA origin) approved for import and marketing in India during Jan, 2020 – Dec, 2025

S.

No.

Name of the firm

Date of Permission

Permission No.

/CDSCO

Reference No.

Name of the Drug

Indication

Dosage Form & Strength

1

M/s Bristol- Myers Squibb India Pvt. Ltd.

21-02-2020

IMP/BIO/20/000008

Ipilimumab Injection, 50 mg/10

mL (5 mg/mL), Single use vial

Renal Cell Carcinoma (RCC) Ipilimumab is indicated for treatment of patients with intermediate or poor risk, previously untreated advanced renal cell carcinoma, in combination with Nivolumab. Recommended dosage Combination phase: The recommended dose during the combination phase is Ipilimumab 1 mg/kg administered intravenously over a period of 30 minutes every 3 weeks for the first 4 doses in combination with Nivolumab 3 mg/kg administered intravenously over a period of 30 minutes, followed by the single-agent phase. Single- agent phase: The recommended dose of Nivolumab during the single- agent phase is 3 mg/kg every two weeks administered intravenously over a period of 30

minutes.

Dosage Form: concentrate for solution for infusion for intravenous injection

Strength: 5 mg/mL

2.

M/s Sandoz Private Limited

15.03.2020

IMP/BIO/19/000001

(Initial approval

granted on

18.02.2019)

Ranibizumab Solution for injection in vial 10mg/mL + filter needle

Ranibizumab is indicated in preterm inf ants for: The treatment of retinopathy of prematurity (ROP) with zone I (stage1+, 2+, 3 or 3+), zone II (stage 3+) or AP-ROP (aggressive posterior ROP) disease (Additional Indication)

Solution for injection.

Each Vial contains 2.3 mg of Ranibizumab in 0.23 mL solution.

Strength: 10 mg/mL,

3

M/s Sandoz Private Limited

26-03-2020

IMP/BIO/20/000026

Crizanlizumab Concentrate for solution for infusion

10 mg/mL

(100mg/10mL)

Crizanlizumab is indicated to reduce the frequency of vasoocclusive crises in adults and pediatric patients aged 16 years and older with sickle cell disease.

Dosage Form: Concentrate for solution for infusion

Strength: 10mg/mL

4

M/s Dr.

Reddy’s Laboratories Ltd

3-04-2020

IMP/BIO/20/000029

Evolocumab Solution for Injection 140mg/ml (r-DNA origin)

  • Homozygous familial hypercholesterolaemia: Evolocumab is indicated in adults and adolescents aged 12 years and over with homozygous familial hypercholesterolaemia in combination with other lipid- lowering therapies.
  • Hypercholesterolaemia and mixed dyslipidaemia: Evolocumab is indicated in adults with primary hypercholesterolaemia (heterozygous familial and non-familial) or mixed dyslipidaemia, as an adjunct to diet: □ in combination with a statin or statin with other lipid lowering therapies in patients unable to reach LDL-C goals with the maximum tolerated dose of a statin or, □ alone or in combination with other lipid- lowering therapies in patients who are statin- intolerant, or for whom a statin is contraindicated.,
  • Evolocumab is indicated in adults with Established atherosclerotic cardiovascular disease (myocardial infarction, stroke or peripheral arterial disease) to reduce cardiovascular risk by lowering LDL-C levels, as an adjunct to correction of other risk factors: □ in combination with the maximum tolerated dose of a

statin with or without other lipid- lowering therapies or,

Dosage Form: Solution for Injection. Each single use Prefilled Syringe / Prefilled Autoinjector

Strength: Evolocumab Injection 140 mg/mL

5

M/s Sandoz Private Limited

1-07-2020

IMP/BIO/20/000056

Brolucizumab solution for

injection 120

mg/mL (r-DNA origin)

For the treatment of neovascular (wet) age-related macular degeneration (AMD)

Dosage Form: Solution for Injection (1 Vial + 1 filter needle)

Strength: 120 mg/mL

6

M/s Novo Nordisk India Pvt Ltd

16-07-2020

IMP/BIO/20/000059

Catridecacog (recombinant coagulation factor

XIII) 2500 IU (Novo

Thirteen)

Long term prophylactic treatment of bleeding in patients with congenital factor XIII A subunit deficiency.

Novo Thirteen can be used for all age groups

Dosage Form: Lyophilized Powder for solution for injectionin vial

Strength: 2500 IU

7

M/s Novo Nordisk India Pvt Ltd

27-07-2020

IMP/BIO/20/000060

Semaglutide

Semaglutide is indicated as an adjunct to diet and exercise to improve glycemic control in adults with type 2 diabetes mellitus • as monotherapy when metformin is considered inappropriate due to

intolerance or contraindications; • in combination with

Dosage Form: Solid oral (tablets). Semaglutide

Strength 3 mg Tablets, 7 mg Tablets and 14 mg

other medicinal products for the treatment of diabetes

Tablets

8

M/s Novo Nordisk India Pvt Ltd

5-08-2020

IMP/BIO/20/000063

Nonacog beta pegol

Nonacog beta pegol is indicated for treatment and prophylaxis of bleeding in pretreated patients with haemophilia B (congenital factor IX deficiency

Dosage Form: Lyophilized Powder for solution for injection. Nonacog beta pegol

Strength: 500.0 IU/Vial ,

1000.0 IU/Vial and 2000.0 IU/Vial

9

M/s Baxalta Bioscience India Pvt.Ltd

9-09-2020

IMP/BIO/20/000068

Rurioctocog alfa pegol (PEGylated recombinant human FVIII)

Rurioctocog alfa pegol (Adynovate) is a human antihemophilic factor indicated in children and adults with Hemophilia A (congenital factor VIII deficiency) for: □ On-demand treatment and control of bleeding episodes □ Perioperative management □ Routine

prophylaxis to reduce the frequency of bleeding

episodes

Dosage Form: Lyophilized Powder for solution for injection,

Strength: 250 IU/500 IU/750 IU/1000 IU/1500 IU/2000

IU vials

10

M/s Cipla Limited

27-10-2020

IMP/BIO/20/000082

Note: Additional Marketing Authorization

Recombinant Human Growth Hormone (Somatropin) Injection 4 IU, (IP)

Long term, treatment of children who have growth failure due to endogenous growth hormone and for treatment of short stature in children with Turner's syndrome confirmed by Chromosomal analysis

Dosage Form: Powder for solution for Injection. Each vial of Recombinant human Growth Hormone (EUTROPIN) contains 4 IU of Recombinant Human Growth Hormone (somatropin). The pack is supplied with 1 mL vial for injection for subcutaneous

use

11

M/s Merck Specialities Private Limited

29-10-2020

IMP/BIO/20/000085

Follitropin alfa (r- DNA origin) and Lutropin alfa (r- DNA origin)

Injection (Brand Name: Pergoveris)

Pergoveris is indicated for the stimulation of follicular development in adult women with severe LH and FSH deficiency

Dosage Form: Solution for Injection in Prefilled Pen

Strength: 1. Pergoveris (300 IU rhFSH + 150 IU r- hLH)/0.48 mL;

  1. Pergoveris (450 IU rhFSH

+ 225 IU r-hLH)/0.72 mL;

  1. Pergoveris (900 IU

rhFSH + 450 IU r- hLH)/1.44 mL.

12

M/s AstraZeneca Pharma India Limited

16-12-2020

IMP/BIO/20/000097

Benralizumab

Benralizumab is indicated as an add-on maintenance treatment for severe asthma with an eosinophilic phenotype in adult patients. The recommended dose is 30 mg of Benralizumab by subcutaneous injection every 4 weeks for the first 3 doses, and then every 8 weeks thereafter

Dosage Form: Solution for injection in a single dose prefilled syringe (with Needle Safety Guard) for Subcutaneous administration only

Strength: 30 mg/mL

13

M/s Novo Nordisk India Private Limited

02-03-2021

IMP/BIO/21/000001

Turoctocog Alfa Pegol

Turoctocog alfa pegol [antihemophilic factor (recombinant), glycopegylated-exei] is a recombinant DNA-derived coagulation Factor VIII concentrate indicated for use in adults and children with hemophilia A for: □ On-demand treatment and control of bleeding episodes □ Perioperative management of bleeding □ Routine prophylaxis to reduce the frequency of bleeding episodes Limitation of Use: Turoctocog alfa pegol is not

indicated for the treatment of von Willebrand disease

Dosage Form: Turoctocog alfa pegol lyophilised powder for reconstitution into a solution for injection for intravenous use Strengths: 500 IU/vial,

1000 IU/vial, 1500 IU/vial, 2000 IU/vial and 3000 IU/vial; single dose vial pack for single use

administration

14

M/s Novartis Healthcare Private Limited

12-03-2021

IMP/BIO/21/000004

PAC-

IMP/BIO/25/000140

for approval of additional pack

presentation

Ofatumumab

Treatment of relapsing forms of multiple sclerosis (MS), to include clinically isolated syndrome, relapsing-remitting disease, and active secondary progressive disease, in adults.

Dosage Form: Solution for injection in pre-filled syringe/ pre-filled pen Strength: Ofatumumab 20 mg/0.4 mL

15

M/s Novartis Healthcare

26-03-2021

Import 6200/05 dated 26.10.2005, 12-57/05-

DC/Novartis/09. Suppl.Changes-1 dated 01.04.2010, 4-

16/Novartis/PAC-R- Omalizumab/14-BD

Omalizumab

Additional indication - Omalizuamb is indicated as an add-on therapy with intranasal corticosteroids (INC) for the treatment of adults (18 years and

(a) Omalizumab powder and solvent for solution for injection 75 mg & 150 mg single-use vial (b) Omalizumab solution for injection in a pre- filled syringe 75 mg/0.5 mL and 150 mg/1.0 mL

Private Limited

dated 22.10.2014, 4-

17/Novartis/PAC-R- Omalizumab/15-BD dated 18.05.2015, 4-

160/ Novartis/PAC- R-Omalizumab/15- BD dated

26.10.2015

above) with severe Chronic rhinosinusitis with nasal polyps for whom therapy with INC does not provide adequate disease control

single-use pre-filled syringe; for subcutaneous administration only

16

M/s Sanofi- synthelabo (India) Pvt. Ltd.

08-04-2021

P-119/2016 dated 02-Aug-2016

Agalsidase Beta

Agalsidase Beta is indicated for long term enzyme replacement therapy

in patients with a confirmed diagnosis of Fabry Disease (α- galactosidase A deficiency)

additional strength Agalsidase Beta (r-DNA origin) 5 mg Vial,

Dosage Form: Powder

for Concentrate for Solution for Infusion

17

M/s Roche Products (India) Pvt. Ltd

03-05-2021

IMP/BIO/21/000017

Casirivimab (r- DNA origin) and Imdevimab (r- DNA origin)

Combination of Casirivimab and Imdevimab indicated for restricted use in emergency situation, for the treatment of mild to moderate corona virus disease 2019 (COVID-19) in adults and pediatric patients (12 years of age and older weighing at least 40 kg) with laboratory confirmed SARS- COV2 infection and who are at high risk of severe COVID-19 and does not require oxygen.

Casirivimab is a sterile, preservative-free, clear to slightly opalescent, color less to pale yellow solution. Imdevimab is a sterile, preservative- free, clear to slightly opalescent, color less to pale yellow solution with a pH of 6.0. Casirivimab and Imdevimab are each supplied in individual single-dose vials.

Casirivimab and Imdevimab is approved at combine dose of

1200 mg (600 mg of each drug) administered by intravenous infusion or

subcutaneous route.

18

M/s Amgen Technology Private Limited,

04-05-2021

IMP/BIO/21/000018

Romosozumab

Treatment of Postmenopausal Women with Osteoporosis at High Risk for Fracture Romosozumab is indicated for the treatment of osteoporosis in postmenopausal women at high risk for fracture, defined as a history of osteoporotic fracture, or multiple risk factors for fracture; or patients who have failed or are intolerant to other available osteoporosis therapy.

Romosozumab (r-DNA origin) Injection 90 mg/mL.

105 mg/1.17mL clear to opalescent, colorless to light yellow solution for injection in a single- use prefilled syringe for Subcutaneous use

Strength: 90mg/mL

19

M/s Johnson & Johnson Pvt. Ltd

01-06-2021

IMP/BIO/21/000027

Daratumumab

a) In combination with lenalidomide and dexamethasone or with bortezomib, melphalan and prednisone for the treatment of adult

patients with newly diagnosed multiple myeloma who are ineligible for autologous stem cell transplant. b) In combination with bortezomib, thalidomide and dexamethasone for

the treatment of adult patients with newly diagnosed multiple myeloma who are eligible for autologous stem cell transplant. c) For the treatment of patients with multiple myeloma who have received at least one prior therapy. d) For the treatment of patients with relapsed and refractory multiple myeloma, whose prior therapy included a proteasome inhibitor and an

immunomodulatory agent.

Daratumumab 1800 mg

(120 mg/mL). The product is supplied in vial as a sterile, 120mg/mL liquid for

subcutaneous injection. Each vial contains 1800 mg of Daratumumab in a 15mL nominal fill volume and an excess volume of at least 1.3mL.

The Drug Product contains no

preservatives and is for single use only.

20

M/s Merck Specialities Private Limited

02-06-2021

IMP/BIO/19/000052

(Drug originally approved on 31-

Dec- 2019

Avelumab

Additional indication - 1) Avelumab is indicated as monotherapy for the first-line maintenance treatment of adult patients with locally advanced or metastatic urothelial carcinoma (UC) whose disease has not progressed with first-line platinum-based induction chemotherapy.

2) Avelumab in combination with axitinib is indicated for the first-line treatment of adult patients with

advanced renal cell carcinoma (RCC)

Avelumab concentrate for solution for infusion (Intravenous Infusion)

Strength: 20 mg/ml vial

21

M/s Roche Products (India) Pvt. Ltd

09-06-2021

IMP/BIO/21/000030

Satralizumab

Satralizumab is indicated as monotherapy or in combination with immunosuppressants for the treatment of adult and adolescent patients with neuromyelitis optica spectrum disorders (NMOSD).

Satralizumab Injection

120 mg/ml pre-filled syringe (PFS) with needle safety device (NSD) for subcutaneous use for

single dose administration

22

M/s Eli Lilly and Company (India) Pvt. Ltd.

06-07-2021

IMP/BIO/21/000038

Insulin Lispro Ultrarapid

Treatment of diabetes mellitus in adults.

Solution for Injection 100 units/ml and 200 units/ml Presentations:

  1. Insulin Lispro Ultrarapid

Injection 100

units/ml, 3ml cartridge & 3ml prefilled pen

  1. Insulin Lispro Ultrarapid

Injection 100

units/mL, 10ml vial, multiple dose for Subcutaneous and Intravenous use

  1. Insulin lispro Ultrarapid Injection

200 units/ml, 3ml

prefilled pen

23

M/s Pfizer Limited

29-09-2021

MP/BIO/21/000080

Infliximab

Crohn’s Disease

  • Infliximab is indicated for reducing signs and symptoms and inducing and maintaining clinical remission in adult patients with moderately to severely active disease who have had an inadequate response to conventional therapy.

Infliximab is indicated for reducing the number of draining enterocutaneous and rectovaginal fistulas and maintaining fistula closure in adult patients with fistulizing Crohn’s disease.

Pediatric Crohn’s Disease

  • Infliximab is indicated for reducing signs and

Lyophilized Powder for Concentrate for Solution for Intravenous Infusion;

Strength: 100 mg powder per vial

symptoms and inducing and maintaining clinical remission in pediatric patients 6 years of age and older with moderately to severely active disease who have had an inadequate response to conventional therapy.

Ulcerative Colitis

  • Infliximab is indicated for reducing signs and symptoms, inducing and maintaining clinical remission and mucosal healing, and eliminating corticosteroid use in adult patients with moderately to severely active ulcerative colitis who have had an inadequate response to conventional therapy.

Pediatric Ulcerative Colitis

  • Infliximab is indicated for reducing signs and symptoms and inducing and maintaining clinical remission in pediatric patients 6 years of age and older with moderately to severely active ulcerative colitis who have had an inadequate response to conventional therapy.

Rheumatoid Arthritis

  • Infliximab, in combination with methotrexate, is indicated for reducing signs and symptoms, inhibiting the progression of structural damage, and improving physical function in patients with moderately to severely active rheumatoid arthritis.

Ankylosing Spondylitis

  • Infliximab is indicated for reducing signs and symptoms in patients with active ankylosing spondylitis.

Psoriatic Arthritis

  • Infliximab is indicated for reducing signs and symptoms of active arthritis,

inhibiting the progression of structural damage, and improving physical function in patients with psoriatic arthritis.

24

M/s Roche Products (India) Pvt. Ltd.

01-10-2021

IMP/BIO/21/00 0082

Pertuzumab- Trastuzumab

  1. Early Breast Cancer (EBC) Pertuzumab- Trastuzumab Injection is indicated for use in combination with chemotherapy for:
    • The neoadjuvant treatment of adult patients with HER2-positive, locally advanced, inflammatory, or early stage breast cancer (either greater than 2 cm in diameter or node positive) as part of a complete treatment regimen for early breast cancer.
    • The adjuvant treatment of adult patients with HER2- positive early breast cancer at high risk of recurrence.
  2. Metastatic Breast Cancer (MBC) Pertuzumab-Trastuzumab Injection is indicated for use in combination with docetaxel for the treatment of adult patients with

HER2-positive metastatic breast cancer who have not received prior anti-HER2 therapy or

chemotherapy for metastatic disease

Solution for

subcutaneous injection

Strength: 600mg Pertuzumab + 600mg Trastuzumab [10ml/15cc vial] and 1200mg Pertuzumab + 600mg Trastuzumab vial [15ml/20cc vial]

25

M/s Bristol- Myers Squibb India Pvt. Ltd.

09-06-2016

IMP-88/2016

Nivolumab

  1. Non-small cell lung cancer (NSCLC):
    • Nivolumab as a single agent is indicated for the treatment of locally advanced or metastatic non-small cell lung cancer (NSCLC) after prior chemotherapy (approved

on 09.06.2016).

  • Nivolumab, in combination with ipilimumab, is indicated for the first-line treatment of adult patients with metastatic non-small cell lung cancer (NSCLC) whose tumors express PD-L1 (≥1%) as determined by a validated test, with no EGFR or ALK genomic tumor aberrations (additional indication approved on 09.04.2021).
  • Nivolumab, in combination with ipilimumab and 2 cycles of platinum- doublet

chemotherapy, is indicated for the first- line

Nivolumab concentrate for solution for infusion; 40 mg and 100 mg

Strength: 10 mg/mL

treatment of adult patients with metastatic or recurrent non-small cell lung cancer (NSCLC), with no EGFR or ALK genomic tumor aberrations (additional indication approved on 09.04.2021)

  • Renal cell carcinoma (RCC):
    • Nivolumab as a single agent is indicated for the treatment of patients with advanced renal cell carcinoma (RCC) after prior therapy in adults (approved on 09.06.2016).
    • Ipilimumab is indicated for treatment of patients with intermediate or poor risk, previously untreated advanced renal cell carcinoma, in combination with Nivolumab (additional indication approved on 04.06.2020).
  • Squamous Cell Carcinoma of the Head and Neck (SCCHN):

Nivolumab as monotherapy is indicated for the treatment of recurrent or metastatic squamous cell carcinoma of the head and neck after platinum based therapy (additional indication approved on 04.10.2017).

  • Melanoma:
    • Nivolumab as a single agent is indicated for the treatment of patients with BRAF V600 wild type unresectable or metastatic melanoma (additional indication approved on 12.06.2018) Nivolumab as a single agent is indicated for the treatment of patients with BRAF V600 Mutation positive unresectable or

metastatic melanoma (approved on 02.07.2018)

  • Nivolumab is indicated for the treatment of patients with melanoma with lymph node involvement or metastatic disease who have undergone complete resection, in the adjuvant settings (additional indication approved on 18.04.2019)

(additional indication approved on 12.06.2018):

  • Classical Hodgkin Lymphoma (cHL)
  • Nivolumab is indicated for the treatment of adult patients with classical Hodgkin lymphoma (cHL) that has relapsed or progressed after:

    • autologous hematopoietic stem cell transplantation (HSCT) and brentuximab vedotin, or
    • 3 or more lines of systemic therapy that includes autologous HSCT.
    • Urothelial Carcinoma (UC) (additional indication approved on 18.04.2019)-

    Nivolumab is indicated for the treatment of patients with locally advanced or metastatic urothelial carcinoma who:

    • have disease progression during or following platinum- containing chemotherapy.
    • have disease progression within 12 months of neoadjuvant or adjuvant treatment with platinum- containing chemotherapy

    a fluoropyrimidine, oxaliplatin, and irinotecan (additional indication approved on 18.04.2019).

    • Esophageal squamous cell carcinoma (ESCC): Nivolumab is indicated for the treatment of unresectable advanced, recurrent, or metastatic esophageal squamous cell carcinoma (ESCC) after prior fluoropyrimidine and platinum- based Chemotherapy (additional indication approved on 04.08.2021).
    • Gastric Cancer Gastroesophageal Junction Cancer and Esophageal Adenocarcinoma (Gastric, GEJC or EAC): Nivolumab in combination with fluoropyrimidine and platinum- containing chemotherapy is indicated for the treatment of patients with advanced or metastatic gastric cancer, gastroesophageal junction cancer, and esophageal

    adenocarcinoma (additional indication approved on

  • Colorectal Cancer (CRC) - Nivolumab as monotherapy is indicated for the treatment of adult and pediatric (12 years and older) patients with microsatellite instability-high (MSI-H) or mismatch repair deficient (dMMR) metastatic colorectal cancer (CRC) that has progressed following treatmentwith
  • 30.11.2021).

    10) Adjuvant treatment of Resected Junction Cancer (EC or GEJC) Esophageal or Gastroesophageal: Nivolumab is indicated for the adjuvant treatment of esophageal or completely resected gastroesophageal junction cancer with residual pathologic disease in patients, who have received neoadjuvant chemoradiotherapy (CRT)

    (additional indication approved on 30.11.2021).

    26

    M/s Cipla Limited

    14-10-2021

    IMP/BIO/21/000085

    Note: Additional Marketing Authorization

    Insulin Lispro I.P.

    Diabetes mellitus

    Suspension for Injection

    Strength: 100 IU/mL, Cartridge and prefilled pen and 200U/ml,

    prefilled pen

    27

    M/s Cipla Limited

    30-09-2021

    IMP/BIO/21/000084

    Note: Additional Marketing Authorization

    Insulin Lispro Biphasic I njection

    I.P. (25%

    Insulin Lispro and 75% Insulin Lispro Protamine)

    Diabetes mellitus

    Suspension for Injection in Cartridge and prefilled pen

    Strength: 100IU/mL

    28

    M/s Takeda Pharmaceutical s India Pvt. Ltd.

    20-10-2021

    IMP/BIO/21/000089

    Brentuximab Vedotin

    Previously untreated Stage III or IV classical Hodgkin lymphoma (cHL), in combination with chemotherapy

    1. Classical Hodgkin lymphoma (cHL) consolidation
    2. Relapsed classical Hodgkin lymphoma(cHL)
    3. Previously untreated systemic anaplastic large cell lymphoma (sALCL) or other CD30-expressing peripheral T-cell lymphomas (PTCL), in combination with chemotherapy
    4. Relapsed systemic anaplastic large cell lymphoma (sALCL)
    5. Relapsed primary cutaneous anaplastic large

    cell lymphoma (pcALCL) or CD30-expressing mycosis fungoides (MF)

    Powder for concentrate for solution for infusion in vial

    Strength: 50 mg

    29

    M/s Cipla Limited

    29-11-2021

    IMP/BIO/21/000096

    Note: Additional Marketing Authorization

    Recombinant Human Erythropoietin injection I.P.

    For treatment of anemia in chronic renal failure patients

    Solution for injection

    Strength: 2000 IU/0.5 ml, 3000 IU/0.3 ml, 4000 IU/0.4 ml, 6000 IU/0.6

    ml, 8000 IU/0.8 ml

    and 10000 IU/1.0ml Solution for injection in pre-filled syringe

    30

    M/s Cipla Limited

    09-12-2021

    IMP/BIO/21/000100

    Note: Additional Marketing Authorization

    Insulin Lispro Biphasic Injection

    I.P. (50% Insulin

    Lispro and 50% Insulin Lispro Protamine suspension) Injection (r-DNA

    origin)

    For the treatment of patients with diabetes mellitus who require insulin for the maintenance of normal glucose homeostasis

    Suspension for injection in Cartridge & prefilled pen

    Strength:100 IU/mL

    31

    M/s Cipla Limited

    22-12-2021

    IMP/BIO/21/000106

    Note: Additional Marketing Authorization

    Recombinant Human Erythropoietin injection I.P.

    For treatment of anemia in chronic renal failure patients

    Solution for injection in vial

    Strength:10,000 IU/ 1mL, 20,000 IU/2mL

    32

    M/s Dr.

    Reddy’s Laboratories Limited

    05-01-2022

    IMP/BIO/22/000001

    Romosozumab

    Treatment of Postmenopausal Women with Osteoporosis at High Risk for Fracture Romosozumab is indicated for the treatment of osteoporosis in postmenopausal women at high risk for fracture, defined as a history of osteoporotic fracture, or multiple risk factors for fracture; or patients who have failed or are intolerant to other available osteoporosis therapy.

    Limitations of Use The anabolic effect of

    Romosozumab wanes after 12 monthly doses of therapy. Therefore, the duration of Romosozumab use should be limited to 12 monthly doses. If osteoporosis therapy remains warranted, continued therapy with an anti-resorptive agent should be considered. Two 105 mg/1.17 mL single use prefilled syringes are required to administer the

    recommended 210 mg dose of Romosozumab

    Solution for injection in a single-use prefilled syringe for

    Subcutaneous use.

    Strength: 90 mg/mL

    33

    M/s Bristol- Myers Squibb India Pvt. Ltd.

    12-01-2022

    IMP/BIO/22/000002

    Luspatercept

    Myelodysplastic syndromes (MDS): Luspatercept is indicated for the treatment of adult patients with transfusion-dependent anaemia due to very low, low and intermediate- risk myelodysplastic syndromes (MDS) with ring sideroblasts, who had

    Lyophilized Powder for solution for injection in vial.

    Strength: 25 mg and 75

    an unsatisfactory response to or are ineligible for erythropoietin- based therapy.

    β-thalassemia:

    Luspatercept is indicated for the treatment of adult patients with transfusion-dependent anaemia

    associated with beta- thalassaemia.

    mg

    34

    M/s Cipla Limited

    04-02-2022

    IMP/BIO/22/000006

    Note: Additional Marketing Authorization

    Dulaglutide

    Dulaglutide is a glucagon-like peptide-1 (GLP-1) receptor agonist indicated:

    1. as an adjunct to diet and exercise to improve glycemic control in adults with type 2 diabetes mellitus.
    2. to reduce the risk of major adverse cardiovascular events (cardiovascular death, non-fatal myocardial infarction, or non-fatal stroke) in adults with type 2 diabetes mellitus who have established cardiovascular disease or multiple cardiovascular risk

    factors.

    Dosage Form: Solution for Injection

    Strength: 0.75 mg/0.5 ml in Prefilled Pen and 1.5 mg/0.5 ml

    35

    M/s Johnson & Johnson Pvt. Ltd.,

    02-01-2017

    IMP-223/2016

    Daratumumab

    1. In combination with lenalidomide and dexamethasone or with bortezomib, melphalan and prednisone for the treatment of adult patients with newly diagnosed multiple myeloma who are ineligible for autologous stem cell transplant.
    2. For the treatment of patients with relapsed and refractory multiple myeloma, whose prior therapy included a proteasome inhibitor and an immunomodulatory agent.
    3. In combination with lenalidomide and

    dexamethasone, or bortezomib and dexamethasone for the treatment of adult patients with multiple myeloma who have received at least one prior therapy (indication approved on 08.02.2022).

    1. As monotherapy for the treatment of adult

    patients with relapsed and refractory multiple myeloma, whose prior therapy included a

    proteasome inhibitor and an immunomodulatory

    Concentrate for solution for infusion

    Strength: 20 mg/mL

    agent and who have demonstrated disease progression on the last therapy (indication approved on 08.02.2022).

    36

    M/s Eli Lilly and Company (India) Pvt. Ltd.

    07-02-2022

    IMP/BIO/22/00 0012

    Ixekizumab

    1. Psoriatic Arthritis: Ixekizumab, is indicated for the treatment of adult patients with active psoriatic arthritis.,
    2. Plaque Psoriasis: Ixekizumab is indicated for the treatment of adult patients with moderate-to severe plaque psoriasis who are candidates for systemic therapy or

    phototherapy

    Solution for Injection in Prefilled Autoinjector and Prefilled Syringe

    Strength: 80 mg/mL

    37

    M/s Johnson & Johnson Pvt. Ltd.

    08-02-2022

    IMP/BIO/22/000013

    Amivantamab

    Treatment of patients with locally advanced or metastatic non-small cell lung cancer (NSCLC) with activating epidermal-growth factor receptor (EGFR) Exon 20 insertion mutations whose disease has progressed on or after platinum- based chemo-

    therapy.

    Liquid concentrate for infusion

    Strength: 50 mg/mL

    38

    M/s Cipla Limited

    07-02-2022

    IMP/BIO/22/000011

    Note: Additional Marketing Authorization

    Recombinant Human Follicle stimulating Hormone solution for injection I.P.

    Treatment of female infertility

    Solution for injection

    Strengths: 75IU/ 0.15mL,

    150 IU/0.3mL, 225

    IU/0.45mL, 300

    IU/0.6mL Solution for

    injection in prefilled syringe

    39

    M/s GlaxoSmithKlin e Pharmaceutical s Limited

    12-06-2018

    IMP147/2018

    Mepolizumab

    Eosinophilic granulomatosis with polyangiitis (EGPA) Mepolizumab is indicated as an add-on treatment for adult patients with relapsingremitting or refractory eosinophilic granulomatosis with polyangiitis (EGPA).

    Hypereosinophilic syndrome (HES)

    Mepolizumab is indicated as an add-on treatment for adult patients with inadequately controlled hypereosinophilic syndrome without an identifiable nonhaematologic secondary cause

    (additional indication approved on 15.03.2022)

    Solution for injection in pre-filled pen (auto- injector) or pre-filled syringe (safety syringe)

    Strength:100 mg/mL

    40

    M/s Johnson & Johnson Pvt. Ltd.

    10-03-2022

    IMP/BIO/22/000020

    Ustekinumab

    Ustekinumab is indicated for:

    • Inducing and maintaining clinical response,

    · Inducing and maintaining clinical remission,

    • Eliminating corticosteroid use,
    • Inducing endoscopic healing,
    • Improving health-related quality of life

    in adults with moderately to severely active Crohn’s disease who:

    • have failed or were intolerant to immunomodulators or corticosteroids or
    • were corticosteroid dependent or
    • have failed or were intolerant to one or more anti-TNF treatment
    • Concentrate solution for IV infusion in single use vial;

    Strength: 130 mg/ 26 ml,

    1. Solution for injection (Sub cutaneous) in pre- filled syringe;

    Strength: 45 mg/0.5 ml, Strength: 90 mg/ml

    41

    M/s Novo Nordisk India Pvt. Ltd.

    20-04-2022

    IMP/BIO/22/000031

    Semaglutide

    It is indicated as an adjunct to a reduced calorie diet and increased physical activity for chronic weight management in adults with an initial body mass index (BMI) of

    · 30 kg/m2 or greater (obesity) or

    • 27 kg/m2 or greater (overweight) in the presence of at least one weight-related comorbid condition (e.g., hypertension, type 2 diabetes mellitus, or dyslipidemia)

    Limitations of Use:

    • It contains semaglutide and should not be co- administered with other semaglutide containing products or with any other GLP-1 receptor agonist.
    • The safety and effectiveness of semaglutide in combination with other products intended for weight loss, including

    prescription drugs, over-the- counter drugs, and herbal preparations, have not been established.

    • It has not been studied in patients with a history of pancreatitis.

    Solution for injection (in prefilled pen (Single dose Pen injector)

    Strength: Each pre- filled pen contains

    1. 0.25 mg Semaglutide

    in 0.5 mL,

    1. 0.5 mg semaglutide in

    0.5 mL,

    3. 1.0 mg semaglutide in

    0.5 mL,

    4. 1.7 mg semaglutide in

    0.75 mL and,

    5. 2.4 mg semaglutide in

    0.75 mL

    42

    M/s Takeda Pharmaceutical s India Pvt. Ltd.

    26-07-2022

    IMP/BIO/22/000053

    Vedolizumab

    Vedolizumab 108mg is indicated as only for maintenance treatment by subcutaneous route once every 2 weeks, following at least 2 intravenous infusions (Vedolizumab IV 300 mg), for the following indications:

    Ulcerative colitis

    Vedolizumab is indicated for the treatment of adult patients with moderately to severely active ulcerative colitis who have had an inadequate response with lost response to or were intolerant to either conventional therapy or a tumor necrosis factor-alpha (TNFα) antagonist.

    Crohn’s disease

    Vedolizumab is indicated for the treatment of adult patients with moderately to severely active Crohn’s disease who have had an inadequate response with lost response to or were intolerant to either conventional therapy or a tumor necrosis factor- alpha

    (TNFα) antagonist

    Solution for injection in Pre-filled syringe with Needle safety device & Pre-filled syringe with Autoinjector

    Strength: 108 mg

    43

    M/s Pfizer Products India Private Limited

    12-08-2022

    IMP/BIO/22/000055

    Somatrogon

    Indicated for the treatment of children and adolescents from 3 years of age with growth disturbance due to insufficient secretion of growth hormone

    Solution for injection

    Strength: Each Prefilled pen contains:

    1. 24mg/mL and.
    2. 60mg/1.2mL solution for injection in

    prefilled pen.

    44

    M/s Novo Nordisk India Pvt. Ltd.

    17-10-2022

    IMP/BIO/22/000068

    Semaglutide

    It is indicated as an adjunct to a reduced calorie diet and increased physical activity for chronic weight management in adults with an initial body mass index (BMI) of

    1. 30 kg/m2 or greater (obesity) or
    2. 27 kg/m2 or greater (overweight) in the presence of at least one weight-related comorbid condition (e.g., hypertension, type 2 diabetes mellitus, or dyslipidemia)

    Limitations of Use:

    1. It contains semaglutide and should not be co- administered with other semaglutide containing

    Solution for

    Injection in Prefilled Pen

    Strength: 0.25mg/0.5mg/1mg/1.7mg/ 2.4mg

    products or with any other GLP-1 receptor agonist.

    1. The safety and effectiveness of semaglutide in combination with other products intended for weight loss, including prescription drugs, over-the- counter drugs, and herbal preparations, have not been established.
    2. It has not been studied in patients with a history of

    pancreatitis.

    45

    M/s Bristol- Myers Squibb India Pvt. Ltd.

    02-11-2022

    IMP-88/2016

    Nivolumab

    1. Nivolumab as a single agent is indicated for the treatment of locally advanced or metastatic non- small cell lung cancer (NSCLC) after prior chemotherapy.
    2. Nivolumab as a single agent is indicated for the treatment of patients with advanced renal cell carcinoma (RCC) after prior therapy in adults
    3. Nivolumab as monotherapy is indicated for the treatment of recurrent or metastatic squamous cell carcinoma of the head and neck after platinum based therapy
    4. Nivolumab as a single agent is indicated for the treatment of patients with BRAF V600 wildtype unresectable or metastatic melanoma
    5. Nivolumab as a single agent is indicated for the treatment of patients with BRAF V600 mutation positive unresectable or metastatic melanoma
    6. Nivolumab is indicated for the treatment of adult patients with classical Hodgkin lymphoma (cHL) that has relapsed or progressed after:
      • autologous hematopoietic stem cell transplantation (HSCT) and brentuximab vedotin, or
      • 3 or more lines of systemic therapy that includes autologous HSCT.
    7. Nivolumab is indicated for the treatment of patients with locally advanced or metastatic urothelial carcinoma who:
      • have disease progression during or following platinum containing chemotherapy.
      • have disease progression within 12 months of neoadjuvant or adjuvant treatment with platinum containing chemotherapy
    8. Nivolumab as monotherapy is indicated for the

    Concentrate for solution for infusion in vial

    Strength: 240 mg in vial (10 mg/ml)

    treatment of adult and pediatric (12 years and older) pati ents with microsatellite instability-high (MSI-H) or mismatch repair deficient (dMMR) metastatic colorectal cancer (CRC) that has progressed following treatment with a fluoropyrimidine, oxaliplatin, and irinotecan

    1. Nivolumab is indicated for the treatment of patients with melanoma with lymph node involvement or metastatic disease who have undergone complete resection, in the adjuvant settings
    2. Nivolumab is indicated for treatment of patients with intermediate or poor risk, previously untreated advanced renal cell carcinoma, in combination with Ipilimumab

    46

    M/s MSD Pharmaceutical s Private Limited

    25-11-2022

    IMP-093/2016

    Pembrolizumab

    1. Cervical Cancer: Pembrolizumab, in combination with chemotherapy with or without Bevacizumab, is indicated for the treatment of persistent, recurrent, or metastatic cervical cancer in adults whose tumours express PD-L1 with a CPS 1.
    2. Esophageal Cancer: Pembrolizumab, in combination with platinum and Fluoropyrimidine- based chemotherapy, is indicated for the first-line treatment of locally advanced unresectable or metastatic carcinoma of the esophagus or HER-2 negative gastroesophageal junction adenocarcinoma, in adults whose tumours express

    PD-L1 with a CPS 10

    Solution for infusion

    Strength:

    100 mg/4mL (25 mg/ml)

    47

    M/s Sandoz Private Limited

    13-12-2022

    IMP/BIO/20/000056

    Brolucizumab

    Indicated for the treatment of DME (Diabetic Macular Edema)

    Solution for injection in vial

    + filter needle

    Strength: 120 mg/ml

    48

    M/s Takeda Biopharmaceut icals India Pvt. Ltd.

    31-01-2023

    IMP/BIO/23/000001

    Note: Due to name change MA is re- issued.

    Vedolizumab

    Vedolizumab is indicated for the treatment of:

    • Adult patients with moderately to severely active Ulcerative Colitis who have had an inadequate response with, lost response to or were intolerant to either conventional therapy or tumor necrosis factor-alpha (TNF-α) antagonist.
    • Treatment of adult patients with moderately to

    Dosage Form: Powder for concentrate for solution for infusion.

    Strength: 300 mg

    severely active Crohn’s Disease who have had an inadequate response with, lost response to or were intolerant to either conventional therapy or tumor necrosis factor-alpha (TNF-α) antagonist.

    49

    M/s Takeda Biopharmaceut icals India Pvt. Ltd.

    31-01-2023

    IMP/BIO/23/000002

    Note: Due to name change MA is re- issued.

    Recombinant Antihemophilic Factor VIII (r-AHF- VIII)

    For supplementing blood coagulation factor VIII and suppresses bleeding tendency in congenital blood coagulation factor VIII deficient patients (Haemophilia A).

    Dosage Form: Lyophilized Powder for Concentrated for Solution for Intravenous Injection

    Strength: 250IU, 500IU, 1000IU

    50

    M/s Takeda Biopharmaceut icals India Pvt. Ltd.

    31-01-2023

    IMP/BIO/23/000003

    Note: Due to name change MA is re- issued.

    Coagulation Factor IX (Recombinant)

    Coagulation Factor IX (Recombinant) is an antihemophilic factor indicated for:

    • Control and prevention of bleeding episodes in adults and children with haemophilia B.
    • Perioperative management in adults and children with haemophilia B.
    • Routine prophylaxis to prevent or reduce the frequency of bleeding episodes in adults and children with haemophilia B

    Dosage Form: Lyophilized Powder for Solution (for Intravenous use only)

    Strength: 250 IU/500 IU/1000 IU/2000 IU and 3000 IU

    51

    M/s Eli Lilly and Company (India) Pvt. Ltd.

    06-02-2023

    IMP/BIO/23/000005

    Galcanezumab

    Galcanezumab is indicated for the preventive treatment of migraine in adults.

    Dosage Form: Solution for injection as single-dose Prefilled Pen and Prefilled Syringe.

    Strength: 120 mg/ml

    52

    M/s AstraZeneca Pharma India Limited.

    06-02-2023

    IMP/BIO/23/000004

    Durvalumab

    Durvalumab (IMFINZI) in combination with chemotherapy is indicated for the treatment of patients with locally advanced or metastatic biliary tract cancer (BTC)

    Dosage Form: Solution for infusion

    Strength: 120 mg/2.4 mL and 500 mg/10 mL

    53

    M/s Takeda Biopharmaceut icals India Pvt. Ltd.

    07-02-2023

    IMP/BIO/23/000006

    Note: Due to name change MA is re-

    issued.

    Idursulfase

    Idursulfase is indicated for the long-term treatment of patients with Hunter syndrome (Mucopolysaccharidosis II, MPS II)

    Dosage Form:

    Concentrate for Solution for (IV) Infusion.

    Strength: 2mg/ ml

    54

    M/s Takeda Biopharmaceut icals India Pvt. Ltd.

    08-02-2023

    IMP/BIO/23/000007

    Note: Due to name change MA is re- issued.

    Velaglucerase Alfa

    Velaglucerase Alfa is indicated for long-term enzyme replacement therapy (ERT) in patients with type 1 Gaucher disease.

    Dosage Form:

    Powder for Solution for Infusion in single use vial.

    Strength: 400 units

    55

    M/s Takeda Biopharmaceut icals India Pvt. Ltd.

    13-02-2023

    IMP/BIO/23/000009

    Note: Due to name

    change MA is re- issued.

    Agalsidase alfa

    Agalsidase alfa is indicated for long-term enzyme replacement therapy inpatients with a confirmed diagnosis of Fabry Disease (α-galactosidase A deficiency).

    Dosage Form: Concentrate solution for intravenous infusion

    Strength: 1mg/ml

    56

    M/s Takeda Biopharmaceut icals India Pvt. Ltd

    13-02-2023

    IMP/BIO/23/000010

    Note: Due to name change MA is re- issued.

    Vedolizumab

    Vedolizumab 108mg is indicated as only for maintenance treatment by subcutaneous route once every 2 weeks, following at least 2 intravenous infusions (Vedolizumab IV 300 mg), for the following indications:

    Ulcerative colitis

    Vedolizumab is indicated for the treatment of adult patients with moderately to severely active ulcerative colitis who have had an inadequate response with lost response to or were intolerant to either conventional therapy or a tumor necrosis factor-alpha (TNFα) antagonist.

    Crohn’s disease

    Vedolizumab is indicated for the treatment of adult patients with moderately to severely active Crohn’s disease who have had an inadequate response with lost response to or were intolerant to either conventional therapy or a tumor necrosis factor-alpha

    (TNFα) antagonist

    Dosage Form: Solution for injection in Pre-filled syringe with Needle safety device & Pre-filled syringe with Autoinjector

    Strength: 108mg

    57

    M/s Takeda Biopharmaceut icals India Pvt. Ltd

    13-02-2023

    IMP/BIO/23/000011

    Note: Due to name change MA is re- issued.

    Rurioctocog alfa pegol

    Rurioctocog alfa pegol (Adynovate) is a human antihemophilic factor indicated in children and adults with Hemophilia A (congenital factor VIII deficiency) for:

    • On-demand treatment and control of bleeding episodes.
    • Perioperative management.
    • Routine prophylaxis to reduce the frequency of bleeding episodes.

    Dosage Form: Lyophilized Powder for solution for injection

    Strength: 250IU/vial,

    500IU/vial, 750IU/vial, 1000IU/vial, 1500IU/vial in 2ml, 2000IU/vial in 5ml

    58

    M/s Sanofi Healthcare India Private Limited

    21-02-2023

    IMP/BIO/23/000016

    Insulin Glargine + Lixisenatide

    For treatment of adults patients with Obesity with insufficiently controlled type 2 diabetes mellitus to improve glycemic control as an adjunct to diet and exercise in addition to metformin with or without SGLT2 inhibitors, when this has not been provided by metformin alone or metformin combined with another oral glucose lowering medicinal product (sulfonylurea, glinide, DPP-4 inhibitors or gliptins, and Sodium- glucose co-transporter 2 (SGLT2) inhibitors or gliflozins) or with basal insulin or with glucagon-like peptide-1 (GLP-1) receptor agonist

    Dosage Form: Solution for Subcutaneous injection in prefilled pen

    Strength: 100 U/ml + 33

    mcg/ml and 100 U/ml + 50 mcg/ml

    59

    M/s Takeda Biopharmaceut icals India Pvt. Ltd

    22-03-2023

    IMP/BIO/23/000025

    Note: Due to name change MA is re- issued.

    Coagulation Factor

    VIII (Recombinant) rFVIII

    Treatment and prophylaxis of bleeding in patients with Haemophilia A (Congenital factor VIII deficiency) in all age groups.

    Dosage Form: Powder and Solvent for Solution for Injection along with Baxjact II reconstitution device

    Strength: 250 IU/ 500IU/

    1000 IU/1500 IU/2000 IU/3000 IU

    60

    M/s Takeda Biopharmaceut icals India Pvt. Ltd

    24-03-2023

    IMP/BIO/23/000029

    Note: Due to name change MA is re- issued.

    Brentuximab Vedotin

    • Previously untreated Stage III or IV classical Hodgkin lymphoma (cHL), in combination with chemotherapy.
    • Classical Hodgkin lymphoma (cHL) consolidation.
    • Relapsed classical Hodgkin lymphoma(cHL).
    • Previously untreated systemic anaplastic large cell lymphoma (sALCL) or other CD30-expressing peripheral T-cell lymphomas (PTCL), in combination with chemotherapy.
    • Relapsed systemic anaplastic large cell lymphoma (sALCL).
    • Relapsed primary cutaneous anaplastic large cell

    lymphoma (pcALCL) or CD30-expressing mycosis fungoides (MF).

    Dosage Form: Powder for concentrate for solution for infusion in vial

    Strength: 50 mg

    61

    M/s Roche Products (india) Private Limited

    24-03-2023

    IMP/BIO/23/000032

    PAC- IMP/BIO/25/000145

    for approval of additional pack presentation

    Faricimab

    Indicated for the treatment of:

    • Neovascular(wet) age-related macular degeneration (nAMD)
    • Diabetic macular edema (DME)

    Dosage Form: Intravitreal solution for injection/ Pre- filled syringe (PFS) with Injection filter needle (with a shelf life of 18M at 2-8

    °C)

    Strength: 6 mg/0.05 mL

    (120mg/mL)

    62

    M/s Roche Products (India) Private Limited

    24-03-2023

    IMP/BIO/23/000028

    Ocrelizumab

    Ocrelizumab is indicated for the treatment of:

    1. Relapsing forms of Multiple Sclerosis (MS), to include clinically isolated syndrome, relapsing- remitting disease, and active secondary progressive disease, in adults.
    2. Primary Progressive MS, in adults.

    Dosage Form: single-dose vial.

    Strength: 30 mg/ml

    63

    M/s Boehringer Ingelheim India Private Limited

    24-03-2023

    IMP/BIO/23/000031

    Spesolimab

    Spesolimab is indicated for the treatment of flares in adult patients with Generalized Pustular Psoriasis

    Dosage Form: Concentrate for solution for infusion 450 mg/7.5 ml (60 mg/ml) in 10 ml vial administered through intravenous (IV) route

    Strength: 60 mg/ml

    64

    M/s GSK Pharma India Private Limited

    26-04-2023

    IMP/BIO/23/000048

    Dostarlimab

    Dostarlimab is indicated as monotherapy for the treatment of adult patients with mismatch repair deficient (dMMR)/microsatellite instability high (MSI-H) recurrent or advanced endometrial cancer (EC) that has progressed on or following prior treatment with a platinum-containing regimen.

    Dosage Form: Concentrate for solution for infusion (sterile concentrate)

    Strength: 500 mg/ 10 mL

    65

    M/s Cipla Limited

    26-04-2023

    IMP/BIO/23/000049

    Note: Additional Marketing Authorization

    Insulin Lispro

    Ultrarapid (UR) Injection

    Treatment of diabetes mellitus in adults.

    Dosage Form: Solution for Injection

    Strength: 100 Units/mL in 3 ml cartridge and prefilled pen

    66

    M/s AstraZeneca Pharma India Limited

    01-05-2023

    IMP/BIO/23/000054

    Trastuzumab deruxtecan

    Trastuzumab deruxtecan is indicated for the treatment of adult patients with unresectable or metastatic HER2-positive breast cancer who have received a prior anti-HER2-based regimen

    Dosage Form: Single use sterile, lyophilized powder for concentrate for solution for infusion

    Strength: 100 mg/ 5 ml

    67

    M/s Sanofi India Limited

    16-05-2023

    IMP/BIO/23/000058

    Biphasic Insulin Aspart Injection IP

    Biphasic Insulin Aspart Injection I.P. is indicated for treatment of diabetes mellitus in adults, adolescents and children aged 10 years and above.

    Dosage Form: 30% Soluble insulin aspart IP and 70 % protamine- crystallised insulin aspart

    IP; suspension for

    injection.

    Strength: 100 IU/mL in 3 mL cartridge and 3 mL cartridge in pen injector.

    68

    M/s AstraZeneca Pharma India Limited

    26-05-2023

    IMP/BIO/23/000061

    Tremelimumab

    Tremelimumab in combination with durvalumab is indicated for the treatment of patients with unresectable hepatocellular carcinoma (uHCC)

    Dosage Form: 25mg/

    1.25mL and 300 mg/ 15mL Solution for infusion in single dose vial

    Strength: 20 mg/mL

    69

    M/s MSD Pharmaceutical Private Limited

    31-05-2023

    IMP/BIO/23/000063

    Pembrolizumab Injection

    1. Pembrolizumab, in combination with axitinib, is indicated for the first-line treatment of advanced renal cell carcinoma in adults.
    2. Pembrolizumab, as monotherapy, is indicated for the adjuvant treatment of adults with renal cell carcinoma at increased risk of recurrence following nephrectomy or following nephrectomy and resection of metastatic lesions.
    3. Pembrolizumab, in combination with chemotherapy, is indicated for the treatment of locally recurrent unresectable or metastatic triple- negative breast cancer in adults whose tumours express PD-L1 with a CPS ≥ 10 and who have not received prior chemotherapy for metastatic disease.
    4. Pembrolizumab, in combination with chemotherapy as neoadjuvant treatment, and then continued as monotherapy as adjuvant treatment after surgery, is indicated for the treatment of adults with locally advanced, or early-stage triple- negative

    breast cancer at high risk of recurrence.

    Dosage Form: Solution in single vial

    Strength: 25 mg/mL

    70

    M/s Sanofi Healthcare India Private Limited

    14-06-2023

    IMP/BIO/23/000066

    Avalglucosidase Alfa

    Avalglucosidase Alfa is indicated for the treatment of long-term enzyme replacement therapy for the treatment of patients with Pompe disease (acid - glucosidase deficiency)

    Dosage Form: Powder for concentrate for solution for infusion

    Strength: 100 mg/Vial

    71

    M/s Cipla Limited

    01-08-2023

    IMP/BIO/23/000076

    Note: Additional Marketing Authorization

    Insulin Glargine IP

    Insulin Glargine is indicated for the treatment of diabetes mellitus in adults, adolescents and children aged 2 years and above.

    Dosage Form: Solution for injection

    Strength: 100 Units/mL in

    3 ml cartridge and 3 ml pre-filled pen

    72

    M/s Bristol- Mayer Squibb India Pvt. Ltd.

    01-09-2023

    IMP/BIO/23/000083

    Nivolumab

    Additional Indication:

    Renal Cell Carcinoma (RCC) Nivolumab in combination with cabozantinib, is indicated for the first line treatment of patients with advanced Renal

    Cell Carcinoma (RCC).

    Dosage Form: concentrate for solution for infusion.

    Strength: 10 mg/ml

    73

    M/s Roche Products (India) Private Limited

    04-09-2023

    IMP/BIO/23/000087

    Polatuzumab Vedotin

    Polatuzumab vedotin in combination with rituximab, cyclophosphamide, doxorubicin, and prednisone (R- CHP) is indicated for the treatment of adult patients with previously untreated diffuse large B-cell lymphoma (DLBCL)

    Dosage Form: Powder for concentrate for solution for infusion

    Strength: 30 mg/Vial

    and 140 mg/Vial

    74

    M/s Johnson & Johnson Pvt. Ltd.

    11-09-2023

    IMP/BIO/23/000090

    Teclistamab

    Teclistamab is indicated as monotherapy for the treatment

    of adult patients with relapsed and refractory multiple myeloma, who have received at least three prior therapies, including an immunomodulatory agent, a proteasome inhibitor, and an anti-CD38 antibody and have demonstrated disease

    progression on the last therapy.

    Dosage Form: Powder for concentrate for solution for infusion.

    Strength: 10 mg/mL

    75

    M/s AstraZeneca Pharma India Limited

    25-09-2023

    IMP/BIO/23/000092

    Palivizumab

    Palivizumab is indicated for the prevention of serious lower respiratory tract disease requiring hospitalization caused by respiratory syncytial virus (RSV) in children at high risk for RSV disease:

    • Infants born at 35 weeks of gestation or less and less than 6 months of age at the onset of the RSV season.
    • Children less than 2 years of age and requiring treatment for bronchopulmonary dysplasia (BPD) within the last 6 months.
    • Children less than 2 years of age and with haemodynamically significant congenital heart

    disease (CHD).

    Dosage Form: single dose vials

    administered through intramuscular route.

    Strength: 100 mg/mL

    76

    M/s Novo Nordisk India Pvt. Ltd.

    22-11-2023

    IMP/BIO/23/000104

    Somapacitan

    Somapacitan is indicated for the replacement of endogenous growth hormone (GH) in children and adolescents with growth failure due to growth hormone deficiency (paediatric GHD (GHD)) and in adults with growth hormone deficiency (adult GHD

    (AGHD))

    Dosage Form: Solution for Injection in pre-filled pen

    Strength: 10 mg/1.5ml; 15 mg/1.5ml

    77

    M/s Pfizer Products (India) Private Limited

    28-11-2023

    IMP/BIO/23/000105

    Note:

    This product was initially approved on 05.09.2018. Based

    on the application, the modification of approved indication is approved.

    Nonacog Alfa (Recombinant human coagulation factor IX)

    Revised Therapeutic Indication:

    Nonacog alfa (recombinant coagulation factor IX) is a recombinant human blood coagulation factor IX indicated for adults and children with hemophilia B (congenital factor IX deficiency or Christmas disease) for:

    • On-demand treatment and control of bleeding episodes.
    • Perioperative management of bleeding.
    • Routine prophylaxis to reduce the frequency of bleeding episodes.

    Limitations of Use:

    Nonacog alfa (recombinant coagulation factor IX) is not indicated for induction of immune tolerance in patients with hemophilia B

    Dosage Form: powder and solvent for solution for injection

    Strength: 250IU, 500IU, 1000IU, 2000IU

    and 3000 IU

    78

    M/s Sanofi Healthcare India Private Limited

    22-12-2023

    IMP/BIO/23/000110

    Olipudase alfa

    Olipudase alfa is indicated as enzyme replacement therapy for long-term treatment of non-central nervous system (CNS) manifestations of acid sphingomyelinase deficiency (ASMD) in pediatric and adult patients.

    Dosage Form: Powder for concentrate for solution for infusion.

    Strength: 21.2 mg/ Vial

    79

    M/s Astellas Pharma India Pvt. Ltd.

    08-01-2024

    IMP/BIO/24/000001

    Enfortumab vedotin

    Enfortumab vedotin as monotherapy is indicated for the treatment of adult patients with locally advanced or metastatic urothelial cancer who have previously received a platinum-containing chemotherapy and a programmed death receptor 1 or programmed death ligand 1 inhibitor

    Dosage Form:

    Powder for concentrate for solution for infusion.

    Strength: 20 mg/vial & 30mg/vial

    After reconstitution, each mL of solution contains 10mg of Enfortumab

    vedotin

    80

    M/s Bristol- Myers Squibb India Pvt. Ltd.

    17-01-2024

    IMP/BIO/24/000006

    Note:

    Approval of Additional Indication.

    Nivolumab

    Additional Indication:

    1. Nivolumab, in combination with fluoropyrimidine- and platinum-containing chemotherapy is indicated for the first-line treatment of adult patients with unresectable advanced or metastatic esophageal squamous cell carcinoma (ESCC).
    2. Nivolumab for the adjuvant treatment of adult

    patients with urothelial carcinoma (UC) who are at high risk of recurrence after undergoing

    Dosage Form: concentrate for solution for infusion.

    Strength: 10 mg/mL

    radical resection of UC]

    81

    M/s Novo Nordisk India Private Limited

    17-01-2024

    IMP/BIO/24/000005

    Note:

    This product was initially approved on 27.07.2020. Based

    on the application, the modification of approved indication is approved

    Semaglutide tablets

    Revised Therapeutic Indication:

    RYBELSUS is indicated as an adjunct to diet and exercise to improve glycemic control in

    adults with type 2 diabetes mellitus. Limitations of Use

    1. RYBELSUS has not been studied in patients with a history of pancreatitis. Consider other antidiabetic therapies in patients with a history of pancreatitis.
    2. RYBELSUS is not indicated for use in patients with type 1 diabetes mellitus.

    Dosage Form: Tablets.

    Strength: 3mg. 7mg & 14mg.

    82

    M/s AstraZeneca Pharma India Limited

    19-01-2024

    IMP/BIO/24/000004

    Andexanet alfa

    Andexanet alfa is indicated for patients treated with FXa inhibitors (apixaban or rivaroxaban) when reversal of anticoagulation is needed due to life- threatening or uncontrolled bleeding.

    Dosage Form: Powder for solution for infusion.

    Strength: 200mg/ 20mL Vial

    83

    M/s. Lupin Limited

    19-01-2024

    IMP/BIO/24/000009

    Note: Additional Marketing Authorization

    Biphasic Isophane Insulin Injection I.P. (30% Soluble

    insulin and 70% Isophane insulin) (Note: The permission is granted to the firm additionally to the original MA holder

    M/s Eli Lilly)

    For the treatment of patients with diabetes mellitus who require insulin for the maintenance of glucose homeostasis.

    Dosage Form: Suspension for injection in cartridge administered through subcutaneous route.

    Strength: 100IU/mL (3mL Cartridge)

    84

    M/s. Lupin Limited

    19-01-2024

    IMP/BIO/24/000008

    Note: Additional Marketing Authorization

    Isophane Insulin Injection I.P.

    (Note: The permission is granted to the firm additionally to the original MA holder

    M/s Eli Lilly)

    For the treatment of patients with diabetes mellitus who require insulin for the maintenance of glucose homeostasis

    Dosage Form: Suspension for injection in cartridge administered through subcutaneous route.

    Strength: 100IU/mL (3mL Cartridge)

    85

    M/s Johnson

    and Johnson Private Limited

    15-02-2024

    IMP/BIO/24/000018

    Guselkumab

    Guselkumab is indicated for the treatment of adult patients with active psoriatic arthritis

    Dosage Form: Single-use pre-filled syringe & single- use pre-filled pen for subcutaneous administration.

    Strength: 100 mg/mL

    86

    M/s MSD Pharmaceutical s Private Limited

    06-03-2024

    IMP/BIO/24/000025

    Note:

    Approval of Additional Indication.

    Pembrolizumab

    Additional Indication:

    1. Pembrolizumab as a monotherapy is indicated for the adjuvant treatment of adults with Stage III melanoma and lymph node involvement who have undergone complete resection.
    2. Pembrolizumab as a monotherapy is indicated for the first-line treatment of metastatic microsatellite instability-high (MSI-H) or mismatch repair deficient (MMR) colorectal cancer in adults.
    3. Pembrolizumab as a monotherapy is indicated for the treatment of adult with relapsed or refractory classical Hodgkin lymphoma who have failed autologous stem cell transplant

    (ASCT) or following at least two prior therapies when ASCT is not a treatment option.

    Dosage Form: Solution in single vial

    Strength: 25mg/mL

    87

    M/s Astrazeneca Pharma India Limited

    26-03-2024

    IMP/BIO/24/000035

    Note:

    Approval of Additional Indication.

    Trastuzumab deruxtecan

    Additional Indication:

    Locally Advanced or Metastatic Gastric Cancer Trastuzumab deruxtecan is indicated for the treatment of adult patients with locally advanced or metastatic HER2-positive gastric or gastroesophageal junction (GEJ) adenocarcinoma who have received a prior trastuzumab based

    regimen.

    Dosage Form: Single use sterile, lyophilized powder for concentrate for solution for infusion

    Strength: 100mg/5mL

    88

    M/s Astrazeneca Pharma India Limited

    26-03-2024

    IMP/BIO/24/000036

    Note:

    Approval of Additional Indication.

    Trastuzumab deruxtecan

    Additional Indication:

    HER2-Low Metastatic Breast Cancer Trastuzumab deruxtecan is indicated for the treatment of adult patients with unresectable or metastatic HER2-Low (IHC 1+ or IHC 2+/ISH-) breast cancer who have received a prior chemo therapy in the metastatic setting or developed disease recurrence during or within 6 months of completing adjuvant

    chemotherapy.

    Dosage Form: Single use sterile, lyophilized powder for concentrate for solution for infusion

    Strength: 100mg/5mL

    89

    M/s Novartis Healthcare Private Limited

    26-03-2024

    IMP/BIO/24/000032 PAC- IMP/BIO/25/000147

    for approval of additional pack presentation

    Erenumab

    Prophylaxis of migraine

    Dosage Form: Solution for injection/prefilled pen.

    Strength: 70mg/mL

    90

    M/s. Lupin Limited

    08-04-2024

    IMP/BIO/24/000040

    Note: Additional Marketing Authorization

    Dulaglutide

    Dulaglutide is a glucagon-like peptide-1 (GLP-1) receptor agonist indicated:

    • As an adjunct to diet and exercise to improve glycemic control in adults with type 2 diabetes mellitus.
    • To reduce the risk of major adverse cardiovascular events (cardiovascular death, non-fatal myocardial infarction, or non-fatal stroke) in adults with type 2 diabetes mellitus who have established cardiovascular disease or

    multiple cardiovascular risk factors

    Dosage Form: Solution for Injection in a single use prefilled pen.

    Strength: 0.75 mg/0.5 ml in Prefilled Pen and 1.5 mg/0.5 ml

    91

    M/s. Lupin Limited

    08-04-2024

    IMP/BIO/24/000038

    Note: Additional

    Marketing Authorization

    Insulin Lispro Injection I.P.

    Treatment of patients with Diabetes Mellitus

    Dosage Form: 3mL Cartridge and 3mL Prefilled Pen.

    92

    M/s. Lupin Limited

    09-04-2024

    IMP/BIO/24/000039

    Note: Additional Marketing Authorization

    Insulin Lispro Biphasic Injection

    I.P. (25% Insulin

    Lispro and 75% Insulin Lispro

    Protamine suspension)

    Treatment of patients with Diabetes Mellitus.

    Dosage Form: Suspension for injection in 3mL Cartridge & in 3mL prefilled pen

    Strength: 100 IU/mL

    93

    M/s. Lupin Limited

    09-04-2024

    IMP/BIO/24/000037

    Note: Additional Marketing Authorization

    Insulin Lispro Biphasic Injection

    I.P. (50% Insulin

    Lispro and 50% Insulin Lispro

    Protamine suspension)

    Indicated for treatment of patients with Diabetes Mellitus.

    Dosage Form: Suspension for injection in 3mL Cartridge & in 3mL prefilled pen.

    Strength: 100 IU/mL

    94

    M/s. Lupin Limited

    09-04-2024

    IMP/BIO/24/000041

    Note: Additional Marketing Authorization

    Insulin Human I.P.

    Indicated for treatment of patients with Diabetes Mellitus.

    Dosage Form: Concentrate solution for

    IV infusion in single use vial

    Solution for injection (Sub cutaneous) in pre-filled

    syringe.

    Strength: 100 IU/mL

    95

    M/s Johnson & Johnson Pvt. Ltd.

    16-04-2024

    BIO/IMP/20/000067

    Note:

    Approval of Additional Indication

    Ustekinumab

    Ustekinumab is indicated for the treatment of adult patients with moderately to severely active ulcerative colitis

    Dosage Form: Suspension for injection in 3mL Cartridge.

    Strength: 130 mg/ 26 ml in vial

    45 mg/0.5 ml, 90 mg/ml in PFS

    96

    M/s Dr.

    Reddy’s Laboratories Limited,

    10.05.2024

    IMP/BIO/24/000049

    Toripalimab

    1. Toripalimab is indicated, in combination with cisplatin and gemcitabine, for first line treatment of adults with metastatic or with recurrent, locally advanced nasopharyngeal carcinoma (NPC).
    2. Toripalimab is indicated, as a single agent, for the treatment of adults with recurrent unresectable or metastatic NPC with disease progression on or after a platinum-containing chemotherapy.

    Dosage Form: Intravenous Solution for Infusion in 6mL vial.

    Strength: 240mg/6mL

    97

    M/s Bristol- Myers Squibb India Pvt. Ltd.

    22.05.2024

    IMP/BIO/24/000051

    Note:

    Approval of Additional Indication

    Nivolumab

    Non-Small Cell Lung Cancer (NSCLC) - Nivolumab, in combination with platinum-doublet chemotherapy, is indicated as neoadjuvant treatment of adult

    patients with resectable (tumours ≥ 4cm or node positive) non-small cell lung cancer (NSCLC)

    Dosage Form: concentrate for solution for infusion.

    Strength: 10 mg/ml

    98

    M/s Sanofi India Limited

    10.06.2024

    IMP/BIO/24/000058

    Nirsevimab

    Nirsevimab Indicated for the prevention of Respiratory Syncytial Virus (RSV) lower respiratory tract disease in:

    • Neonates and infants born during or entering their first RSV season.
    • Children up to 24 months of age who remain

    vulnerable to severe RSV disease through their second RSV season.

    Dosage Form: Solution for injection in pre-filled syringe

    Strength: 50mg/PFS and 100mg/PFS

    99

    M/s Eli Lilly And Company (India) Pvt. Ltd.

    09.07.2024

    IMP/BIO/24/000068

    Mirikizumab

    Mirikizumab is indicated for the treatment of moderately to severely active ulcerative colitis in adults.

    Dosage Form: Solution for subcutaneous administration in Pre-filled Pen

    Strength: 20mg/mL (300mg/15mL) in Vial and

    100mg/mL in Pre-filled

    Pen

    100

    M/s Novartis Healthcare Private Limited

    30.07.2024

    IMP/BIO/24/000073

    Note:

    Approval of Additional Indication

    Secukinumab

    • Psoriatic arthritis

    Secukinumab alone or in combination with methotrexate (MTX), is indicated for the treatment of active psoriatic arthritis in adult patients when the response to previous disease-modifying anti- rheumatic drug (DMARD) therapy has been inadequate.

    • Ankylosing spondylitis

    For the treatment of active ankylosing spondylitis in adults who have responded inadequately to conventional therapy.

    • Non-radiographic axial spondyloarthritis (nr- axSpA)

    Indicated for the treatment of active non- radiographic axial spondyloarthritis with objective signs of inflammation as indicated by elevated C- reactive protein (CRP) and/or magnetic resonance imaging (MRI) evidence in adults who have responded inadequately to non-steroidal anti-

    inflammatory drugs (NSAIDs).

    Dosage Form: solution for injection in pre filled pen

    Strength: 150mg/mL

    101

    M/s AstraZeneca Pharma India Limited

    20.09.2024

    IMP/BIO/24/000085

    Note:

    Approval of Additional Indication

    Durvalumab

    Durvalumab (IMFINZI) in combination with chemotherapy as neoadjuvant treatment, followed by IMFINZI as monotherapy after surgery, is indicated for the treatment of patients with resectable (tumours 4 cm and/or node positive) NSCLC and no known epidermal growth factor receptor (EGFR) mutations or anaplastic lymphoma

    kinase (ALK) rearrangements.

    Dosage Form: Solution for Infusion in Vial.

    Strength: 120 mg/2.4mL and 500mg/10mL (50mg/mL)

    102

    M/s AstraZeneca Pharma India Limited

    09.10.2024

    IMP/BIO/24/000094

    Note:

    Approval of New Presentation

    Benralizumab

    Benralizumab is indicated as an add-on maintenance treatment for severe asthma with an eosinophilic phenotype in adult patients.

    The recommended dose is 30 mg Benralizumab administered by subcutaneous injection every 4 weeks for the first 3 doses and then every 8 weeks

    thereafter.

    Dosage Form: Solution for Injection in an Autoinjector

    Strength: 30mg/mL

    103

    M/s Bristol- Mayer Squibb India Pvt. Ltd.

    25.10.2024

    IMP/BIO/24/000098

    Note:

    Approval of Additional Indication

    Ipilimumab

    Esophageal Squamous Cell Carcinoma (ESCC) Ipilimumab, in combination with nivolumab, is indicated for the first-line treatment of adult patients with unresectable advanced or metastatic esophageal squamous cell carcinoma (ESCC)).

    Dosage Form: concentrate for solution for infusion for intravenous injection, Single use vial

    Strength: 50mg/10mL (5mg/mL)

    104

    M/s Astrazeneca Pharma India Limited

    14.01.2025

    IMP/BIO/25/000001

    Eculizumab

    For the treatment of patients with

    1. Paroxysmal nocturnal hemoglobinuria (PNH )
    2. Atypical hemolytic uremic syndrome (aHUS) to inhibit complementmediated thrombotic microangiopathy

    Dosage Form: Concentrate for solution for infusion in vial

    Strength: 300 mg (10mg/ml)

    105

    M/s Roche Products (India) Private Limited

    29.01.2025

    IMP/BIO/25/000008

    Note:

    Approval of Additional Indication

    Polatuzumab Vedotin

    Polatuzumab vedotin in combination with bendamustine and rituximab is indicated for the treatment of adult patients with diffuse large B-cell lymphoma who have received at least one prior therapy

    Dosage Form: Powder for concentrate for solution for infusion

    Strength: 30 mg/Vial

    and 140 mg/Vial

    106

    M/s Roche Products (India) Private Limited

    29.01.2025

    IMP/BIO/25/000007

    Note:

    Approval of Additional Indication

    Atezolizumab

    Tecentriq as monotherapy is indicated for the first- line treatment of adult patients with advanced NSCLC who are ineligible for platinum-based therapy.

    Dosage Form: Concentrate for solution for infusion

    Strength: 840mg/14ml vial

    107

    M/s Novo Nordisk India Pvt Ltd

    11.02.2025

    IMP/BIO/25/000010

    Insulin Icodec

    Treatment of diabetes mellitus in adults.

    Dosage Form: Solution for Injection in pre-filled pen

    Strength: 700U/1 mL, 1050U/1.5 mL & 2100 U/3

    mL

    108

    M/s Novo Nordisk India Private Limited

    25.02.2025

    IMP/BIO/25/000014

    Note:

    Approval of Additional Indication

    Semaglutide Injection

    Semaglutide Injection is indicated to reduce the risk of major adverse cardiovascular events (cardiovascular death, non-fatal myocardial infarction, or non-fatal stroke) in adults with established cardiovascular disease and either obesity or overweight.

    Dosage Form: Solution for injection in prefilled pen (single dose and multi-dose pen injector)

    Strength: 0.25mg / 0.5mg / 1mg / 1.7mg /

    2.4 mg

    109

    M/s AstraZeneca Pharma India Limited

    25.02.2025

    IMP/BIO/25/000016

    Note:

    Approval of Additional Indication

    Durvalumab

    Durvalumab in combination with Tremelimumab is indicated for the treatment of patients with unresectable hepatocellular carcinoma (uHCC)

    Dosage Form: Solution for Infusion.

    Strength: 120 mg/2.4mL and 500mg/10mL.

    110

    M/s MSD Pharmaceutical s Private Limited

    20.02.2025

    IMP/BIO/25/000015

    Sotatercept

    Sotatercept in combination with standard pulmonary arterial hypertension (PAH) therapy, is indicated for the treatment of adults with PAH, (World Health Organization [WHO] Group 1) to increase exercise capacity, improve WHO functional class (FC), and

    reduce the risk of clinical worsening events.

    Dosage Form: Powder for solution for injection in single dose vial.

    Strength: 45 mg & 60 mg Single-dose vial

    111

    M/s Astrazeneca Pharma India Limited

    06.03.2025

    IMP/BIO/25/000022

    Note:

    Approval of Additional Indication

    Durvalumab

    Durvalumab is indicated for the treatment of patients with limited-stage small cell lung cancer (LS-SCLC) whose disease has not progressed following platinum-based chemoradiation therapy (CRT).

    Dosage Form: Solution for Infusion.

    Strength: 120mg/2.4ml & 500 mg/10ml

    112

    M/s Roche Products (India) Pvt. Ltd.

    19.03.2025

    IMP/BIO/25/000026

    Crovalimab

    Crovalimabis a complement C5 inhibitor indicated for the treatment of adult and pediatric patients 13 years and older with paroxysmal nocturnal hemoglobinuria (PNH) and body weight of at least 40 kg.

    Dosage Form: Solution for infusion in a single- dose vial Strength:340mg/2ml (170mg/ml)

    113

    M/s MSD Pharmaceutical s Private Limited

    21.04.2025

    IMP/BIO/25/000043

    Note:

    Approval of Additional Indication

    Pembrolizumab

    1. Pembrolizumab as monotherapy is indicated for the adjuvant treatment of adults with non-small cell lung carcinoma who are at high risk of recurrence following complete resection and platinum-based chemotherapy.
    2. Pembrolizumab) in combination with platinum- containing chemotherapy as neoadjuvant treatment, and then continued as monotherapy as adjuvant treatment, is indicated for the treatment of resectable non-small cell lung carcinoma at high risk of recurrence in adults. (For selection criteria, see

    clinical studies)

    Dosage Form: Solution for infusion

    Strength: 100 mg/4mL

    (25 mg/ml)

    114

    M/s Novo Nordisk India Private Limited

    28.04.2025

    IMP/BIO/25/000048

    Concizumab

    Concizumab injection is indicated for routine prophylaxis

    of bleeding in patients with

    1. Haemophilia A (congenital factor VIII deficiency) with FVIII inhibitors and of 12 years of age or more.
    2. Haemophilia B (congenital factor IX deficiency) with FIX inhibitors and of 12 years of age or more.

    Dosage Form: Solution for Injection in pre-filled pen.

    Strength: 15mg/1.5mL, 60mg/1.5mL, 150mg/1.5mL and 300mg/3mL

    115

    M/s Glenmark Pharmaceutical s Ltd.

    02.05.2025

    IMP/BIO/25/000052

    Tislelizumab

    1. Tislelizumab as monotherapy is indicated for the treatment of adult patients with unresectable, recurrent, locally advanced or metastatic esophageal squamous cellcarcinoma (ESCC) after prior chemotherapy.

    Tislelizumab in combination with pemetrexed and platinum containing chemotherapy is indicated for the first-line treatment of patients with locally advanced or metastatic non- squamous non-small cell lung cancer (NSCLC), with PD-L1 expression

    ≥50% but no epidermal growth factor receptor (EGFR) or anaplastic lymphoma kinase (ALK) genomic tumour aberrations.

    Tislelizumab in combination with carboplatin and either paclitaxel or nab-paclitaxel is indicated for the first-line treatment of patients with locally advanced or metastatic squamous NSCLC.

    4. Tislelizumab as monotherapy is indicated for the treatment of patients with locally advanced or

    metastatic NSCLC after prior chemotherapy

    Dosage form:

    Concentrate for solution for infusion

    Strength: 100 mg/10ml, in Vial

    116

    M/s AstraZeneca Pharma India Limited

    07.05.2025

    IMP/BIO/25/000053

    Note:

    Approval of Additional Indication

    Trastuzumab Deruxtecan

    HER 2 low and HER 2 ultralow breast cancer: Enhertu is indicated as a monotherapy for the treatment of adult patients with unresectable or metastatic HER2- low (IHC 1+ and IHC 2+/ISH-) or HER2- ultralow (IHC0 with membrane staining) BC, who have received at least one endocrine therapy in

    metastatic setting

    Dosage Form: Single use sterile, lyophilized powder for concentrate for solution for infusion

    Strength: 100 mg/ 5 ml

    117

    M/s Johnson & Johnson Pvt. Ltd.,

    15.05.2025

    IMP/BIO/25/000057

    Note:

    Approval of Additional Indication

    Amivantamab

    Amivantamab in combination with carboplatin and pemetrexed for the first-line treatment of adult patients with locally advanced or metastatic non- small cell lung cancer(NSCLC) with activating epidermal-growth factor receptor (EGFR) Exon 20

    insertion mutations

    Dosage Form: Liquid

    concentrate for

    infusion. Strength: 350 mg

    118

    M/s AstraZeneca Pharma India Limited

    28.05.2025

    IMP/BIO/25/000066

    Note:

    Approval of Additional Indication

    Benralizumab

    Benralizumab is indicated as an add-on treatment for adult patients with relapsing or refractory eosinophilic granulomatosis with polyangiitis (EGPA).

    Dosage Form: Solution for injection

    Strength: 30mg/mL

    119

    M/s Johnson & Johnson Pvt. Ltd.

    30.05.2025

    IMP/BIO/25/000059

    Note:

    Approval of Additional Indication

    Ustekinumab

    Ustekinumab injection indicated for the treatment of adult patients with moderate to severe plaque psoriasis (PsO) who are candidates for phototherapy or systemic therapy.

    Dosage Form: Solution for injection

    Strength: 45 mg/0.5 ml,

    90 mg/ml in a single dose PFS.

    120

    M/s Bayer Pharmaceutic als Pvt. Ltd.

    30.05.2025

    IMP/BIO/25/000058

    Antihemophilic Factor (Recombinant Factor VIII) PEGylated-aucl 500IU,

    1000IU, 2000IU &

    3000IU

    Indicated for use in previously treated adults and adolescents (12 years of age and older) with hemophilia A (congenital Factor VIII deficiency) for:

    • On-demand treatment and control of bleeding episodes.
    • Perioperative management of bleeding
    • Routine prophylaxis to reduce the frequency of bleeding episodes.

    Dosage Form: Lyophilized powder for solution for injection along with vial adapter

    Strength: 500IU,

    1000IU, 2000IU & 3000IU

    121

    M/s Intas Pharmaceutical s Ltd,

    30.05.2025

    IMP/BIO/25/000065

    Serplulimab

    Small Cell Lung Cancer: Serplulimab in combination with carboplatin and etoposide is indicated for the first-line treatment for adult patients with extensive

    stage small cell lung cancer (ES-SCLC)

    Dosage Form: Concentrate for solution for infusion.

    Strength: 10 mg/ml

    122

    M/s AstraZeneca Pharma India Limited

    01.07.2025

    IMP/BIO/25/000077

    Note:

    Approval of Additional Indication

    Durvalumab

    Durvalumab in combination with carboplatin and paclitaxel is indicated for the first line treatment of adults with primary advanced or recurrent endometrial cancer who are candidates for systemic therapy followed by maintenance treatment with Durvalumab in combination with olaparib in endometrial cancer that is mismatch repair proficient

    (pMMR).

    Dosage Form: Solution for Infusion.

    Strength: 120mg/2.4ml & 500 mg/10ml

    123

    M/s Sun

    Pharmaceutical Industries Limited

    02.07.2025

    IMP/BIO/25/000082

    Tildrakizumab Injection (r-DNA origin)

    Indicated for the treatment of adults with moderate- to-severe plaque psoriasis who are candidates for systemic therapy or phototherapy.

    Dosage Form: Single Dose Pre-filled Syringe with stalked needle and rigid needle shield and closed with a plunger stopper.

    Strength: 100mg/ml

    124

    M/s Bristol- Myers Squibb India Pvt. Ltd.

    04.07.2025

    IMP/BIO/25/000081

    Note:

    Approval of Additional Indication

    Luspatercept

    Luspatercept is indicated in adults for the treatment of transfusion-dependentanaemia due to very low, low and intermediate-risk myelodysplastic syndromes.

    Lyophilized Powder for solution for injection in vial.

    Strength: 25 mg and 75 mg

    125

    M/s Novartis Healthcare Private Limited

    04.07.2025

    IMP/BIO/25/000083

    Note:

    Approval of Additional Indication

    Secukinumab

    Secukinumab is indicated for the treatment of active moderate to severe hidradenitis suppurativa (acne inversa) in adults with an inadequate response to conventional systemic HS therapy.

    Dosage Form: solution for injection in pre filled pen

    Strength: 150mg/mL

    126

    M/s AstraZeneca

    11.07.2025

    IMP/BIO/25/000087

    Note:

    Durvalumab

    Imfinzi in combination with gemcitabine and cisplatin as neoadjuvant treatment, followed by single agent

    Dosage Form: Solution for Infusion.

    Pharma India Limited

    Approval of Additional Indication

    IMFINZI as adjuvant treatment following radical cystectomy, for the treatment of adult patients with

    muscle invasive bladder cancer (MIBC)

    Strength: 120mg/2.4ml & 500 mg/10ml

    127

    M/s Bayer Pharmaceutic als Pvt. Ltd.

    22.07.2025

    IMP/BIO/25/000088

    Antihemophilic Factor (Recombinant Factor VIII) I.P. 250 IU, 500 IU, 1000 IU,

    2000 IU, 3000 IU

    vial

    Indicated for use in previously treated adults and adolescents (12 years of age and older) with hemophilia A (congenital Factor VIII deficiency) for:

    • On-demand treatment and control of bleeding episodes.
    • Perioperative management of bleeding
    • Routine prophylaxis to reduce the frequency of bleeding episodes.

    Dosage Form: Lyophilized powder for solution for injection along with vial adapter

    Additional Strength: 250

    IU, 500 IU, 1000 IU,

    2000 IU, 3000 IU vial

    128

    M/s Pfizer Products India Private Limited

    25.07.2025

    IMP/BIO/25/000090

    Marstacimab

    Indicated for routine prophylaxis to prevent or reduce the frequency of bleeding episodes in adult and pediatric patients 12 years of age and older with:

    • hemophilia A (congenital factor VIII deficiency) without factor VIII inhibitors, or
    • hemophilia B (congenital factor IX deficiency)

    without factor IX inhibitors.

    Dosage Form: Solution for Injection in pre-filled pen

    Strength: 150mg/ml

    129

    M/s Eisai Pharmaceutical s India Private

    Limited

    25.07.2025

    IMP/BIO/25/000091

    Lecanamab

    To slow the progression of mild cognitive impairment and mild dementia due to Alzheimer’s disease.

    Dosage Form: Concentrate for solution for infusion

    Strength: 100 mg/mL

    130

    M/s Pfizer Products India Private Limited

    22.08.2025

    IMP/BIO/25/000101

    Elranatamab

    Indicated as monotherapy for the treatment of adult patients with relapsed and refractory multiple myeloma, who have received at least four prior therapies, including an immunomodulatory agent, a proteasome inhibitor, and an anti-CD38 antibody and have demonstrated disease progression on the last

    therapy.

    Dosage Form: Solution for injection in a single dose vial.

    Strength: 44mg/1.1 mL (40mg/mL) and 76mg/1.9mL (40mg/mL)

    131

    M/s Bristol- Myers Squibb India Pvt. Ltd.

    26.08.2025

    IMP/BIO/25/000103

    FDC of Nivolumab and Relatlimab

    For the treatment of adult & pediatric patients 12 years of age or older with unresectable or metastatic melanoma

    Dosage form: Concentrate for Solution for Infusion.

    Strength: 240mg/80mg (r-DNA origin) in

    20 ml

    132

    M/s Johnson & Johnson Pvt. Ltd.

    03.09.2025

    IMP/BIO/25/000108

    Note:

    Approval of

    Amivantamab

    Amivantamab in combination with carboplatin and pemetrexed for the treatment of patients

    with locally advanced or metastatic NSCLC with

    Dosage Form: Liquid

    concentrate for

    infusion.

    Additional Indication

    EGFR exon 19 deletions or exon 21 L858R substitution mutations, whose disease has

    progressed on or after treatment with osimertinib

    Strength: 350 mg

    133

    M/s Biocon Biologics Limited

    18.09.2025

    IMP/BIO/25/000112

    Aflibercept

    1. Indicated for treatment of neovascular (wet) age- related macular degeneration (AMD)
    2. Indicated for adults for the treatment of visual impairment due to macular oedema secondary to retinal vein occlusion (branch RVO or central RVO)
    3. Indicated for adults for the treatment of visual impairment due to diabetic macular oedema (DME)
    4. Indicated for adults for the treatment of visual

    impairment due to myopic choroidal neovascularisation.

    Dosage Form: Solution for injection (Intravitreal use).

    Strength: 40 mg/ml

    134

    M/s Novo Nordisk India Private Limited

    19.09.2025

    IMP/BIO/25/000115

    Semaglutide Injection

    Semaglutide injection is indicated as an adjunct to diet and exercise to improve glycemic control in adults with type 2 diabetes mellitus · To reduce the risk of major adverse cardiovascular events in adults with type 2 diabetes mellitus and established cardiovascular disease · To reduce the risk of sustained eGFR decline, end-stage kidney disease and cardiovascular death in adults with type 2

    diabetes mellitus and chronic kidney disease.

    Dosage Form: Solution for Injection in pre-filled pen

    Strength: 0.25 mg, 0.5

    mg, 1 mg

    135

    M/s AstraZeneca Pharma India Limited

    30.09.2025

    IMP/BIO/25/000120

    Note:

    Approval of Additional Indication

    Trastuzumab Deruxtecan

    Trastuzumab Deruxtecan 100mg/5mL vial lyophilized powder for concentrate for

    solution for infusion is indicated for the treatment of adult patients with unresectable or

    metastatic HER2-positive (IHC3+) solid tumors who have received prior systemic

    treatment and have no satisfactory alternative

    treatment options

    Dosage Form: Single use sterile, lyophilized powder for concentrate for solution for infusion

    Strength: 100 mg/ 5 ml

    136

    M/s Bristol- Myers Squibb India Pvt. Ltd.

    01.10.2025

    IMP/BIO/25/000116

    Note:

    Approval of Additional Indication

    Nivolumab

    Nivolumab, in combination with platinum-doublet chemotherapy, is indicated for the neoadjuvant treatment of adult patients with resectable (tumors

    ≥4 cm or node positive) NSCLC and no known epidermal growth factor receptor (EGFR) mutations or anaplastic lymphoma kinase (ALK)

    rearrangements, followed by single-agent Nivolumab as adjuvant treatment after surgery.

    Dosage Form: concentrate for solution for infusion.

    Strength: 10 mg/ml

    137

    M/s Ferring Pharmaceutical

    s Pvt. Ltd.

    03.10.2025

    IMP/BIO/25/000119

    Follitropin Delta

    Controlled ovarian stimulation for the development of multiple follicles in women undergoing assisted

    reproductive technologies (ART) such as an in vitro

    Dosage Form: Solution for

    Injection in a pre-filled pen for subcutaneous use

    fertilisation (IVF) or intracytoplasmic sperm injection (ICSI) cycle

    Strength: 12mcg per 0.36mL, 36mcg per 1.08mL and 72mcg per

    2.16 mL

    138

    M/s Eli Lilly And Company (India) Pvt. Ltd.

    03.10.2025

    IMP/BIO/25/000117

    Donanemab

    For the treatment of Alzheimer’s disease. Treatment with donanemab should be initiated in patients with mild cognitive impairment or mild dementia stage of disease, the population in which treatment was

    initiated in the clinical trials

    Dosage Form: Solution for intravenous infusion.

    Strength: 350 mg/20 mL (17.5 mg/mL)

    139

    M/s Johnson & Johnson Pvt. Ltd

    30.10.2025

    IMP/BIO/25/000130

    Note:

    Approval of Additional Indication

    Daratumumab

    Daratumumab in combination with bortezomib, lenalidomide and dexamethasone for the treatment of adult patients with newly diagnosed multiple myeloma who are eligible for autologous stem cell transplant.

    Dosage Form- liquid for subcutaneous injection.

    Strength: 1800 mg (120 mg/mL).

    140

    M/s Bristol- Myers Squibb India Pvt. Ltd.

    17.11.2025

    IMP/BIO/25/000138

    Note:

    Approval of Additional Indication

    Nivolumab

    1. Hepatocellular Carcinoma:- Nivolumab, in combination with ipilimumab, is indicated for the first-line treatment of adult patients with unresectable or metastatic hepatocellular carcinoma (HCC).
    2. Melanoma:- Nivolumab, in combination with ipilimumab, is indicated for the treatment of patients with unresectable or metastatic melanoma

    Dosage Form: concentrate for solution for infusion.

    Strength: 10 mg/ml

    141

    M/s Bristol- Myers Squibb India Pvt. Ltd.

    17.11.2025

    IMP/BIO/25/000139

    Note:

    Approval of Additional Indication

    Nivolumab

    1. Colorectal Cancer (CRC): Nivolumab, in combination with ipilimumab, is indicated for the treatment of adult and pediatric patients 12 years and older with unresectable or metastatic microsatellite instability-high (MSI- H) or mismatch repair deficient (dMMR) metastatic colorectal cancer (CRC).
    2. Malignant Pleural Mesothelioma: Nivolumab, in combination with ipilimumab, is indicated for the first-line treatment of adult patients with

    unresectable malignant pleural mesothelioma.

    Dosage Form: concentrate for solution for infusion.

    Strength: 10 mg/ml

    142

    M/s MSD Pharmaceutical s Private Limited

    18.11.2025

    IMP/BIO/25/000141

    Note:

    Approval of Additional Indication

    Pembrolizumab

    1. KEYTRUDA® (pembrolizumab) in combination with chemoradiotherapy (external beam radiation therapy followed by brachytherapy), is indicated for the treatment of FIGO 2014 Stage III -IVA locally

    advanced cervical cancer in adults who have not

    Dosage Form: Solution for infusion

    Strength: 100 mg/4mL

    (25 mg/ml)

    received prior definitive therapy.

    1. KEYTRUDA® (pembrolizumab), in combination with fluoropyrimidine and platinum- containing chemotherapy, is indicated for the first-line treatment of locally advanced unresectable or metastatic HER2-negative gastric or gastro-oesophageal junction adenocarcinoma in adults whose tumours express PD-L1 with a CPS≥1
    2. KEYTRUDA® (pembrolizumab), in combination with gemcitabine and cisplatin, is indicated for the first-line treatment of locally advanced unresectable or metastatic biliary tract carcinoma in adults.

    143

    M/s Bristol- Mayer Squibb India Pvt. Ltd.

    24.11.2024

    IMP/BIO/25/000144

    Note:

    Approval of Additional Indication

    Ipilimumab

    1. Colorectal Cancer (CRC): Ipilimumab, in combination with nivolumab, is indicated for the treatment of adult and pediatric patients 12 years and older with unresectable or metastatic microsatellite instability-high (MSI-H) or mismatch repair deficient (dMMR) metastatic colorectal cancer (CRC).
    2. Malignant Pleural Mesothelioma: Ipilimumab, in combination with nivolumab, is indicated for the first-

    line treatment of adult patients with unresectable malignant pleural mesothelioma.

    Dosage Form: concentrate for solution for infusion for intravenous injection, Single use vial

    Strength: 50mg/10Ml (5mg/Ml)

    144

    M/s Sun Pharma Distributors Limited

    02.12.2025

    IMP/BIO/25/000150

    Tildrakizumab

    Indicated for the treatment of adults with moderate- to-severe plaque psoriasis who are candidates for systemic therapy or phototherapy.

    Dosage Form: Single Dose Pre-filled Syringe with stalked needle and rigid needle shield and closed with a plunger stopper.

    Strength: 100mg/ml

    145

    M/s GSK Pharma India Private Limited

    15.12.2025

    IMP/BIO/25/000160

    Dostarlimab

    Dostarlimab is indicated in combination with carboplatin and paclitaxel for the first-line treatment of adult patients with primary advanced or recurrent endometrial cancer (EC) who are candidates for systemic therapy

    Dosage Form: Concentrate for solution for infusion (sterile concentrate)

    Strength: 500 mg/ 10 mL

    146

    M/s. Astrazeneca Pharma India Limited

    16.12.2025

    IMP/BIO/25/000159

    Datopotamab Deruxtecan

    For the treatment of adult patients with unresectable or metastatic, hormone receptor (HR)- positive, human epidermal growth factor receptor 2 (HER2)-negative (IHC 0, IHC 1+, or IHC 2+/ISH-) breast cancer who have received prior endocrine-based therapy and

    Dosage Form: Powder for Concentrate for Solution for Infusion

    Strength: 100 mg

    chemotherapy for unresectable or metastatic disease

    147

    M/s Bristol- Mayer Squibb India Pvt. Ltd.

    19.12.2025

    IMP/BIO/25/000162

    Note:

    Approval of Additional Indication

    Ipilimumab

    1. Hepatocellular Carcinoma: - Ipilimumab, in combination with nivolumab, is indicated for the first line treatment of adult patients with unresectable or metastatic hepatocellular carcinoma (HCC).
    2. Melanoma: - Ipilimumab, in combination with Nivolumab, is indicated for the treatment of unresectable or metastatic melanoma in adult

    patients.

    Dosage Form: concentrate for solution for infusion for intravenous injection, Single use vial

    Strength: 50mg/10Ml (5mg/Ml)

    148

    M/s Astellas Pharma India Pvt. Ltd.

    19.12.2025

    IMP/BIO/25/000163

    Zolbetuximab

    Zolbetuximab in combination with fluoropyrimidine and platinum- containing chemotherapy, is indicated for the first-line treatment of adult patients with locally advanced unresectable or metastatic human epidermal growth factor receptor 2 (HER2)-negative gastric or gastroesophageal junction (GEJ) adenocarcinoma whose tumors are Claudin (CLDN)

    18.2 positive.

    Dosage Form: Powder for concentrate for solution for infusion

    Strength: 100 mg and 300 mg

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