The FDA ended last week and started this one with drug approvals, clearing Darmstadt, Germany-based Merck KGaA's Mavenclad (cladribine) tablets for relapsing multiple sclerosis (MS) in adults – with a label that includes relapsing-remitting disease as well as active secondary progressive MS (SPMS) – and followed with marketing clearance for Duaklir, a fixed-dose inhaled combination from Circassia Pharmaceuticals Inc., of Oxford, U.K., that pairs long-acting muscarinic antagonist (LAMA) aclidinium bromide with long-acting beta agonist (LABA) formoterol fumarate for chronic obstructive pulmonary disease (COPD) maintenance.