Due to limited medication supply not every referred patient may receive infusion treatment.
This treatment is only recommended when the NIH preferred drug, Paxlovid, is not available
or feasible,
view for more information.
For patients seeking treatment options, the federal Test to Treat program can provide
a list of centers that offer COVID-19 testing, evaluation, and, if appropriate, a filled prescription.
The U.S. Food and Drug Administration (FDA) has issued an Emergency Use Authorization
(EUA) to permit the emergency use of COVID-19 Therapeutic Monoclonal Antibodies, for
the treatment of mild to moderate COVID-19 in certain patients who are at high risk
for progressing to severe COVID-19 and/or hospitalization.
The following medical conditions or other factors may place adults and pediatric patients
(age 12-17 years and weighing at least 40 kg) at higher risk for progressing to severe
COVID-19:
- Older age (for example age ≥65 years of age)
- Obesity or being overweight (for example, adults with BMI >25 kg/m2, or if age 12-17,
have BMI ≥85th percentile for their age and gender based on CDC growth charts
- Pregnancy
- Chronic kidney disease
- Diabetes
- Immunosuppressive disease or immunosuppressive treatment
- Cardiovascular disease (including congenital heart disease) or hypertension
- Chronic lung diseases (for example, chronic obstructive pulmonary disease, asthma
[moderate-to-severe], interstitial lung disease, cystic fibrosis and pulmonary hypertension)
- Sickle cell disease
- Neurodevelopmental disorders (for example, cerebral palsy) or other conditions that
confer medical complexity (for example, genetic or metabolic syndromes and severe
congenital anomalies)
- Having a medical-related technological dependence (for example, tracheostomy, gastrostomy,
or positive pressure ventilation (not related to COVID-19))
Other medical conditions or factors (for example, race or ethnicity) may also place
individual patients at high risk for progressing to severe COVID-19 and authorization
of COVID-19 Therapeutic Monoclonal Antibodies under the EUA is not limited to the
medical conditions or factors listed above. For additional information on medical
conditions and factors associated with increased risk for progressing to severe COVID-19,
see the CDC website. Healthcare providers should consider the benefit-risk for an individual patient.
LIMITATIONS OF AUTHORIZED USE- COVID-19 Therapeutic Monoclonal Antibodies is not authorized
for use in patients:
- who are hospitalized due to COVID-19, OR
- who require oxygen therapy due to COVID-19, OR
- who require an increase in baseline oxygen flow rate due to COVID-19 in those on chronic
oxygen therapy due to underlying non-COVID-19 related comorbidity.
Benefit of treatment with COVID-19 Therapeutic Monoclonal Antibodies has not been
observed in patients hospitalized due to COVID-19. Monoclonal antibodies, may be associated
with worse clinical outcomes when administered to hospitalized patients with COVID-19
requiring high flow oxygen or mechanical ventilation.