Find API links for GeoServices, WMS, and WFS. Molnupiravir. We will provide further updates and consider additional action as new information becomes available. Individuals who received Evusheld but who develop COVID-19 remain eligible for use of any of the available treatments for COVID-19 if the criteria for use are met. Some therapeutics are in short supply, but availability is expected to increase in the coming months. Any subsequent repeat dosing will be timed from the date of this additional Evusheld dose. Update [1/26/2023] The U.S. Food and Drug Administration today revised the Emergency Use Authorization (EUA) for Evusheld (tixagevimab co-packaged with cilgavimab) to limit its use to when the combined frequency of non-susceptible SARS-CoV-2 variants nationally is less than or equal to 90%. The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely. Follow, FDA has also updated the list of medical conditions or treatments that may result in moderate to severe immune compromise. According to the most recent CDC Nowcast data, these variants are projected to be responsible for more than 90% of current infections in the U.S. Zink says the country's fractured health care system leads to inequities. Previously, the authorized Evusheld dosage was 150 mg of tixagevimab and 150 mg of cilgavimab administered as two separate consecutive intramuscular injections, with repeat doses every six months while SARS-CoV-2 remains in circulation. Previously, the authorized Evusheld dosage was 150 mg of tixagevimab and 150 mg of cilgavimab administered as two separate consecutive intramuscular injections, with repeat doses every six months while SARS-CoV-2 remains in circulation. Nonclinical data and pharmacokinetic modeling suggest that activity against these subvariants may be retained for six months at drug concentrations achieved following an Evusheld dose of 300 mg of tixagevimab and 300 mg cilgavimab. Thresholds, Orders, and Replenishment by Jurisdiction, HHS, Administration for Strategic Preparedness and Response (ASPR) As part of the EUA, FDA requires health care providers who prescribe Evusheld to report all medication errors and serious adverse events considered to be potentially related to Evusheld through FDAs. If you develop signs or symptoms of COVID-19, reach out to your doctor, another healthcare provider, or a But the infusion center was out of network with her health plan, so she had to pay a nearly $200 administration fee. Evusheld has only been studied in clinical trials as a 1-time combination therapy; therefore, no safety or efficacy data exist for repeat dosing. Razonable says it will likely take months for the Mayo Clinic to get through the list of several thousand people in its tier for most vulnerable patients. The FDA has revised the Emergency Use Authorization for Evusheld (tixagevimab/cilgavimab) to limit its use to when the combined frequency of non-susceptible SARS-CoV-2 variants nationally is less than or equal to 90%. The long-acting AstraZeneca therapy known as Evusheld will be available to moderately to severely immunocompromised people like cancer patients, he said. My neurologist has some available and I will be talking to them tomorrow morning. The cost of Evusheld itself is covered by the federal government. Patients who have already received the previously authorized dose (150 mg of tixagevimab and 150 mg of cilgavimab) should receive an additional dose of 150 mg of tixagevimab and 150 mg of cilgavimab as soon as possible to raise their monoclonal antibody levels to those expected for patients receiving the higher dose. Evusheld is authorized for the emergency use as pre-exposure prophylaxis (PrEP) for prevention of COVID-19 in certain adults and pediatric patients (12 years of age and older weighing at least 40 kg). Evusheld is a medicine used to prevent COVID-19 in adults and adolescents (from 12 years of age weighing at least 40 kilograms). Data show Evusheld is unlikely to be active against certain SARS-CoV-2 variants. If they are eligible, they should receive the 300 mg of tixagevimab and 300 mg of cilgavimab dose. Fact Sheet for Healthcare Providers. EUA on February 24, 2022 to This means that Evusheld may not provide protection against developing COVID-19 for individuals who have received Evusheld and are later exposed to XBB.1.5. inquiring about Evusheld should be informed that while it is still available for administration, no benefit is expected. Here's what to know. The latest CDC NOWCAST estimate shows that these variants are causing more than 90% of the cases today. Therapeutics Locator. The Therapeutics Locator is based on shipments and reported utilization and is not a guarantee of availability. Only antibody authorized in the US for pre-exposure prophylaxis of COVID-19. published a guide on use of Evusheld. There are several approved and authorized treatments for COVID-19 that are expected to retain activity against currently circulating SARS-CoV-2 variants. Patients with any additional questions should contact their health care provider. The conditions listed in the, who have moderate-to-severe immune compromise due to a medical condition or who have received immunosuppressive medications or treatments and may not mount an adequate immune response to COVID-19 vaccination or. A healthcare provider gives Evusheld as two separate, consecutive intramuscular injections at a doctors office or healthcare facility. Update [6/29/2022]There are different variants (and subvariants) of SARS-CoV-2, and FDA continues to evaluate how well Evusheld (tixagevimab co-packaged with cilgavimab) neutralizes them. Health care providers should inform individuals of the increased risk, compared to other variants, for COVID-19 due to SARS-CoV-2 variants not neutralized by Evusheld. Evusheld consists of two monoclonal antibodies provided . It looks like your browser does not have JavaScript enabled. The COVID antiviral drugs are here but they're scarce. Jackson Memorial Hospital in Miami one of the largest transplant centers in the southeastern U.S. waited weeks to get its first Evusheld shipments. Patients who have already received the previously authorized dose (150 mg of tixagevimab and 150 mg of cilgavimab) should receive an additional dose of 150 mg of tixagevimab and 150 mg of cilgavimab as soon as possible to raise their monoclonal antibody levels to those expected for patients receiving the higher dose. Currently, the Omicron BA.2, BA.2.12.1, BA.4, and BA.5 subvariants are circulating in the United States. FDA will continue to work with ASPR, the CDC, and the National Institutes of Health on surveillance of variants that may impact the use of the therapies authorized for emergency use. Patients who have not received any doses of Evusheld should talk to their health care provider to determine whether, based on their individual circumstances, they are eligible to receive it. Federal and state health departments have made it harder to find Evusheld, a potentially lifesaving COVID-19 therapy, after several hundred providers of the injections were removed from a federal . . The conditions listed in the, who have moderate-to-severe immune compromise due to a medical condition or who have received immunosuppressive medications or treatments and may not mount an adequate immune response to COVID-19 vaccination or. In December 2022, FDA and European Medicines Agency (EMA) convened a workshop to bring together the expertise of academics, clinicians, industry, and regulatory bodies to address the acceptability and challenges of alternative strategies to support the development of novel monoclonal antibody therapies including those based on prototype products that have demonstrated safety and efficacy in clinical trials. For those who don't respond well to vaccines, like Cheung, Evusheld puts COVID-fighting proteins directly. Available therapeutic treatments Patients with any additional questions should contact their health care provider. IV infusion. Evusheld is currently the only option for pre-exposure prophylaxis (PrEP) of COVID-19 and is authorized under Emergency Use Authorization (EUA) for use in immunocompromised individuals who may not mount an adequate response to COVID-19 vaccination, and for individuals for whom COVID-19 vaccination is not recommended due to a history of a severe adverse reaction. There are Shelf-life extensions were issued for specific lots of Evusheld. The California Department of Public Health (CDPH) will be allocating Evusheld directly to local health jurisdictions. The federal government has an agreement with AstraZeneca to buy 700,000 doses of Evusheld, which will be available at no cost to eligible patients. People for whom vaccination with any available COVID-19 vaccine is not recommended due to a history of severe adverse reaction to a COVID-19 vaccine and/or components of a COVID-19 vaccine. Over the past year, HHS has dramatically increased access to Paxlovid and Lagevrio, both of which are pills. The government distributed about 50,000 doses of Evusheld this week, on top of about 100,000 doses in December. Should a patient become infected with SARS-CoV-2 and develop symptoms of COVID-19, they should seek medical attention, including starting treatment for COVID-19 as appropriate. Evusheld may only be prescribed by a healthcare providerlicensed or authorized under state law to prescribe drugs in the therapeutic classfor an individually identified patient. The government provides Evusheld to states based on their total adult populations. Additional information about Evusheld, including patient eligibility and how to find an administration site, can be found on This means that the injections should be limited to large muscles on the body that can accommodate this volume (e.g., the gluteal muscles). The FDA granted EUA for Evusheld for COVID-19 pre-exposure prophylaxis to prevent an infection if you're exposed to the virus in the future for certain people age 12 and older who weigh at least 88 pounds. Disease experts at HHS continually watch for new variants of any viruses and continue to monitor the potential impact that new variants might have on existing therapies. Infants, children, and adults at risk of severe COVID-19. 200 Independence Ave., Washington, DC 20201. It is given by injection. On January 26, FDA announced that Evusheld is not currently authorized for emergency use in the United States until further notice by the agency because the therapeutic is unlikely to be active against more than 90% of the SARS-CoV-2 variants currently circulating in the United States (based on the latest If the patient received their initial dose less than or equal to 3 months ago, the patient should receive a dose of 150 mg of tixagevimab and 150 mg of cilgavimab. If recommended by your health care provider, get vaccinated or boosted with a bivalent booster dose to help your body increase your protection against SARS-CoV-2 infection. And like other viruses, SARS-CoV-2 can mutate over time, resulting in certain products not working against certain variants.