EUA Approved for AstraZeneca’s Evusheld

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FDA has issued an emergency use authorization (EUA) for AstraZeneca’s Evusheld (tixagevimab co-packaged with cilgavimab and administered together) for the pre-exposure prevention of Covid-19 in certain adults and pediatric patients. An agency notice says the monoclonal antibody product is only authorized for those individuals who are not currently infected with the SARS-CoV-2 virus and who have not recently been exposed to an individual with SARS-CoV-2. The authorization also requires that individuals either have: 

  •          moderately to severely compromised immune systems due to a medical condition or due to taking immunosuppressive medications or treatments and thus may not mount an adequate response to Covid-19 vaccination; or
  •          a history of severe adverse reactions to a Covid-19 vaccine and/or component(s) of those vaccines and thus vaccination with an available Covid-19 vaccine is not recommended.

The notice says that one dose of Evusheld may be effective for pre-exposure prevention for six months. It is not authorized for individuals for the treatment of Covid-19 or post-exposure prevention of Covid-19.

According to FDA, tixagevimab and cilgavimab are long-acting monoclonal antibodies that are specifically directed against the SARS-CoV-2 spike protein and designed to block the virus’ attachment and entry into human cells. The two proteins bind to different, non-overlapping sites on the virus spike protein.

Possible side effects include hypersensitivity reactions, bleeding at the injection site, headache, fatigue, and cough.

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