EUA Revised to Limit Convalescent Plasma Use

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FDA is limiting the emergency use authorization (EUA) for Covid-19 convalescent plasma after evaluating the most recent information available. “Based upon data from new clinical trials analyzed or reported since the original EUA was issued in August 2020, we have revised the EUA to limit the authorization to the use of high titer Covid-19 convalescent plasma for the treatment of hospitalized patients early in the disease course,” an FDA notice says. It also limits its use to those hospitalized patients who have impaired humoral immunity and cannot produce an adequate antibody response. “Plasma with low levels of antibodies has not been shown to be helpful in Covid-19,” FDA notes.

 

The agency also says that the use of low titer Covid-19 convalescent plasma is no longer authorized under the EUA as additional data from clinical trials have not shown evidence to demonstrate that it may be effective in treating hospitalized patients. Additionally, the EUA has been updated to include several additional tests to be used in manufacturing convalescent plasma, such as testing plasma donations for anti-SARS-CoV-2 antibodies as a manufacturing step to determine suitability before release.

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