Lilly EUA for Combo Monoclonal Antibody Therapy

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FDA has issued Eli Lilly an emergency use authorization (EUA) for bamlanivimab and etesevimab administered together for treating mild to moderate Covid-19 in adults and pediatric patients (12 years of age or older weighing at least 40 kilograms) who test positive for Covid and who are at high risk for progressing to severe disease. The authorization was granted based on data from a clinical trial demonstrating that a single intravenous bamlanivimab and etesevimab combination infusion “significantly reduced Covid-19-related hospitalization and death during 29 days of follow-up compared to placebo,” according to an FDA release.

 

The EUA notes that bamlanivimab and etesevimab are not authorized for patients who are hospitalized due to Covid-19 or require related oxygen therapy. “Hospitalization or death occurred in 36 (7%) patients who received placebo compared to 11 (2%) patients treated with bamlanivimab 2,800 milligrams and etesevimab 2,800 milligrams administered together, a 70% reduction,” the agency says. “All 10 deaths (2%) deaths occurred in the placebo group. Thus, all-cause death was significantly lower in the bamlanivimab 2,800-milligram and etesevimab 2,800-milligram group than the placebo group.”

 

FDA notes that bamlanivimab and etesevimab have not been studied in patients hospitalized due to Covid-19. “Monoclonal antibodies, such as bamlanivimab and etesevimab, may be associated with worse clinical outcomes when administered to hospitalized patients with Covid-19 requiring high flow oxygen or mechanical ventilation,” it adds.

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