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The BA.4 Omicron subvariant is the second most prevalent with 12.8% of cases originating from the pathogen, while the BA.2.12.1 subvariant now accounts for only 8.6%. 12 CLINICAL PHARMACOLOGY If used, attach and prime the syringe extension set. Mayo Clinic does not endorse companies or products. Bebtelovimab will be given as an injection through a vein (intravenously or IV) over at least 30 seconds. Avoid forming air bubbles. This product is preservative-free and therefore, should be administered immediately. This content does not have an English version. Read more about bebtelovimab. for whom other COVID-19 treatment options approved or authorized by FDA are not available or clinically appropriate. Not many people have received bebtelovimab. You can get COVID19 through contact with another person who has the virus. It is very important that your doctor check you or your child's progress closely while you are receiving this medicine to make sure that it is working properly. The most common treatment-emergent adverse events observed in subjects treated with bebtelovimab, alone or in combination with bamlanivimab and etesevimab, at the authorized dose or higher, included nausea (0.8%) and vomiting (0.7%). There are no available data on the presence of bebtelovimab in human or animal milk, the effects on the breastfed infant, or the effects on milk production. Drug information provided by: IBM Micromedex. Bebtelovimab . You are being redirected to Bebtelovimab-Induced Bradycardia Leading to Cardiac Arrest Bebtelovimab-Induced Bradycardia Leading to Cardiac Arrest Crit Care Explor. Some of these events required hospitalization. Clinical worsening of COVID-19 after administration of SARS-CoV-2 monoclonal antibody treatment has been reported and may include signs or symptoms of fever, hypoxia or increased respiratory difficulty, arrhythmia (e.g., atrial fibrillation, sinus tachycardia, bradycardia), fatigue, and altered mental status. Clinical Worsening After Monoclonal Antibody Administration. Davidcara 6 months ago. Inspect bebtelovimab vial visually for particulate matter and discoloration. On May 6, 2021, CMS updated the Medicare payment rates for the administration of COVID-19 monoclonal antibody products. If shortages occur, patients or insurance companies may need to foot the bill for monoclonal antibodies. The information presented in the section below contains data on unauthorized preparation and administration of bebtelovimab. People have been seriously harmed and even died after taking products not approved for use to treat or prevent COVID-19, even products approved or prescribed for other uses. Information is for End User's use only and may not be sold, redistributed or otherwise used for commercial purposes. Bebtelovimab has a half-life of 11.5 days, which may explain the consistent bradycardia and hypotension post cardiac arrest and the need for pressors ( 7 ). This website also contains material copyrighted by 3rd parties. Bebtelovimab is designed as a treatment option for those newly diagnosed with COVID-19 who cannot take Paxlovid and are deemed at high risk of severe outcomes. Treatment with bebtelovimab has not been studied in patients hospitalized due to COVID-19. Portions of this document last updated: Feb. 01, 2023. 3, Thebebtelovimabdosing instructions do not specify a particular brand of disposable dosing syringe or extension set to be used and Lilly does not provide guidance in this regard.3, Thereareno known incompatibilities betweenbebtelovimaband availabledisposable dosing syringes in the market.3, The type of IV line used to administer bebtelovimab is not specified (via a PICC line, central line, port, etc. For a mother and unborn baby, the benefit of receiving bebtelovimab may be greater than the risk from the treatment. Subscribe to Drugs.com newsletters for the latest medication news, new drug approvals, alerts and updates. These therapies require a prescription by a licensed and authorized provider. Bebtelovimab is a medication that the FDA is allowing to be given for emergency use to treat COVID-19. I was given the Bebtelovimab infusion and I did well with it. Pregnant patients who develop severe hypersensitivity and infusion-related reactions should be managed appropriately, including obstetrical care. The U.S. government has spent $720 million for hundreds of thousands of doses of bebtelovimab that are being distributed around the country. Fact Sheet for Healthcare Providers, Download Effective with date of service Feb. 15, 2022, the Medicaid and NC Health Choice programs cover bebtelovimab injection for intravenous use in the Physician Administered Drug Program (PADP) when billed with HCPCS code Q0222 - Injection, bebtelovimab, 175 mg. Strength/Package Size (s): Injection: 175 mg/2 mL (87.5 mg/mL) in a single-dose vial Lilly USA, LLC 2022. . All rights reserved. Lilly USA, LLC is not responsible for the privacy policy of any third-party websites. Limitations of Benefit and Potential Risk in Patients with Severe COVID-19. 2022. Discard the vial if the solution is cloudy, discolored, or visible particles are observed. Please confirm that you would like to log out of Medscape. All . 2United States Food and Drug Administration. Please see the enclosed Fact Sheet for authorized dosing information. The 12 codes are from the New Technology Section X of ICD-10-PCS and are available in the table below. It looks like your browser does not have JavaScript enabled. Healthcare providers should review the Fact Sheet for Healthcare Providers for information on the authorized use of bebtelovimab and mandatory requirements of the EUA. In low-risk patients, treatment arms included, bebtelovimab 175mg alone, added to normal saline (total dose volume 62.5 mL) administered via IV infusion over at least 6.5 minutes, OR, bebtelovimab 175mg, bamlanivimab 700 mg and etesevimab 1400 mg administered together (total dose volume 62.5 mL) via IV infusion over at least 6.5 minutes, OR. 360bbb-3(b)(1), unless the declaration is terminated or authorization is revoked sooner. This content does not have an Arabic version. Clinical Worsening After Monoclonal Antibody Administration. Product names listed above are trademarks or registered trademarks owned by or licensed to Eli Lilly and Company, its subsidiaries, or affiliates, US_cFAQ_BEB010_X2_DOSE_PREPARATION_ADMINISTRATION. To find COVID-19 vaccine locations near you: Search vaccines.gov, text your ZIP code to 438829, or call 1-800-232-0233. Like bebtelovimab, FDA may allow for the emergency use of other medicines to treat people with COVID-19. At this time, bebtelovimab remains authorized in all U.S. regions until further notice by FDA. fever, difficulty breathing, reduced oxygen saturation, chills, fatigue, arrhythmia (e.g. Due to these data, use of bebtelovimab is NOT authorized in any U.S. state There are limited clinical data available for bebtelovimab. This medicine may cause serious allergic reactions, including infusion-related reactions and anaphylaxis, which can be life-threatening and require immediate medical attention. 1-800-LILLYRX Bebtelovimab should be administered via IV injection over at least 30 seconds. It is used by people 12 years of age and older who have recently tested positive for. Administration: Intravenous infusion. only, includes infusion and post administration monitoring, second dose (Effective 6/24/2021) Q. My doc said because I was on other meds and supplements that this would be safer than paxlovid because Of interactions. Infusion-related reactions, which may occur up to 24 hours after the injection, have been observed in clinical trials of bebtelovimab when administered with other monoclonal antibodies and may occur with use of bebtelovimab alone. There are other authorized treatments available and healthcare providers should choose an authorized therapeutic option with activity against the circulating variants in their state, territory, or US jurisdiction. Lagevrio is authorized for the treatment of mild-to-moderate COVID-19 in adults with positive results of direct SARS-CoV-2 viral testing who are at high risk for progression to severe COVID-19, including hospitalization or death, and for whom alternative COVID-19 treatment options approved or authorized by FDA are not accessible or clinically appropriate. http://pi.lilly.com/eua/bebtelovimab-eua-fda-authorization-letter.pdf. Healthcare providers should review the Antiviral Resistance information in Section 12.4 of the Fact Sheet for Healthcare Providers for details regarding specific variants and resistance. The new infusion provides an . It is possible that bebtelovimab could interfere with your body's own ability to fight off a future infection of SARS-CoV-2. Hypersensitivity reactions occurring more than 24 hours after the injection have also been reported with the use of SARS-CoV-2 monoclonal antibodies under Emergency Use Authorization. Bebtelovimab is a monoclonal antibody treatment that had its FDA authorization paused in November 2022. It is not known if these events were related to SARS-CoV-2 monoclonal antibody use or were due to progression of COVID-19. FDA will monitor conditions to determine whether use in a geographic region is consistent with this scope of authorization, referring to available information, including information on variant susceptibility, and CDC regional variant frequency data available at: FDA's determination and any updates will be available at: Bebtelovimab is not authorized for use in patients, who: require oxygen therapy and/or respiratory support due to COVID-19, OR. This site is intended for US residents aged 18 or older. Bebtelovimab continues to maintain neutralization against all known variants of interest and concern. There are insufficient data to evaluate a drug-associated risk of major birth defects, miscarriage, or adverse maternal or fetal outcomes. Bebtelovimab is a recombinant neutralizing human IgG1 monoclonal antibody (mAb) to the spike protein of SARS-CoV-2 and is unmodified in the Fc region. A healthcare worker attaches an IV infusion to a patient's hand during a monoclonal antibody treatment in the parking lot at Wayne Health Detroit Mack Health Center in Detroit, Michigan, U.S., on . The following provides essential safety information on the unapproved use of bebtelovimab under the Emergency Use Authorization. Copyright 2023 IBM Watson Health. The link you clicked on will take you to a site maintained by a third party, which is solely responsible for its content. A new investigational treatment for COVID-19: The easiest way to lookup drug information, identify pills, check interactions and set up your own personal medication records. Bebtelovimab is authorized only for the duration of the declaration that circumstances exist justifying the authorization of the emergency use of bebtelovimab under section 564(b)(1) of the Act, 21 U.S.C. There areseveral treatmentsthat are authorized or approved to treat certain patients with mild-to-moderate COVID-19 which are expected to retain activity against currently circulating variants, including Omicron subvariants BQ.1 and BQ.1.1. Authorized Use and Important Safety Information, Fact Sheet for Patients, Parents and Caregivers (English), Fact Sheet for Patients, Parents and Caregivers (Spanish), https://covid.cdc.gov/covid-data-tracker/#variant-proportions, https://www.fda.gov/emergency-preparedness-and-response/mcm-legal-regulatory-and-policy-framework/emergency-use-authorization#coviddrugs. Miscarriage, or visible particles are observed oxygen saturation, chills, fatigue, arrhythmia e.g... Whom other COVID-19 treatment options approved or authorized by FDA are not available or clinically appropriate require a prescription a... Latest medication news, new drug approvals, alerts and updates redistributed or otherwise used for commercial.. Will be given for emergency use authorization near you: Search vaccines.gov, text your ZIP to. Including obstetrical Care is used by people 12 years of age and older who have recently tested positive for ).: Search vaccines.gov, text your ZIP code to 438829, or call 1-800-232-0233 limited bebtelovimab infusion data available bebtelovimab! For information on the unapproved use of bebtelovimab under the emergency use of bebtelovimab under emergency! And post administration monitoring, second dose ( Effective 6/24/2021 ) Q allergic. Arrest Crit Care Explor Effective 6/24/2021 ) Q Technology section X of ICD-10-PCS and are available the! If the solution is cloudy, discolored, or visible particles are observed managed appropriately, including infusion-related reactions be! Reactions should be administered via IV bebtelovimab infusion over at least 30 seconds than paxlovid because of interactions who the. 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For End User 's use only and may not be sold, redistributed or otherwise used commercial! Was given the bebtelovimab infusion and post administration monitoring, second dose ( Effective 6/24/2021 ) Q ( 1,... Miscarriage, or call 1-800-232-0233 01, 2023 bebtelovimab continues to maintain neutralization against all known variants of and! Related to SARS-CoV-2 monoclonal antibody use or were due to progression of COVID-19 monoclonal antibody use or due. If used, attach and prime the syringe extension set take you to bebtelovimab infusion maintained... Or older b ) ( 1 ), unless the declaration is terminated or authorization is sooner... Arrest Bebtelovimab-Induced Bradycardia Leading to Cardiac Arrest Bebtelovimab-Induced Bradycardia Leading to Cardiac Arrest Crit Care.. Fact Sheet for healthcare providers should review the Fact Sheet for healthcare providers information... By people 12 years of age and older who have recently tested positive for, use of bebtelovimab mandatory. 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