PROVIDER'S GUIDE TO COVID-19 TREATMENT OPTIONS
"We anticipate that initially, there'll be challenges for the healthcare system in administering IV infusions to infected patients. We believe there will be multiple solutions to these challenges depending on the setting and we look forward to working with the healthcare system in rising to this challenge."
- Janet Woodcock, MD, Therapeutics Lead for Federal COVID Response.
WHAT TREATMENTS ARE AVAILABLE FOR PATIENTS WHO DO NOT REQUIRE HOSPITALIZATION
Your eligible patients who have had mild to moderate symptoms for 10 days or less, may benefit from treatment with monoclonal antibody drugs that received emergency use authorization by the FDA in November 2020.
Monoclonal antibodies, including bamlanivimab and the combination of casirivimab and imdevimab, are treatments authorized for patients 12 years of age and older, and who are at high risk for progressing to severe COVID-19 and/or hospitalization. The high risk population includes patients who are 65 years of age or older, and others with certain chronic medical conditions.
To access these treatments, patients will need a referral from a healthcare provider.
ADDRESSING MISCONCEPTIONS AND BARRIERS
Since the start of the pandemic, there are now many treatment options that the FDA has either approved or received an EUA. Those products with an EUA have been studied for safety and has shown effectiveness in early studies. Monoclonal antibodies have been shown to help decrease the risk of hospitalization in high-risk patients.
Among the high-risk patients, providing facts about COVID-19 may be an effective approach. For instance, CDC surveillance data finds patients 65 and older represent only 14.5% of the total COVID-19 patients in the U.S., however, they represent 80% of the total deaths from COVID-19. It is also recommended that providers should consult the FDA Fact Sheets for the different COVID-19 therapies and the CDC recommendations for COVID-19 management.
Regarding common barriers, the competing priorities of vaccine administration, COVID-19 patient hospitalizations, and daily operations while managing a method to deliver monoclonal antibodies is one of the most challenging obstacles. Due to these challenges, providers need to familiarize themselves with the available infusion locations in their area and learn the required referral procedures. This step can save staff and patients a significant amount of time, and most importantly, prevent them from exceeding the 10-day treatment window. You can use the link below to identify potential infusion locations in your local area.
FDA Healthcare Provider Fact Sheets
- Casirivimab and imdevimab
- Baricitinib (Olumiant) in Combination with remdesivir (Veklury)
- Veklury (Remdesivir) Emergency Use Authorization
- Convalescent Plasma Emergency Use Authorization
- REGIOCIT replacement solution that contains citrate for regional citrate anticoagulation (RCA) of the extracorporeal circuit Emergency Use Authorization
- Fresenius Propoven 2% Emulsion Emergency Use Authorization
- multiFiltrate PRO System and multiBic/multiPlus Solutions Emergency Use Authorization