Covid-19 Monoclonal Antibodies- Comparison

( Dec 2021)
Bamlanivimab
(LY-Co555) & Etesevimab
(LY-CoV016)
ELI LILY
(Pediatrics and NB)
Outpatient treatment,
Post-exposure prophylaxis
Effective against Delta variant
Casirivimab
(REGN10933) & Imdevimab
(REGN10987)
REGENERON
(≥12 y and ≥40 kg)
Outpatient treatment,
Post-exposure prophylaxis
Effective against Delta variant
Sotrovimab
(VIR-7831 )
GSK
(≥12 y and ≥40 kg) 
Outpatient treatment,
Post-exposure prophylaxis
Effective against Omicron variant
Tixagevimab
(AZD8895) & Cilgavimab
(AZD1061) (AZD7442)
(Evusheld) 
ASTRAZENECA
(≥12 y and ≥40 kg) 
Longer half life- 6 months
Pre-exposure prophylaxis,
( Immunocompromised or not eligible for vaccine.)
Not authorised for treatment purpose.
Can be REDOSED every 6 month.
Pre-exposure prophylaxis
(tixagevimab/cilgavimab)
• Individuals who are NOT currently infected with SARS-CoV-2 and who have NOT had a known recent exposure to an individual infected with SARS-CoV-2 AND  Who have moderate to severe immune compromise due to a medical condition or receipt of immunosuppressive medications or treatments AND may not mount an adequate immune response to COVID-19 vaccination OR  For whom vaccination with any available COVID-19 vaccine is not recommended due to a history of severe adverse reaction (eg, severe allergic reaction) to a COVID-19 vaccine(s) and /or COVID-19 vaccine component(s).
Outpatient treatment
(bamlanivimab/etesevimab, casirivimab/imdevimab, sotrovimab)
Individuals with positive results of direct SARS-CoV-2 viral testing, and who are at high risk for progression to severe COVID-19, including hospitalization or death.
Post-exposure prophylaxis
(bamlanivimab/etesevimab, casirivimab/imdevimab)
• Individuals who are at high risk for progressing to severe COVID-19, including hospitalization or death AND are not fully vaccinated OR not expected to mount an adequate immune response to complete SARS-CoV-2 vaccination AND  Who have been exposed to an individual infected with SARS-CoV-2 OR  Who are at high risk of exposure to an individual infected with SARS-CoV-2 because of an occurrence of SARS-CoV-2 infection in other individuals in the same institutional setting.

Published by Dr. Ramakanta

Pediatrician and occasional blogger

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