New Evidence Available
Updated Recommendation
A new evidence synthesis was published:2023, Therapeutics and COVID-19: living guideline, 13 January 2023.
View latest version (2023)Bibliographic information
GuidelineTherapeutics and COVID-19: living guideline, 16 September 2022.
Year of Publication2022
Issuing InstitutionWorld Health Organization
Recommendation
Retired
We recommend against treatment with casirivimab-imdevimab for all patients with COVID-19
Recommended against
Strong
Notes and Remarks
Remarks
- Several other therapeutic options exist for patients with COVID-19 across the severity spectrum: see decision support tool for patients with non-severe COVID-19.
- The GDG considered in vitro data demonstrating that casirivimab-imdevimab does not neutralize the currently circulating variants of SARS-CoV-2 and their subvariants.
- There was consensus among the panel that the meaningful reduction of in vitro neutralization activity strongly suggests absence of clinical effectiveness of monoclonal antibodies such as sotrovimab and casirivimab-imdevimab.
- However, there was also consensus regarding the need for clinical trial evidence in order to confirm any clinical effectiveness of new monoclonal antibodies that reliably neutralize the circulating strains in vitro.