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.