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PEMIVIBART INJ,SOLN

Clinical Criteria Summary

Indication & Patient Eligibility

  • Pre-exposure prophylaxis (PrEP) of COVID-19 in adults and pediatric individuals (12 years of age and older weighing at least 40 kg)
  • Must not be currently infected with SARS-CoV-2
  • Must not have had a known recent exposure to an individual infected with SARS-CoV-2
  • Must have moderate to severe immune compromise due to a medical condition or receipt of immunosuppressive medications/treatments and may not mount an adequate immune response to COVID-19 vaccination, including:
  • Active treatment for solid tumor and hematologic malignancy
  • Hematologic malignancies associated with poor responses to COVID-19 vaccines regardless of current treatment status (e.g., chronic lymphocytic leukemia, non-Hodgkin lymphoma, multiple myeloma, acute leukemia)
  • Receipt of solid organ transplant or an islet transplant and taking immunosuppressive therapy
  • Receipt of chimeric antigen receptor (CAR)-T-cell or hematopoietic stem cell transplant (withing 2 years of transplant or taking current immunosuppressive therapy)
  • Moderate to severe primary immunodeficiency (e.g., common variable immunodeficiency disease, severe combined immunodeficiency, DiGeorge syndrome, Wiskott-Aldrich syndrome)
  • Advanced or untreated HIV (those with CD4+ cell < 200/mm3, history of AIDS-defining illness without immune reconstitution or clinical manifestations of symptomatic HIV)
  • Active treatment with high-dose corticosteroids (i.e., ≥ 20mg/day prednisone or equivalent for ≥ 2 weeks), alkylating agents, antimetabolites, transplant-related immunosuppressive drugs, cancer chemotherapeutic agents classified as severely immunosuppressive, and biologic agents that are immunosuppressive or immunomodulatory (e.g., B-cell depleting agents)

Contraindications & Limitations of Use

  • Contraindicated in individuals with previous severe hypersensitivity reactions, including anaphylaxis to any component
  • NOT authorized for treatment of COVID-19
  • NOT authorized for post-exposure prophylaxis of COVID-19 in individuals exposed to someone infected with SARS-CoV-2
  • NOT a substitute for vaccination in individuals for whom COVID-19 vaccination is recommended
  • Should not be used for at least two weeks after COVID-19 vaccination
  • Authorized only when the combined national frequency of variants with substantially reduced susceptibility to PEM is ≤ 90%

Dosing & Administration Requirements

  • Single intravenous (IV) infusion of 4500 mg
  • Repeat doses every 3 months
  • Infused over a minimum of 60 minutes
  • No adjustment recommended for hepatic or renal dysfunction, in geriatrics, or in pregnant or lactating persons
  • Must be prepared and administered by a qualified healthcare worker using aseptic technique
  • Must use an inline 0.2-micron filter
  • Entire contents of the bag must be administered; line flushed with 0.9% sodium chloride after completion

Monitoring & Safety Requirements

  • Must be administered in a setting where healthcare providers have immediate access to medications to treat anaphylaxis and the ability to activate the emergency medical system
  • Clinically monitor individuals during the 60-minute infusion and for at least 2 hours after completion
  • Immediately discontinue administration and initiate appropriate supportive care if signs/symptoms of a severe allergic reaction occur; permanently discontinue PEM in those with anaphylaxis
  • For mild infusion-related reactions, consider slowing or stopping the infusion, administer appropriate medications/supportive care, and monitor for 2 hours after discontinuation or completion

Source Documents