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Outpatient Use of Monoclonal Antibodies Casirivimab and Imdevimab in Pregnancy for Mild-to-Moderate Coronavirus Disease 2019

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Abstract Objective  The aim of this study was to report the use casirivimab/imdevimab therapy in pregnant women with moderate coronavirus disease 2019 (COVID-19). Study Design  We report 12 cases of… Click to show full abstract

Abstract Objective  The aim of this study was to report the use casirivimab/imdevimab therapy in pregnant women with moderate coronavirus disease 2019 (COVID-19). Study Design  We report 12 cases of unvaccinated pregnant patients with mild-to-moderate COVID-19 treated with casirivimab/imdevimab. Results  Twelve unvaccinated pregnant patients with mild-to-moderate COVID-19 received casirivimab/imdevimab at the dose of 1200/1200 mg by intravenous infusion over 60 minutes. All women were managed outpatient. None experienced severe adverse drug reaction and none progressed to severe disease. Conclusion  Casirivimab/imdevimab should be considered for outpatient treatment of unvaccinated pregnant women with mild-to-moderate COVID-19 to decrease the risk of severe disease. Key Points Casirivimab/imdevimab is not well studied in pregnant women. Casirivimab/imdevimab in pregnant women with mild-to-moderate COVID-19 decreases the risk of severe disease. Casirivimab/imdevimab in pregnant women with mild-to-moderate COVID-19 is well tolerated.

Keywords: mild moderate; disease; casirivimab imdevimab; moderate covid; pregnant women

Journal Title: American Journal of Perinatology
Year Published: 2023

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