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Clesrovimab (MK-1654, also known as Enflonsia) is an extended half-life, fully human IgG1 monoclonal antibody developed by Merck for the prevention of respiratory syncytial virus (RSV) lower respiratory tract disease in neonates and infants. It targets site IV of the RSV fusion (F) protein, acting as a fusion inhibitor to prevent viral entry into host cells. Clesrovimab is engineered with half-life extending mutations (YTE) in the Fc region to provide durable protection throughout a typical RSV season with a single, weight-independent dose. It was approved by the US FDA in June 2025 and by the European Commission in April 2026, and is under regulatory review in other regions, including Japan (where it is known as cresrovimab).
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