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Pemivibart is a long-acting, human monoclonal antibody (IgG1λ) developed for pre-exposure prophylaxis of COVID-19 in immunocompromised individuals aged 12 years and older who weigh at least 40 kg. It is administered intravenously and works by binding to the receptor-binding domain (RBD) of the SARS-CoV-2 spike protein, thereby inhibiting its attachment to the human Angiotensin-converting enzyme 2 (ACE2) receptor and preventing viral entry into cells. Pemivibart has been engineered for an extended half-life and demonstrates neutralizing activity against multiple SARS-CoV-2 variants, including Omicron sublineages. It received emergency use authorization (EUA) from the FDA in March 2024 but is not fully approved[1][2][5][6].
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