Peringatan Keamanan

Single doses of up to 1750mg of bebtelovimab (10 times the authorized dose) have been administered in clinical trials without evidence of dose-limited toxicity. Treatment of bebtelovimab overdose should consist of general supportive measures.L40288

Bebtelovimab

DB16755

biotech investigational withdrawn

Deskripsi

Bebtelovimab (LY-COV1404, LY-3853113) is a human monoclonal antibody approved for emergency use in the treatment of COVID-19. It binds to a portion of the SARS-CoV-2 spike (S) protein's receptor-binding domain, thereby preventing spike protein interaction with ACE2 and subsequent viral entry into host cells. Bebtelovimab is notable in that the epitope to which it binds appears infrequently mutated, making it a viable candidate for use in resistant SARS-CoV-2 strains (i.e. variants of concern, VOCs), including the B.1.617.2 (Delta) and B.1.1.529 (Omicron) variants.A245353 This is in contrast to previously developed COVID-19 monoclonal antibody treatments - including bamlanivimab, etesevimab, casirivimab, and imdevimab - which have been found ineffective in the treatment of COVID-19 caused by the Omicron variant.L40328

Bebtelovimab was issued an emergency use authorization (EUA) by the FDA on February 11, 2022, for the treatment of mild-to-moderate COVID-19 in select patients.L40313 In November 2022, the FDA updated the Health Care Provider Fact Sheet for bebtelovimab to inform of its expected reduced activity against certain emerging Omicron subvariants of SARS-CoV-2.L43827 On November 30, 2022, the EUA for bebtelovimab was officially withdrawn due to a lack of efficacy against Omicron subvariants, therefore bebtelovimab is no longer authorized for emergency use in the US.L44241

Struktur Molekul 2D

Struktur tidak tersedia

Peta Jejaring Molekuler
Legenda: ObatTargetGenEnzim(Panah → menunjukkan arah efek / relasi)TransporterCarrier

Profil Farmakokinetik

Waktu Paruh (Half-Life) Following a single intravenous dose of 175mg, the mean elimination half-life of bebtelovimab was 11.5 days.[L40288]
Volume Distribusi At steady-state, the volume of distribution of bebtelovimab is 4.61 L.[L40288]
Klirens (Clearance) Following a single intravenous dose of 175mg, the mean clearance of bebtelovimab was 0.335 L/day.[L40288]

Absorpsi

Following a single intravenous dose of 175mg, the mean Cmax and AUCinf of bebtelovimab were 59.8 mcg/mL and 522 mcg.day/mL, respectively.L40288

Metabolisme

As with other therapeutic proteins, bebtelovimab is likely degraded via catabolic processes into smaller peptides and amino acids.

Rute Eliminasi

Data eliminasi belum tersedia.

Interaksi Obat

372 Data
Diethylstilbestrol Diethylstilbestrol may increase the thrombogenic activities of Bebtelovimab.
Chlorotrianisene Chlorotrianisene may increase the thrombogenic activities of Bebtelovimab.
Conjugated estrogens Conjugated estrogens may increase the thrombogenic activities of Bebtelovimab.
Estrone Estrone may increase the thrombogenic activities of Bebtelovimab.
Estradiol Estradiol may increase the thrombogenic activities of Bebtelovimab.
Dienestrol Dienestrol may increase the thrombogenic activities of Bebtelovimab.
Ethinylestradiol Ethinylestradiol may increase the thrombogenic activities of Bebtelovimab.
Mestranol Mestranol may increase the thrombogenic activities of Bebtelovimab.
Estriol Estriol may increase the thrombogenic activities of Bebtelovimab.
Estrone sulfate Estrone sulfate may increase the thrombogenic activities of Bebtelovimab.
Quinestrol Quinestrol may increase the thrombogenic activities of Bebtelovimab.
Hexestrol Hexestrol may increase the thrombogenic activities of Bebtelovimab.
Tibolone Tibolone may increase the thrombogenic activities of Bebtelovimab.
Synthetic Conjugated Estrogens, A Synthetic Conjugated Estrogens, A may increase the thrombogenic activities of Bebtelovimab.
Synthetic Conjugated Estrogens, B Synthetic Conjugated Estrogens, B may increase the thrombogenic activities of Bebtelovimab.
Polyestradiol phosphate Polyestradiol phosphate may increase the thrombogenic activities of Bebtelovimab.
Esterified estrogens Esterified estrogens may increase the thrombogenic activities of Bebtelovimab.
Zeranol Zeranol may increase the thrombogenic activities of Bebtelovimab.
Equol Equol may increase the thrombogenic activities of Bebtelovimab.
Estetrol Estetrol may increase the thrombogenic activities of Bebtelovimab.
Promestriene Promestriene may increase the thrombogenic activities of Bebtelovimab.
Methallenestril Methallenestril may increase the thrombogenic activities of Bebtelovimab.
Epimestrol Epimestrol may increase the thrombogenic activities of Bebtelovimab.
Moxestrol Moxestrol may increase the thrombogenic activities of Bebtelovimab.
Estradiol acetate Estradiol acetate may increase the thrombogenic activities of Bebtelovimab.
Estradiol benzoate Estradiol benzoate may increase the thrombogenic activities of Bebtelovimab.
Estradiol cypionate Estradiol cypionate may increase the thrombogenic activities of Bebtelovimab.
Estradiol valerate Estradiol valerate may increase the thrombogenic activities of Bebtelovimab.
Biochanin A Biochanin A may increase the thrombogenic activities of Bebtelovimab.
Formononetin Formononetin may increase the thrombogenic activities of Bebtelovimab.
Cetuximab The risk or severity of adverse effects can be increased when Cetuximab is combined with Bebtelovimab.
Human immunoglobulin G The risk or severity of adverse effects can be increased when Human immunoglobulin G is combined with Bebtelovimab.
Omalizumab The risk or severity of adverse effects can be increased when Omalizumab is combined with Bebtelovimab.
Adalimumab The risk or severity of adverse effects can be increased when Adalimumab is combined with Bebtelovimab.
Abciximab The risk or severity of adverse effects can be increased when Abciximab is combined with Bebtelovimab.
Gemtuzumab ozogamicin The risk or severity of adverse effects can be increased when Gemtuzumab ozogamicin is combined with Bebtelovimab.
Indium In-111 satumomab pendetide The risk or severity of adverse effects can be increased when Indium In-111 satumomab pendetide is combined with Bebtelovimab.
Infliximab The risk or severity of adverse effects can be increased when Infliximab is combined with Bebtelovimab.
Trastuzumab The risk or severity of adverse effects can be increased when Trastuzumab is combined with Bebtelovimab.
Rituximab The risk or severity of adverse effects can be increased when Rituximab is combined with Bebtelovimab.
Basiliximab The risk or severity of adverse effects can be increased when Basiliximab is combined with Bebtelovimab.
Muromonab The risk or severity of adverse effects can be increased when Muromonab is combined with Bebtelovimab.
Digoxin Immune Fab (Ovine) The risk or severity of adverse effects can be increased when Digoxin Immune Fab (Ovine) is combined with Bebtelovimab.
Ibritumomab tiuxetan The risk or severity of adverse effects can be increased when Ibritumomab tiuxetan is combined with Bebtelovimab.
Tositumomab The risk or severity of adverse effects can be increased when Tositumomab is combined with Bebtelovimab.
Alemtuzumab The risk or severity of adverse effects can be increased when Alemtuzumab is combined with Bebtelovimab.
Capromab pendetide The risk or severity of adverse effects can be increased when Capromab pendetide is combined with Bebtelovimab.
Efalizumab The risk or severity of adverse effects can be increased when Efalizumab is combined with Bebtelovimab.
Antithymocyte immunoglobulin (rabbit) The risk or severity of adverse effects can be increased when Antithymocyte immunoglobulin (rabbit) is combined with Bebtelovimab.
Natalizumab The risk or severity of adverse effects can be increased when Natalizumab is combined with Bebtelovimab.
Palivizumab The risk or severity of adverse effects can be increased when Palivizumab is combined with Bebtelovimab.
Daclizumab The risk or severity of adverse effects can be increased when Daclizumab is combined with Bebtelovimab.
Bevacizumab The risk or severity of adverse effects can be increased when Bevacizumab is combined with Bebtelovimab.
Technetium Tc-99m arcitumomab The risk or severity of adverse effects can be increased when Technetium Tc-99m arcitumomab is combined with Bebtelovimab.
Eculizumab The risk or severity of adverse effects can be increased when Eculizumab is combined with Bebtelovimab.
Panitumumab The risk or severity of adverse effects can be increased when Panitumumab is combined with Bebtelovimab.
Ranibizumab The risk or severity of adverse effects can be increased when Ranibizumab is combined with Bebtelovimab.
Galiximab The risk or severity of adverse effects can be increased when Galiximab is combined with Bebtelovimab.
Pexelizumab The risk or severity of adverse effects can be increased when Pexelizumab is combined with Bebtelovimab.
Afelimomab The risk or severity of adverse effects can be increased when Afelimomab is combined with Bebtelovimab.
Epratuzumab The risk or severity of adverse effects can be increased when Epratuzumab is combined with Bebtelovimab.
Bectumomab The risk or severity of adverse effects can be increased when Bectumomab is combined with Bebtelovimab.
Oregovomab The risk or severity of adverse effects can be increased when Oregovomab is combined with Bebtelovimab.
IGN311 The risk or severity of adverse effects can be increased when IGN311 is combined with Bebtelovimab.
Adecatumumab The risk or severity of adverse effects can be increased when Adecatumumab is combined with Bebtelovimab.
Labetuzumab The risk or severity of adverse effects can be increased when Labetuzumab is combined with Bebtelovimab.
Matuzumab The risk or severity of adverse effects can be increased when Matuzumab is combined with Bebtelovimab.
Fontolizumab The risk or severity of adverse effects can be increased when Fontolizumab is combined with Bebtelovimab.
Bavituximab The risk or severity of adverse effects can be increased when Bavituximab is combined with Bebtelovimab.
CR002 The risk or severity of adverse effects can be increased when CR002 is combined with Bebtelovimab.
Rozrolimupab The risk or severity of adverse effects can be increased when Rozrolimupab is combined with Bebtelovimab.
Hepatitis B immune globulin The risk or severity of adverse effects can be increased when Hepatitis B immune globulin is combined with Bebtelovimab.
Girentuximab The risk or severity of adverse effects can be increased when Girentuximab is combined with Bebtelovimab.
Obiltoxaximab The risk or severity of adverse effects can be increased when Obiltoxaximab is combined with Bebtelovimab.
XTL-001 The risk or severity of adverse effects can be increased when XTL-001 is combined with Bebtelovimab.
NAV 1800 The risk or severity of adverse effects can be increased when NAV 1800 is combined with Bebtelovimab.
Briakinumab The risk or severity of adverse effects can be increased when Briakinumab is combined with Bebtelovimab.
Otelixizumab The risk or severity of adverse effects can be increased when Otelixizumab is combined with Bebtelovimab.
AMG 108 The risk or severity of adverse effects can be increased when AMG 108 is combined with Bebtelovimab.
Iratumumab The risk or severity of adverse effects can be increased when Iratumumab is combined with Bebtelovimab.
Enokizumab The risk or severity of adverse effects can be increased when Enokizumab is combined with Bebtelovimab.
Ramucirumab The risk or severity of adverse effects can be increased when Ramucirumab is combined with Bebtelovimab.
Farletuzumab The risk or severity of adverse effects can be increased when Farletuzumab is combined with Bebtelovimab.
Veltuzumab The risk or severity of adverse effects can be increased when Veltuzumab is combined with Bebtelovimab.
Ustekinumab The risk or severity of adverse effects can be increased when Ustekinumab is combined with Bebtelovimab.
Trastuzumab emtansine The risk or severity of adverse effects can be increased when Trastuzumab emtansine is combined with Bebtelovimab.
PRO-542 The risk or severity of adverse effects can be increased when PRO-542 is combined with Bebtelovimab.
TNX-901 The risk or severity of adverse effects can be increased when TNX-901 is combined with Bebtelovimab.
Inotuzumab ozogamicin The risk or severity of adverse effects can be increased when Inotuzumab ozogamicin is combined with Bebtelovimab.
RI 624 The risk or severity of adverse effects can be increased when RI 624 is combined with Bebtelovimab.
Stamulumab The risk or severity of adverse effects can be increased when MYO-029 is combined with Bebtelovimab.
CT-011 The risk or severity of adverse effects can be increased when CT-011 is combined with Bebtelovimab.
Leronlimab The risk or severity of adverse effects can be increased when Leronlimab is combined with Bebtelovimab.
Glembatumumab vedotin The risk or severity of adverse effects can be increased when Glembatumumab vedotin is combined with Bebtelovimab.
Olaratumab The risk or severity of adverse effects can be increased when Olaratumab is combined with Bebtelovimab.
IPH 2101 The risk or severity of adverse effects can be increased when IPH 2101 is combined with Bebtelovimab.
TB-402 The risk or severity of adverse effects can be increased when TB-402 is combined with Bebtelovimab.
Caplacizumab The risk or severity of adverse effects can be increased when Caplacizumab is combined with Bebtelovimab.
IMC-1C11 The risk or severity of adverse effects can be increased when IMC-1C11 is combined with Bebtelovimab.
Eldelumab The risk or severity of adverse effects can be increased when Eldelumab is combined with Bebtelovimab.

Target Protein

Spike glycoprotein S

Referensi & Sumber

Artikel (PubMed)
  • PMID: 33972947
    Westendorf K, Wang L, Zentelis S, Foster D, Vaillancourt P, Wiggin M, Lovett E, van der Lee R, Hendle J, Pustilnik A, Sauder JM, Kraft L, Hwang Y, Siegel RW, Chen J, Heinz BA, Higgs RE, Kallewaard N, Jepson K, Goya R, Smith MA, Collins DW, Pellacani D, Xiang P, de Puyraimond V, Ricicova M, Devorkin L, Pritchard C, O'Neill A, Dalal K, Panwar P, Dhupar H, Garces FA, Cohen C, Dye J, Huie KE, Badger CV, Kobasa D, Audet J, Freitas JJ, Hassanali S, Hughes I, Munoz L, Palma HC, Ramamurthy B, Cross RW, Geisbert TW, Menacherry V, Lokugamage K, Borisevich V, Lanz I, Anderson L, Sipahimalani P, Corbett KS, Yang ES, Zhang Y, Shi W, Zhou T, Choe M, Misasi J, Kwong PD, Sullivan NJ, Graham BS, Fernandez TL, Hansen CL, Falconer E, Mascola JR, Jones BE, Barnhart BC: LY-CoV1404 (bebtelovimab) potently neutralizes SARS-CoV-2 variants. bioRxiv. 2022 Jan 7. doi: 10.1101/2021.04.30.442182.

Contoh Produk & Brand

Produk: 1 • International brands: 0
Produk
  • Bebtelovimab
    Injection, solution • 87.5 mg/1mL • Intravenous • US

Sekuens Gen/Protein (FASTA)

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