Published: January 10, 2022
By: Alejandra O'Connell-Domenech
Race and ethnicity are just a few things that health care providers can use to determine if a patient should be given an antibody treatment.
Story at a glance
- The FDA recommended that health care providers use race or ethnicity among other factors when determining if a COVID-19 patient should be given a drug called sotrovimab.
- The unapproved drug has received an emergency use authorization from the agency for the treatment of COVID-19.
- The agency only recommends that the drug be used on patients with a “high risk of progression to severe COVID-19.”
- The U.S. Food and Drug administration is recommending that health care providers consider race and or ethnicity in addition to underlying health conditions when determining if a patient should be given a COVID-19 antibody treatment.
The recommendation was made in a fact sheet given out by the agency on the emergency use authorization of the drug sotrovimab to treat mild to moderate cases of COVID-19.
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“The U.S. Food and Drug Administration (FDA) has issued an Emergency Use Authorization (EUA) to permit the emergency use of the unapproved product sotrovimab for the treatment of mild-to-moderate coronavirus disease 2019 (COVID-19) in adults and pediatric patients (12 years of age and older weighing at least 40 kg) with positive results of direct SARS-CoV-2 viral testing, and who are at high risk for progression to severe COVID-19, including hospitalization or death,” the fact sheet states.
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FDA officials also list a number of medical qualifications that would deem a patient as "high risk for progression to severe COVID-19" including being overweight, pregnant, 65 years of age or older, suffering from kidney disease, diabetes or cardiovascular disease.
Below that list, FDA officials wrote, in parentheses, that health care providers can use “other medical conditions” to place patients at high-risk for progression to severe COVID-19.
“Other medical conditions or factors (for example, race or ethnicity) may also place individual patients at high risk for progression to severe COVID-19, and authorization of sotrovimab under the EUA is not limited to the medical conditions or factors listed above,” the document reads.
The factsheet was first released in September of last year and was last updated in December.
There are some caveats to the drug’s emergency use authorization, mainly that it is not recommended for patients who already have severe COVID-19 and who have been hospitalized due to the virus, require oxygen therapy due to COVID-19 or require an increase in baseline oxygen flow rate due to COVID-19.
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The excerpt below represents the medical standard by which all hospitals must abide by if they are to remain legal and operational according to the NIH.
JusticeIn healthcare, justice refers explicitly to the philosophical concept of “distributive justice.” This principle asserts that all persons (patients) will be treated fairly and equitably. It means not only respecting the rights of individuals but also treating all patients in a given situation the same regardless of who they are. Laws and policies within healthcare use the principle of justice to establish access for all persons to obtain healthcare required to preserve life, such as in emergency situations. Some governing bodies, such as the Canadian federal government, have extended justice in healthcare far beyond emergency care. Distributive justice, as defined by John Rawls, can be understood as equal respect for persons – entitlement of persons having a given need to the same rights and services as other persons with the same need and the provision of services of a more significant benefit offered to persons with greater need.
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