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Ly-Cov555 (BAMLANIVIMAB)

Eli Lilly and Company · discontinued Monoclonal antibody

Ly-Cov555 works by binding to the SARS-CoV-2 virus and preventing it from entering host cells.

Ly-Cov555, also known as Bamlanivimab, is a monoclonal antibody treatment developed by Eli Lilly and Company. It was approved by the FDA in 2020 for the treatment of COVID-19. As a small molecule modality, its exact mechanism of action is not well understood, but it is believed to work by binding to the SARS-CoV-2 virus and preventing it from entering host cells. Ly-Cov555 is a patented treatment, and its commercial status is maintained by Eli Lilly and Company. Key safety considerations include potential allergic reactions and the risk of antibody-dependent enhancement.

At a glance

Generic nameBAMLANIVIMAB
SponsorEli Lilly and Company
ModalityMonoclonal antibody
Therapeutic areaInfectious Disease
Phasediscontinued
First approval2020

Mechanism of action

Bamlanivimab is recombinant neutralizing human IgG1 monoclonal antibody (mAb) to the spike protein of SARS-CoV-2 and is unmodified in the Fc region. Bamlanivimab binds the spike protein with dissociation constant KD 0.071 nM and blocks spike protein attachment to the human ACE2 receptor with an IC50 value of 0.17 nM (0.025 ug/mL).Etesevimab is recombinant neutralizing human IgG1 mAb to the spike protein of SARS-CoV-2, with amino acid substitutions in the Fc region (L234A, L235A) to reduce effector function. Etesevimab binds the spike protein with dissociation constant KD 6.45 nM and blocks spike protein attachment to the human ACE2 receptor with an IC50 value of 0.32 nM (0.046 ug/mL).Bamlanivimab and etesevimab bind to different but overlapping epitopes in the receptor binding domain (RBD) of the S-protein. Using both antibodies together is expected to reduce the risk of viral resistance.

Approved indications

Common side effects

Key clinical trials

Primary sources

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SourceUsed for
FDA labelMechanism, indications, dosing, boxed warnings, drug interactions
ClinicalTrials.govTrial enrolment, design, endpoints, results

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