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Table 1 AIFA’s indications for the use of anti-SARS-CoV-2 mAbs in subjects between 12 and 17 years old

From: Eligibility criteria for pediatric patients who may benefit from anti SARS-CoV-2 monoclonal antibody therapy administration: an Italian inter-society consensus statement

Patients aged ≥12 years old, who tested positive for SARS-CoV-2, with mild-moderate disease, a recent onset (less than 10 days, except for patients with immunodeficiency and persistently positive molecular test but negative serologic test)* and the presence of risk factors for severe disease:

- Body Mass Index (BMI) ≥95°percentile for age and gender

- Chronic renal failure, including hemodialysis or peritoneal dialysis

- Uncontrolled Diabetes mellitus (HbA1c > 9% or 75 mmol/mol) or with chronic complications

- Primary and secondary Immunodeficiencies

- Haemoglobinopathies

- Cerebral vascular diseases (including high blood pressure with organ damage)

- Neurodevelopment and degenerative diseases

- Chronic obstructive pulmonary disease e/o other respiratory chronic conditions (for examples asthma, pulmonary fibrosis or condition requiring oxygen therapy not for SARS-CoV-2)

- Chronic hepatopathy (with following box warning: “mAbs have not been studied in patients with moderate or severe hepatic impairment”)

*Bamlanivimab+Etesevimab is approved for outpatients (not-hospitalized patients) without supplemental oxygen therapy for COVID 19; Casirivimab+Imdevimab is approved also for hospitalized patients and for patients with conventional oxygen therapy (excluding high flow and mechanical ventilation)