COVID-19 vaccines and treatments, regulatory status at a glance (2 of 3)

The table below shows the COVID-19 vaccines and treatments regulatory status at a glance. It is updated on an ad hoc basis. Regulatory status from 24 September 2021 13 April 2022 is covered.

On mobile, the table is best viewed by scrolling sideways.

For regulatory status prior to 14 April 2022, please visit:

  • post 1 of 3 for regulatory status between 8 May 2020 – 23 September 2021
  • post 3 of 3 for regulatory status from 14 April 2022

Other news including on vaccines, treatments, trials and side effects, here.

Company(ies)/ Organisation/
Others
ProductIssuing Regulatory Agency/OrganisationRegulatory status updateDate
BioNTech Manufacturing GmbHComirnaty COVID-19 vaccineMHRA/UKUpdated shelf-life from 9-months to 12-months for Comirnaty 30 microgram COVID-19 mRNA Vaccine (purple cap)13 Apr 2022
Future Health Pharma GmbH on behalf of
Novavax
Nuvaxovid COVID-19 vaccine (a protein based vaccine)SwissmedicTemporary authorisation granted for use in people aged 18 and over.13 Apr 2022
Pfizer/BioNTechComirnaty COVID-19 vaccineSwissmedicExtension of shelf-life from 9 months to 12 months approved.12 Apr 2022
Pfizer Australia Pty LtdCOVID-19 vaccine, ComirnatyTGA/AustraliaProvisional approval granted for use as a booster in individuals aged 12 to 15 years old.8 April 2022
GlaxoSmithKline (GSK) Australia Pty LtdSotrovimab (Xevudy)TGA/AustraliaTGA has received an application for a higher (1000 mg) dose of GSK’s COVID 19 treatment, sotrovimab (Xevudy). This higher dose will be considered for treatment of patients suspected to have infection caused by the Omicron BA.2 sublineage.7 Apr 2022
Janssen-CilagCovid-19 vaccine (recombinant)Anvisa/BrazilFull registration approved.
In addition to contemplating primary immunization, the registry includes the approval of the booster dose.
The vaccine was approved for emergency use on March 31, 2021.
It is indicated for active immunization to prevent COVID-19 caused by SARS-CoV-2 in persons 18 years of age and older.
5 Apr 2022
GlaxoSmithKline LLCSotrovimabFDA/USSotrovimab is no longer authorized to treat COVID-19 in any U.S. region due to increases in the proportion of COVID-19 cases caused by the Omicron BA.2 sub-variant5 Apr 2022
Sanofi PasteurVidprevtynEMA/EUEMA has started evaluating a MAA authorisation30 Mar 2022
Wyeth Indústria Farmacêutica Ltda./PfizerPaxlovid (nirmatrelvir + ritonavir)Anvisa/BrazilTemporary authorisation for emergency use approved for the treatment of Covid-19 in adults who do not require supplemental oxygen and who are at increased risk of progression to severe Covid-19. 30 Mar 2022
Moderna US Inc.Spikevax COVID-19 vaccineFDA/USFDA authorised a second booster dose of the vaccine. The agency amended the EUA as follows:
A second booster dose of the vaccine may be administered:
– to individuals 50 years of age and older at least 4 months after receipt of a first booster dose of any authorized or approved COVID-19 vaccine
– at least 4 months after the first booster dose of any authorized or approved COVID-19 vaccine to individuals 18 years of age and older with the same certain kinds of immunocompromise.
29 Mar 2022
BioNTech Manufacturing GmbHComirnaty COVID-19 vaccineFDA/USFDA authorised a second booster dose of the vaccine. The agency amended the EUA as follows:
A second booster dose of the vaccine may be administered:
– to individuals 50 years of age and older at least 4 months after receipt of a first booster dose of any authorized or approved COVID-19 vaccine
– to individuals 12 years of age and older with certain kinds of immunocompromise at least 4 months after receipt of a first booster dose of any authorized or approved COVID-19 vaccine. These are people who have undergone solid organ transplantation, or who are living with conditions that are considered to have an equivalent level of immunocompromise.
29 Mar 2022
HIPRA Human Health S.L.U.COVID-19 Vaccine HIPRA (also known as PHH-1V).
EMA/EUThe CHMP has started a rolling review of this vaccine.
This protein-based vaccine is being developed by HIPRA Human Health S.L.U. as a booster vaccine for adults who have already been fully vaccinated with a different COVID-19 vaccine.
According to the data presented by the company, the drugs Regn-Cov-2 and Regkirona showed a significant drop in activity against the Ômicron variant of the new coronavirus.
29 Mar 2022
Celltrion Healthcare  Distribuição  d e Produtos Farmacêuticos  do Brasil LtdaRegkirona (regdanvimab)ANVISA/BrazilEmergency Use Authorisation temporarily suspended until data are presented. that prove its effectiveness against the Omicron variant of Sars-CoV-2 or another variant of concern that will become predominant in the country. 28 Mar 2022
Regn-Cov-2 (casirivimab and imdevimab)ANVISA/BrazilEmergency Use Authorisation temporarily suspended until data are presented. that prove its effectiveness against the Omicron variant of Sars-CoV-2 or another variant of concern that will become predominant in the country.28 Mar 2022
BioNTech Manufacturing GmbHComirnaty COVID-19 vaccineMHRA/UKUpdated 30mg and 10mg PIL and SPC. No further information provided by the MHRA. 25 Mar 2022
Moderna Biotech Spain S.L.Spikevax COVID-19 vaccineMHRA/UKUpdated SmPC and PIL. No further information provided by the MHRA. Moderna has confirmed the following updates:
Sections 4.6 and 4.8 of the SmPC (Paraesthesia added to the ADR table in section 4.8) have been updated. Sections 2 and 4 of the PIL have been updated.
24 Mar 2022
AstraZeneca ABEvusheld (tixagevimab/cilgavimab)EMA/EUThe CHMP has recommended granting a marketing authorisation for the prevention of COVID-19 in adults and adolescents from 12 years of age weighing at least 40 kg before potential exposure to the SARS-CoV-2 virus.
24 Mar 2022
Serum Institute of India Pvt. Ltd. (SII)Covovax™ (NVX-CoV2373) CDSCO/IndiaEmergency use authorisation (EUA) granted for adolescents aged ≥12 to <18 years.22 Mar 2022
Moderna Inc.Spikevax COVID-19 vaccineFDA/USApplication submitted to ask for an amendment to the emergency use authorization (EUA) to allow for a fourth dose of vaccine in adults 18 years of age and older who have received an initial booster of any of the authorized or approved COVID-19 vaccines.17 Mar 2022
ModernaTX, Inc.Spikevax COVID-19 vaccineHealth CanadaExtension of the indication of Spikevax to include active immunization to prevent coronavirus disease 2019 (COVID-19) in individuals 6 years to 11 years of age approved. 17 Mar 2022
AstraZeneca UK LimitedEvusheld (tixagevimab/cilgavimab)MHRA/UKConditional Marketing Authorisation for Evusheld in Great Britain granted.

Evusheld is indicated for the pre-exposure prophylaxis of COVID-19 in adults who are not currently infected with SARS-CoV-2 and who have not had a known recent exposure to an individual infected with SARS-CoV-2 and:
-Who are unlikely to mount an adequate immune response to COVID-19 vaccination or
-For whom COVID-19 vaccination is not recommended.
17 Mar 2022
M/s Hetero
Biopharma Ltd
SPUTNIK Light (Recombinant adenoviral vector vaccine containing particles of
serotype 26 containing the protein
S gene of the SARS-CoV-2 virus)
CDSCO/IndiaFor ≥ 18 years age
For Restricted Use in Emergency Situation
16 Mar 2022
Pfizer/BionNTechComirnaty COVID-19 vaccineFDA/USApplication submitted for U.S. Emergency Use Authorization of an additional booster dose of the vaccine for adults 65 years of age and older who have received an initial booster of any of the authorized or approved COVID-19 vaccines,15 Mar 2022
BioNTech Manufacturing GmbHComirnaty COVID-19 vaccineMHRA/UKSmPC and PIL Comirnaty 30mg/dose concentrate, title updated to include reference to purple cap.
• Section 4.2 of the SmPC Includes new reference to the fact there is now paediatric formulation available for children 5 to 11 years of age.
• In section 4.8 the SmPC and section 4 of the PIL, and Myo/pericarditis changed from a potential side effect of unknown frequency to “very rare”.
• In section 4.8 the SmPC and section 4 of the PIL, Erythema multiforme added as a potential side effect with unknown frequency.
• In section 6.3 of the SmPC and section 5 of the PIL, shelf life updated from 6 months to 9 months.
14 Mar 2022

Moderna Biotech Spain, S.L.
Spikevax (elasomeran)EMA/EUEMAs PRAC has recommended that a warning for flare-ups of capillary leak syndrome (CLS) should be added to the product information for the vaccine.11 Mar 2022
Janssen-Cilag International NVCOVID-19 Vaccine JanssenEMA/EUEMAs PRAC has recommended that small vessel vasculitis with cutaneous manifestations (inflammation of blood vessels in the skin which may result in a rash, pointed or flat, red spots under the skin’s surface and bruising) should be added to the product information of the vaccine as a possible side effect of unknown frequency.11 Mar 2022
Biocelect Pty Ltd (on behalf of Novavax Inc.) NuvaxovidTGA/AustraliaSecond provisional determination granted. This means that the company is now able to apply for provisional registration for the vaccine for use in adolescents and children as data becomes available.

Biocelect Pty Ltd has indicated that they intend to apply for provisional registration of the vaccine for use in individuals 12 years and older in April 2022 and anticipate that an application for use in children 5-11 years old will be submitted to the TGA later in the year.

Currently, Nuvaxovid is provisionally approved for the active immunisation of adults aged 18 years and older for the prevention of disease caused by SARS-CoV-2.
10 Mar 2022
Janssen Biotech IncJanssen COVID-19 VaccineFDA/USEUA updated. FDA authorized an extension for the shelf life of the refrigerated vaccine, from six to nine months, allowing the product to be stored at 2-8 degrees Celsius.4 Mar 2022
Astrazeneca do Brasil LtdaEvusheld®️(cilgavimab + tixagevimab  + tixagevimab ).ANVISA/ BrazilTemporary authorisation for emergency use approved for the indication for prophylaxis before exposure to Covid-19, in adult and pediatric individuals (12 years of age and older, weighing at least 40 kg), who have not had a known recent exposure to an individual infected with SARS-CoV-2 and who have moderate to severe immune compromise due to a medical condition and/or receiving immunosuppressive drugs or treatments and who may not have an adequate immune response to vaccination against Covid-19. 
The drug will also be indicated for whom vaccination with any available Covid-19 vaccine is not recommended, due to a history of serious adverse reaction (e.g. severe allergic reaction) or allergy to any component of the Covid-19 vaccine.
24 Feb 2022
AstraZeneca Pharmaceuticals LPEVUSHELD™ (tixagevimab co-packaged with cilgavimab)FDA/USEUA revised  to change the initial dose for the authorised use as pre-exposure prophylaxis (prevention) of COVID-19 in certain adults and pediatric patients.

Based on the most recent information and data available, Evusheld may be less active against certain Omicron subvariants. The dosing regimen was revised because available data indicate that a higher dose of Evusheld may be more likely to prevent infection by the COVID-19 Omicron subvariants BA.1 and BA.1.1 than the originally authorised Evusheld dose.
24 Feb 2022
AstraZeneca Pty Ltdtixagevimab and cilgavimab (Evusheld)TGA/AustraliaGranted provisional approval for the pre-exposure* prophylaxis (prevention) of COVID-19 in people aged 12 years and older weighing at least 40 kg:
-who have moderate-to-severe immune compromise due to a medical condition or receipt of immunosuppressive medications or treatments that make it likely that they will not mount an adequate immune response to COVID-19 vaccination; or
-for whom vaccination is not recommended due to a history of severe adverse reaction to a COVID‐19 vaccine or COVID‐19 vaccine component.

*people who are at risk of infection but have not been exposed to the virus, known as pre-exposure prevention of COVID-19.
24 Feb 2022
Medicago Inc.COVIFENZ, COVID-19 Vaccine (plant-based virus-like particles [VLP], recombinant,
adjuvanted)
Health CanadaRecommended for authorisation under Division 8 of the Food and Drug Regulations, for active immunisation to prevent COVID-19 caused by SARS-CoV-2 in individuals 18 to 64 years of age.24 Feb 2022

BioNTech Manufacturing GmbH
Comirnaty COVID-19 vaccineEMA/EUThe CHMP has recommended that a booster dose of Comirnaty may be given where appropriate to adolescents from 12 years of age. The vaccine is already authorised in the EU as a 2-dose primary course in adolescents (as well as adults and children from 5 years of age) and a booster dose is currently authorised from 18 years of age.24 Feb 2022
Moderna Biotech Spain S.L.Spikevax COVID-19 vaccineEMA/EUThe CHMP has recommended granting an extension of indication to include use in children aged 6 to 11 years. The vaccine is already approved for use in adults and children aged 12 and above.24 Feb 2022
Medicago Inc.Covifenz COVID-19 vaccine (uses plant based protein technology)Health CanadaAuthorised with terms and conditions, for the prevention of COVID-19 in adults 18 to 64 years of age24 Feb 2022
Novavax Inc.Nuvaxovid COVID-19 vaccineHealth CanadaAuthorised for use in active
immunization to prevent COVID-19 caused by SARS-CoV-2 in individuals 18 years of age and older.
17 Feb 2022
Pfizer(Pty) Ltd.Paxlovid (nirmatrelvir and ritonavir)SAHPRA/South AfricaAn application has been submitted
for use in adults diagnosed with mild-to-moderate COVID-19 and is under consideration.
17 Feb 2022
MSD (Pty) LtdMolnupiravir (Lagevrio)SAHPRA/South AfricaAuthorised, with conditions, the importation of a limited quantity molnupiravir in terms of section 21 of the Medicines and Related Substances Act, 1965 , initially for a period of 6 months.

Application for the registration of “LAGEVRIO”, for which a rolling review has commenced. 
17 Feb 2022
Moderna Australia Pty Ltd.Spikevax Covid-19 vaccineTGA/AustraliaProvisional approval granted for use in individuals aged 6 years and older.

The decision follows the provisional approvals granted for the use of Spikevax in individuals aged 12 years and older on 3 September 2021, and on 7 December 2021 the Spikevax booster dose for use in adults 18 years and older.
17 Feb 2022
Janssen-Cilag Ltd.Covid-19 vaccine JanssenMHRA/UKThe MHRA confirms an update to the product information but no further information has been provided.
Janssen have confiremde the following updates:

On 11 February:
SmPC
i) Section 6.3 Shelf Life updated to reflect extended shelf life of the product from 3 months to 4.5
months when stored at 2 to 8°C
ii) Section 6.4 Special precautions – Updated to reflect extend shelf-life in section 6.3.

On 14 February
SmPC
Sections 4.4 Special Warnings and Precuartions for use and 4.8 Undesirable Effects updated to include Venous Thromboembolism (VTE) as an ADR; to add a new warning on Immune Thrombocytopenia (ITP) and to add dizziness and ITP to the table of ADRs with frequencies uncommon and not known respectively.

the PIL has been updated to reflect the above changes.
14 Feb 2022
Future Health Pharma GmbH (representing Novavax)Nuvaxovid vaccineSwissmedicAuthorisation application submitted under the procedure according to Art. 13 of the Therapeutic Products Act (TPA). This enables Swissmedic to take the review by the EMA into consideration.14 Feb 2022
Eli Lilly and Companybebtelovimab, monoclonal antibody)FDA/USEmergency Use Authorisation granted for the treatment of mild/moderate COVID-19 in adults and pediatric patients (aged 12 years and over, and weighing at least 40kg) with a +ve COVID-19 test, and who are at high risk for progression to severe COVID-19, including hospitalization or death, and for whom alternative COVID-19 treatment options approved or authorized by the FDA are not accessible or clinically appropriate. 11 Feb 2022
Pfizer Japan Inc.Paxlovid (Nirmatrelvir + Ritonavir)PMDA/JapanSpecial Approval for Emergency under Article 14-3 granted for use in the treatment of disease caused by SARS-CoV-2 infection (COVID-19) for adults and children aged ≥12 years.10 Feb 2022
AstraZeneca Pty LtdCOVID-19 vaccine, VaxzevriaTGA/AustraliaProvisional approval of a booster dose for individuals aged 18 years and older.8 Feb 2022
BioNTech Manufacturing GmbHComirnaty vaccineEMA/ EUEvaluation of an application for the use of a booster dose of the vaccine in adolescents aged 12 to 15 years has started. 8 Feb 2022
M/s Dr. Reddy’s Lab.
Ltd. (Importer)
Recombinant adenoviral vector
vaccine containing particles of
serotype 26 containing the protein
S gene of the SARS-CoV-2 virus
(SPUTNIK Light)
CDSCO/IndiaApproved for Restricted Use in Emergency Situation for those ≥ 18 years age.5 Feb 2022
Gilead Sciences Pty LtdVeklury (remdesivir)TGA/AustraliaSecond Provisional determination granted allowing Gilead Sciences to vary the provisional approval (see below), for use in children and adults who have not yet progressed to severe COVID-19 (those not in hospital).

Currently, VEKLURY is provisionally approved for use in adults and adolescent patients with severe COVID-19 symptoms who have been hospitalised and require oxygen.
5 Feb 2022
NovavaxNuvaxovid COVID-19 vaccine
Medsafe/New ZealandProvisional approval granted.4 Feb 2022
Novavax Nuvaxovid COVID-19 vaccine HSA/SingaporeInterim authorisation granted under the Pandemic Special Access Route (PSAR) for the prevention of COVID-19 in individuals aged 18 years and above. 3 Feb 2022
NovavaxNuvaxovid COVID-19 vaccine ((recombinant, adjuvanted))MHRA/UKConditional Marketing Authorisation (CMA) granted in Great Britain only. It is indicated for active immunisation to prevent COVID-19 caused by SARS-CoV-2 in individuals 18 years of age and older.
The vaccine is authorised in Northern Ireland under an Emergency Use Authorisation granted by the European Medicines Agency on 20 December 2021.
3 Feb 2022
MC Pharma

COVID-19 Vaccine MC pharma
(inactivated Vero Cell vaccine)

Initially developed by the Beijing Institute of Biological Products Co., Ltd, this product has also been referred to as the Sinopharm/BBIBP vaccine.
SAHPRA/South AfricaRegistered under section 15 of the Medicines and Related Substance Act (Act 101 of 1965 as Amended), with conditions, indicated for immunisation against SARS-CoV-2 in those aged 18 years and older.31 Jan 2022
PfizerPaxlovidHSA/SingaporeInterim authorisation granted under the Pandemic Special Access Route (PSAR)31 Jan 2022
ModernaTx, IncSpikevax (also known as Moderna COVID-19 vaccine for EUA use)FDA/USApproved for use for the active immunization against coronavirus disease 2019 (COVID-19) caused by the SARS‑CoV-2 virus in persons 18 years of age and older.

Spikevax has the same formulation as the EUA Moderna COVID-19 Vaccine. 

Moderna COVID-19 Vaccine remains available under EUA as a two-dose primary series for individuals 18 years of age and older, as a third primary series dose for individuals 18 years of age and older who have been determined to have certain kinds of immunocompromise, and as a single booster dose for individuals 18 years of age and older at least five months after completing a primary series of the vaccine. It is also authorized for use as a heterologous (or “mix and match”) single booster dose for individuals 18 years of age and older following completion of primary vaccination with a different available COVID-19 vaccine. 
31 Jan 2022
Pfizer Australia Pty Ltd.Comirnaty COVID-19 vaccineTGA/AustraliaProvisionally approved for use as a booster in individuals aged 16 and 17 years old.28 Jan 2022
Pfizer Europe MA EEIGPaxlovid (PF-07321332 / ritonavir)EMA/EUConditional Marketing Authorisation granted to treat COVID-19 in adults who do not require supplemental oxygen and who are at increased risk of the disease becoming severe.28 Jan 2022
AstraZeneca UK LimitedVaxzevria COVID-19 vaccineMHRA/UKSmPC section 4.4 Special warnings and precautions for use, sub-section ‘Neurological events’ updated to add extremely rare cases of transverse myelitis.
Table 1 in the Section 4.8 Undesirable effects, sub section ‘Nervous system disorders’ updated to add Frequency (Not known): transverse myelitis.

The PIL has been updated according in the respective sections.
26 Jan 2022
Pfizer Comirnaty vaccineSAHPRA/South AfricaRegistered under section 15 of the Medicines and Related Substance Act (Act 101 of 1965 as Amended), with conditions, with the indication for active immunisation to prevent COVID-19 in individuals 12 years of age and older.
25 Jan 2022
Eli Lilly and CompanyBamlanivimab and etesevimab administered togetherFDA/USFDA revised the authorisation to limit its use to only when the patient is likely to have been infected with or exposed to a variant that is susceptible to these treatments. 

Revised fact sheet for healthcare providers.
24 Jan 2022
Regeneron Pharmaceuticals Inc.REGEN-COV (casirivimab and imdevimab) FDA/USFDA revised the authorisation to limit its use to only when the patient is likely to have been infected with or exposed to a variant that is susceptible to these treatments. 

Revised fact sheet for healthcare providers.
24 Jan 2022
AstraZeneca ABVaxzevria COVID-19 vaccineEMA/EUThe EMA has approved a scale up of manufacturing of Vaxzevria.
An existing manufacturing site operated by Universal Farma in Guadalajara, Spain, will add a second filling line for the finished product 
24 Jan 2022
Pfizer/BioNTechComirnaty COVID-19 vaccineSpecial Approval for Emergency Use granted for the prevention of disease caused by SARS-CoV-2 infection (COVID-19) in children 5 to 11 years of age.22 Jan 2022
Chugai Pharmaceutical Co., LtdActemra for Intravenous Infusion (tocilizumab)PMDA/JaoanApproved with conditions for use in pneumonia caused by SARS-CoV-2 infection (COVID-19) (limited to patients requiring supplemental oxygen)21 Jan 2022
Gilead Sciences Inc.Veklury (remdesivir)FDA/USThe FDA has expanded the approved indication for Veklury to include its use in adults and pediatric patients (12 years of age and older who weigh at least 40 kilograms, with positive results of direct SARS-CoV-2 viral testing, and who are not hospitalized and have mild-to-moderate COVID-19, and are at high risk for progression to severe COVID-19, including hospitalization or death. 

The agency also revised the Emergency Use Authorization (EUA) for Veklury to additionally authorize the drug for treatment of pediatric patients weighing 3.5 kilograms to less than 40 kilograms or pediatric patients less than 12 years of age weighing at least 3.5 kilograms, with positive results of direct SARS-CoV-2 viral testing, and who are not hospitalized and have mild-to-moderate COVID-19, and are at high risk for progression to severe COVID-19, including hospitalization of death. 
21 Jan 2022
Butantan on behalf os SInovac, ChinaButantan Coronavac ANVISA/BrazilEmergency use authorisation granted for the inclusion of use in children and adolescents between 6 and 17 years old, who are not immunocompromised, 20 Jan 2022
Merck Sharp & Dohme (Australia) Pty Ltd.Lagevrio (molnupiravir)TGA/AustraliaProvisional approval granted for the treatment of adults with COVID-19 who do not require initiation of oxygen and who are at increased risk of progression to hospitalisation or death. 20 Jan 2022
Pfizer Australia Pty Ltd.Paxlovid (nirmatrelvir + ritonavir) TGA/AustraliaProvisional approval granted for the treatment of adults with COVID-19 who do not require initiation of oxygen and who are at increased risk of progression to hospitalisation or death.20 Jan 2022
Biocelect Pty Ltd. (on behalf of Novavax)COVID-19 vaccine, NuvaxovidTGA/AustraliaProvisional approval granted for active immunisation to prevent COVID-19 in individuals 18 years of age and older.19 Jan 2022
Moderna Switzerland GmbHSpikevaxSwissmedicShelf-life extended from 7 to 9 months for storage between -25 °C and -15 °C for Spikevax, dispersion for injection.19 Jan 2022
PfizerPaxlovid
(has two synthetic active substances (nirmatrelvir/ritonavir) in separate tablets
SwissmedicAn authorisation application has been submitted (under a rolling review process)
for the treatment of COVID-19.
18 Jan 2022
Pfizer Canada ULCPaxlovid (nirmatrelvir and ritonavir)Health CanadaNotice of COmpliance Issued for New Drug Submission. Authorised with terms and conditions for for the treatment of mild-to-moderate COVID-19 in adults with positive results of direct severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) viral testing, and who are at high risk for progression to severe COVID-19, including hospitalization or death17 Jan 2022
PfizerPaxlovidCofepris/MexicoAuthorised for controlled emergency use to treat adult patients with mild or moderate COVID-19 and at risk of complications14 Jan 2022
GlaxoSmithKline  Xevudy (sotrovimab) antibodySwissmedicTemporary authorisation granted for treatment of COVID-19 in adults and adolescents aged 12 years and over and with a body weight of at least 40 kg if oxygen therapy or hospitalisation is not required due to the disease and there is a high risk of developing a severe form of COVID-19.14 Jan 2022
iQone Healthcare Switzerland Regkirona (regdanvimab)
antibody
SwissmedicTemporary authorisation granted for treatment of COVID-19 in adults if oxygen therapy or hospitalisation is not required due to the disease and there is a high risk of developing a severe form of COVID-19.13 Jan 2022
Janssen Biotech Inc. Janssen (Johnson and Johnson) COVID-19 Vaccine FDA/USEUA reissued
with the following changes:

1) Section 5 Warnings and Precautions of the EUA Fact Sheet for Healthcare Providers Administering Vaccine (Vaccination Providers) (Full
Prescribing Information) is revised to include new information on an increased risk of immune thrombocytopenia
(ITP) during the 42 days following vaccination.

ii) Related changes were also made to the EUA Fact Sheet for Healthcare Providers Administering
Vaccine (Vaccination Providers) (short version) for consistency.

More information here.
11 Jan 2022
Pfizer Limited Paxlovid
(Paxlovid is PF-07321332 tablets co-packaged with ritonavir tablets.)
MHRA/UKThe MHRA website states, Updated the SPC and PIL for Paxlovid.

Drug Interactions stated in the SmPC and PIL have been harmonised following an MHRA request. Section 4.5 of the SmPC and Section 2 the PIL have been updated to achieve the harmonisation.
11 Jan 2022
MSDMolnupiravirCofepris/MexicoAuthorised for emergency use to treat patients with mild or moderate COVID-19, and with high risk of complications7 Jan 2022
ModernaTX, IncModerna COVID-19 VaccineFDA/USEUA amended to shorten the time between the completion of a primary series of the vaccine and a booster dose to at least five months for individuals 18 years of age and older. 7 Jan 2022
AstraZeneca UK Limited Vaxzevria vaccineMHRA/UKMHRA website states
-‘Updated summary of product characteristics and package leaflet information’.
-Updated the Reg 174 information for Healthcare professionals and UK recipients.
No other information is provided but it seems from this safety update (Volume 15 issue 6 Jan 2022) that the product information for was updated to allow for the use of the vaccine as a booster or third dose and to
include safety information on immune thrombocytopenia (ITP), cerebral venous sinus
thrombosis (CVST) without thrombocytopenia, and facial paralysis.
5 Jan 2022
AstraZeneca Pty Ltd.tixagevimab and cilgavimab (Evusheld)TGA/AustraliaFurther provisional determination granted, for prevention and treatment of COVID-19 in individuals aged 12 years and older.4 Jan 2022
Pfizer-BioNTech Comirnaty, Pfizer-BioNTech COVID-19 Vaccine FDA/USEUA amended to:
-Expand the use of a single booster dose to include use in individuals 12 through 15 years of age.
-Shorten the time between the completion of primary vaccination of the Pfizer-BioNTech COVID-19 Vaccine and a booster dose to at least five months.
– Allow for a third primary series dose for certain immunocompromised children 5 through 11 years of age.
3 Jan 2022
Pfizer LimitedPaxlovid
(Paxlovid is PF-07321332 tablets co-packaged with ritonavir tablets.)
MHRA/UKConditional Marketing Authorisation issued for Great Britain and a temporary Regulation 174 authorisation for Northern Ireland to ensure supply across all of the UK. More information here.

Paxlovid is indicated for the treatment of COVID-19 in adults who do not require supplemental
oxygen and who are at increased risk for progression to severe COVID-19.
31 Dec 2021
M/s Serum Institute
of India Pvt. Ltd
SARS-CoV-2 rS Protein (COVID-19)
recombinant spike protein
Nanoparticle Vaccine [COVOVAX]
CDSCO/IndiaApproved for restricted emergency use for the prevention of COVID-19 28 Dec 2021
M/s Biological E
Limited
SARS-CoV-2 vaccine containing
Receptor Binding Domain (RBD) of
SARS-CoV-2 gene (CORBEVAX)
CDSCO/IndiaApproved for restricted emergency use for the prevention of COVID-19 28 Dec 2021
Center for Genetic Engineering and Biotechnology (CIGB) in Havana
Recombinant protein of the receptor-binding domain of the SARS-CoV-2 virus (Abdala COVID-19 vaccine)Cofepris/MexicoAuthorised for emergency use.

This is a three dose vaccine. More about the vaccien here.
28 Dec 2021
Janssen-Cilag AGCOVID-19 Vaccine JanssenSwissmedicApproval granted for booster dose so that persons aged 18 years and older can now receive a booster dose after a first vaccination.

The booster dose of the vaccine can be administered, at the earliest, two months after the first dose.
27 Dec 2021
Bharat BiotechCovaxin COVID-19 vaccineCDSCO/IndiaApproval granted for emergency use in children aged 12 to 18.25 Dec 2021
MSD KKLagevrio (Molnupiravir) PMDA/JapanSpecial Approval for Emergency Use granted for the Treatment of disease caused by SARS-CoV-2 infection (COVID-19) for patients aged ≥18 years.24 Dec 2021
Moderna, Biotech Spain, S.L. Spikevax vaccineMHRA/UK The MHRA update states ‘Frozen storage instructions’. It seems that the following text has been deleted from section 6.4 of the SmPC
‘Do not store on dry ice or below -50ºC’. The leaflet will have been updated accordingly. Note that the date of the updated SmPC is 22 Dec 2021.
24 Dec 2021
RocheRonapreve (a combination of antiboides casirivimab and imdevimab)SwissmedicSwissmedic has approved the product which was already authorised for prescription use, for use under COVID-19 Ordinance 3.

Ronapreve is indicated in adults and adolescents aged 12 years or older with a bodyweight of at least 40 kg:
– for treatment of COVID-19 if oxygen therapy or hospitalisation is not required and there is a high risk of developing a severe form of COVID-19.
– for prevention of COVID-19 when an adequate immune response to COVID-19 vaccination is not possible.
23 Dec 2021
JanssenCOVID-19 Vaccine JanssenSAHPRA/South AfricaBooster dose granted approval for use with conditions, under section 15 Medicines and Related Substance Act (Act 101 of 1965), for 2nd dose at least 2 months after primary vaccination. 23 Dec 2021
Merck Sharp & Dohme CorpmolnupiravirFDA/USEmergency Use Authorisation (EUA) issued for the treatment of mild-to-moderate coronavirus disease (COVID-19) in adults 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, and for whom alternative COVID-19 treatment options authorized by the FDA are not accessible or clinically appropriate.23 Dec 2021
Moderna, Biotech Spain, S.L. Spikevax vaccineMHRA/UKThe MHRA update states ‘SmPC & PIL updated’. No further infromation is provided. It seems that the section 6.4 of the SmPC has been updated to change the storage time period for the unopened vial from 7 months to 9 months. The leaflet will have been updated accordingly.22 Dec 2021
?Turkovac COVID-19 vaccineTITCK/TurkeyEmergency use approval granted.22 Dec 2021
Pfizer Inc.Oral antiviral Paxlovid (nirmatrelvir tablets and ritonavir tablets, co-packaged for oral use)FDA/USEUA issued for Paxlovid for the treatment of mild-to-moderate coronavirus disease (COVID-19) in adults and pediatric patients (12 years of age and older weighing at least 40 kilograms or about 88 pounds) with positive results of direct SARS-CoV-2 testing, and who are at high risk for progression to severe COVID-19, including hospitalization or death.

Paxlovid should be initiated as soon as possible after diagnosis of COVID-19 and within five days of symptom onset.
22 Dec 2021
BioNTech Manufacturing GmbHComirnaty vaccineMHRA/UKApproval granted for a new age-appropriate formulation of Comirnaty, for use in children aged 5 to 11 years old. This new authorisation to the Conditional Marketing Authorisation (CMA) granted by the MHRA is valid in Great Britain only.22 Dec 2021
Pharmac?Ronapreve monoclonal antibodyMedsafe/New ZealandRonapreve is approved for:
-the treatment of COVID-19 for people who are affected by COVID-19 and are at increased risk of progressing to severe COVID-19 disease.  
-for preventing COVID-19 for people who have been exposed to the virus and have a medical condition that makes them unlikely to be protected by vaccination.
21 Dec 2021
Novavax CZ, a.s.Nuvaxovid (also known as NVX-CoV2373)EMA/EUConditional Marketing Authorisation granted, to prevent COVID-19 in people from 18 years of age20 Dec 2021
Vaxine Pty LtdCOVID-19 vaccine: Recombinant CoV-2-S-ΔTM protein with Advax-CpG55.2TGA/AustraliaProvisional determination granted.20 Dec 2021
Gilead Sciences Ireland UCVeklury (remdesivir)EMA/EUThe CHMP adopted a change to the existing indication to add that
Veklury is indicated for the treatment of coronavirus disease 2019 (COVID-19) in:
adults who do not require supplemental oxygen and who are at increased risk of
progressing to severe COVID-19.
16 Dec 2021
BioNTech Manufacturing GmbHComirnaty COVID-19 vaccineFDA/USApproval to include a new
30 mcg dose formulation (Tris/Sucrose) manufactured at the
Pfizer Manufacturing Belgium NV, Puurs, Belgium (Pfizer, Puurs) facility.

This new formulation:
-is more stable at refrigerated temperatures for longer periods of time, permitting greater flexibility for vaccination providers.
-does not need to be diluted before use, thus, vaccination providers can more readily prepare and deliver appropriate doses.
-contains Tris buffer, a commonly used buffer in other FDA-approved vaccines and biologics.
16 Dec 2021
Janssen-Cilag International NV.COVID-19 Vaccine JanssenEMA/EUCHMP approves an additional manufacturing site for the production of the vaccine.
The site, located in Marcy-l’Étoile, France, and operated by Sanofi Pasteur, will manufacture finished product
16 Dec 2021
BioNTech Manufacturing GmbHComirnaty VaccineEMA/EUCHMP approves an increase in production of the active substance of the vaccine at manufacturing site operated by Wyeth BioPharma Division of Wyeth Pharmaceuticals, located in Andover, MA, USA.16 Dec 2021
Moderna Biotech Spain, S.L. COVID-19 vaccine SpikevaxEMA/EUCHMP has given a positivie opinion for an increase in production of Spikevax, at the manufacturing site operated by ROVI Contract Manufacturing, located in Madrid, Spain.
The increase in production includes a 50% scale-up of the batch size of the finished product and a second fill-and-finish line
16 Dec 2021
PfizerPaxlovid (PF-07321332/ritonavir) an oral treatment for COVID-19. EMA/EUThe CHMP has issued advice on the use of Paxlovid and ritonavir for the treatment of COVID-19.
The medicine, which is not yet authorised in the EU (butreview has started) , can be used to treat adults with COVID-19 who do not require supplemental oxygen and who are at increased risk of progressing to severe disease. Paxlovid should be administered ASAP after diagnosis of COVID-19 and within 5 days of the start of symptoms. The separate tablets, should be taken together twice a day for 5 days.
16 Dec 2021
Swedish Orphan Biovitrum AB (publ)
Immunosuppressive, Kineret (anakinra)
EMA/EUThe CHMP has recommended extending the indication of the product, to include treatment of COVID-19 in adult patients with pneumonia requiring supplemental oxygen (low or high flow oxygen) and who are at risk of developing severe respiratory failure, as determined by blood levels of a protein called suPAR (soluble urokinase plasminogen activator receptor) of at least 6 ng per ml.16 Dec 2021
GlaxoSmithKline Trading Services Limited monoclonal antibody Xevudy (sotrovimab) EMA/EUThe CHMP has recommended authorising Xevudy for treating COVID-19 in adults and adolescents (from 12 years of age and weighing at least 40 kg) who do not require supplemental oxygen and who are at increased risk of the disease becoming severe. 16 Dec 2021
ModernaSpikevax COVID-19 vaccinePMDA/JapanBooster dose approved. Special approval for emergency use.
Further information in this list.
16 Dec 2021
Janssen-Cilag International NVCOVID-19 Vaccine JanssenEMA/EUThe CHMP has concluded that a booster dose of COVID-19 Vaccine Janssen may be considered at least two months after the first dose in people aged 18 years and above.

CHMP has also concluded that that a booster dose with COVID-19 Vaccine Janssen may be given after two doses of one of the mRNA vaccines authorised in the EU, i.e.  Comirnaty  or Spikevax. 
15 Dec 2021
Janssen Biotech Inc.Janssen (Johnson and Johnson) COVID-19 Vaccine FDA/USEUA amended with the following changes:

EUA Fact Sheet for Healthcare Providers Administering Vaccine (Vaccination Providers) (Full
Prescribing Information) is revised to include new informatin in the following sections:
4 CONTRAINDICATIONS
4.2 Thrombosis with Thrombocytopenia

5 WARNINGS AND PRECAUTIONS
5.2 Thrombosis with Thrombocytopenia Syndrome (TTS)

6 OVERALL SAFETY SUMMARY
6.1 Clinical Trial Experience

Related changes were also made to the EUA Fact Sheet for Healthcare Providers Administering
Vaccine (Vaccination Providers) (short version) for consistency

More information here.
14 Dec 2021
Merck Sharp & Dohme in collaboration with Ridgeback Biotherapeutics oral antiviral medicine Lagevrio (molnupiravir) EMA/EUFollowing EMA’s interim recommendations to support national authorities who may decide on early use of Lagevrio (molnupiravir) prior to marketing authorisation, the Agency will review more data from the main study of Lagevrio (MK-4482-002)

EMA has started evaluating a marketing authorisation 
application under a reduced timeline.

14 Dec 2021
Pfizer/BioNTech Comirnaty vaccineSwissmedicApproval granted for use in children aged 5 to 11 years.10 Dec 2021
Pfizer-BioNTechComirnaty VaccineHSA SingaporeHSA extends the PSAR authorisation for use in children of ages 5 to 11 years for the prevention of COVID-19, at a lower dose of 10mcg.10 Dec 2021
BioNTech Manufacturing GmbHPfizer-BioNTech COVID-19 Vaccine. FDA/USEmergency use authorisation (EUA) amended, authorising the use of a single booster dose for administration to individuals 16 and 17 years of age at least six months after completion of primary vaccination with the Pfizer-BioNTech COVID-19 Vaccine.9 Dec 2021
AstraZeneca Pharmaceuticals LPEvusheld (tixagevimab co-packaged with cilgavimab and administered together) FDA/USEmergency Use Authorisation granted for the pre-exposure prophylaxis (prevention) of COVID-19 in certain adults and pediatric individuals (12 years of age and older weighing at least 40 kg [about 88 lbs). The product is only authorised for those individuals who are not currently infected with the SARS-CoV-2 virus and who have not recently been exposed to an individual infected with SARS-CoV-2.8 Dec 2021
PfizerComirnaty vaccineSAHPRA/ South AfricaBooster dose granted approved for use under section 21 of the Medicines and Related Substance Act (Act 101 of 1965) as follows:

A third dose of the Comirnaty® COVID-19 vaccine:
– in individuals aged 18 years and older, to be administered at least 6 months after the second dose.
– in individuals aged 12 years and older who are severely immunocompromised, to be administered at least 28 days after the second dose.
8 Dec 2021
Moderna Australia Pty Ltd COVID-19 vaccine SpikevaxTGA/AustraliaProvisional approved granted for a booster dose of the vaccine, for individuals 18 years and older.

In addition, the TGA Product Information (PI) also now includes a statement in relation to a 3rd primary dose of COVID-19 vaccine for severely immunocompromised people aged 12 years and over at least 28 days after the second dose. A 3rd primary dose is intended to address the risk of suboptimal or non-response to the standard 2 dose schedule
7 Dec 2021
MODERNA BIOTECH SPAIN, S.L.Spikevax vaccineMHRA/UKTHe MHRA website states Product Information Updated. Sections 2, 4.2, 4.4, 4.8, 5.1, 6.5 and 6.6 of the SmPC updated.
It seems from the MHRA safety update (Volume 15 issue 6 Jan 2022) that the SmPCc and PIL were upated to to allow for use of the vaccine as a booster or
third dose in individuals 18 years of age and older and for immunocompromised
patients, and safety updates (to include diarrhoea and skin reaction as adverse
reactions, further information on delayed injection site reactions, minor amendments to
the hypersensitivity text, updates to myocarditis and pericarditis.
The above information has been obtained from the MHRA safety update (Volume 15 issue 6 Jan 2022)
6 Dec 2021
Roche Registration GmbH RoActemra (tocilizumab) EMA/EUCHMP has recommended extending the indication of RoActemra (tocilizumab) to include the treatment of adults with COVID-19 who are receiving systemic treatment with corticosteroids and require supplemental oxygen or mechanical ventilation.6 Dec 2021
Celltrion Healthcare Australia Pty Ltdmonoclonal antibody, regdanvimab (REGKIRONA)TGA/AustraliaProvisional approval granted for the for the treatment of adults with COVID-19 who do not require supplemental oxygen and are at increased risk of progressing to severe COVID-19.6 Dec 2021
Pfizer Australia Pty Ltd. COVID-19 vaccine, ComirnatyTGA/ AustraliaProvisional approval granted for use in children 5-11 years of age. 5 Dec 2021
Eli Lilly and companymonoclonal antibodies bamlanivimab and etesevimabFDA/USThe EUA (previously authorised for pediatric patients 12 years of age and older weighing at least 40kg, or about 88 lbs), revised to additionally be used for:
i) the treatment of mild/moderate COVID-19 in all younger pediatric patients, including newborns, who have a positive COVID-19 test and are at high risk for progression to severe COVID-19, including hospitalisation or death.
ii) post-exposure prophylaxis for prevention of COVID-19 in all pediatric patients, including newborns, at high risk of progression to severe COVID-19, including hospitalisation or death
3 Dec 2021
ValnevaVLA2001, COVID-19 vaccineEMA/EURolling review commenced.2 Dec 2021
GlaxoSmithKline UK LimitedMonoclonal antibody, Xevudy (sotrovimab)MHRA/UKConditional Marketing Authorisation granted (valid in GB only) and an emergency use authorisation granted in Northern Ireland, for the treatment of symptomatic adults and adolescents (aged 12 years and over and weighing at least 40 kg) with acute covid-19 infection who do not require oxygen supplementation and who are at increased risk of progressing to severe covid infection.2 Dec 2021
bamlanivimab and etesevimab combinationCofepris/MexicoAuthorised for emergency use, for the treatment of mild to moderate coronavirus disease in adults and pediatric patients (12 years and older weighing at least 40 kilograms), with positive direct diagnostic test results for the SARS-CoV-2 virus. , and who present very high-risk comorbidities that are not controlled1 Dec 2021
AstraZeneca ABVaxzevria COVID-19 Vaccine EMA/EUThe CHMP has approved a new site (operated by WuXi Biologics, in Leverkusen, Germany) to manufacture Vaxzevria finished product.

CHMP has also given a positive opinion to scale up manufacturing to triple the batch size of finished product at a site operated by Amylin Ohio in West Chester Township, Ohio, US.
1 Dec 2021
Roche Products Pty Ltd COVID-19 monoclonal antibody, tocilizumab (Actemra) TGA/AustraliaProvisional approval granted for the treatment of coronavirus
disease 2019 (COVID-19) in hospitalised adults who are receiving
systemic corticosteroids and require supplemental oxygen or
mechanical ventilation
1 Dec 2021
ModernaSpikevax vaccineSwissmedicBooster dose approved. A booster dose (half-dose) can now be administered to anyone aged 18 or over with immediate effect. High-risk individuals can still obtain the booster from age 12. In both cases, however, the second dose must have been administered at least six months previously.26 Nov 2021
BioNTech and Pfizer Comirnaty COVID-19 vaccineEMA/EUThe CHMP has recommended granting an extension of indication to include use in children aged 5 to 11 years.25 Nov 2021
Novavax Inc.COVID-19 vaccine NVX-CoV2373HSA/SingaporeApplication submitted for interim authorisation under the Pandemic Special Access Route (PSAR).24 Nov 2021
Janssen IncAd26.COV2.S (recombinant)Health CanadaAuthroised with terms and conditions. To transition the regulatory status of the from being authorised under the Interim Order (IO), to being authorised under Division 8 of the Food and Drug Regulations.23 Nov 2021
Pfizer/BioNTech Comirnaty vaccineSwissmedicIndividuals aged 16 years and over can now be administered a booster dose. As stipulated in the Swissmedic decision of 26 Oct 2021, high-risk individuals can still obtain the booster from age 12. In both cases, however, the second dose must have been administered at least six months previously.23 Nov 2021
Janssen-Cilag International NVCOVID-19 Vaccine JanssenEMA/EUEvaluation started of an application for the use of a booster dose of the vaccine to be given at least two months after the first dose to people aged 18 years and older.22 Nov 2021
Grand Pacific CRO (the Australian sponsor acting on behalf of Medigen Vaccine Biologics Corp,Taiwan)COVID-19 vaccine: MVC-COV1901-S-2P-Protein (MVC-COV1901 Vaccine).TGA/AustraliaProvisional determination granted. The vaccine will be considered for for the active immunisation to prevent COVID-19 caused by SARS-CoV-2, in individuals aged 18 years of age and older22 Nov 2021
PfizerPaxlovid (PF-07321332/ritonavir) an oral treatment for COVID-19. EMA/EUReview started to support national authorities who may decide on its early use for COVID-19 e.g. in emergency use settings, prior to marketing authorisation. 19 Nov 2021
BioNTech Manufacturing GmbHComirnaty (tozinameran) COVID-19 vaccine Health Canada

Authorised for use with terms and conditions for active immunization to prevent coronavirus disease 2019 (COVID-19) caused by SARS-CoV-2 in children 5 to less than 12 years.

Authorised under Food and Drug Regulations for drugs for use in relation to COVID-19 
19 Nov 2021
Merck Sharp & Dohme in collaboration with Ridgeback Biotherapeutics molnupiravir (also known as MK 4482 or Lagevrio) EMA/EUCHMP has issued adivce on use while the rolling review is in progress.
The medicine, currently not authorised in the EU, can be used to treat adults with COVID-19 who do not require supplemental oxygen and who are at increased risk of developing severe COVID-19.
19 Nov 2021
Pfizer-BioNTechComirnaty vaccineFDA/USEmergency use authorisation (EUA) amended, authorising use of a single booster dose for all individuals 18 years of age and older after completion of primary vaccination with any FDA-authorised or approved COVID-19 vaccine.19 Nov 2021
Janssen Biotech Inc. Janssen (Johnson and Johnson) COVID-19 Vaccine FDA/USLetter of authorisation of EUA reissued. Revisions incorporated to amend the EUA to authorize the vaccine as a single booster dose following completion of primary
vaccination with another authorized or approved COVID-19 vaccine

More information here.
19 Nov 2021
ModernaTX, IncModerna COVID-19 vaccineFDA/USEmergency use authorisation (EUA) amended, authorising use of a single booster dose for all individuals 18 years of age and older after completion of primary vaccination with any FDA-authorised or approved COVID-19 vaccine. 19 Nov 2021
Pfizer Schweiz AGComirnaty vaccineSwissmedicApplication submitted to request extension of the use of the vaccine in children aged 5 to 11 years.19 Nov 2021
BioNTech Manufacturing GmbH Comirnaty vaccine MHRA/UK
Sections of the SmPC and PIL updated to include information about receiving a 3rd/booster dose and two new reagents, sodium hydroxide and hydrochloric acid, which are used in small quantities during the preparation of one of the solutions used in the manufacturing process. The official International non-proprietary name ‘tozinameran’ has also been added.
15 Nov 2021
ModernaTX, Inc.SPikevax (Elasomeran mRNA Vaccine)Health CanadaAuthorised with terms and conditions, a booster dose that may be administered at least 6 months after completion of the primary series in individuals 18 years of age or older.12 Nov 2021
Roche Registration GmbHRonapreve (casirivimab/imdevimab), monoclonal antibodiesEMA/EURonapreve is authorised in the EU for treating COVID-19 in adults and adolescents (from 12 years of age and weighing at least 40 kilograms) who do not require supplemental oxygen and who are at increased risk of their disease becoming severe.

Ronapreve can also be used for preventing COVID-19 in people aged 12 years and older weighing at least 40 kilograms.
12 Nov 2021
Celltrion Healthcare Hungary KftRegkirona (regdanvimab) monoclonal antibodyEMA/EURegikrona is authorised in the EU
for the treatment of adults with COVID 19 who do not require supplemental oxygen and who are at increased risk of their disease becoming severe.
 
12 Nov 2021
Pfizer Japan Inc.Comirnaty Intramuscular Injection (tozinameran) PMDA/JapanNew dosage indicated for the
prevention of disease caused by SARS-CoV-2
infection (COVID-19).
Special Approval for Emergency]
11 Nov 2021
Moderna Biotech Spain, S.L.COVID-19 vaccine, SpikevaxEMA/EUEvaluation of an application to extend the use of the vaccine in children aged 6 to 11 has commenced.10 Nov 2021
Chugai Pharmaceutical Co Ltd.Ronapreve Casirivimab and Imdevimab)PMDA/JapanSpecial approval for emergency use granted for treatment and suppression of development of disease caused by SARS-CoV-2 infection (COVID-19)

Original special approval for emergency use granted on 19 July 2021 for treatment of disease caused by SARS-CoV-2 infection (COVID-19)
5 Nov 2021
AstraZeneca Pty Ltd.COVID-19 monoclonal antibody treatment tixagevimab and cilgavimab (Evusheld)TGA/AustraliaProvisional determination granted. To be considered for the prevention of COVID-19 in adults aged 18 years and older.4 Nov 2021
Merck Sharp & Dohme (UK) Limited Lagevrio (molnupiravir)
oral antiviral
MHRA (UK)Conditional Marketing Authorisation granted (valid in GB only) and an emergency use authorisation granted for Northern Ireland,   for use in people who have mild to moderate COVID-19 and at least one risk factor for developing severe illness. Such risk factors include obesity, older age (>60 years), diabetes mellitus, or heart disease.

SmPC and PIL
4 Nov 2021
AstraZeneca AGCOVID-19 Vaccine AstraZenecaSwissmedicAstraZeneca withdraws authorisation application.4 Nov 2021
Bharat Biotech, IndiaBBV152 COVAXIN vaccineWHOEmergency Use Listing (EUL) .3 Nov 2021
Novavax Inc.COVID-19 vaccine, NVX-CoV2373Medsafe/ New ZealandSubmission completed.3 Nov 2021
Janssen-Cilag Ltd.COVID-19 Vaccine Janssen suspension for injectionMHRA/UKUpdated SmPC and PIL.
SmPC Sections updated were: 4.3 (addition of Capillary Leak syndrome (CLS)), 4.4 (addition of CLS and Guillain -Barre Syndrome), 4.8, 5.0 and 6.4.

PIL sections updated were: 2 and 4, including information on CLS and Guillain-Barre Syndrome.
3 Nov 2021
AstraZeneca CanadaAZD7442  is a combination of two LAABs – tixagevimab (AZD8895) and cilgavimab (AZD1061) Health CanadaRolling review New Drug Submission initiated with Health Canada for the prevention of symptomatic COVID-19.3 Nov 2021
Bharat BiotechCovaxin vaccineWorld Health Organsiation (WHO)Emergency Use Listing (EUL)3 Nov 2021
Elli Lilly Netherlands BVantibodies bamlanivimab and etesevimabEMA/EURolling review ended upon company withdrawing from the process.2 Nov 2021
Novavax Inc.COVID-19 vaccine candidate, NVX-CoV2373 Health CanadaRolling submission completed, for authirisation.1 Nov 2021
Novavax Inc.COVID-19 vaccine candidate, NVX-CoV2373TGA/AustraliaRolling submission completed, for provisional approval.29 Oct 2021
Pfizer-BioNTech Comirnaty COVID-19 VaccineFDA/USEUA authorised for the prevention of COVID-19 to include children from 5 to 11 years of age.

FDA also authorised a manufacturing change for the vaccine to include a formulation that uses a different buffer.
This new formulation is more stable at refrigerated temperatures for longer periods of time, permitting greater flexibility for vaccination providers
29 Oct 2021
BioNTech Manufacturing GmbH Comirnaty vaccine MHRA/UK Updated figures in HCP information Table 5: Vaccine efficacy – First COVID-19 occurrence from 7 days after Dose 2 – participants without evidence of infection and with or without evidence of infection prior to 7 days after Dose 2 – adolescents 12 to 15 years of age evaluable efficacy (7 days) population.

The above information appears in section 5.1 Pharmacodynamic Properties in the document Information for Healthcare Professionals on COVID-19 Vaccine Pfizer/BioNTech (Regulation 174).
28 Oct 2021
Novavax IncCOVID-19 vaccine, NVX-CoV2373MHRA/UKRolling submission completed, for authorisation.27 Oct 2021
BioNTech Manufacturing GmbHComirnaty vaccineMHRA/UKUpdate to the SmPC sections 4.8 Undesirable effects and section 5.1 Pharmacodynamic Properties and patient information leaflet section 4 Possible side effects. 27 Oct 2021
Pfizer Australia Pty Ltd.COVID-19 vaccine, Comirnaty.TGA/AustraliaProvisional approval of a booster dose of for individuals 18 years and older.27 Oct 2021
ModernaSpikevax vaccineSwissmedicBooster half dose approved for people at especially high risk e.g. older people or at-risk patients approved for use at least 6 months after the second dose.

Three-dose schedule for patients with a weakened immune system approved i.e. for immunocompromised individuals or patients with a suppressed immune response for use at least 28 days after the second dose
26 Oct 2021
Pfizer/BioNTechComirnaty vaccineSwissmedicBooster dose approved for people at especially high risk e.g. older people or at-risk patients approved for use at least 6 months after the second dose.

Three-dose schedule for patients with a weakened immune system approved i.e. for immunocompromised individuals or patients with a suppressed immune response for use at least 28 days after the second dose
26 Oct 2021
Moderna Biotech Spain, S.L.Spikevax COVID-19 vaccineEMA/EUEMA has concluded that a booster dose may be considered in in people aged 18 years and above.25 Oct 2021
Merck Sharp & Dohme in collaboration with Ridgeback Biotherapeuticsmolnupiravir (also known as MK 4482 or Lagevrio)EMA/EURolling review commenced, for the treatment of COVID-19 in adults.25 Oct 2021
Sinovac BiotechSinovac-CoronaVac Vaccine an inactivated SARS-CoV-2 vaccineHSA/SingaporeInterim authorisation granted under the Pandemic Special Access Route, for the prevention of COVID-19 in individuals aged 18 years and above.23 Oct 2021
AstraZeneca UK LimitedVaxzevria vaccine MHRA/UKGuillain-Barré syndrome [GBS] added as a very rare side effect.21 Oct 2021
Moderna TX Inc.Moderna COVID-19 VaccineFDA/USEUA amended
to allow for the use of a single booster dose as follows:

i) to allow for the use of a single booster dose at least 6 months after completion of the primary series as detailed.

ii) The use of each of the available COVID-19 vaccines as a heterologous (or “mix and match”) booster dose in eligible individuals following completion of primary vaccination with a different available COVID-19 vaccine.

20 Oct 2021
Janssen Biotech Inc. Janssen (Johnson and Johnson) COVID-19 Vaccine FDA/US EUA amended to allow for the use of a single booster dose as follows:
i) to allow for the use of a single booster dose at least 2 months after completion of the single-dose primary regimen

ii) The use of each of the available COVID-19 vaccines as a heterologous (or “mix and match”) booster dose in eligible individuals following completion of primary vaccination with a different available COVID-19 vaccine.
20 Oct 2021
Pfizer/BioNTech Pfizer-BioNTech COVID-19 VaccineFDA/US EUA amended
to allow for the use of a single booster dose as follows:

i) The use of each of the available COVID-19 vaccines as a heterologous (or “mix and match”) booster dose in eligible individuals following completion of primary vaccination with a different available COVID-19 vaccine.

ii) To clarify that a single booster dose of the Pfizer-BioNTech COVID-19 Vaccine may be administered at least 6 months after completion of the primary series to individuals 18 through 64 years of age with frequent institutional or occupational exposure to SARS-CoV-2.
20 Oct 2021
AstraZeneca UK Limited.Vaxzevria vaccineMHRA/UKMHRA website states ‘Updated information for healthcare professionals and for patients’. No other information provided.19 Oct 2021
CureVac Swiss AG CVnCoV vaccineSwissmedicApplication withdrawn.
CureVac will no longer be developing its first-generation COVID-19 vaccine to market readiness, and will instead be focusing on a second-generation COVID-19 vaccine.
19 Oct 2021
?Sputnik V vaccineSAHPRA/South AfricaRolling review ongoing since Feb 2021. Vaccine will remain unapproved at this time until concerns are addressed.18 Oct 2021
BioNTech and PfizerComirnaty, COVID-19 vaccineEMA/EUTwo additional manufacturing sites approved
One site, located in Monza, Italy, is operated by Patheon Italia S.p.A. The other in Anagni, Italy, is operated by Catalent Anagni S.R.L. Both sites will manufacture finished product.

New ready-to-use-formulation approved. It does not require dilution prior to administration, will be available in a 10-vial (60 dose) pack size and can be stored at 2-8°C for up to 10 weeks.
18 Oct 2021
Roche Products Pty Ltd.combination therapy, casirivimab + imdevimab (Ronapreve)TGA/AustraliaProvisional approval granted for the treatment and prevention of COVID-19 in specific target populations18 Oct 2021
PfizerComirnaty InjectionPMDA/JapanOther precautions revised to include myocarditis and pericarditis15 Oct 2021
AstraZeneca ABEvusheld (also known as AZD7442), a combination of two monoclonal antibodies (tixagevimab and cilgavimab)EMA/EURolling review started, for the prevention of COVID-19 in adults.14 Oct 2021
CureVac AGCVnCoV COVID-19 vaccineEMA/EUEMA has ended the rolling review of the vaccine, after the company informed the Agency that it was withdrawing from the process.12 Oct 2021
Chugai Pharmaceutical Co LtdMonoclonal antibody Ronapreve (casirivimab /imdevimab)PMDA/JapanApplication filed for additional indications for prophylaxis of COVID-19 and treatment of asymptomatic COVID-19 infected patients. This application also contains subcutaneous administration in addition to the drug’s current intravenous administration and seeks the Special Approval for Emergency.11 Oct 2021
Merckoral molnupiravirFDA/USEUA application submitted to the U.S. FDA for for the treatment of mild-to-moderate COVID-19 in adults who are at risk for progressing to severe COVID-19 and/or hospitalisation.11 Oct 2021
Roche Registration GmbHRonapreve, a monoclonal antibody combination (casirivimab / imdevimab)EMA/EUEvaluating of an an application for marketing authorisation has commenced, for the treatment of COVID-19 in adults and adolescents from 12 years of age who do not require supplemental oxygen therapy and who are at increased risk of progressing to severe COVID 19, and for the prevention of COVID-19 in adults and adolescents aged 12 years and older.11 Oct 2021
M/s Hetero
Biopharma Ltd
Gam COVID Vac (component I & II)
(SPUTNIK-V)
CDSCO/IndiaApproved for restricted emergency use for the prevention of COVID-19.7 Oct 2021
Janssen-Cilag International N.V. COVID-19 Vaccine Janssen

Ad26.COV2.S
viral vector vaccine
EMA/EU An additional manufacturing site been approved. It is located in West Point, Pennsylvania, US and operated by MSD Corp. It will manufacture finished product.7 Oct 2021
AstraZenecaAZD7442, long-acting antibody (LAAB) combination consisting of  two LAABs – tixagevimab (AZD8895) and cilgavimab (AZD1061).FDA/USRequest submitted to the US FDA for an EUA for AZD7442 for prophylaxis of symptomatic COVID-19.5 Oct 2021
Celltrion Healthcare Hungary Kftmonoclonal antibody Regkirona (regdanvimab, also known as CT-P59)EMA/EUEvaluation of an application for a marketing authorisation commenced, to treat adults with COVID-19 who do not require supplemental oxygen therapy and who are at increased risk of progressing to severe COVID 19.

Will be assessed under a reduced timeline with opinion potentially in two months.
4 Oct 2021
Pfizer AustraliaCombination medicine containing PF-07321332 (oral antiviral) and ritonavirTGA/AustraliaProvisional determination granted for the treatment of adult patients with symptomatic, confirmed coronavirus infection.1 Oct 2021
AstraZeneca ABVaxzevria –
COVID-19 Vaccine (ChAdOx1-S [recombinant])
EMA/EUImmune thrombocytopenia (ITP)
The committee assessed all the available data and recommended updating the PI  to include ITP as an adverse reaction with an unknown frequency.
1 Oct 2021

Janssen-Cilag International N.V.
COVID-19 Vaccine Janssen

Ad26.COV2.S
viral vector vaccine
EMA/EUVTE
The PRAC has concluded that there is a possible link to rare cases of venous thromboembolism (VTE) with this vaccine.
and is therefore recommending listing VTE as a rare side effect in the PI, plus a warning to raise awareness among HCPs and vaccine recipients, especially those who may have an increased risk of VTE.

Immune thrombocytopenia (ITP)
The committee assessed all the available data and recommended updating the PI  to include ITP as an adverse reaction with an unknown frequency.

1 Oct 2021
Special Approval for Emergency under Article 14-3Xevudy (sotrovimab)PMDA/JapanSpecial approval for emergency use under Article 14-3 granted for disease caused by SARS-CoV-2 infection (COVID-19) in adults and pediatric patients (≥12 years of age weighing ≥40 kg).27 Sep 2021
Pfizer/BioNTech Comirnaty
COVID-19 mRNA Vaccine
MHRA/UKVaccine shelf-life extended from 6 months to 9 months27 Sep 2021
Moderna Biotech Spain, S.L. COVID-19 Vaccine Moderna (now known as Spikevax)

mRNA-1273 vaccine
EMA/EUEMA has started evaluating an application (via accelerated assessment) for the use of a booster dose of Spikevax to be given at least 6 months after the second dose in people aged 12 years and older. 
27 Sep 2021

Image by Miroslava Chrienova from Pixabay