UK’s Most Vulnerable People to Receive Life-Saving Covid-19 Treatments in the Community

Thousands of the UK’s most vulnerable people will be among the first in the world to access life-saving, cutting-edge antiviral and antibody treatments from today, the Prime Minister has announced (Wednesday 8 December).

A national study ‘PANORAMIC’, run by the University of Oxford in close collaboration with GP hubs, has now launched and is recruiting around 10,000 UK patients at risk of serious illness from COVID-19 to have the opportunity to take the treatment molnupiravir at home after receiving a positive PCR test.

Those at highest risk who test positive for the virus – for example, people who are immunocompromised, cancer patients or those with Down’s syndrome – will also be able to access either molnupiravir or the novel monoclonal antibody Ronapreve outside of the study from 16 December.

This will ensure the treatments can help protect those most at risk from the virus over the winter months, reducing the number of hospitalisations and therefore pressures on the NHS. This will be significant for those who have compromised immune systems and for whom the vaccines can therefore be less effective.

Molnupiravir has shown in clinical trials to reduce the risk of hospitalisation or death for at-risk, non-hospitalised adults with mild to moderate COVID-19 by 30% and Ronapreve reduced the risk by 70%.

Health and Social Care Secretary Sajid Javid said:

“The UK is a world-leader in rolling out innovative treatments to the patients who need them and today is a historic milestone in our battle against the virus, deploying the first medicines vulnerable people will be able to take outside of hospital and in the comfort of their own homes to protect themselves.

“This opens up a new era for the treatment of COVID-19, one where we can begin to cover every phase of contracting this deadly disease – whether it be before you catch it, just after you catch it, if you develop symptoms or if you require hospital care.

“If you’re eligible, please sign up to the study as soon as possible and play your part in history.”

National study for molnupiravir

The study, which is currently for molnupiravir, has been launched today to allow medical experts to gather further data on the potential benefits this treatment brings to vaccinated patients, and will help the NHS to develop plans for rolling out the antiviral to further patients next year.

It’s open to anyone in the UK, provided they:

• receive a positive PCR test;
• feel unwell with symptoms of COVID-19 that started in the last five days; and
• are aged 50 and over or 18 to 49 with an underlying health condition that puts them more at risk of severe COVID-19.

If eligible, people who receive a positive PCR test will be contacted by the study team or a local healthcare professional, for example their GP, to sign up to the trial. Alternatively, people can sign up themselves through the study’s website. It is crucial that eligible participants enrol in the study urgently to ensure that they have the opportunity to access antiviral treatments within the first five days of COVID-19 symptoms.

Taking part in the study will require participants to complete a daily diary for 28 days through the PANORAMIC website or receive a phone call from the trial team on days 7, 14 and 28 to speak about their symptoms. The first set of results from the trial are anticipated in early 2022.

Targeted deployment of molnupiravir and Ronapreve

For treatment access outside of the study, those in the highest risk group will be informed by the NHS if they have a condition that will make them eligible to receive these treatments, should they test positive for COVID-19.

The eligible cohorts have been determined by an independent expert group commissioned by DHSC and included in a clinical policy agreed by all four Chief Medical Officers in the UK.

These patients will be able to keep a PCR test at home from NHS Test and Trace to support rapid testing, so they can access the treatments as soon as possible after symptoms begin.

Eligible patients who receive a positive test will be assessed over the phone by an expert clinician from an NHS COVID Medicines Delivery Unit (CMDU), who will review and discuss with the patient what the most appropriate treatment would be for them.

Those being prescribed a monoclonal antibody treatment will be invited to attend the CMDU, while those receiving molnupiravir can either get someone to collect it for them or have it delivered to their home. The NHS has been setting up CMDUs since the summer.

The government has secured 480,000 courses of molnupiravir from pharmaceutical company Merck Sharp and Dohme (MSD). It has also secured 250,000 courses of the antiviral PF-07321332, which is currently has completed phase 3 trials.