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Charles Vega, MD, FAAFP
Clinical Professor, Department of Family Medicine
UC Irvine School of Medicine
Santa Ana, CA
Disclosures: Advisor, Consultant, Fee for Service Recipient: Boehringer Ingelheim, Exact Sciences, GSK
Stefan Gravenstein, MD, MPH
Professor of Medicine
Brown University
Providence, RI
Disclosures: Advisor, Consultant, Fee For Service Recipient: AstraZeneca, Genentech, GSK, Moderna, Pfizer, Sanofi; Speakers Bureau: Moderna, Sanofi; Grant/Research Funding: Genentech, GSK, Moderna, Pfizer, Sanofi
Elie Saade, MD, MPH
Associate Professor of Medicine
Medical Director, UH Infection Control
Case Western Reserve University
Cleveland, Ohio
Disclosures: Grant/Research Funding: Johnson & Johnson, Pfizer, Shionogi
Activity Overview
COVID-19 remains a significant challenge for health care systems, contributing to lengthy hospitalizations, long-term health complications, and costly economic burdens. High-risk populations remain vulnerable to severe disease outcomes, with prevention remaining a key component of management. This CME-certified Medical Crossfire® podcast is the second in a 3-part series titled Primary Care Playbook Podcast: Advancing COVID-19 Prophylaxis in Community Practice. In this activity, 3 expert faculty in Family Medicine, Geriatric Medicine, and Infectious Disease exchange unique perspectives and discuss practical approaches to choosing appropriate COVID-19 prevention strategies in clinical practice, including pre-exposure prophylaxis (PrEP) and post-exposure prophylaxis (PEP), individualized patient selection, and shared decision-making for patients at high risk of severe disease.
FDA Approves Ensitrelvir for Postexposure Prophylaxis of COVID-19
On June 1, 2026, the U.S. Food and Drug Administration has approved ensitrelvir for postexposure prophylaxis (PEP) of COVID-19 in adults and adolescents aged 12 years and older following contact with an individual with active COVID-19. The approval marks the first oral antiviral option in the United States indicated to help prevent COVID-19 after a known exposure.
Ensitrelvir is a SARS-CoV-2 main protease inhibitor administered as a 5-day oral regimen. Its approval was supported by results from the Phase 3 SCORPIO-PEP trial, in which ensitrelvir reduced the risk of symptomatic COVID-19 by 67% compared with placebo through Day 10 in exposed, uninfected individuals.
Target Audience
This educational activity is intended for primary care physicians (PCPs), infectious disease (ID) specialists, critical care physicians, hospitalists, nurse practitioners (NPs), physician assistants (PAs), and pharmacists involved in the treatment of COVID-19.
Learning Objectives
Upon successful completion of this activity, you should be better prepared to:
Activity Overview
COVID-19 remains a significant challenge for healthcare systems, contributing to hospitalizations, long-term health complications, and economic burdens. Prevention remains a key component of management, with strategies such as PrEP, PEP, and early therapeutic intervention playing a critical role in reducing transmission, preventing severe illness, and minimizing long-term complications. However, high-risk populations, such as those with obesity, diabetes, cardiovascular disease, chronic lung diseases, chronic kidney disease, and immunocompromising conditions, remain vulnerable to severe disease outcomes.
FDA Approves Ensitrelvir for Postexposure Prophylaxis of COVID-19
On June 1, 2026, the U.S. Food and Drug Administration has approved ensitrelvir for postexposure prophylaxis (PEP) of COVID-19 in adults and adolescents aged 12 years and older following contact with an individual with active COVID-19. The approval marks the first oral antiviral option in the United States indicated to help prevent COVID-19 after a known exposure.
Ensitrelvir is a SARS-CoV-2 main protease inhibitor administered as a 5-day oral regimen. Its approval was supported by results from the Phase 3 SCORPIO-PEP trial, in which ensitrelvir reduced the risk of symptomatic COVID-19 by 67% compared with placebo through Day 10 in exposed, uninfected individuals.
Target Audience
This educational activity is intended for primary care physicians (PCPs), infectious disease (ID) specialists, critical care and emergency medicine physicians, hospitalists, nurse practitioners (NPs), physician assistants (PAs), and pharmacists involved in the treatment of COVID-19.
Learning Objectives
Upon successful completion of this activity, you should be better prepared to:
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