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  <title>Choosing Appropriate Covid-19 Prevention Strategies</title>
  <description>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 &amp; 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:

Describe unmet needs in the prevention and management of COVID-19.
Assess emerging clinical trial evidence informing the use of current and investigational therapies for the prevention of COVID-19.
Implement individualized strategies for patients at risk of COVID-19 tailored to disease severity and patient-specific factors.</description>
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