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SARS-CoV-2 neutralizing antibody therapies: an early retrospective cohort study of 26 hospitalized patients treated with bamlanivimab or casirivimab/imdevimab

Title: SARS-CoV-2 neutralizing antibody therapies: an early retrospective cohort study of 26 hospitalized patients treated with bamlanivimab or casirivimab/imdevimab
Authors: Martin Heller; Clara Henrici; Judith Büttner; Sebastian Leube; Isabelle Treske; Petra Pospischil; Michael Doll; Ilka Schanz; Agnes Hallier; Eva Herrmann; Michael Schmidt; Christoph Sarrazin
Source: International Journal of Infectious Diseases, Vol 129, Iss , Pp 260-265 (2023)
Publisher Information: Elsevier, 2023.
Publication Year: 2023
Collection: LCC:Infectious and parasitic diseases
Subject Terms: COVID-19; Bamlanivimab; Casirivimab; Imdevimab; Antibody therapy; Viral load; Infectious and parasitic diseases; RC109-216
Description: Objectives: In this early retrospective cohort study, a total of 26 patients with SARS-CoV-2 were treated with bamlanivimab or casirivimab/imdevimab, and the reduction of the viral load associated with the developed clinical symptoms was analyzed. Methods: Patients in the intervention groups received bamlanivimab or casirivimab/imdevimab. Patients without treatment served as control. Outcomes were assessed by clinical symptoms and change in log viral load from baseline based on the cycle threshold over a period of 18 days. Results: Median log viral load decline was higher in both intervention groups after 3 and 6 days compared to control. However, at later time points, the decline of the viral load was more distinct in the control group. Mild symptoms of COVID-19 were observed in 6.3% of the intervention groups and in no patient of the control. No patients treated with bamlanivimab, 18.8% treated with casirivimab/imdevimab, and 14.2% in the control group developed moderate symptoms. Severe symptoms were recorded only in the control group (14.2%), including one related death. Conclusion: Treatment with monoclonal SARS-CoV-2 antibodies seems to accelerate decline of virus loads, especially in the first 6 days after administration, compared to control. This may be associated with a reduced likeliness of a severe course of COVID-19.
Document Type: article
File Description: electronic resource
Language: English
ISSN: 1201-9712
Relation: http://www.sciencedirect.com/science/article/pii/S1201971223000127; https://doaj.org/toc/1201-9712
DOI: 10.1016/j.ijid.2023.01.012
Access URL: https://doaj.org/article/b89c38cffdf0416ba36498e3a5265dba
Accession Number: edsdoj.b89c38cffdf0416ba36498e3a5265dba
Database: Directory of Open Access Journals