Severe Acute Respiratory Syndrome Coronavirus 2 Monoclonal Antibody Combination Therapy in Patients With Coronavirus Disease 2019 and Primary Antibody Deficiency.

Pulvirenti, Federica; Milito, Cinzia; Cinetto, Francesco; Fernandez Salinas, Ane; Terreri, Sara; Piano Mortari, Eva; Auria, Stefania; Soccodato, Valentina et al. · J Infect Dis · 2022

prospective_cohort · Level II

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Abstract

Previous reports highlighted the efficacy of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2)-specific monoclonal antibodies (mAbs) against coronavirus disease 2019. We conducted a prospective study on the clinical outcome and antiviral effects of mAbs added to standard of care therapy in SARS-CoV-2-infected patients with primary antibody defects. Median time of SARS-CoV-2 quantitative polymerase chain reaction (qPCR) positivity was shorter in 8 patients treated with mAbs (22 days) than in 10 patients treated with standard of care therapy only (37 days, P=.026). Median time of SARS-CoV-2 qPCR positivity from mAb administration was 10 days. The SARS-CoV-2 mAbs treatment was effective and well tolerated in patients with primary antibody defects.

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