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Severe Acute Respiratory Syndrome Coronavirus 2 Monoclonal Antibody Combination Therapy in Patients With Coronavirus Disease 2019 and Primary Antibody Deficiency
The Journal of Infectious Diseases ( IF 6.4 ) Pub Date : 2021-11-08 , DOI: 10.1093/infdis/jiab554
Federica Pulvirenti 1 , Cinzia Milito 2 , Francesco Cinetto 3 , Ane Fernandez Salinas 4 , Sara Terreri 5 , Eva Piano Mortari 5 , Stefania Auria 2 , Valentina Soccodato 2 , Lichtner Miriam 6, 7 , Emanuele Nicastri 8 , Laura Vincenzi 9 , Rita Carsetti 4 , Gianpiero D'Offizi 9 , Isabella Quinti 2
Affiliation  

Abstract
Background
Previous reports highlighted the efficacy of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2)-specific monoclonal antibodies (mAbs) against coronavirus disease 2019.
Methods
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.
Results
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.
Conclusions
The SARS-CoV-2 mAbs treatment was effective and well tolerated in patients with primary antibody defects.


中文翻译:

严重急性呼吸综合征冠状病毒 2 单克隆抗体联合治疗 2019 年冠状病毒病和原发性抗体缺乏症患者的治疗

摘要
背景
先前的报告强调了严重急性呼吸综合征冠状病毒 2 (SARS-CoV-2) 特异性单克隆抗体 (mAb) 对 2019 年冠状病毒病的疗效。
方法
我们对原发性抗体缺陷的 SARS-CoV-2 感染患者的标准护理治疗中添加 mAb 的临床结果和抗病毒作用进行了前瞻性研究。
结果
8 名接受 mAb 治疗的患者(22 天)出现 SARS-CoV-2 定量聚合酶链反应(qPCR)阳性的中位时间比仅接受标准护理治疗的 10 名患者(37 天,P = 0.026)短。mAb 给药后 SARS-CoV-2 qPCR 阳性的中位时间为 10 天。
结论
SARS-CoV-2 mAbs 治疗对一抗缺陷患者有效且耐受性良好。
更新日期:2021-11-08
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