medRxiv (Cold Spring Harbor Laboratory),
Journal Year:
2023,
Volume and Issue:
unknown
Published: Oct. 19, 2023
ABSTRACT
Background
XAV-19
is
a
glyco-humanized
swine
polyclonal
antibody
targeting
SARS-CoV-2.
The
safety
and
clinical
efficacy
of
was
investigated
in
patients
with
WHO
score
2
to
4
the
7-point
ordinal
scale.
activity
against
Omicron
its
subvariants
assessed
vitro
.
Methods
A
phase
II/III,
multicentric
randomized
double-blind
placebo-controlled,
trial
conducted
evaluate
inpatients
COVID-19
requiring
or
not
oxygen
therapy
outpatients
(EUROXAV
trial,
NCT04928430
).
Most
were
vaccinated.
primary
endpoint
proportion
an
aggravation
within
8
days
after
treatment.
Binding
neutralization
by
ELISA
whole
virus
assay.
Results
Patients
received
either
150mg
(N=139)
placebo
(N=140).
Low
enrolment
forced
premature
termination.
well
tolerated.
No
difference
endpoint,
nor
improvement
at
day
(secondary
endpoint)
observed
between
groups.
For
therapy,
reduced
time
significantly
(7
vs
14
p=0.0159).
Neutralizing
BA.2,
BA2.12.1,
BA.4/5
BQ1.1
shown
vitro.
Conclusions
did
reduce
patients.
While
it
bring
any
benefit
oxygen,
for
(WHO
3).
These
preliminary
data
might
indicate
therapeutic
potential
mild
moderate
supplementation
anti-SARS-CoV-2
neutralizing
antibodies.
Journal of Medical Microbiology,
Journal Year:
2023,
Volume and Issue:
72(6)
Published: June 30, 2023
Introduction.
Neutralizing
antibodies
have
been
widely
used
for
the
prophylaxis
and
treatment
of
COVID-19.Hypothesis.
The
major
target
these
neutralizing
is
receptor-binding
domain
(RBD)
viral
spike
protein.Aim.
In
present
study,
we
developed
characterized
three
chimeric
mouse-human
mAbs
potential
therapeutic
purposes.Methodology.
Light
heavy
chain
variable
region
genes
mouse
(m4E8,
m3B6,
m1D1)
were
amplified
ligated
to
human
Cγ1
Cκ
constant
by
PCR.
After
cloning
into
a
dual
promoter
mammalian
expression
vector,
final
constructs
transiently
expressed
in
DG-44
cells
purified
ELISA
Western
blotting.
potency
was
determined
different
virus
neutralization
tests
including
sVNT,
pVNT,
cVNT.Results.
All
recombinant
display
regions
are
able
specifically
bind
RBD
SARS-CoV-2
with
affinities
comparable
parental
mAbs.
blot
analysis
showed
similar
epitope
specificity
profiles
both
results
(sVNT,
cVNT)
indicate
that
c4E8
had
most
potent
activity
IC50
values
1.772,
0.009,
0.01
µg
ml-1,
respectively.
displayed
pattern
reactivity
protein
variants
concern
(VOC)
tested,
alpha,
delta,
wild-type.Conclusion.
potentially
valuable
tools
disease
control.
Cureus,
Journal Year:
2023,
Volume and Issue:
unknown
Published: Oct. 13, 2023
Patients
with
challenging
hematological
malignancies
like
classic
Hodgkin
lymphoma
(cHL)
can
be
further
complicated
when
affected
by
a
concurrent
coronavirus
disease-2019
(COVID-19)
infection
and
often
face
unique
complex
management
outcomes.
In
this
case
report,
we
describe
refractory
or
relapsed
patient
recurrent
of
COVID-19
three
times
preceding
chemotherapy.
A
52-year-old
female
presented
to
our
hospital
second
incidence
complaint
fever,
anorexia,
night
sweats,
abdominal
lymphadenopathy,
for
which
she
was
diagnosed
mixed
cellularity
lymphoma.
Three
weeks
later,
in
consideration
her
manifestation
lung
disease,
due
past
medical
history
airway
hypersensitivity
abnormal
pulmonary
function
test
along
testing
positive
COVID-19,
started
the
first-line
chemotherapy
brentuximab
vedotin,
doxorubicin,
vinblastine,
dacarbazine
regimen,
commonly
referred
as
Bv-AVD,
without
bleomycin.
After
six
cycles
chemotherapy,
at
end
treatment,
positron
emission
tomography/computed
tomography
(PET/CT)
revealed
progression
nodes
abdomen
development
new
lymphadenopathy
chest
right
supraclavicular
region.
Hence,
it
considered
Hodgkin’s
lymphoma,
salvage
therapy.
She
on
brentuximab/bendamustine
(BvB).
Follow-up
evaluations
after
two
BvB
continued
show
newer
lesions
sub-diaphragmatic
area,
internal
mammary,
lymph
nodes.
Therefore,
switched
pembrolizumab
immunotherapy,
PD-1
inhibitor.
four
monotherapy,
PET/CT
showed
significant
improvement
complete
molecular
response
(CMR).
Then,
admitted
high-dose
therapy/autologous
stem
cell
transplantation
(HDT/ASCT)
collecting
cells.
PET/CT:
months
post-ASCT,
CMR
Deauville
score
1.
The
maintenance
afterward.
Currently,
is
healthy
doing
well.
patients
may
experience
compromised
viral
elimination
prolonged
period
infection,
also
worsen
symptoms
outcomes
entitle
them
comprehensive
extended
care.
medRxiv (Cold Spring Harbor Laboratory),
Journal Year:
2023,
Volume and Issue:
unknown
Published: Oct. 19, 2023
ABSTRACT
Background
XAV-19
is
a
glyco-humanized
swine
polyclonal
antibody
targeting
SARS-CoV-2.
The
safety
and
clinical
efficacy
of
was
investigated
in
patients
with
WHO
score
2
to
4
the
7-point
ordinal
scale.
activity
against
Omicron
its
subvariants
assessed
vitro
.
Methods
A
phase
II/III,
multicentric
randomized
double-blind
placebo-controlled,
trial
conducted
evaluate
inpatients
COVID-19
requiring
or
not
oxygen
therapy
outpatients
(EUROXAV
trial,
NCT04928430
).
Most
were
vaccinated.
primary
endpoint
proportion
an
aggravation
within
8
days
after
treatment.
Binding
neutralization
by
ELISA
whole
virus
assay.
Results
Patients
received
either
150mg
(N=139)
placebo
(N=140).
Low
enrolment
forced
premature
termination.
well
tolerated.
No
difference
endpoint,
nor
improvement
at
day
(secondary
endpoint)
observed
between
groups.
For
therapy,
reduced
time
significantly
(7
vs
14
p=0.0159).
Neutralizing
BA.2,
BA2.12.1,
BA.4/5
BQ1.1
shown
vitro.
Conclusions
did
reduce
patients.
While
it
bring
any
benefit
oxygen,
for
(WHO
3).
These
preliminary
data
might
indicate
therapeutic
potential
mild
moderate
supplementation
anti-SARS-CoV-2
neutralizing
antibodies.