
Research Square (Research Square), Год журнала: 2024, Номер unknown
Опубликована: Окт. 17, 2024
Язык: Английский
Research Square (Research Square), Год журнала: 2024, Номер unknown
Опубликована: Окт. 17, 2024
Язык: Английский
Nature Communications, Год журнала: 2024, Номер 15(1)
Опубликована: Сен. 18, 2024
Язык: Английский
Процитировано
16Journal of Antimicrobial Chemotherapy, Год журнала: 2025, Номер unknown
Опубликована: Янв. 13, 2025
Abstract Background Persistent COVID-19 (pCOVID-19) in immunocompromised patients is characterized by unspecific symptoms and pulmonary infiltrates due to ongoing severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2) replication. Treatment options remain unclear, leading different approaches, including combination therapy extended durations. The purpose of this study was assess the efficacy safety antiviral therapies for pCOVID-19 since Omicron surge. Methods We searched MEDLINE Scopus from 1 January 2022 6 August 2024 cohort studies case series on nirmatrelvir/ritonavir, remdesivir, ensitrelvir molnupiravir. Evidence certainty rated using Grading Recommendations Assessment, Development, Evaluation outcomes viral clearance, recurrence/relapse, mortality, adverse events (AEs) symptom resolution. Results Thirteen involving 127 cases were included. very low. In with at least two direct agents, clearance 79%, a 16% recurrence rate. All-cause mortality 9%, 6% while SARS-CoV-2 positive. 47 cases, AEs reported 11%. Symptom resolution ranged 3 days studies. one agent passive immunization, 89%, an 11% rate no deaths. four documented observed. monotherapy, 100%, 15% One death, unrelated SARS-CoV-2, occurred. 12 Conclusions Based low evidence, combining immunization resulted high rates few recurrences. occurred treated antivirals. Controlled are needed.
Язык: Английский
Процитировано
1Clinical Infectious Diseases, Год журнала: 2024, Номер unknown
Опубликована: Июнь 3, 2024
The immunocompromised population was disproportionately affected by the SARS-CoV-2 pandemic. However, these individuals were largely excluded from clinical trials of vaccines, monoclonal antibodies, and small molecule antivirals. While community scientists, researchers, funding agencies have proven that therapeutics can be made tested in record time, extending this progress to vulnerable medically complex start has been a missed opportunity. Here we advocate it is paramount plan for future pandemics investing specific trial infrastructure prepared when need arises.
Язык: Английский
Процитировано
9BMC Infectious Diseases, Год журнала: 2024, Номер 24(1)
Опубликована: Апрель 22, 2024
Abstract Background The impact of the constantly evolving severe acute respiratory syndrome coronavirus 2 on effectiveness early disease 2019 (COVID-19) treatments is unclear. Here, we report characteristics and clinical outcomes patients with COVID-19 treated a monoclonal antibody (mAb; presumed to be sotrovimab) across six distinct periods covering emergence predominance Omicron subvariants (BA.1, BA.2, BA.5) in England. Methods Retrospective cohort study using data from Hospital Episode Statistics database January 1–July 31, 2022. Included received mAb delivered by National Health Service (NHS) hospital as day-case, for which primary diagnosis was COVID-19. Patients were have sotrovimab based NHS showing that 99.98% COVID-19-mAb-treated individuals during period. COVID-19-attributable hospitalizations reported overall subvariant prevalence. Subgroup analyses conducted renal active cancer. Results Among total 10,096 patients, 1.0% ( n = 96) had hospitalization, 4.6% 465) visit due any cause, 0.3% 27) died cause hospitalization rates consistent among subgroups, no significant differences observed predominance. Conclusions Levels deaths low mAb-treated subgroups. Similar whilst BA.1, BA.5 predominant, despite reductions vitro neutralization activity against BA.2 BA.5.
Язык: Английский
Процитировано
8BMC Infectious Diseases, Год журнала: 2024, Номер 24(1)
Опубликована: Июнь 6, 2024
Abstract This single-centre retrospective cohort study reports on the results of a descriptive (non-comparative) early initiation antivirals and combined monoclonal antibody therapy (mAbs) in 48 severely immunocompromised patients with COVID-19. The assessed outcomes duration viral shedding. started (ECT) median 2 days (interquartile range [IQR]: 1–3 days) after diagnosis SARS-CoV-2 infection. Except for 1 patient who died due COVID-19-related respiratory failure, had their first negative nasopharyngeal swab result 11 (IQR: 6–17 starting therapy. There were no severe side effects. During follow-up period 512 413–575 days), 6 (12.5%) 16 (33.3%) admitted to hospital. Moreover, 12 (25%) diagnosed reinfection 245 138–401 treatment. No relapses reported. Although there was comparison group, these compare favourably COVID-19 reported literature.
Язык: Английский
Процитировано
8Vaccine, Год журнала: 2025, Номер 49, С. 126777 - 126777
Опубликована: Янв. 31, 2025
Язык: Английский
Процитировано
1European journal of medical research, Год журнала: 2024, Номер 29(1)
Опубликована: Окт. 4, 2024
Язык: Английский
Процитировано
5Transplant Infectious Disease, Год журнала: 2024, Номер 26(3)
Опубликована: Май 29, 2024
Abstract Antiviral agents with activity against severe acute respiratory syndrome coronavirus 2 (SARS‐CoV‐2) have played a critical role in disease management; however, little is known regarding the efficacy of these medications treatment SARS‐CoV‐2 infection immunocompromised patients, particularly management persistent positivity. This narrative review discusses 2019 hosts, focus on antiviral therapies. We identified 84 cases from literature describing variety approaches, including prolonged therapy ( n = 11), combination antivirals 13), and mixed antibody treatments 60). A high proportion had an underlying haematologic malignancy 67, 80%), were receipt anti‐CD20 51, 60%). Success was reported 70 (83%) which varied according to type. Combination therapies may be effective approach for individuals positivity, those that incorporate aimed at increasing neutralizing levels. Any novel approaches taken this difficult dilemma should mindful emergence resistance.
Язык: Английский
Процитировано
3Infectious Diseases, Год журнала: 2025, Номер unknown, С. 1 - 10
Опубликована: Янв. 3, 2025
Background Although recommended isolation periods for Coronavirus disease 2019 (COVID-19) have been shortened as the pandemic has subsided, prolonged Severe Acute Respiratory Syndrome-Coronavirus-2 (SARS-CoV-2) shedding remains common in immunocompromised patients. This study estimated probability of viral clearance these patients based on elapsed days and specific risk factors.
Язык: Английский
Процитировано
0Tenri Medical Bulletin, Год журнала: 2025, Номер unknown
Опубликована: Янв. 1, 2025
Язык: Английский
Процитировано
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