Clinical efficacy and in vitro neutralization capacity of monoclonal antibodies for severe acute respiratory syndrome coronavirus 2 delta and omicron variants
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Clinical efficacy and in vitro neutralization capacity of monoclonal antibodies for severe acute respiratory syndrome coronavirus 2 delta and omicron variants. / Brehm, Thomas Theo; Pfefferle, Susanne; von Possel, Ronald; Karolyi, Mario; Zoufaly, Alexander; Wichmann, Dominic; Kobbe, Robin; Emmerich, Petra; Nörz, Dominik; Aepfelbacher, Martin; Schulze Zur Wiesch, Julian; Addo, Marylyn M; Schmiedel, Stefan; Lütgehetmann, Marc.
In: J MED VIROL, Vol. 94, No. 10, 10.2022, p. 5038-5043.Research output: SCORING: Contribution to journal › SCORING: Journal article › Research › peer-review
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TY - JOUR
T1 - Clinical efficacy and in vitro neutralization capacity of monoclonal antibodies for severe acute respiratory syndrome coronavirus 2 delta and omicron variants
AU - Brehm, Thomas Theo
AU - Pfefferle, Susanne
AU - von Possel, Ronald
AU - Karolyi, Mario
AU - Zoufaly, Alexander
AU - Wichmann, Dominic
AU - Kobbe, Robin
AU - Emmerich, Petra
AU - Nörz, Dominik
AU - Aepfelbacher, Martin
AU - Schulze Zur Wiesch, Julian
AU - Addo, Marylyn M
AU - Schmiedel, Stefan
AU - Lütgehetmann, Marc
N1 - © 2022 The Authors. Journal of Medical Virology published by Wiley Periodicals LLC.
PY - 2022/10
Y1 - 2022/10
N2 - We aimed to provide in vitro data on the neutralization capacity of different monoclonal antibody (mAb) preparations against the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) delta and omicron variant, respectively, and describe the in vivo RNA kinetics of coronavirus disease 2019 (COVID-19) patients treated with the respective mAbs. Virus neutralization assays were performed to assess the neutralizing effect of the mAb formulations casirivimab/imdevimab and sotrovimab on the SARS-CoV-2 delta and omicron variant. Additionally, respiratory tract SARS-CoV-2 RNA kinetics are provided for 25 COVID-19 patients infected with either delta variant (n = 18) or omicron variant (n = 7) treated with the respective mAb formulations during their hospital stay. In the virus neutralization assay, sotrovimab exhibits neutralizing capacity at therapeutically achievable concentrations against the SARS-CoV-2 delta and omicron variant. In contrast, casivirimab/imdevimab had neutralizing capacity against the delta variant but failed neutralization against the omicron variant except for a very high concentration above the currently recommended therapeutic dosage. In patients with delta variant infections treated with casivirimab/imdevimab, we observed a rapid decrease of respiratory viral RNA at day 3 after mAb therapy. In contrast, no such prompt decline was observed in patients with delta variant or omicron variant infections receiving sotrovimab.
AB - We aimed to provide in vitro data on the neutralization capacity of different monoclonal antibody (mAb) preparations against the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) delta and omicron variant, respectively, and describe the in vivo RNA kinetics of coronavirus disease 2019 (COVID-19) patients treated with the respective mAbs. Virus neutralization assays were performed to assess the neutralizing effect of the mAb formulations casirivimab/imdevimab and sotrovimab on the SARS-CoV-2 delta and omicron variant. Additionally, respiratory tract SARS-CoV-2 RNA kinetics are provided for 25 COVID-19 patients infected with either delta variant (n = 18) or omicron variant (n = 7) treated with the respective mAb formulations during their hospital stay. In the virus neutralization assay, sotrovimab exhibits neutralizing capacity at therapeutically achievable concentrations against the SARS-CoV-2 delta and omicron variant. In contrast, casivirimab/imdevimab had neutralizing capacity against the delta variant but failed neutralization against the omicron variant except for a very high concentration above the currently recommended therapeutic dosage. In patients with delta variant infections treated with casivirimab/imdevimab, we observed a rapid decrease of respiratory viral RNA at day 3 after mAb therapy. In contrast, no such prompt decline was observed in patients with delta variant or omicron variant infections receiving sotrovimab.
U2 - 10.1002/jmv.27916
DO - 10.1002/jmv.27916
M3 - SCORING: Journal article
C2 - 35662058
VL - 94
SP - 5038
EP - 5043
JO - J MED VIROL
JF - J MED VIROL
SN - 0146-6615
IS - 10
ER -