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.

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@article{b2c2b5cc62764378a31be71842fd5005,
title = "Clinical efficacy and in vitro neutralization capacity of monoclonal antibodies for severe acute respiratory syndrome coronavirus 2 delta and omicron variants",
abstract = "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.",
author = "Brehm, {Thomas Theo} and Susanne Pfefferle and {von Possel}, Ronald and Mario Karolyi and Alexander Zoufaly and Dominic Wichmann and Robin Kobbe and Petra Emmerich and Dominik N{\"o}rz and Martin Aepfelbacher and {Schulze Zur Wiesch}, Julian and Addo, {Marylyn M} and Stefan Schmiedel and Marc L{\"u}tgehetmann",
note = "{\textcopyright} 2022 The Authors. Journal of Medical Virology published by Wiley Periodicals LLC.",
year = "2022",
month = oct,
doi = "10.1002/jmv.27916",
language = "English",
volume = "94",
pages = "5038--5043",
journal = "J MED VIROL",
issn = "0146-6615",
publisher = "Wiley-Liss Inc.",
number = "10",

}

RIS

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 -