Evidence map›Paper›PMID 35018382›Full record

ArticlemedRxiv : the preprint server for health sciences2021

Monoclonal antibody treatment drives rapid culture conversion in SARS-CoV-2 infection.

Julie Boucau, Kara W Chew, Manish Choudhary, Rinki Deo, James Regan, James P Flynn, Charles R Crain, Michael D Hughes, Justin Ritz, Carlee Moser and 15 more

Open access · greenAbstract readPreprint
In one paragraph

Article in medRxiv : the preprint server for health sciences, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 6 citations in OpenAlex.

  1. Review
  2. Review
  3. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

25 authors at 9 institutions in 1 country.

Julie BoucauThe Ragon Institute of MGH, MIT and Harvard, Cambridge, MA.
Kara W ChewUniversity of California, Los Angeles, Los Angeles, CA.
Manish ChoudharyBrigham and Women's Hospital, Harvard Medical School, Boston, MA.
Rinki DeoBrigham and Women's Hospital, Harvard Medical School, Boston, MA.
James ReganBrigham and Women's Hospital, Harvard Medical School, Boston, MA.
James P FlynnBrigham and Women's Hospital, Harvard Medical School, Boston, MA.
Charles R CrainBrigham and Women's Hospital, Harvard Medical School, Boston, MA.
Michael D HughesHarvard T.H. Chan School of Public Health, Boston, MA.
Justin RitzHarvard T.H. Chan School of Public Health, Boston, MA.
Carlee MoserHarvard T.H. Chan School of Public Health, Boston, MA.
Joan A DragavonUniversity of Washington, Seattle, WA.
Arzhang C JavanNational Institutes of Health, Bethesda, MD.
Ajay NirulaLilly Research Laboratories, San Diego, CA.
Paul KlekotkaLilly Research Laboratories, San Diego, CA.
Alexander L GreningerUniversity of Washington, Seattle, WA.
Robert W CoombsUniversity of Washington, Seattle, WA.
William A FischerUniversity of North Carolina, Chapel Hill, N.
Eric S DaarLundquist Institute at Harbor-UCLA Medical Center, Torrance, CA.
David A WohlUniversity of North Carolina, Chapel Hill, N.
Joseph J EronUniversity of North Carolina, Chapel Hill, N.
Judith S CurrierUniversity of California, Los Angeles, Los Angeles, CA.
Davey M SmithUniversity of California, San Diego, San Diego, CA.
Jonathan Z LiBrigham and Women's Hospital, Harvard Medical School, Boston, MA.
Amy K BarczakThe Ragon Institute of MGH, MIT and Harvard, Cambridge, MA.
ACTIV-2/A5401 Study Team
Brigham and Women's Hospital · USHarvard University · USUniversity of North Carolina at Chapel Hill · USUniversity of Washington · USUniversity of California, Los Angeles · USNational Institutes of Health · USRagon Institute of MGH, MIT and Harvard · USUCLA Medical Center · USUniversity of California San Diego · US

Funding

Leadership and Operations Center (LOC), AIDS Clinical Trials Group (ACTG); LOC 1/UM1AI068636 · NIAID · UNIV OF NORTH CAROLINA CHAPEL HILL · PI Joseph J Eron, RAJESH T GANDHI · 2011 to 2026
$1073.1M
Statistical and Data Management Center (SDMC), AIDS Clinical Trials Group (ACTG)UM1AI068634 · NIAID · HARVARD UNIVERSITY D/B/A HARVARD SCHOOL OF PUBLIC HEALTH · PI Marlene Ann Cooper, Michael David Hughes · 2011 to 2026
$246.6M
Validation, CLIA and Qualification (VQC): Enhancing the RS ratio as a tool for AIDS Clinical Trial Group (ACTG) tuberculosis trialsUM1AI106701 · NIAID · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI Grace M Aldrovandi · 2014 to 2026
$116.8M
The impact of HIV viral diversity and cellular immunity on HIV pathogenesisP30AI060354 · NIAID · HARVARD UNIVERSITY (MEDICAL SCHOOL) · PI RAJESH T GANDHI · 2004 to 2026
$94.4M
Clinical and Translational Science Collaborative of ClevelandUL1TR002548 · NCATS · CASE WESTERN RESERVE UNIVERSITY · PI MCCOMSEY, GRACE A · 2018 to 2022
$35.5M
NCATS NIH HHS UL1 TR002548NIAID NIH HHS P30 AI060354NIAID NIH HHS UM1 AI068634NIAID NIH HHS UM1 AI068636NIAID NIH HHS UM1 AI106701
6 · The paper itself

Abstract

Monoclonal antibodies (mAbs) are the treatment of choice for high-risk ambulatory persons with mild to moderate COVID-19. We studied viral culture dynamics post-treatment in a subset of participants receiving the mAb bamlanivimab in the ACTIV-2 trial. Viral load by qPCR and viral culture were performed from anterior nasal swabs collected on study days 0 (day of treatment), 1, 2, 3, and 7. Treatment with mAb resulted in rapid clearance of culturable virus in participants without treatment-emergent resistance. One day after treatment, 0 of 28 (0%) participants receiving mAb and 16 of 39 (41%) receiving placebo still had culturable virus (p <0.0001); nasal viral loads were only modestly lower in the mAb-treated group at days 2 and 3. Recrudescence of culturable virus was detected in three participants with emerging mAb resistance and viral load rebound. The rapid reduction in shedding of viable SARS-CoV-2 after mAb treatment highlights the potential role of mAbs in preventing disease transmission.

Identifiers

PMID35018382
PMCPMC8750705
OpenAlexW4206675155

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.