Evidence map›Paper›PMID 35257291›Full record

ArticleInfection2022

Treatment with anti-SARS-CoV-2 monoclonal antibodies in pregnant and postpartum women: first experiences in Florence, Italy.

Tommaso Manciulli, Giulia Modi, Irene Campolmi, Beatrice Borchi, Michele Trotta, Michele Spinicci, Filippo Lagi, Alessandro Bartoloni, Lorenzo Zammarchi

Open access · hybridAbstract read
In one paragraph

Article in Infection, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
1.7field-weighted citation impact, top 17% of its field
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

7 citing papers in PubMed, 10 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 2 institutions in 1 country.

Tommaso ManciulliDepartment of Experimental and Clinical Medicine, University of Florence, Largo Brambilla 3, Largo Giovanni Alessandro Brambilla, 3, 50134, Florence, FI, Italy.
Giulia ModiDepartment of Experimental and Clinical Medicine, University of Florence, Largo Brambilla 3, Largo Giovanni Alessandro Brambilla, 3, 50134, Florence, FI, Italy.
Irene CampolmiInfectious and Tropical Diseases Unit, Careggi University Hospital, Florence, Italy.
Beatrice BorchiInfectious and Tropical Diseases Unit, Careggi University Hospital, Florence, Italy.
Michele TrottaInfectious and Tropical Diseases Unit, Careggi University Hospital, Florence, Italy.
Michele SpinicciDepartment of Experimental and Clinical Medicine, University of Florence, Largo Brambilla 3, Largo Giovanni Alessandro Brambilla, 3, 50134, Florence, FI, Italy.
Filippo LagiDepartment of Experimental and Clinical Medicine, University of Florence, Largo Brambilla 3, Largo Giovanni Alessandro Brambilla, 3, 50134, Florence, FI, Italy.
Alessandro BartoloniDepartment of Experimental and Clinical Medicine, University of Florence, Largo Brambilla 3, Largo Giovanni Alessandro Brambilla, 3, 50134, Florence, FI, Italy.
Lorenzo ZammarchiDepartment of Experimental and Clinical Medicine, University of Florence, Largo Brambilla 3, Largo Giovanni Alessandro Brambilla, 3, 50134, Florence, FI, Italy. lorenzo.zammarchi@unifi.it.ORCID http://orcid.org/0000-0003-0892-8404
Azienda Ospedaliero-Universitaria Careggi · ITUniversity of Florence · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposePregnant and postpartum women are at increased risk of developing severe COVID-19. Monoclonal antibodies (mAbs) are now widely used in high-income countries to treat mild to moderate COVID-19 outpatients at risk for developing severe disease. Very few data are available on the use of mAbs in special populations, including pregnant and postpartum women. Here we present our early experience with mAbs in these two populations.

methodsElectronic records of pregnant and postpartum women treated with mAbs at Careggi University Hospital, Florence, were retrieved. Relevant data were extracted (age, presence of risk factors for COVID-19, oxygen support, mAb type, gestational age, and pregnancy status). When available, outcomes at 28 days after administration were also included.

resultsFrom March 1st to September 30th 2021, eight pregnant and two postpartum women have been treated with mAbs at our center. The median age was 31 years (IQR 30-33.5, range 29-38), median gestational age was 24 weeks. Seven patients had additional risk factors. According to the Italian disposition, all patients received casirivimab/imdevimab, with five receiving a 2.4 mg dose and five receiving a 8 g dose. Eight patients improved. One developed myocarditis, considered a COVID-19 complication. Another required a transient increase of low flow oxygen support before improving and being discharged. At a 28 days follow-up, all patients were clinically recovered. We did not observe mAbs related adverse events.

conclusionAlthough preliminary data should be interpreted with caution, it is remarkable how mAbs were well tolerated by pregnant women with COVID-19. Further data on mAbs in this special population should be collected but the use of mAbs in pregnant and postpartum patients should be considered. Even thus oral antivirals are becoming available, they are not recommended in pregnant and postpartum women. This population may specifically benefit from treatment with last generation mAbs.

Indexed as

COVID-19 Drug TreatmentAdultAntibodies, MonoclonalAntibodies, Monoclonal, HumanizedAntibodies, ViralAntiviral AgentsFemaleHumansInfantOxygenPostpartum PeriodPregnancyAntibodies, MonoclonalAntibodies, Monoclonal, HumanizedAntibodies, ViralAntiviral AgentscasirivimabimdevimabOxygenCasirivimab/imdevimabCOVID-19mAbsMonoclonal antibodiesPregnancySARS-CoV-2

Identifiers

PMID35257291
PMCPMC8900641
OpenAlexW4221018625

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.