Evidence map›Paper›PMID 36155545›Full record

ArticlePloS one2022

Safety and effectiveness of RBD-specific polyclonal equine F(ab´)2 fragments for the treatment of hospitalized patients with severe Covid-19 disease: A retrospective cohort study.

Diego H Farizano Salazar, Fernando Achinelli, Mariana Colonna, Lucía Pérez, Analía A Giménez, Maria Alejandra Ojeda, Susana N Miranda Puente, Lía Sánchez Negrette, Florencia Cañete, Ornela I Martelotte Ibarra and 18 more

Open access · goldAbstract read
In one paragraph

Article in PloS one, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.4field-weighted citation impact, top 39% 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

2 citing papers in PubMed, 4 citations in OpenAlex.

  1. Trial
  2. Article
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

28 authors at 7 institutions in 1 country.

Diego H Farizano SalazarHospital de Campaña Escuela Hogar, Corrientes, Corrientes, Argentina.
Fernando AchinelliHospital de Campaña Escuela Hogar, Corrientes, Corrientes, Argentina.
Mariana ColonnaInmunova S.A., Gral. San Martín, Buenos Aires, Argentina.
Lucía PérezDepartment of Research, Hospital Italiano de Buenos Aires. Ciudad Autónoma de Buenos Aires, Buenos Aires, Argentina.
Analía A GiménezHospital de Campaña Escuela Hogar, Corrientes, Corrientes, Argentina.
Maria Alejandra OjedaHospital de Campaña Escuela Hogar, Corrientes, Corrientes, Argentina.
Susana N Miranda PuenteHospital de Campaña Escuela Hogar, Corrientes, Corrientes, Argentina.
Lía Sánchez NegretteHospital de Campaña Escuela Hogar, Corrientes, Corrientes, Argentina.
Florencia CañeteHospital de Campaña Escuela Hogar, Corrientes, Corrientes, Argentina.
Ornela I Martelotte IbarraHospital de Campaña Escuela Hogar, Corrientes, Corrientes, Argentina.
Santiago SanguinetiInmunova S.A., Gral. San Martín, Buenos Aires, Argentina.
Linus SpatzInmunova S.A., Gral. San Martín, Buenos Aires, Argentina.
Fernando A GoldbaumInmunova S.A., Gral. San Martín, Buenos Aires, Argentina.
Carolina MassaInmunova S.A., Gral. San Martín, Buenos Aires, Argentina.
Marta RivasInmunova S.A., Gral. San Martín, Buenos Aires, Argentina.
Mariana PichelInmunova S.A., Gral. San Martín, Buenos Aires, Argentina.
Yanina HiriartInmunova S.A., Gral. San Martín, Buenos Aires, Argentina.
Vanesa ZylbermanInmunova S.A., Gral. San Martín, Buenos Aires, Argentina.
Sandra GallegoConsejo Nacional de Investigaciones Científicas y Técnicas (CONICET), Argentina.
Brenda KonigheimConsejo Nacional de Investigaciones Científicas y Técnicas (CONICET), Argentina.
Francisco FernándezLaboratorio Elea Phoenix S.A., Los Polvorines, Buenos Aires, Argentina.
Matías DepratiLaboratorio Elea Phoenix S.A., Los Polvorines, Buenos Aires, Argentina.
Ian RoubicekInmunova S.A., Gral. San Martín, Buenos Aires, Argentina.
Diego H GiuntaDepartment of Research, Hospital Italiano de Buenos Aires. Ciudad Autónoma de Buenos Aires, Buenos Aires, Argentina.
Esteban NanniniConsejo Nacional de Investigaciones Científicas y Técnicas (CONICET), Argentina.ORCID 0000-0002-8472-7965
Gustavo LopardoHospital Municipal Dr. Bernardo Houssay, Florida, Provincia de Buenos Aires, Argentina.
Waldo H BellosoDepartment of Research, Hospital Italiano de Buenos Aires. Ciudad Autónoma de Buenos Aires, Buenos Aires, Argentina.ORCID 0000-0002-7048-7841
EPIC Study Group
Centro Científico Tecnológico - Nordeste · ARCentro Científico Tecnológico - San Juan · ARHospital Italiano de Buenos Aires · ARElea (Argentina) · ARUniversidad Nacional de Córdoba · ARConsejo Nacional de Investigaciones Científicas y Técnicas · ARFundación Centro de Estudios Infectológicos · AR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPassive immunotherapy has been evaluated as a therapeutic alternative for patients with COVID-19 disease. Equine polyclonal immunotherapy for COVID-19 (EPIC) showed adequate safety and potential efficacy in a clinical trial setting and obtained emergency use authorization in Argentina. We studied its utility in a real world setting with a larger population.

methodsWe conducted a retrospective cohort study at "Hospital de Campaña Escuela-Hogar" (HCEH) in Corrientes, Argentina, to assess safety and effectiveness of EPIC in hospitalized adults with severe COVID-19 pneumonia. Primary endpoints were 28-days all-cause mortality and safety. Mortality and improvement in modified WHO clinical scale at 14 and 21 days were secondary endpoints. Potential confounder adjustment was made by logistic regression weighted by the inverse of the probability of receiving the treatment (IPTW) and doubly robust approach.

findingsSubsequent clinical records of 446 non-exposed (Controls) and 395 exposed (EPIC) patients admitted between November 2020 and April 2021 were analyzed. Median age was 58 years and 56.8% were males. Mortality at 28 days was 15.7% (EPIC) vs. 21.5% (Control). After IPTW adjustment the OR was 0.66 (95% CI: 0.46-0.96) P = 0.03. The effect was more evident in the subgroup who received two EPIC doses (complete treatment, n = 379), OR 0.58 (95% CI 0.39 to 0.85) P = 0.005. Overall and serious adverse events were not significantly different between groups.

conclusionsIn this retrospective cohort study, EPIC showed adequate safety and effectiveness in the treatment of hospitalized patients with severe SARS-CoV-2 disease.

Indexed as

COVID-19Immunization, PassiveAnimalsFemaleHorsesHumansMaleMiddle AgedRetrospective Studies

Identifiers

PMID36155545
PMCPMC9512184
OpenAlexW4297255485

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.