Evidence map›Paper›PMID 36181639›Full record

ArticleInfectious diseases and therapy2022

Effectiveness of Subcutaneous Casirivimab and Imdevimab in Ambulatory Patients with COVID-19.

Jessica J Jalbert, Mohamed Hussein, Vera Mastey, Robert J Sanchez, Degang Wang, Dana Murdock, Laura Fariñas, Jonathan Bussey, Carlos Duart, Boaz Hirshberg and 2 more

Open access · goldAbstract read
In one paragraph

Article in Infectious diseases and therapy, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
0.8field-weighted citation impact, top 27% 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

5 citing papers in PubMed, 9 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

12 authors at 1 institution in 1 country.

Jessica J JalbertRegeneron Pharmaceuticals, Inc., 1 Rockwood Road, Sleepy Hollow, NY, 10510, USA. jessica.jalbert@regeneron.com.
Mohamed HusseinRegeneron Pharmaceuticals, Inc., Tarrytown, NY, USA.
Vera MasteyRegeneron Pharmaceuticals, Inc., Tarrytown, NY, USA.
Robert J SanchezRegeneron Pharmaceuticals, Inc., Tarrytown, NY, USA.
Degang WangRegeneron Pharmaceuticals, Inc., Tarrytown, NY, USA.
Dana MurdockRegeneron Pharmaceuticals, Inc., Tarrytown, NY, USA.
Laura FariñasCDR Maguire, Tallahassee, FL, USA.
Jonathan BusseyCDR Maguire, Tallahassee, FL, USA.
Carlos DuartCDR Maguire, Tallahassee, FL, USA.
Boaz HirshbergRegeneron Pharmaceuticals, Inc., Tarrytown, NY, USA.
David M WeinreichRegeneron Pharmaceuticals, Inc., Tarrytown, NY, USA.
Wenhui WeiRegeneron Pharmaceuticals, Inc., Tarrytown, NY, USA.
Regeneron (United States) · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionData on real-world effectiveness of subcutaneous (SC) casirivimab and imdevimab (CAS+IMD) for the treatment of coronavirus disease 2019 (COVID-19) are limited. The objective of this study was to assess the effectiveness of SC CAS+IMD versus no antibody treatment among patients with COVID-19.

methodsThis retrospective cohort study linked Komodo Health and CDR Maguire Health and Medical data. Patients diagnosed with COVID-19 in ambulatory settings (August 1-October 30, 2021) treated with SC CAS+IMD were exact- and propensity score-matched to fewer than five untreated treatment-eligible patients and followed for the composite endpoint of 30-day all-cause mortality or COVID-19-related hospitalization. Kaplan-Meier estimators were used to calculate outcome risk overall and across subgroups. Cox proportional-hazards models were used to estimate adjusted hazard ratios (aHR) and 95% confidence intervals (CI).

resultsOf 13,522 patients treated with CAS+IMD, 12,972 were matched to 41,848 untreated patients. The 30-day composite outcome risk was 1.9% (95% CI 1.7-2.2) and 4.4% (95% CI 4.2-4.6) in the treated and untreated cohorts, respectively; treated patients had a 49% lower relative risk of the composite outcome (aHR 0.51; 95% CI 0.46-0.58) and a 67% relative risk of 30-day mortality (aHR 0.33, 95% CI 0.18-0.60). Effectiveness was consistent across vaccination status and various subgroups. DISCUSSION: Patients with COVID-19 benefitted from treatment with SC CAS+IMD versus untreated patients. The results were consistent across subgroups of patients, including older adults, immunocompromised patients, and patients vaccinated against COVID-19. Results were robust across numerous sensitivity analyses.

conclusionSC CAS+IMD is effective in reducing 30-day COVID-19-related hospitalization or mortality in real-world outpatient settings during the Delta-dominant period.

Indexed as

CasirivimabCOVID-19ImdevimabMonoclonal antibodiesTreatment

Identifiers

PMID36181639
PMCPMC9526200
OpenAlexW4298326393

What OpenQuestion holds

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LicenceCC BY-NC
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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.