Evidence map›Paper›PMID 36309921›Full record

ArticleInfectious diseases and therapy2022

Exploring the Role of Antiviral Nasal Sprays in the Control of Emerging Respiratory Infections in the Community.

Christoforos Hadjichrysanthou, Anna L Beukenhorst, Clarissa M Koch, Galit Alter, Jaap Goudsmit, Roy M Anderson, Frank de Wolf

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 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
1.1field-weighted citation impact, top 21% 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

4 citing papers in PubMed, 12 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

7 authors at 3 institutions in 2 countries.

Christoforos HadjichrysanthouDepartment of Infectious Disease Epidemiology, School of Public Health, Imperial College London, London, UK. c.hadjichrysanthou@imperial.ac.uk.ORCID http://orcid.org/0000-0001-6166-5899
Anna L BeukenhorstLeyden Laboratories B.V., Leiden, The Netherlands.ORCID http://orcid.org/0000-0002-1765-4890
Clarissa M KochLeyden Laboratories B.V., Leiden, The Netherlands.
Galit AlterLeyden Laboratories B.V., Leiden, The Netherlands.
Jaap GoudsmitLeyden Laboratories B.V., Leiden, The Netherlands.
Roy M AndersonDepartment of Infectious Disease Epidemiology, School of Public Health, Imperial College London, London, UK.
Frank de WolfDepartment of Infectious Disease Epidemiology, School of Public Health, Imperial College London, London, UK.
Imperial College London · GBHarvard University · USRagon Institute of MGH, MIT and Harvard · US

Funding

Medical Research Council MR/R015600/1
6 · The paper itself

Abstract

introductionThe COVID-19 pandemic has demonstrated that there is an unmet need for the development of novel prophylactic antiviral treatments to control the outbreak of emerging respiratory virus infections. Passive antibody-based immunisation approaches such as intranasal antibody prophylaxis have the potential to provide immediately accessible universal protection as they act directly at the most common route of viral entry, the upper respiratory tract. The need for such products is very apparent for SARS-CoV-2 at present, given the relatively low effectiveness of vaccines to prevent infection and block virus onward transmission. We explore the benefits and challenges of the use of antibody-based nasal sprays prior and post exposure to the virus.

methodsThe classic susceptible-exposed-infectious-removed (SEIR) mathematical model was extended to describe the potential population-level impact of intranasal antibody prophylaxis on controlling the spread of an emerging respiratory infection in the community.

resultsIntranasal administration of monoclonal antibodies provides only a short-term protection to the mucosal surface. Consequently, sustained intranasal antibody prophylaxis of a substantial proportion of the population would be needed to contain infections. Post-exposure prophylaxis against the development of severe disease would be essential for the overall reduction in hospital admissions.

conclusionAntibody-based nasal sprays could provide protection against infection to individuals that are likely to be exposed to the virus. Large-scale administration for a long period of time would be challenging. Intranasal antibody prophylaxis alone cannot prevent community-wide transmission of the virus. It could be used along with other protective measures, such as non-pharmaceutical interventions, to bridge the time required to develop and produce effective vaccines, and complement active immunisation strategies.

Indexed as

COVID-19InterventionsIntranasal antibody prophylaxisPassive immunisationRespiratory infectionsSARS-CoV-2Treatments

Identifiers

PMID36309921
PMCPMC9618272
OpenAlexW4307658803

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.