Evidence map›Paper›PMID 37072054›Full record

ArticleInternational journal of infectious diseases : IJID : official publication of the International Society for Infectious Diseases2023

Real-world evaluation of bebtelovimab effectiveness during the period of COVID-19 Omicron variants, including BA.4/BA.5.

Kyle C Molina, Victoria Kennerley, Laurel E Beaty, Tellen D Bennett, Nichole E Carlson, David A Mayer, Jennifer L Peers, Seth Russell, Matthew K Wynia, Neil R Aggarwal and 1 more

Open access · goldAbstract read
In one paragraph

Article in International journal of infectious diseases : IJID : official publication of the International Society for Infectious Diseases, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 2 pooled it
1.9field-weighted citation impact, top 14% 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

8 citing papers in PubMed, 2 syntheses or guidelines pooled it, 10 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Article
  5. Review
  6. Article
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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

11 authors at 4 institutions in 1 country.

Kyle C MolinaDepartment of Emergency Medicine, University of Colorado School of Medicine, Aurora, CO, USA; Department of Pharmacy, Scripps Health, San Diego, CA, USA. Electronic address: Kyle.Molina@CUAnschutz.edu.
Victoria KennerleyDepartment of Biostatistics and Informatics, Colorado School of Public Health, Aurora, CO, USA.
Laurel E BeatyDepartment of Biostatistics and Informatics, Colorado School of Public Health, Aurora, CO, USA.
Tellen D BennettDepartments of Biomedical Informatics and Pediatrics, University of Colorado School of Medicine; Colorado Clinical and Translational Sciences Institute, University of Colorado Anschutz Medical Campus, Aurora, CO, USA.
Nichole E CarlsonDepartment of Biostatistics and Informatics, Colorado School of Public Health, Aurora, CO, USA.
David A MayerDepartment of Biostatistics and Informatics, Colorado School of Public Health, Aurora, CO, USA.
Jennifer L PeersDepartment of Emergency Medicine, University of Colorado School of Medicine, Aurora, CO, USA.
Seth RussellDepartments of Biomedical Informatics, University of Colorado School of Medicine, University of Colorado Anschutz Medical Campus, Aurora, CO, USA.
Matthew K WyniaDepartment of Medicine, University of Colorado School of Medicine, Aurora, CO, USA; University of Colorado Center for Bioethics and Humanities; Department of Health Systems Management and Policy, Colorado School of Public Health, University of Colorado Anschutz Medical Campus, Aurora, CO, USA.
Neil R AggarwalDepartment of Medicine, University of Colorado School of Medicine, Aurora, CO, USA.
Adit A GindeDepartment of Emergency Medicine, University of Colorado School of Medicine, Aurora, CO, USA.
Colorado School of Public Health · USUniversity of Colorado Denver · USUniversity of Colorado Anschutz Medical Campus · USUniversity of Colorado Hospital · US

Funding

NIH Prior Approval Process ProfessionalUL1TR002535 · NCATS · UNIVERSITY OF COLORADO DENVER · PI SOKOL, RONALD J. · 2018 to 2022
$51.1M
NCATS NIH HHS L40 TR002525NCATS NIH HHS UL1 TR002535
6 · The paper itself

Abstract

objectivesBebtelovimab is an anti-SARS-CoV-2 monoclonal antibody active against Omicron lineage variants authorized to treat high-risk outpatients with COVID-19. We sought to determine the real-world effectiveness of bebtelovimab during the Omicron phases BA.2/BA2.12.1/BA4/BA5.

methodsWe conducted a retrospective cohort study of adults with SARS-CoV-2 infection between April 6 and October 11, 2022, using health records linked to vaccine and mortality data. We used propensity scores to match of bebtelovimab-treated with untreated outpatients. The primary outcome was 28-day all-cause hospitalization. The secondary outcomes were 28-day COVID-19-related hospitalization, 28-day all-cause mortality, 28-day emergency department visits, maximum respiratory support level, intensive care unit admission, and in-hospital mortality among hospitalized patients. We used logistic regression to determine bebtelovimab treatment effectiveness.

resultsAmong 22,720 patients with SARS-COV-2 infection, 3739 bebtelovimab-treated patients were matched to 5423 untreated patients. Compared with no treatment, bebtelovimab was associated with lower odds of 28-day all-cause hospitalization (1.3% vs 2.1%, adjusted odds ratio: 0.53; 95% confidence interval: 0.37-0.74, P <0.001), as well as COVID-19-related hospitalization (1.0% vs 2.0%, adjusted odds ratio: 0.44 [95% confidence interval: 0.30-0.64], P <0.001). Bebtelovimab appeared to be more beneficial in lowering the odds of hospitalization among patients with two or more comorbidities (interaction P = 0.03).

conclusionDuring the Omicron BA.2/BA.2.12.1/BA.4/BA.5 variant phase, bebtelovimab was associated with lower hospitalization.

Indexed as

COVID-19AdultAntibodies, NeutralizingAntibodies, ViralHumansRetrospective StudiesSARS-CoV-2Antibodies, NeutralizingAntibodies, ViralbebtelovimabAnti-SARS-COV-2 monoclonal antibodyCOVID-19LY-CoV1404NonhospitalizedOutpatient

Identifiers

PMID37072054
PMCPMC10106116
OpenAlexW4366000598

What OpenQuestion holds

Textmetadata
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.