Evidence map›Paper›PMID 38111750›Full record

ArticleOpen forum infectious diseases2023

Nasopharyngeal Viral Load Is the Major Driver of Incident Antibody Immune Response to SARS-CoV-2 Infection.

Meng Xu, Meagan P O'Brien, Andrea T Hooper, Eduardo Forleo-Neto, Flonza Isa, Peijie Hou, Kuo-Chen Chan, Myron S Cohen, Mary A Marovich, Jennifer D Hamilton and 3 more

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in Open forum infectious diseases, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04452318 (A Phase 3, Randomized, Double-Blind, Placebo-Controlled Study Assessing the Efficacy and Safety of Anti-Spike SARS-CoV-2 Monoclonal Antibodies in Preventing SARS-CoV-2 Infection in Household Contacts of Individuals Infected With SARS-CoV-2), which is not on this map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.8field-weighted citation impact, top 28% 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.

NCT04452318 phase3completednot on this map

A Phase 3, Randomized, Double-Blind, Placebo-Controlled Study Assessing the Efficacy and Safety of Anti-Spike SARS-CoV-2 Monoclonal Antibodies in Preventing SARS-CoV-2 Infection in Household Contacts of Individuals Infected With SARS-CoV-2

TypeinterventionalSponsorRegeneron PharmaceuticalsRan2020 to 2021Enrolled3,303ConditionsHealthy ParticipantsArmsREGN10933 + REGN10987, Placebo
3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 4 citations in OpenAlex.

  1. Article
  2. Article
  3. 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

13 authors at 3 institutions in 1 country.

Meng XuRegeneron Pharmaceuticals, Inc., Tarrytown, NewYork, USA.
Meagan P O'BrienRegeneron Pharmaceuticals, Inc., Tarrytown, NewYork, USA.
Andrea T HooperRegeneron Pharmaceuticals, Inc., Tarrytown, NewYork, USA.
Eduardo Forleo-NetoRegeneron Pharmaceuticals, Inc., Tarrytown, NewYork, USA.
Flonza IsaRegeneron Pharmaceuticals, Inc., Tarrytown, NewYork, USA.
Peijie HouRegeneron Pharmaceuticals, Inc., Tarrytown, NewYork, USA.
Kuo-Chen ChanRegeneron Pharmaceuticals, Inc., Tarrytown, NewYork, USA.
Myron S CohenUniversity of North Carolina Chapel Hill School of Medicine, Institute for Global Health and Infectious Diseases, Chapel Hill, North Carolina, USA.
Mary A MarovichNational Institute of Allergy and Infectious Diseases, National Institutes of Health, Rockville, Maryland, USA.
Jennifer D HamiltonRegeneron Pharmaceuticals, Inc., Tarrytown, NewYork, USA.
Boaz HirshbergRegeneron Pharmaceuticals, Inc., Tarrytown, NewYork, USA.
Gary A HermanRegeneron Pharmaceuticals, Inc., Tarrytown, NewYork, USA.
Bret J MusserRegeneron Pharmaceuticals, Inc., Tarrytown, NewYork, USA.
Regeneron (United States) · USNational Institute of Allergy and Infectious Diseases · USUniversity of North Carolina at Chapel Hill · US

Funding

LOC: HIV Prevention Trials NetworkUM1AI068619 · NIAID · FAMILY HEALTH INTERNATIONAL · PI Sinead Delany-Moretlwe, RAPHAEL J LANDOVITZ · 2011 to 2026
$779.5M
Leadership Group for the Infectious Diseases Clinical Research Consortium (IDCRCLG) - Momi-Vax DMID #21-0004 {Supplement #6}UM1AI148684 · NIAID · EMORY UNIVERSITY · PI DAVID S STEPHENS · 2020 to 2026
$77.2M
NIAID NIH HHS UM1 AI068619NIAID NIH HHS UM1 AI148684
6 · The paper itself

Abstract

Background: Virologic determinants of seroconversion to severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection were defined in a post hoc analysis of prospectively studied vaccine- and infection-naïve individuals at high risk for coronavirus disease 2019 (COVID-19). Methods: This phase 3 COVID-19 prevention trial (NCT04452318) with casirivimab and imdevimab was conducted in July 2020-February 2021, before widespread vaccine availability. Placebo-treated participants who were uninfected (SARS-CoV-2 quantitative reverse transcription polymerase chain reaction [RT-qPCR] negative) and seronegative were assessed weekly for 28 days (efficacy assessment period [EAP]) for COVID-19 symptoms and SARS-CoV-2 infection by RT-qPCR of nasopharyngeal swab samples and for serostatus by antinucleocapsid immunoglobulin (Ig) G. Regression-based modeling, including causal mediation analysis, estimated the effects of viral load on seroconversion. Results: Of 157/1069 (14.7%) uninfected and seronegative (for antispike IgG, antispike IgA, and antinucleocapsid IgG) participants who became infected during the EAP, 105 (65%) seroconverted. The mean (SD) maximum viral load of seroconverters was 7.23 (1.68) log Conclusions: Maximum SARS-CoV-2 viral load is a major driver of seroconversion and symptomatic COVID-19, with high viral loads (∼6.0 log

Indexed as

antibody immune responsescausal mediation analysisCOVID-19neutralizing monoclonal antibodiesSARS-CoV-2

Identifiers

PMID38111750
PMCPMC10727195
OpenAlexW4389262248

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

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.