Evidence map›Paper›PMID 38649824›Full record

ArticleBMC infectious diseases2024

Characteristics and outcomes of COVID-19 patients presumed to be treated with sotrovimab in NHS hospitals in England.

Vishal Patel, Bethany Levick, Stephen Boult, Daniel C Gibbons, Myriam Drysdale, Emily J Lloyd, Moushmi Singh, Helen J Birch

Open access · goldAbstract read
In one paragraph

Article in BMC infectious diseases, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 1 pooled it
3.1field-weighted citation impact, top 8% 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

6 citing papers in PubMed, 1 synthesis or guideline pooled it, 8 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. COVID-19 therapeutics.Clinical microbiology reviews · 2024
    Review
  5. Article
  6. 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

8 authors at 2 institutions in 2 countries.

Vishal PatelGSK House, 980 Great West Road, TW8 9GS, Brentford, Middlesex, UK.
Bethany LevickHarvey Walsh, Cheshire, UK.ORCID http://orcid.org/0000-0002-6371-8744
Stephen BoultHarvey Walsh, Cheshire, UK.
Daniel C GibbonsGSK House, 980 Great West Road, TW8 9GS, Brentford, Middlesex, UK.ORCID http://orcid.org/0000-0002-3769-9535
Myriam DrysdaleGSK House, 980 Great West Road, TW8 9GS, Brentford, Middlesex, UK. myriam.g.drysdale@gsk.com.ORCID http://orcid.org/0000-0002-8994-2816
Emily J LloydGSK House, 980 Great West Road, TW8 9GS, Brentford, Middlesex, UK.
Moushmi SinghGSK House, 980 Great West Road, TW8 9GS, Brentford, Middlesex, UK.
Helen J BirchGSK House, 980 Great West Road, TW8 9GS, Brentford, Middlesex, UK.ORCID http://orcid.org/0000-0002-4924-4810
Cheshire West and Chester · GBGlaxoSmithKline (Germany) · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe impact of the constantly evolving severe acute respiratory syndrome coronavirus 2 on the effectiveness of early coronavirus disease 2019 (COVID-19) treatments is unclear. Here, we report characteristics and acute clinical outcomes of patients with COVID-19 treated with a monoclonal antibody (mAb; presumed to be sotrovimab) across six distinct periods covering the emergence and predominance of Omicron subvariants (BA.1, BA.2, and BA.5) in England.

methodsRetrospective cohort study using data from the Hospital Episode Statistics database from January 1-July 31, 2022. Included patients received a mAb delivered by a National Health Service (NHS) hospital as a day-case, for which the primary diagnosis was COVID-19. Patients were presumed to have received sotrovimab based on NHS data showing that 99.98% of COVID-19-mAb-treated individuals received sotrovimab during the study period. COVID-19-attributable hospitalizations were reported overall and across six distinct periods of Omicron subvariant prevalence. Subgroup analyses were conducted in patients with severe renal disease and active cancer.

resultsAmong a total of 10,096 patients, 1.0% (n = 96) had a COVID-19-attributable hospitalization, 4.6% (n = 465) had a hospital visit due to any cause, and 0.3% (n = 27) died due to any cause during the acute period. COVID-19-attributable hospitalization rates were consistent among subgroups, and no significant differences were observed across periods of Omicron subvariant predominance.

conclusionsLevels of COVID-19-attributable hospitalizations and deaths were low in mAb-treated patients and among subgroups. Similar hospitalization rates were observed whilst Omicron BA.1, BA.2, and BA.5 were predominant, despite reported reductions in in vitro neutralization activity of sotrovimab against BA.2 and BA.5.

Indexed as

Antibodies, Monoclonal, HumanizedAntibodies, NeutralizingCOVID-19COVID-19 Drug TreatmentHospitalizationSARS-CoV-2AdolescentAdultAgedAged, 80 and overAntibodies, MonoclonalAntiviral AgentsEnglandFemaleHospitalsHumansAntibodies, MonoclonalAntibodies, Monoclonal, HumanizedAntibodies, NeutralizingAntiviral AgentssotrovimabCOVID-19Monoclonal antibodyOmicronSotrovimab

Identifiers

PMID38649824
PMCPMC11036565
OpenAlexW4395001320

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.