Evidence map›Paper›PMID 39762664›Full record

ArticleInfectious diseases and therapy2025

Effectiveness of AZD7442 (Tixagevimab/Cilgavimab) for Pre-Exposure Prophylaxis Against COVID-19 Hospitalization in Israel During the Omicron Sub-Variant Time Period.

Samah Hayek, Joseph Levy, Galit Shaham, Noa Dagan, Danielle Serby, Hadar Duskin-Bitan, Sabada Dube, Cátia Ferreira, Idit Livnat, Carla Talarico and 6 more

Abstract read
In one paragraph

Article in Infectious diseases and therapy, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
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

1 citing paper in PubMed.

  1. 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

16 authors.

Samah HayekClalit Research Institute, Innovation Division, Clalit Health Services, Tel Aviv, Israel. samahha@clalit.org.il.ORCID http://orcid.org/0000-0002-3300-1769
Joseph LevyClalit Research Institute, Innovation Division, Clalit Health Services, Tel Aviv, Israel.
Galit ShahamClalit Research Institute, Innovation Division, Clalit Health Services, Tel Aviv, Israel.
Noa DaganClalit Research Institute, Innovation Division, Clalit Health Services, Tel Aviv, Israel.
Danielle SerbyClalit Community Division, Clalit Health Services, Tel Aviv, Israel.
Hadar Duskin-BitanClalit Community Division, Clalit Health Services, Tel Aviv, Israel.
Sabada DubeEpidemiology, Vaccines & Immune Therapies, AstraZeneca, Cambridge, UK.
Cátia FerreiraGlobal Medical Affairs, Vaccines & Immune Therapies, BioPharmaceuticals Medical, AstraZeneca, Wilmington, DE, USA.
Idit LivnatMedical Affairs, BioPharmaceuticals Medical, AstraZeneca, Kfar-Saba, Israel.
Carla TalaricoMedical Evidence, Vaccines & Immune Therapies, BioPharmaceuticals Medical, AstraZeneca, Gaithersburg, MD, USA.
Sylvia TaylorMedical Evidence, Vaccines & Immune Therapies, AstraZeneca, Cambridge, UK.
Sudhir VenkatesanBPM Evidence Statistics, BioPharmaceuticals Medical, AstraZeneca, Cambridge, UK.
Adva YardenMedical Affairs, BioPharmaceuticals Medical, AstraZeneca, Kfar-Saba, Israel.
Ran D BalicerClalit Research Institute, Innovation Division, Clalit Health Services, Tel Aviv, Israel.
Doron NetzerClalit Community Division, Clalit Health Services, Tel Aviv, Israel.
Alon PeretzClalit Community Division, Clalit Health Services, Tel Aviv, Israel.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionThe effectiveness of AZD7442 (tixagevimab/cilgavimab) against COVID-19 hospitalizations was determined at 3 and 6 months among immunocompromised individuals in Israel during different variant circulations.

methodsThis was a retrospective cohort study using data from Clalit Health Services in Israel. Immunocompromised individuals eligible to receive AZD7442 300 mg between 15 February and 11 December 2022 were identified. Immunocompromised individuals receiving AZD7442 300 mg as pre-exposure prophylaxis (PrEP) were propensity score (PS)-matched 1:1 to unexposed individuals using a "rolling cohort" approach. Calendar time Cox proportional hazards regression models were performed with adjustment for post-matched unbalanced covariates to estimate hazard ratios (HRs) and 95% confidence intervals (CIs).

resultsOverall, 2444 AZD7442-exposed immunocompromised individuals were PS-matched to unexposed individuals. In the matched population, up to 6 months of follow-up, AZD7442 300 mg presented an unadjusted HR (without adjustment for the unbalanced covariates) of 0.68 (95% CI 0.43-1.08) and covariate-adjusted HR of 0.64 (95% CI 0.40-1.03) against COVID-19 hospitalization. Covariate-adjusted instantaneous hazards plots showed that the effectiveness of AZD7442 300 mg waned from Day 90. Up to 3 months of follow-up, the unadjusted HR was 0.43 (95% CI 0.21-0.91) for AZD7442 300 mg against COVID-19 hospitalization in the matched population; there were insufficient events to allow covariate-adjusted analysis.

conclusionOur results suggest that AZD7442 300 mg reduced COVID-19 hospitalizations among immunocompromised individuals; however, the findings are limited by a lack of sufficient events to produce conclusive results.

Indexed as

AZD7442COVID-19EffectivenessImmunocompromisedMonoclonal antibodies

Identifiers

PMID39762664
PMCPMC11829863

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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.