Evidence map›Paper›PMID 40872923›Full record

ArticleVaccines2025

Efficacy and Safety of Anti-Respiratory Syncytial Virus Monoclonal Antibody Nirsevimab in Neonates: A Real-World Monocentric Study.

Maria Costantino, Mariagrazia Bathilde Marongiu, Maria Grazia Corbo, Anna Maria Della Corte, Anna Rita Frascogna, Angela Plantulli, Federica Campana, Luigi Fortino, Emanuela Santoro, Emilia Anna Vozzella and 4 more

Abstract read
In one paragraph

Article in Vaccines, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Observational
  2. Observational
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

14 authors.

Maria CostantinoDepartment of Medicine, Surgery, and Dentistry, University of Salerno, 84081 Baronissi, Italy.
Mariagrazia Bathilde MarongiuDepartment of Women, Child and General and Specialized Surgery, University "Luigi Vanvitelli", 80138 Naples, Italy.
Maria Grazia CorboUniversity Hospital "San Giovanni di Dio e Ruggi d'Aragona", 84131 Salerno, Italy.
Anna Maria Della CorteDepartment of Medicine, Surgery, and Dentistry, University of Salerno, 84081 Baronissi, Italy.
Anna Rita FrascognaUniversity Hospital "San Giovanni di Dio e Ruggi d'Aragona", 84131 Salerno, Italy.
Angela PlantulliUniversity Hospital "San Giovanni di Dio e Ruggi d'Aragona", 84131 Salerno, Italy.
Federica CampanaDepartment of Medicine, Surgery, and Dentistry, University of Salerno, 84081 Baronissi, Italy.
Luigi FortinoUniversity Hospital "San Giovanni di Dio e Ruggi d'Aragona", 84131 Salerno, Italy.ORCID 0000-0003-1050-2445
Emanuela SantoroDepartment of Medicine, Surgery, and Dentistry, University of Salerno, 84081 Baronissi, Italy.ORCID 0000-0002-0602-2513
Emilia Anna VozzellaUniversity Hospital "San Giovanni di Dio e Ruggi d'Aragona", 84131 Salerno, Italy.
Walter LonganellaUniversity Hospital "San Giovanni di Dio e Ruggi d'Aragona", 84131 Salerno, Italy.
Giovanni BocciaDepartment of Medicine, Surgery, and Dentistry, University of Salerno, 84081 Baronissi, Italy.ORCID 0000-0002-7757-6855
Amelia FilippelliDepartment of Medicine, Surgery, and Dentistry, University of Salerno, 84081 Baronissi, Italy.ORCID 0000-0002-8235-9118
Francesco De CaroDepartment of Medicine, Surgery, and Dentistry, University of Salerno, 84081 Baronissi, Italy.ORCID 0000-0001-9659-9940

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundRSV remains a leading cause of infant hospitalization worldwide, and the recently approved nirsevimab could represent an effective and safe prophylactic strategy to prevent severe infections in the general neonatal population.

objectivesWe conducted a retrospective observational monocentric pilot study in a mixed preterm/term birth cohort to add real-world evidence of the efficacy and safety of nirsevimab in preventing severe RSV infection.

methodsWe included a total of 2035 consecutive infants admitted to the Neonatal Unit, University Hospital "San Giovanni di Dio e Ruggi d'Aragona", Salerno, Italy, from November 2024 to April 2025. We evaluated 30-day safety profiles and season-wide RSV infection rates, and the outcomes were also compared to newborns' birth rate in the two previous seasons (2022-2023 and 2023-2024).

resultsAfter the introduction of nirsevimab, a lower RSV infection rate was reported compared to previous seasons, and no adverse effects were observed. Compared to previous seasons, the clinical outcomes were more favorable, as only one unvaccinated neonate with RSV infection required invasive ventilation.

conclusionsIn this real-world analysis, we demonstrated a good short-term safety profile of nirsevimab, as well as a potentially high efficacy in the general neonatal population with lower RSV infection incidence. However, future studies are needed to better assess its long-term safety and season-wide efficacy.

Indexed as

AEFIsnewbornsnirsevimabRespiratory Syncytial Virus

Identifiers

PMID40872923
PMCPMC12390192

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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.