Effectiveness of REGEN-COV antibody combination in preventing severe COVID-19 outcomes

被引:0
作者
Samah Hayek
Yatir Ben-shlomo
Noa Dagan
Ben Y. Reis
Noam Barda
Eldad Kepten
Alina Roitman
Shachar Shapira
Shlomit Yaron
Ran D. Balicer
Doron Netzer
Alon Peretz
机构
[1] Clalit Health Services,Clalit Research Institute, Innovation Division
[2] Ben Gurion University,Software and Information Systems Engineering
[3] Harvard Medical School,Department of Biomedical Informatics
[4] The Ivan and Francesca Berkowitz Family Living Laboratory Collaboration at Harvard Medical School and Clalit Research Institute,Predictive Medicine Group, Computational Health Informatics Program
[5] Boston Children’s Hospital,Clalit Community Division
[6] Harvard Medical School,Department of Military Medicine, Faculty of Medicine
[7] Clalit Health Services,School of Public Health, Faculty of Health Sciences
[8] Israel Defense Forces Medical Corps,undefined
[9] Hebrew University,undefined
[10] Ben Gurion University of the Negev,undefined
来源
Nature Communications | / 13卷
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摘要
REGEN-COV, a combination of the monoclonal antibodies casirivimab and imdevimab, has been approved as a treatment for high-risk patients infected with SARS-CoV-2 within five days of their diagnosis. We performed a retrospective cohort study, and used data repositories of Israel’s largest healthcare organization to determine the real-world effectiveness of REGEN-COV treatment against COVID-19-related hospitalization, severe disease, and death. We compared patients infected with Delta variant and treated with REGEN-COV (n = 289) to those infected but not-treated with REGEN-COV (n = 1,296). Demographic and clinical characteristics were used to match patients and for further adjustment as part of the C0x model. Estimated treatment effectiveness was defined as one minus the hazard ratio. Treatment effectiveness of REGEN-COV was 56.4% (95% CI: 23.7–75.1%) in preventing COVID-19 hospitalization, 59.2% (95% CI: 19.9–79.2%) in preventing severe COVID-19, and 93.5% (95% CI: 52.1–99.1%) in preventing COVID-19 death in the 28 days after treatment. In conclusion, REGEN-COV was effective in reducing the risk of severe sequelae in high-risk COVID-19 patients.
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