REGN-COV2 antibody cocktail in patients with SARS-CoV-2: Observational study from a single institution in Japan

Ayana Sakurai1, Shoko Marshall1, Tomoko Ogasawara1

  • 1Department of Medicine, Tokyo Women's Medical University Medical Center East, 2-1-10 Nishiogu, Arakawaku, Tokyo, 116-8567, Japan.

Abstract

Insights

The REGN-COV2 antibody cocktail, a treatment for severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), demonstrated safety and benefit in high-risk coronavirus disease (COVID-19) patients. This therapy reduced hospitalizations without observed adverse effects.

Area of Science:

  • Infectious Diseases
  • Immunology
  • Pharmacology

Background:

  • Coronavirus disease (COVID-19) poses a significant risk, particularly for individuals with comorbidities.
  • REGN-COV2, a neutralizing antibody cocktail targeting SARS-CoV-2, has received approval for at-risk patients.
  • Early intervention with effective treatments is crucial for managing severe COVID-19.

Purpose of the Study:

  • To evaluate the safety and efficacy of the REGN-COV2 antibody cocktail in patients with COVID-19 and risk factors for severe disease.
  • To assess COVID-19-related hospitalization rates, symptom duration, and adverse events following REGN-COV2 treatment.
  • To determine the clinical utility of this antibody cocktail in a real-world patient cohort.

Main Methods:

  • Retrospective review of 108 patients diagnosed with COVID-19 between July and September 2021.
  • REGN-COV2 administered within 7 days of symptom onset to patients with oxygen saturation >93% and at least one comorbidity.
  • Analysis of hospitalization, symptom duration, and adverse effects as primary outcome measures.

Main Results:

  • The patient cohort (n=108) had a high prevalence of risk factors, including age ≥50 (64%), obesity (31%), hypertension (36%), and diabetes (18%).
  • 11% of patients required COVID-19-related hospitalization.
  • No adverse effects associated with the REGN-COV2 antibody cocktail treatment were reported.

Conclusions:

  • The REGN-COV2 antibody cocktail is a safe therapeutic option for patients at risk of severe COVID-19.
  • Treatment with REGN-COV2 demonstrated a beneficial impact on clinical outcomes in this patient group.
  • The findings support the use of neutralizing antibody cocktails for managing high-risk COVID-19 cases.

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