Effect of Regdanvimab on Mortality in Patients Infected with SARS-CoV-2 Delta Variants: A Propensity Score-Matched

Soyoon Hwang1, Nan Young Lee2, Eunkyung Nam1

  • 1Division of Infectious Diseases, Department of Internal Medicine, School of Medicine, Kyungpook National University, Kyungpook National University Chilgok Hospital, 807, Hoguk-ro, Buk-gu, Daegu, Republic of Korea.

PubMed

Insights

Regdanvimab significantly reduced mortality and condition exacerbation in patients with the COVID-19 delta variant. This monoclonal antibody therapy offers a promising treatment option for severe COVID-19 cases.

Area of Science:

  • Immunology
  • Virology
  • Pharmacology

Background:

  • Regdanvimab is the first Korean-developed monoclonal antibody approved for treating COVID-19.
  • The study focuses on the efficacy of regdanvimab in patients infected with the SARS-CoV-2 delta variant.

Purpose of the Study:

  • To evaluate the therapeutic effectiveness of regdanvimab in patients diagnosed with the COVID-19 delta variant.
  • To compare clinical outcomes between patients treated with regdanvimab and those who did not receive the treatment.

Main Methods:

  • A retrospective review of electronic medical records from two Korean tertiary COVID-19 hospitals.
  • Propensity-score matching (1:1) was used to compare outcomes based on age, admission severity, and vaccination status.

Main Results:

  • After matching, 189 patients were in each group (regdanvimab vs. non-regdanvimab).
  • The regdanvimab group showed significantly lower 30-day hospital mortality (0.0% vs. 1.6%), condition exacerbation rates (9.5% vs. 16.4%), and need for oxygen therapy (7.4% vs. 16.4%).
  • Fewer patients in the regdanvimab group experienced a daily National Early Warning Score ≥ 5 from hospital day 2.

Conclusions:

  • Regdanvimab demonstrated a significant reduction in condition exacerbation and mortality among patients with the COVID-19 delta variant.
  • Streamlining drug approval processes during viral epidemics is recommended to enhance therapeutic accessibility.
  • Institutional support is crucial for improving the availability and utilization of novel therapeutics.
Abstract