TY - JOUR A1 - Heller, Martin A1 - Henrici, Clara Blanca A1 - Büttner, Judith A1 - Leube, Sebastian A1 - Treske, Isabelle A1 - Pospischil, Petra A1 - Doll, Michael A1 - Schanz, Ilka A1 - Hallier, Agnes A1 - Herrmann, Eva A1 - Schmidt, Michael A1 - Sarrazin, Christoph T1 - SARS-CoV-2 neutralizing antibody therapies: an early retrospective cohort study of 26 hospitalized patients treated with bamlanivimab or casirivimab/imdevimab T2 - International journal of infectious diseases N2 - Objectives In this early retrospective cohort study, a total of 26 patients with SARS-CoV-2 were treated with bamlanivimab or casirivimab/imdevimab, and the reduction of the viral load associated with the developed clinical symptoms was analyzed. Methods: Patients in the intervention groups received bamlanivimab or casirivimab/imdevimab. Patients without treatment served as control. Outcomes were assessed by clinical symptoms and change in log viral load from baseline based on the cycle threshold over a period of 18 days. Results: Median log viral load decline was higher in both intervention groups after 3 and 6 days compared to control. However, at later time points, the decline of the viral load was more distinct in the control group. Mild symptoms of COVID-19 were observed in 6.3% of the intervention groups and in no patient of the control. No patients treated with bamlanivimab, 18.8% treated with casirivimab/imdevimab, and 14.2% in the control group developed moderate symptoms. Severe symptoms were recorded only in the control group (14.2%), including one related death. Conclusion: Treatment with monoclonal SARS-CoV-2 antibodies seems to accelerate decline of virus loads, especially in the first 6 days after administration, compared to control. This may be associated with a reduced likeliness of a severe course of COVID-19. KW - COVID-19 KW - Bamlanivimab KW - Casirivimab KW - Imdevimab KW - Antibody therapy KW - Viral load Y1 - 2023 UR - http://publikationen.ub.uni-frankfurt.de/frontdoor/index/index/docId/78857 UR - https://nbn-resolving.org/urn:nbn:de:hebis:30:3-788570 SN - 1201-9712 VL - 129 SP - 260 EP - 265 PB - Elsevier CY - Amsterdam ER -