4.4 Article

Combination Therapy With Casirivimab/Imdevimab and Remdesivir for Protracted SARS-CoV-2 Infection in B-cell-Depleted Patients

Journal

OPEN FORUM INFECTIOUS DISEASES
Volume 9, Issue 6, Pages -

Publisher

OXFORD UNIV PRESS INC
DOI: 10.1093/ofid/ofac064

Keywords

B-cell-depleted; monoclonal antibodies; prolonged SARS-CoV-2

Funding

  1. HIV Prevention Trials Network (HPTN) - National Institute of Allergy and Infectious Diseases (NIAID) of the NIH, DHHS [UM1 AI068613]
  2. National Institute on Drug Abuse of the NIH, DHHS [UM1 AI068613]
  3. National Institute of Mental Health of the NIH, DHHS [UM1 AI068613]
  4. Office of AIDS Research, of the NIH, DHHS [UM1 AI068613]
  5. NIH RADx-Tech program [3U54HL143541-02S2]
  6. National Institute of Health RADx-UP initiative [R01DA045556-04S1]
  7. National Institute of Allergy and Infectious Diseases (Johns Hopkins Center of Excellence in Influenza Research and Surveillance) [HHSN272201400007C]
  8. Johns Hopkins University President's Fund Research Response
  9. Johns Hopkins Department of Pathology
  10. Maryland Department of Health
  11. CDC

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B-cell-depleted patients with prolonged COVID-19 infection, caused by the inability to generate sufficient humoral response to clear the virus, were successfully treated with a combination of casirivimab/imdevimab and remdesivir.
Profoundly B-cell-depleted patients can have prolonged severe acute respiratory syndrome coronavirus 2 infections with evidence of active viral replication, due to inability to mount an adequate humoral response to clear the virus. We present 3 B-cell-depleted patients with prolonged coronavirus disease 2019 infection who were successfully treated with a combination of casirivimab/imdevimab and remdesivir.

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