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Virol J . Real-world clinical outcomes of tixagevimab/cilgavimab in the Omicron outbreak in China: baseline characteristics and interim analysis of

tetano

Editor, Senior Moderator
Virol J


. 2024 Oct 24;21(1):262.
doi: 10.1186/s12985-024-02509-5. Real-world clinical outcomes of tixagevimab/cilgavimab in the Omicron outbreak in China: baseline characteristics and interim analysis of the CLEAR study

Jianhua You[SUP] #[/SUP][SUP] 1 [/SUP], Haidi Wu[SUP] #[/SUP][SUP] 1 [/SUP], Jiaxin Tian[SUP] #[/SUP][SUP] 2 3 4 [/SUP], Jianru Wen[SUP] 1 [/SUP], Wenbo Shi[SUP] 1 [/SUP], Zhi Wang[SUP] 1 [/SUP], Yanjun Du[SUP] 1 [/SUP], Hongwei Xu[SUP] 1 [/SUP], Hanyu Wei[SUP] 1 [/SUP], Xiang Li[SUP] 1 [/SUP], Wenyan Kang[SUP] 1 [/SUP], Min Zhou[SUP] 5 6 7 [/SUP], Zhidong Gu[SUP] 8 [/SUP], Jieming Qu[SUP] 9 10 11 [/SUP]



Affiliations
Abstract

Purpose: This study aimed to investigate the real-world use and clinical outcomes of tixagevimab/cilgavimab in China during the Omicron outbreak in late 2022.
Methods: This observational, real-world study included patients who received tixagevimab/cilgavimab from July 9 to December 30, 2022, in Hainan, China. Here, we report the baseline and characteristics and interim analysis results of the clinical outcomes in those receiving at least one dose of tixagevimab/cilgavimab (300 mg) for pre-exposure prophylaxis.
Results: Among 248 subjects who received tixagevimab/cilgavimab, 229 subjects were included in this analysis. Until March 28, 2023, the median follow-up was 95 days. The mean age of the subjects was 44.4 ± 15.9 years, 11.8% were ≥ 65 years, and 41.5% were male. Fifty-eight (25.3%) subjects had comorbidities, 16.2% subjects had key immune compromised conditions. Seventy-two (32.6%) patients had laboratory-confirmed SARS-CoV-2 infection and/or received healthcare within three months; 71/72 (98.6%) had mild disease, and one (1.4%) was moderate. No COVID-19-related intensive care unit (ICU) admissions, extracorporeal membrane oxygenation utilizations, or death occurred. Two (0.9%) patients required hospitalization. One (0.4%) serious adverse event occurred, which was considered unrelated to tixagevimab/cilgavimab.
Conclusion: Among Chinese patients receiving prophylactic tixagevimab/cilgavimab, the incidence of COVID-19-related hospitalization, ICU admission, or death was low during the Omicron surge. Further randomized controlled trials with larger sample sizes are needed to determine the effectiveness of tixagevimab/cilgavimab in preventing severe COVID-19 outcomes.
Trial registration: The study was registered with clinicaltrial.gov (NCT05917951).

Keywords: COVID-19; Chinese; Omicron variant; Tixagevimab/cilgavimab.

 
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