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Casirivimab/Imdevimab - An Indian Real World Experience : Review
The antibody cocktail (Casirivimab and Imdevimab) has been approved in India for the treatment of mild to moderate COVID-19 in adolescents and adults in specified high-risk groups. This retrospective study was conducted in two tertiary care COVID centers and included 63 COVID-19 patients from Mumbai, India. The primary objectives were time to COVID-19 symptoms resolution, the proportion of patients with disease progression, and the effect of BMI on outcomes of treatment. While secondary objectives were to evaluate the safety and all-cause mortality in patients treated with the monoclonal antibody cocktail therapy in a real-world setting.
Baseline characteristics
- The mean age was 54.87 years ± 17.83 years, and all the patients were double vaccinated. Thirty-one patients had a BMI of 25 Kg/m2, of these 11.1% of patients had a BMI of 30 Kg/m2.
- Patients most commonly present with symptoms of fever (52.4%) and cough (66.7%) and common comorbid diseases were hypertension and cardiovascular diseases (36.5%) followed by diabetes (25.4%).
Results:
- Symptoms resolution occurred earliest for fever (1.41 days ± 0.74 days) followed by the sore throat (1.59 days ± 0.80 days) then body ache resolved after 4.35 days ± 1.70 days while weakness took the longest time to resolve (6.33 days ± 2.74 days).
- Only 11 patients (17.5%) patients needed hospitalization. The total duration of hospitalization was 5.00 ± 2 days.
- None of the patients enrolled in the study needed oxygen support or experienced any adverse effects after treatment with the antibody cocktail therapy.
- BMI had no impact on prevalence or duration of symptoms or on hospitalization and O2 support.
- Similarly, there was no statistically significant correlation between BMI and time to symptom resolution such as cough (p=0.819) or fever or the need for hospitalization.
The current real world study demonstrated the efficacy and safety of casirivimab/imdevimab in preventing hospitalization and deaths in Indian COVID 19 patients and states that efficacy of casirivimab/imdevimab remains unaffected regardless of the age, bodyweight and presence of comorbid conditions.
Reference:
AgrawalV. Casirivimab/Imdevimab for Management of Mild to Moderate COVID 19: An Indian Experience. International Journal of Clinical Skills. 2022;16(4):688-95.
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Dr Kamal Kant Kohli-MBBS, DTCD- a chest specialist with more than 30 years of practice and a flair for writing clinical articles, Dr Kamal Kant Kohli joined Medical Dialogues as a Chief Editor of Medical News. Besides writing articles, as an editor, he proofreads and verifies all the medical content published on Medical Dialogues including those coming from journals, studies,medical conferences,guidelines etc. Email: drkohli@medicaldialogues.in. Contact no. 011-43720751