Impact of Sars-CoV-2 prophylaxis with tixagevimab-cilgavimab in high-risk patients with B-cell malignancies: a single-center retrospective study.

Severe Acute Respiratory Syndrome CoronaVirus‐2 (SARS‐CoV‐2) infection can result in different clinical manifestations (COVID-19), starting from asymptomatic disease to life threatening respiratory insufficiency. Onco-haematologic patients are at higher risk to develop severe COVID-19. In particula...

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Main Authors: Giovanni Manfredi Assanto, Matteo Totaro, Poggiali Rebecca, Delli Paoli Adele, Annechini Giorgia, D’Elia Gianna Maria, Aji Francesco, Petrucci Luigi, Fazio Francesca, Del Giudice Ilaria, Martelli Maurizio, Micozzi Alessandra, Giuseppe Gentile
Format: Article
Language:English
Published: PAGEPress Publications 2023-10-01
Series:Mediterranean Journal of Hematology and Infectious Diseases
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Online Access:http://www.mjhid.org/index.php/mjhid/article/view/5415
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author Giovanni Manfredi Assanto ,
Matteo Totaro
Poggiali Rebecca
Delli Paoli Adele
Annechini Giorgia
D’Elia Gianna Maria
Aji Francesco
Petrucci Luigi
Fazio Francesca
Del Giudice Ilaria
Martelli Maurizio
Micozzi Alessandra
Giuseppe Gentile
author_facet Giovanni Manfredi Assanto ,
Matteo Totaro
Poggiali Rebecca
Delli Paoli Adele
Annechini Giorgia
D’Elia Gianna Maria
Aji Francesco
Petrucci Luigi
Fazio Francesca
Del Giudice Ilaria
Martelli Maurizio
Micozzi Alessandra
Giuseppe Gentile
author_sort Giovanni Manfredi Assanto ,
collection DOAJ
description Severe Acute Respiratory Syndrome CoronaVirus‐2 (SARS‐CoV‐2) infection can result in different clinical manifestations (COVID-19), starting from asymptomatic disease to life threatening respiratory insufficiency. Onco-haematologic patients are at higher risk to develop severe COVID-19. In particular, patients affected by lymphoproliferative diseases, given the impaired cell-mediated and antibody-mediated immunity and treatment toxicity, develop more often a symptomatic and a more serious disease of Covid-19. Various therapeutic and prophylactic agents are being used against COVID‐19 such as antiviral drugs, vaccines and antiviral S‐protein monoclonal antibodies. Pre-exposure prophylaxis with AZD442/Evusheld (tixagevimab-cilgavimab) may be a complementary strategy to decrease the incidence or severity of COVID-19 for patients with B-cell malignancies. Tixagevimab-cilgavimab is a combination of two monoclonal antibodies that bind SARS-CoV-2 spike protein and inhibits the attachment to the surface of cells, preventing viral entry in the cell and COVID-19 development. In the setting of hematology real-life, few data are available on the impact of pre-exposure prophylaxis, given the multiple factors involved in the clinical behavior of SARS-CoV-2 . Our aim was to evaluate the clinical benefit and the safety of this strategy at our center.
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spelling doaj-art-2333e79f73004c0eb7baff70540cfd152025-01-02T22:45:55ZengPAGEPress PublicationsMediterranean Journal of Hematology and Infectious Diseases2035-30062023-10-0115110.4084/MJHID.2023.061Impact of Sars-CoV-2 prophylaxis with tixagevimab-cilgavimab in high-risk patients with B-cell malignancies: a single-center retrospective study.Giovanni Manfredi Assanto ,0Matteo Totaro Poggiali RebeccaDelli Paoli Adele1Annechini GiorgiaD’Elia Gianna MariaAji Francesco2Petrucci Luigi3Fazio Francesca4Del Giudice Ilaria5Martelli Maurizio6Micozzi AlessandraGiuseppe Gentile7Haematology, Department of Translational and Precision Medicine, Sapienza University of RomeHaematology, Department of Translational and Precision Medicine, Sapienza University of RomeHaematology, Department of Translational and Precision Medicine, Sapienza University of RomeHaematology, Department of Translational and Precision Medicine, Sapienza University of RomeHaematology, Department of Translational and Precision Medicine, Sapienza University of RomeHaematology, Department of Translational and Precision Medicine, Sapienza University of RomeHaematology, Department of Translational and Precision Medicine, Sapienza University of RomeDepartment of Cellular Biotechnology and Hematology University La Sapienza, Rome. Severe Acute Respiratory Syndrome CoronaVirus‐2 (SARS‐CoV‐2) infection can result in different clinical manifestations (COVID-19), starting from asymptomatic disease to life threatening respiratory insufficiency. Onco-haematologic patients are at higher risk to develop severe COVID-19. In particular, patients affected by lymphoproliferative diseases, given the impaired cell-mediated and antibody-mediated immunity and treatment toxicity, develop more often a symptomatic and a more serious disease of Covid-19. Various therapeutic and prophylactic agents are being used against COVID‐19 such as antiviral drugs, vaccines and antiviral S‐protein monoclonal antibodies. Pre-exposure prophylaxis with AZD442/Evusheld (tixagevimab-cilgavimab) may be a complementary strategy to decrease the incidence or severity of COVID-19 for patients with B-cell malignancies. Tixagevimab-cilgavimab is a combination of two monoclonal antibodies that bind SARS-CoV-2 spike protein and inhibits the attachment to the surface of cells, preventing viral entry in the cell and COVID-19 development. In the setting of hematology real-life, few data are available on the impact of pre-exposure prophylaxis, given the multiple factors involved in the clinical behavior of SARS-CoV-2 . Our aim was to evaluate the clinical benefit and the safety of this strategy at our center. http://www.mjhid.org/index.php/mjhid/article/view/5415B-cell malignanciesCOVID-19tixagevimab-cilgavimabPre-exposure prophylaxis
spellingShingle Giovanni Manfredi Assanto ,
Matteo Totaro
Poggiali Rebecca
Delli Paoli Adele
Annechini Giorgia
D’Elia Gianna Maria
Aji Francesco
Petrucci Luigi
Fazio Francesca
Del Giudice Ilaria
Martelli Maurizio
Micozzi Alessandra
Giuseppe Gentile
Impact of Sars-CoV-2 prophylaxis with tixagevimab-cilgavimab in high-risk patients with B-cell malignancies: a single-center retrospective study.
Mediterranean Journal of Hematology and Infectious Diseases
B-cell malignancies
COVID-19
tixagevimab-cilgavimab
Pre-exposure prophylaxis
title Impact of Sars-CoV-2 prophylaxis with tixagevimab-cilgavimab in high-risk patients with B-cell malignancies: a single-center retrospective study.
title_full Impact of Sars-CoV-2 prophylaxis with tixagevimab-cilgavimab in high-risk patients with B-cell malignancies: a single-center retrospective study.
title_fullStr Impact of Sars-CoV-2 prophylaxis with tixagevimab-cilgavimab in high-risk patients with B-cell malignancies: a single-center retrospective study.
title_full_unstemmed Impact of Sars-CoV-2 prophylaxis with tixagevimab-cilgavimab in high-risk patients with B-cell malignancies: a single-center retrospective study.
title_short Impact of Sars-CoV-2 prophylaxis with tixagevimab-cilgavimab in high-risk patients with B-cell malignancies: a single-center retrospective study.
title_sort impact of sars cov 2 prophylaxis with tixagevimab cilgavimab in high risk patients with b cell malignancies a single center retrospective study
topic B-cell malignancies
COVID-19
tixagevimab-cilgavimab
Pre-exposure prophylaxis
url http://www.mjhid.org/index.php/mjhid/article/view/5415
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