Evidence map›Paper›PMID 35711444›Full record

ArticleFrontiers in immunology2022

Clinical Management of Patients With B-Cell Depletion Agents to Treat or Prevent Prolonged and Severe SARS-COV-2 Infection: Defining a Treatment Pathway.

Alessandra D'Abramo, Serena Vita, Gaetano Maffongelli, Alessia Beccacece, Chiara Agrati, Eleonora Cimini, Francesca Colavita, Maria Letizia Giancola, Alessandro Cavasio, Emanuele Nicastri and 1 more

Open access · goldAbstract read
In one paragraph

Article in Frontiers in immunology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 1 pooled it
2.8field-weighted citation impact, top 8% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

14 citing papers in PubMed, 1 synthesis or guideline pooled it, 26 citations in OpenAlex.

  1. Pooled it
  2. Observational
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  10. Antiviral and Monoclonal Antibody Combination Therapy in Haematological Patients in the Omicron Era.Mediterranean journal of hematology and infectious diseases · 2024
    Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors at 3 institutions in 1 country.

Alessandra D'AbramoNational Institute for Infectious Diseases "Lazzaro Spallanzani" (IRCCS), Rome, Italy.
Serena VitaNational Institute for Infectious Diseases "Lazzaro Spallanzani" (IRCCS), Rome, Italy.
Gaetano MaffongelliNational Institute for Infectious Diseases "Lazzaro Spallanzani" (IRCCS), Rome, Italy.
Alessia BeccaceceNational Institute for Infectious Diseases "Lazzaro Spallanzani" (IRCCS), Rome, Italy.
Chiara AgratiNational Institute for Infectious Diseases "Lazzaro Spallanzani" (IRCCS), Rome, Italy.
Eleonora CiminiNational Institute for Infectious Diseases "Lazzaro Spallanzani" (IRCCS), Rome, Italy.
Francesca ColavitaNational Institute for Infectious Diseases "Lazzaro Spallanzani" (IRCCS), Rome, Italy.
Maria Letizia GiancolaNational Institute for Infectious Diseases "Lazzaro Spallanzani" (IRCCS), Rome, Italy.
Alessandro CavasioClinical Infectious Diseases, Department of System Medicine, Tor Vergata University, Rome, Italy.
Emanuele NicastriNational Institute for Infectious Diseases "Lazzaro Spallanzani" (IRCCS), Rome, Italy.
Spallanzani COVID-19 Case Investigation Team
Istituto Nazionale per le Malattie Infettive Lazzaro Spallanzani · ITIstituti di Ricovero e Cura a Carattere Scientifico · ITUniversity of Rome Tor Vergata · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: Immunocompromised patients with B-cell depletion agents are at risk for persistence and/or severe SARS-COV-2 infection. We describe a case series of 21 COVID-19 patients under B cell depletion therapy, mostly treated with a combined therapy based on intravenous remdesevir (RDV) and steroid associated with SARS-CoV-2 monoclonal antibodies against Spike glycoprotein and/or hyper-immune convalescent plasma. Methods: This is a single-center longitudinal study. We retrospectively enrolled a total number of 21 B-cell depleted consecutive hospitalized patients with COVID-19 at the Lazzaro Spallanzani National Institute for Infectious Diseases, Rome, Italy, from November 2020 to December 2021. Demographic characteristics, medical history, clinical presentation, treatment, adverse drug reactions, and clinical and virological outcome were collected for all patients. In a subgroup, we explore immune T cells activation, T cells specific anti-SARS-COV-2 response, and neutralizing antibodies. Results: Twenty-one inpatients with B-cell depletion and SARS-COV-2 infection were enrolled. A median of 1 B cells/mm Conclusion: In COVID-19 immunosuppressed subjects, it is mandatory to establish a prompt, effective, and combined multi-target therapy including oxygen, antiviral, steroid, and antibody-based therapeutics, tailored to the patient's clinical needs.

Indexed as

COVID-19COVID-19 Drug TreatmentSARS-CoV-2Antibodies, MonoclonalAntibodies, ViralCOVID-19 SerotherapyHumansImmunization, PassiveLongitudinal StudiesRetrospective StudiesSpike Glycoprotein, CoronavirusAntibodies, MonoclonalAntibodies, ViralSpike Glycoprotein, Coronavirusspike protein, SARS-CoV-2anti-CD20 agentanti-SARS-CoV-2 monoclonal antibodyB-cells depletionconvalescent plasmaCOVID-19immunosuppressed patientspassive immunotherapy

Identifiers

PMID35711444
PMCPMC9196078
OpenAlexW4285739870

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.