Evidence map›Paper›PMID 40047167›Full record

SynthesisBritish journal of clinical pharmacology2025

Adverse events associated with monoclonal antibodies used for treatment of COVID-19: A systematic review and meta-analysis.

Htet Htet, Han You Kyung, Ismail Abdul Sattar Burud, Heethal Jaiprakash, Thiruselvi Subramaniam, Igor Iezhitsa, Renu Agarwal

Abstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in British journal of clinical pharmacology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

2 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
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

7 authors.

Htet HtetSchool of Medicine, IMU University, Kuala Lumpur, Malaysia.ORCID https://orcid.org/0000-0003-2143-8629
Han You KyungSchool of Medicine, IMU University, Kuala Lumpur, Malaysia.ORCID https://orcid.org/0009-0005-8428-6177
Ismail Abdul Sattar BurudSchool of Medicine, IMU University, Kuala Lumpur, Malaysia.ORCID https://orcid.org/0000-0003-0326-424X
Heethal JaiprakashSchool of Medicine, IMU University, Kuala Lumpur, Malaysia.ORCID https://orcid.org/0000-0001-9948-4428
Thiruselvi SubramaniamSchool of Medicine, IMU University, Kuala Lumpur, Malaysia.ORCID https://orcid.org/0000-0001-7073-8092
Igor IezhitsaSchool of Medicine, IMU University, Kuala Lumpur, Malaysia.ORCID https://orcid.org/0000-0002-2852-8486
Renu AgarwalSchool of Medicine, IMU University, Kuala Lumpur, Malaysia.ORCID https://orcid.org/0000-0002-3050-7449

Funding

IMU University (Formerly known as the International Medical University), Malaysia BMS I-2022 (15)
6 · The paper itself

Abstract

aimsThis review aimed to synthesise the evidence related to the incidence of serious and non-serious adverse events with the use of monoclonal antibodies (mAbs) among COVID-19 patients.

methodsDatabases were searched from January 2020 to September 2023 for randomized clinical trials (RCTs) that used mAbs for the treatment of COVID-19 regardless of disease severity. Study screening, data extraction and data analysis were performed independently by two reviewers. The Cochrane risk of bias 1.0 tool was used for methodological quality assessment.

resultsSixteen studies were identified for analysis with 9682 participants in the intervention arm and 10 115 participants in the control arm. Seven trials reported hepatoxicity and there was a statistically significant increase in the chance of hepatoxicity among patients treated with mAbs compared to those given standard of care (SoC) or placebo with risk ratio (RR) = 1.70, 95% confidence interval (CI) 1.29-2.24. Five trials reported for neutropenia and there was a statistically significant association of neutropenia with the use of mAbs compared to SoC or placebo with RR = 4.03, 95% CI 1.74-9.34. Ten trials reported any disease-related serious adverse events related to the disease and there was a reduction of risk compared to SoC/placebo,  although this reduction was not statistically significant (RR = 0.88, 95% CI 0.70-1.11).

conclusionsThe use of mAbs was found to be associated with an increased risk of hepatoxicity and neutropenia compared to SoC/placebo among COVID-19 patients with moderate certainty of evidence. Long-term observational studies are recommended to observe post-COVID adverse events related to the use of mAbs.

Indexed as

Antibodies, MonoclonalCOVID-19 Drug TreatmentCOVID-19HumansRandomized Controlled Trials as TopicSARS-CoV-2Antibodies, Monoclonaladverse eventsCOVID‐19hepatoxicitymeta‐analysismonoclonal antibodiesneutropeniatocilizumab

Identifiers

PMID40047167
PMCPMC12035595

What Socratic holds

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LicenceCC BY-NC
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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.