4 amubarvimab COVID-19 controlled studies, 2 RCTs
91% improvement
for early treatment, RR
0.09
[0.01-0.70]
Supplementary Data — Amubarvimab/romlusevimab for COVID-19: real-time meta analysis of 4 studies
0
0.25
0.5
0.75
1
1.25
1.5
1.75
2+
ACTIV-2/A5401
Evering (DB RCT)
91%
0.09 [0.01-0.70]
death
1/390
11/390
Improvement, RR [CI]
Treatment
Control
ACTIV-2/A5401
Evering (DB RCT)
-20%
1.20 [0.83-1.75]
PASC
53/390
44/390
ACTIV-2/A5401
Evering (DB RCT)
61%
0.39 [0.22-0.68]
hosp.
16/390
41/390
ACTIV-2/A5401
Evering (DB RCT)
67%
0.33 [0.19-0.56]
death/hosp.
17/390
52/390
ACTIV-3/TICO
Self (DB RCT)
-15%
1.15 [0.54-2.41]
death
15/176
13/178
ACTIV-3/TICO
Self (DB RCT)
7%
0.93 [0.76-1.14]
no recov.
21/176
27/178
ACTIV-3/TICO
Self (DB RCT)
0%
1.00 [0.68-1.47]
no recov.
173 (n)
178 (n)
Yalan
-71%
1.71 [0.69-4.25]
death
12/170
7/170
Yalan
-8%
1.08 [0.74-1.58]
ICU
42/170
39/170
Yalan
8%
0.92 [0.87-0.97]
hosp. time
170 (n)
170 (n)
Yalan
7%
0.93 [0.89-0.98]
viral time
170 (n)
170 (n)
Qu (ICU)
46%
0.54 [0.29-1.04]
death
47 (n)
47 (n)
ICU patients
Qu (ICU)
4%
0.96 [0.57-1.64]
viral+
47 (n)
47 (n)
ICU patients
Amubarvimab COVID-19 outcomes
c19 early .org
December 2025
Favors amubarvimab
Favors control
Fig. S2. Comparison of results for RCTs versus observational studies.
For COVID-19 treatments, there is no significant difference between the results of RCTs and observational studies. Observational studies do not systematically over or underestimate efficacy. For high-cost treatments, there is a non-significant trend towards RCTs showing greater efficacy.
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