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In Vitro Efficacy of Antivirals and Monoclonal Antibodies against SARS-CoV-2 Omicron Lineages XBB.1.9.1, XBB.1.9.3, XBB.1.5, XBB.1.16, XBB.2.4, BQ.1.1.45, CH.1.1, and CL.1

Pochtovyi et al., Vaccines, doi:10.3390/vaccines11101533
Sep 2023  
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In Vitro study showing sharply reduced neutralization of SARS-CoV-2 variants XBB.1.9.1, XBB.1.9.3, XBB.1.5, XBB.1.16, XBB.2.4, BQ.1.1.45, CH.1.1, and CL.1 with monoclonal antibodies cilgavimab, tixagevimab, imdevimab, etsevimab, casirivimab, bamlanivimab, and regdanvimab. Only sotrovimab retained measurable, though reduced neutralizing activity.
Efficacy was retained for remdesivir, molnupiravir, and nirmatrelvir, however IC50 values for remdesivir were ~3 times higher for XBB.1.* variants compared with B.1.1, BQ.1.1.45, CL.1, CH.1.1, and XBB.2.9, and the IC50 for nirmatrelvir for XBB.2.9 was ~2 times higher compared with previous variants.
Gérard, Zhou, Wu, Kamo, Choi, Kim show significantly increased risk of acute kidney injury with remdesivir.
Pochtovyi et al., 28 Sep 2023, peer-reviewed, 16 authors, study period September 2022 - May 2023. Contact: a.pochtovyy@gamaleya.org (corresponding author), kustovad70@gmail.com, wowaniada@yandex.ru.
In Vitro studies are an important part of preclinical research, however results may be very different in vivo.
This PaperRemdesivirAll
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A decrease in the efficacy of monoclonal ' 'antibodies (mAbs) has been reported, especially against Omicron subvariants. There have been ' 'reports of a decrease in the efficacy of specific antiviral drugs as a result of mutations in ' 'the genes of non-structural proteins. This indicates the urgent need for practical healthcare ' 'to constantly monitor pathogen variability and its effect on the efficacy of preventive and ' 'therapeutic drugs. As part of this study, we report the results of the continuous monitoring ' 'of COVID-19 in Moscow using genetic and virological methods. As a result of this monitoring, ' 'we determined the dominant genetic variants and identified the variants that are most ' 'widespread, not only in Moscow, but also in other countries. A collection of viruses from ' 'more than 500 SARS-CoV-2 isolates has been obtained and characterized. The genetic lines ' 'XBB.1.9.1, XBB.1.9.3, XBB.1.5, XBB.1.16, XBB.2.4, BQ.1.1.45, CH.1.1, and CL.1, representing ' 'the greatest concern, were identified among the dominant variants. We studied the in vitro ' 'efficacy of mAbs Tixagevimab + Cilgavimab (Evusheld), Sotrovimab, Regdanvimab, Casirivimab + ' 'Imdevimab (Ronapreve), and Bebtelovimab, as well as the specific antiviral drugs Remdesivir, ' 'Molnupiravir, and Nirmatrelvir, against these genetic lines. At the current stage of the ' 'COVID-19 pandemic, the use of mAbs developed against early SARS-CoV-2 variants has little ' 'prospect. Specific antiviral drugs retain their activity, but further monitoring is needed to ' 'assess the risk of their efficacy being reduced and adjust recommendations for their ' 'use.</jats:p>', 'DOI': '10.3390/vaccines11101533', 'type': 'journal-article', 'created': {'date-parts': [[2023, 9, 28]], 'date-time': '2023-09-28T05:42:12Z', 'timestamp': 1695879732000}, 'page': '1533', 'source': 'Crossref', 'is-referenced-by-count': 0, 'title': 'In Vitro Efficacy of Antivirals and Monoclonal Antibodies against SARS-CoV-2 Omicron Lineages ' 'XBB.1.9.1, XBB.1.9.3, XBB.1.5, XBB.1.16, XBB.2.4, BQ.1.1.45, CH.1.1, and CL.1', 'prefix': '10.3390', 'volume': '11', 'author': [ { 'ORCID': 'http://orcid.org/0000-0003-1107-9351', 'authenticated-orcid': False, 'given': 'Andrei A.', 'family': 'Pochtovyi', 'sequence': 'first', 'affiliation': [ { 'name': 'Federal State Budget Institution “National Research Centre for ' 'Epidemiology and Microbiology Named after Honorary Academician ' 'N. F. Gamaleya” of the Ministry of Health of the Russian ' 'Federation, 123098 Moscow, Russia'}, { 'name': 'Department of Virology, Biological Faculty, Lomonosov Moscow ' 'State University, 119991 Moscow, Russia'}]}, { 'ORCID': 'http://orcid.org/0000-0002-8382-275X', 'authenticated-orcid': False, 'given': 'Daria D.', 'family': 'Kustova', 'sequence': 'additional', 'affiliation': [ { 'name': 'Federal State Budget Institution “National Research Centre for ' 'Epidemiology and Microbiology Named after Honorary Academician ' 'N. F. Gamaleya” of the Ministry of Health of the Russian ' 'Federation, 123098 Moscow, Russia'}, { 'name': 'Department of Virology, Biological Faculty, Lomonosov Moscow ' 'State University, 119991 Moscow, Russia'}]}, { 'ORCID': 'http://orcid.org/0000-0001-7576-2059', 'authenticated-orcid': False, 'given': 'Andrei E.', 'family': 'Siniavin', 'sequence': 'additional', 'affiliation': [ { 'name': 'Federal State Budget Institution “National Research Centre for ' 'Epidemiology and Microbiology Named after Honorary Academician ' 'N. F. Gamaleya” of the Ministry of Health of the Russian ' 'Federation, 123098 Moscow, Russia'}, { 'name': 'Shemyakin-Ovchinnikov Institute of Bioorganic Chemistry, Russian ' 'Academy of Sciences, 117997 Moscow, Russia'}]}, { 'given': 'Inna V.', 'family': 'Dolzhikova', 'sequence': 'additional', 'affiliation': [ { 'name': 'Federal State Budget Institution “National Research Centre for ' 'Epidemiology and Microbiology Named after Honorary Academician ' 'N. F. Gamaleya” of the Ministry of Health of the Russian ' 'Federation, 123098 Moscow, Russia'}]}, { 'given': 'Elena V.', 'family': 'Shidlovskaya', 'sequence': 'additional', 'affiliation': [ { 'name': 'Federal State Budget Institution “National Research Centre for ' 'Epidemiology and Microbiology Named after Honorary Academician ' 'N. F. Gamaleya” of the Ministry of Health of the Russian ' 'Federation, 123098 Moscow, Russia'}]}, { 'given': 'Olga G.', 'family': 'Shpakova', 'sequence': 'additional', 'affiliation': [{'name': 'Moscow Healthcare Department, 127006 Moscow, Russia'}]}, { 'given': 'Lyudmila A.', 'family': 'Vasilchenko', 'sequence': 'additional', 'affiliation': [ { 'name': 'Federal State Budget Institution “National Research Centre for ' 'Epidemiology and Microbiology Named after Honorary Academician ' 'N. F. Gamaleya” of the Ministry of Health of the Russian ' 'Federation, 123098 Moscow, Russia'}]}, { 'given': 'Arina A.', 'family': 'Glavatskaya', 'sequence': 'additional', 'affiliation': [ { 'name': 'Federal State Budget Institution “National Research Centre for ' 'Epidemiology and Microbiology Named after Honorary Academician ' 'N. F. Gamaleya” of the Ministry of Health of the Russian ' 'Federation, 123098 Moscow, Russia'}]}, { 'ORCID': 'http://orcid.org/0000-0002-7399-7628', 'authenticated-orcid': False, 'given': 'Nadezhda A.', 'family': 'Kuznetsova', 'sequence': 'additional', 'affiliation': [ { 'name': 'Federal State Budget Institution “National Research Centre for ' 'Epidemiology and Microbiology Named after Honorary Academician ' 'N. F. Gamaleya” of the Ministry of Health of the Russian ' 'Federation, 123098 Moscow, Russia'}]}, { 'given': 'Anna A.', 'family': 'Iliukhina', 'sequence': 'additional', 'affiliation': [ { 'name': 'Federal State Budget Institution “National Research Centre for ' 'Epidemiology and Microbiology Named after Honorary Academician ' 'N. F. Gamaleya” of the Ministry of Health of the Russian ' 'Federation, 123098 Moscow, Russia'}]}, { 'given': 'Artem Y.', 'family': 'Shelkov', 'sequence': 'additional', 'affiliation': [ { 'name': 'Federal State Budget Institution “National Research Centre for ' 'Epidemiology and Microbiology Named after Honorary Academician ' 'N. F. Gamaleya” of the Ministry of Health of the Russian ' 'Federation, 123098 Moscow, Russia'}]}, { 'given': 'Olesia M.', 'family': 'Grinkevich', 'sequence': 'additional', 'affiliation': [ { 'name': 'Federal State Budget Institution “National Research Centre for ' 'Epidemiology and Microbiology Named after Honorary Academician ' 'N. F. Gamaleya” of the Ministry of Health of the Russian ' 'Federation, 123098 Moscow, Russia'}]}, { 'given': 'Andrei G.', 'family': 'Komarov', 'sequence': 'additional', 'affiliation': [{'name': 'Moscow Healthcare Department, 127006 Moscow, Russia'}]}, { 'given': 'Denis Y.', 'family': 'Logunov', 'sequence': 'additional', 'affiliation': [ { 'name': 'Federal State Budget Institution “National Research Centre for ' 'Epidemiology and Microbiology Named after Honorary Academician ' 'N. F. Gamaleya” of the Ministry of Health of the Russian ' 'Federation, 123098 Moscow, Russia'}]}, { 'given': 'Vladimir A.', 'family': 'Gushchin', 'sequence': 'additional', 'affiliation': [ { 'name': 'Federal State Budget Institution “National Research Centre for ' 'Epidemiology and Microbiology Named after Honorary Academician ' 'N. F. Gamaleya” of the Ministry of Health of the Russian ' 'Federation, 123098 Moscow, Russia'}, { 'name': 'Department of Virology, Biological Faculty, Lomonosov Moscow ' 'State University, 119991 Moscow, Russia'}]}, { 'given': 'Alexander L.', 'family': 'Gintsburg', 'sequence': 'additional', 'affiliation': [ { 'name': 'Federal State Budget Institution “National Research Centre for ' 'Epidemiology and Microbiology Named after Honorary Academician ' 'N. F. Gamaleya” of the Ministry of Health of the Russian ' 'Federation, 123098 Moscow, Russia'}, { 'name': 'Department of Infectiology and Virology, Federal State ' 'Autonomous Educational Institution of Higher Education I.M. ' 'Sechenov, First Moscow State Medical University of the Ministry ' 'of Health of the Russian Federation (Sechenov University), ' '119435 Moscow, Russia'}]}], 'member': '1968', 'published-online': {'date-parts': [[2023, 9, 28]]}, 'reference': [ { 'key': 'ref_1', 'unstructured': '(2023, August 01). 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Dis.'}], 'container-title': 'Vaccines', 'original-title': [], 'language': 'en', 'link': [ { 'URL': 'https://www.mdpi.com/2076-393X/11/10/1533/pdf', 'content-type': 'unspecified', 'content-version': 'vor', 'intended-application': 'similarity-checking'}], 'deposited': { 'date-parts': [[2023, 9, 28]], 'date-time': '2023-09-28T07:15:20Z', 'timestamp': 1695885320000}, 'score': 1, 'resource': {'primary': {'URL': 'https://www.mdpi.com/2076-393X/11/10/1533'}}, 'subtitle': [], 'short-title': [], 'issued': {'date-parts': [[2023, 9, 28]]}, 'references-count': 49, 'journal-issue': {'issue': '10', 'published-online': {'date-parts': [[2023, 10]]}}, 'alternative-id': ['vaccines11101533'], 'URL': 'http://dx.doi.org/10.3390/vaccines11101533', 'relation': {}, 'ISSN': ['2076-393X'], 'subject': [ 'Pharmacology (medical)', 'Infectious Diseases', 'Drug Discovery', 'Pharmacology', 'Immunology'], 'container-title-short': 'Vaccines', 'published': {'date-parts': [[2023, 9, 28]]}}
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