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Outcomes in COVID-19 pemivibart studies

Outcomes in pemivibart studies. mAb use may create new variants that spread globally Focosi, Leducq, and may be associated with prolonged viral loads, clinical deterioration, and immune escape Casadevall, Choudhary, Günther, Leducq.
0 0.5 1 1.5+ All studies -150% 1 477 Improvement, Studies, Patients Relative Risk Mortality -150% 1 477 Hospitalization 75% 1 477 Cases 76% 1 477 RCTs -150% 1 477 Prophylaxis -150% 1 477 Pemivibart for COVID-19 c19early.org December 2024 Favorspemivibart Favorscontrol
0 0.25 0.5 0.75 1 1.25 1.5 1.75 2+ CANOPY Wolfe (RCT) -150% 2.50 [0.10-61.1] death 1/317 0/160 Improvement, RR [CI] Treatment Control Tau​2 = 0.00, I​2 = 0.0%, p = 0.59 Prophylaxis -150% 2.50 [0.10-61.1] 1/317 0/160 150% higher risk All studies -150% 2.50 [0.10-61.1] 1/317 0/160 150% higher risk 1 pemivibart COVID-19 study c19early.org December 2024 Tau​2 = 0.00, I​2 = 0.0%, p = 0.59 Effect extraction pre-specified(most serious outcome) Favors pemivibart Favors control 0 0.25 0.5 0.75 1 1.25 1.5 1.75 2+ CANOPY Wolfe (RCT) -150% 2.50 [0.10-61.1] 1/317 0/160 Improvement, RR [CI] Treatment Control Tau​2 = 0.00, I​2 = 0.0%, p = 0.59 Prophylaxis -150% 2.50 [0.10-61.1] 1/317 0/160 150% higher risk All studies -150% 2.50 [0.10-61.1] 1/317 0/160 150% higher risk 1 pemivibart COVID-19 mortality result c19early.org December 2024 Tau​2 = 0.00, I​2 = 0.0%, p = 0.59 Favors pemivibart Favors control 0 0.25 0.5 0.75 1 1.25 1.5 1.75 2+ CANOPY Wolfe (RCT) 75% 0.25 [0.01-6.13] hosp. 0/317 1/160 Improvement, RR [CI] Treatment Control Tau​2 = 0.00, I​2 = 0.0%, p = 0.4 Prophylaxis 75% 0.25 [0.01-6.13] 0/317 1/160 75% lower risk All studies 75% 0.25 [0.01-6.13] 0/317 1/160 75% lower risk 1 pemivibart COVID-19 hospitalization result c19early.org December 2024 Tau​2 = 0.00, I​2 = 0.0%, p = 0.4 Favors pemivibart Favors control 0 0.25 0.5 0.75 1 1.25 1.5 1.75 2+ CANOPY Wolfe (RCT) -150% 2.50 [0.10-61.1] death 1/317 0/160 Improvement, RR [CI] Treatment Control Tau​2 = 0.00, I​2 = 0.0%, p = 0.59 Prophylaxis -150% 2.50 [0.10-61.1] 1/317 0/160 150% higher risk All studies -150% 2.50 [0.10-61.1] 1/317 0/160 150% higher risk 1 pemivibart COVID-19 serious outcome c19early.org December 2024 Tau​2 = 0.00, I​2 = 0.0%, p = 0.59 Effect extraction pre-specified(most serious outcome) Favors pemivibart Favors control 0 0.25 0.5 0.75 1 1.25 1.5 1.75 2+ CANOPY Wolfe (RCT) 76% 0.24 [0.13-0.45] symp. case 14/317 29/160 Improvement, RR [CI] Treatment Control Tau​2 = 0.00, I​2 = 0.0%, p < 0.0001 Prophylaxis 76% 0.24 [0.13-0.45] 14/317 29/160 76% lower risk All studies 76% 0.24 [0.13-0.45] 14/317 29/160 76% lower risk 1 pemivibart COVID-19 case result c19early.org December 2024 Tau​2 = 0.00, I​2 = 0.0%, p < 0.0001 Favors pemivibart Favors control 0 0.25 0.5 0.75 1 1.25 1.5 1.75 2+ CANOPY Wolfe (RCT) -150% 2.50 [0.10-61.1] death 1/317 0/160 Improvement, RR [CI] Treatment Control Tau​2 = 0.00, I​2 = 0.0%, p = 0.59 Prophylaxis -150% 2.50 [0.10-61.1] 1/317 0/160 150% higher risk All studies -150% 2.50 [0.10-61.1] 1/317 0/160 150% higher risk 1 pemivibart COVID-19 Randomized Controlled Trial c19early.org December 2024 Tau​2 = 0.00, I​2 = 0.0%, p = 0.59 Effect extraction pre-specified(most serious outcome) Favors pemivibart Favors control 0 0.25 0.5 0.75 1 1.25 1.5 1.75 2+ CANOPY Wolfe (RCT) -150% 2.50 [0.10-61.1] 1/317 0/160 Improvement, RR [CI] Treatment Control Tau​2 = 0.00, I​2 = 0.0%, p = 0.59 Prophylaxis -150% 2.50 [0.10-61.1] 1/317 0/160 150% higher risk All studies -150% 2.50 [0.10-61.1] 1/317 0/160 150% higher risk 1 pemivibart COVID-19 RCT mortality result c19early.org December 2024 Tau​2 = 0.00, I​2 = 0.0%, p = 0.59 Favors pemivibart Favors control 0 0.25 0.5 0.75 1 1.25 1.5 1.75 2+ CANOPY Wolfe (RCT) -150% 2.50 [0.10-61.1] death 1/317 0/160 Improvement, RR [CI] Treatment Control CANOPY Wolfe (RCT) 75% 0.25 [0.01-6.13] hosp. 0/317 1/160 CANOPY Wolfe (RCT) 74% 0.26 [0.14-0.47] progression 15/317 29/160 CANOPY Wolfe (RCT) 76% 0.24 [0.13-0.45] symp. case 14/317 29/160 Pemivibart COVID-19 outcomes c19early.org December 2024 Favors pemivibart Favors control
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