Title : Monoclonal antibodies efficacy in treatment of novel coronavirus infection (COVID-19) in children at risk of developing a severe course of the disease
Abstract:
Virus-neutralizing monoclonal antibodies (mAbs) are designed to create a passive or enhance the natural immune response against a foreign agent. For the first time, the introduction of monoclonal antibodies to children for the treatment of new coronavirus infection (hereinafter referred to as COVID-19) has become available in medical organizations of the Moscow state healthcare system since November 2021.
The study presents the treatment results of 98 patients at risk for developing a severe course of COVID-19 with a first positive result of polymerase chain reaction (SARS-CoV-2) on the basis of a short-stay hospital of a multidisciplinary children's city clinical hospital named after Z.A. Bashlyaeva of Moscow Healthcare Department. In order to prevent the clinical manifestation of COVID-19 and the progression of the underlying disease, all of these children were treated with virus-neutralizing monoclonal antibodies.
Patients underwent a comprehensive clinical, laboratory and instrumental examination both at baseline and in dynamics on days 3-7-11 after mAbs therapy according to the developed clinical algorithm. Evaluation of the effectiveness of biological therapy was carried out according to the dynamics of the clinical symptoms of the disease, the results of the chest CT scan, as well as laboratory markers during treatment. In addition, the timing of the virus elimination the body was estimated.
The effectiveness of ongoing biological therapy in children at risk for severe course of COVID-19 was noted in 100% of cases. None of the observed patients had either a clinical manifestation of COVID-19 or a relapse of the underlying chronic disease.
Audience Take Away:
- Identify children at risk for developing a severe course of COVID-19
- Develop a plan for examining patients of this category
- Formulate indications for the early appointment of virus-neutralizing monoclonal antibodies, based on the examination results
- Evaluate the effectiveness of ongoing therapy in children at risk for developing a severe course of COVID-19