de Bree Godelieve J, Wiersinga W Joost
Amsterdam UMC, locatie AMC, afd. Infectieziekten, Amsterdam.
Contact: Godelieve J. de Bree (
Ned Tijdschr Geneeskd. 2021 Oct 7;165:D6173.
Despite vaccination, a substantial proportion of immunocompromised patients have an increased risk for severe Covid-19. Treatment with SARS-CoV-2 neutralizing monoclonal antibodies has been shown to be safe and can prevent Covid-19 associated hospitalization and death. Monoclonal antibodies neutralize the virus and promote the immune response against SARS-CoV-2. Treatment with monoclonal antibodies is a potential breakthrough for the treatment of patients who are at high risk for severe disease when given early after infection. The first encouraging clinical trial data and the imminent availability of combination antibody therapy create a "momentum" to address several essential questions that are necessary to address for the structural use of this treatment in routine clinical care. These concern the real-world effect and sustainability of treatment of vulnerable patients, the optimal logistics and the cost-effectiveness of these novel compounds.
尽管接种了疫苗,但相当一部分免疫功能低下的患者患重症新冠病毒病(Covid-19)的风险仍会增加。已证明使用严重急性呼吸综合征冠状病毒2(SARS-CoV-2)中和单克隆抗体进行治疗是安全的,并且可以预防与Covid-19相关的住院和死亡。单克隆抗体可中和病毒并促进针对SARS-CoV-2的免疫反应。对于感染后早期接受治疗的重症疾病高危患者,单克隆抗体治疗是一种潜在的突破性治疗方法。首个令人鼓舞的临床试验数据以及即将可用的联合抗体疗法营造了一种“势头”,以解决在常规临床护理中结构化使用这种治疗方法所需解决的几个关键问题。这些问题涉及弱势患者治疗的实际效果和可持续性、最佳物流以及这些新型化合物的成本效益。