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免疫功能低下的奥密克戎 BA.1 或 BA.2 感染患者的恢复期血浆治疗。

Convalescent Plasma Therapy in Immunocompromised Patients Infected With the BA.1 or BA.2 Omicron SARS-CoV-2.

机构信息

Service de Maladies Infectieuses, Hôpital Saint-Antoine, AP-HP, Paris, France.

Sorbonne Université, IPLESP, Inserm UMR-S1136, Paris, France.

出版信息

Influenza Other Respir Viruses. 2024 Mar;18(3):e13272. doi: 10.1111/irv.13272.

Abstract

The emergence of SARS-CoV-2 Omicron variant has led to a complete reconfiguration of the therapeutic landscape, with all monoclonal antibodies having lost any neutralization activity. We report here a case series of 75 immunocompromised patients infected by the Omicron variant who benefited from COVID-19 convalescent plasma (CCP). At Day 28, the overall survival was 76% (95% CI 67-86) with no significant difference in the clinical outcome between patients with hematological malignancies, solid organ transplantation or autoimmune diseases. No safety concern was reported during the course of the study. These results showed that CCP is well tolerated and represents a treatment option for immunocompromised patients who remain highly impacted by the COVID19 epidemic.

摘要

SARS-CoV-2 奥密克戎变异株的出现导致治疗格局发生了彻底的变化,所有单克隆抗体均失去了中和活性。我们在此报告了 75 例免疫功能低下的奥密克戎变异株感染患者的病例系列,这些患者从 COVID-19 恢复期血浆(CCP)中获益。第 28 天,总体生存率为 76%(95%CI 67-86),血液系统恶性肿瘤、实体器官移植或自身免疫性疾病患者的临床结局无显著差异。在研究过程中未报告安全性问题。这些结果表明,CCP 耐受良好,是免疫功能低下患者的一种治疗选择,这些患者仍深受 COVID19 疫情的影响。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/06b9/10949173/0b5f382f3877/IRV-18-e13272-g001.jpg

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