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Efficacy and safety of bamlanivimab in patients with COVID-19:A systematic review and meta-analysis

World Journal of Virology 2024年第1期13卷 120-132页

作者： Behnam Amani lida khodavirdilou Kourosh Rajabkhah Vida Kardan Moghaddam Arash Akbarzadeh Bahman Amani Department of Health Management and Economics School of Public HealthTehran University of Medical SciencesTehran ***Iran Department of Pharmaceutical Sciences Jerry H.Hodge School of PharmacyTexas Tech University Health Sciences CenterAmarilloTX 79106United States Deputy of Research and Technology Tehran University of Medical SciencesTehran ***Iran School of Medicine and Dentistry Griffith UniversityQueenslandBrisbane 4222Australia Department of Epidemiology and Biostatistics School of Public HealthTehran University of Medical SciencesTehran ***Iran

BACKGROUND Monoclonal antibodies(mAbs)have shown clinical benefits against coronavirus disease 2019(COVID-19)caused by severe acute respiratory syndrome coronavirus 2(SARS-CoV-2).Several studies have reported the use of bamlanivimab as a promising treatment option for *** To synthesize the latest evidence for the efficacy and safety of bamlanivimab alone in the treatment of adult patients with *** A literature search was conducted in PubMed,Cochrane Library,Web of Science,medRxiv,and Google Scholar using“SARS-CoV-2”,“COVID-19”,“LY-CoV555”,and“Bamlanivimab”keywords up to January 25,*** quality of included studies was assessed using the Cochrane bias *** Comprehensive Meta-Analysis software version 3.0 was used to analyze the *** A total of 30 studies involving 47368 patients were included.A significant difference was observed between the bamlanivimab and standard of care/placebo groups in terms of mortality rate[risk ratio(RR)=50,95%confidence interval(CI):0.36-0.70],hospitalization rate(RR=0.51;95%CI:0.39-0.68),and emergency department(ED)visits(RR=0.69;95%CI:0.47-0.99);while the two groups exhibited no significant difference in terms of intensive care unit(ICU)admission(P>0.05).Compared to other mAbs,bamlanivimab was associated with a higher rate of hospitalization(RR=1.44;95%CI:1.07-1.94).However,no significant difference was detected between the bamlanivimab and other mAbs groups in terms of mortality rate,ICU admission,and ED(P>0.05).The incidence of any adverse events was similar between the bamlanivimab and control groups(P>0.05).CONCLUSION Although the results suggest the efficacy and safety of bamlanivimab in COVID-19 patients,further research is required to confirm the efficacy of this drug for the current circulating SARS-CoV-2 variants.

关键词： SARS-CoV-2 COVID-19 Bamlanivimab Monoclonal antibody Meta-analysis

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