Pre-exposure prophylaxis with tixagevimab/cilgavimab (AZD7442) prevents severe SARS-CoV-2 infection in recipients of allogeneic hematopoietic stem cell transplantation during the Omicron wave: a multicentric retrospective study of SFGM-TC

Abstract Since the emergence of the Omicron variant of SARS-CoV-2, though considered less virulent, hospitalization and death rates among immunocompromised patients remain high, especially for poor responders to vaccination. We conducted a retrospective multicentric study to evaluate pre-exposure pr...

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Main Authors: Ludovic Jondreville, Maud D’Aveni, Hélène Labussière-Wallet, Amandine Le Bourgeois, Alban Villate, Ana Berceanu, Silvia-Maria Bezsera, Anne Thiebaut, Marion Boissard-Simonet, Marlène Legrand, Jérôme Cornillon, Marie-Thérèse Rubio, Patrice Chevallier, Stéphanie Nguyen
Format: Article
Language:English
Published: BMC 2022-11-01
Series:Journal of Hematology & Oncology
Subjects:
Online Access:https://doi.org/10.1186/s13045-022-01387-0
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author Ludovic Jondreville
Maud D’Aveni
Hélène Labussière-Wallet
Amandine Le Bourgeois
Alban Villate
Ana Berceanu
Silvia-Maria Bezsera
Anne Thiebaut
Marion Boissard-Simonet
Marlène Legrand
Jérôme Cornillon
Marie-Thérèse Rubio
Patrice Chevallier
Stéphanie Nguyen
author_facet Ludovic Jondreville
Maud D’Aveni
Hélène Labussière-Wallet
Amandine Le Bourgeois
Alban Villate
Ana Berceanu
Silvia-Maria Bezsera
Anne Thiebaut
Marion Boissard-Simonet
Marlène Legrand
Jérôme Cornillon
Marie-Thérèse Rubio
Patrice Chevallier
Stéphanie Nguyen
author_sort Ludovic Jondreville
collection DOAJ
description Abstract Since the emergence of the Omicron variant of SARS-CoV-2, though considered less virulent, hospitalization and death rates among immunocompromised patients remain high, especially for poor responders to vaccination. We conducted a retrospective multicentric study to evaluate pre-exposure prophylaxis with AZD7442 (tixagevimab/cilgavimab) for preventing COVID-19 in adult allogeneic hematopoietic stem cell transplant (allo-HSCT) recipients. Among the 161 patients of our cohort, 22 (14%) contracted COVID-19 after a median follow-up of 105 days, but no severe form was observed. Only one major adverse event was reported: an acute coronary syndrome, resolved without sequelae. Pending randomized controlled trial results, our data support the use of AZD7442 as pre-exposure prophylaxis for COVID-19 during Omicron wave in allo-HSCT patients who failed to develop humoral immunity to vaccination, to prevent severe and potentially lethal forms of SARS-CoV-2 infection.
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spelling doaj.art-a352ce7b4ede4af587b80a35a6709f9c2022-12-22T03:48:27ZengBMCJournal of Hematology & Oncology1756-87222022-11-011511410.1186/s13045-022-01387-0Pre-exposure prophylaxis with tixagevimab/cilgavimab (AZD7442) prevents severe SARS-CoV-2 infection in recipients of allogeneic hematopoietic stem cell transplantation during the Omicron wave: a multicentric retrospective study of SFGM-TCLudovic Jondreville0Maud D’Aveni1Hélène Labussière-Wallet2Amandine Le Bourgeois3Alban Villate4Ana Berceanu5Silvia-Maria Bezsera6Anne Thiebaut7Marion Boissard-Simonet8Marlène Legrand9Jérôme Cornillon10Marie-Thérèse Rubio11Patrice Chevallier12Stéphanie Nguyen13Department of Clinical Hematology, Groupe Hospitalier Pitié-Salpêtrière, AP-HP Sorbonne UniversitéDepartment of Clinical Hematology, Centre Hospitalier Régional Universitaire de NancyDepartment of Clinical Hematology, Centre Hospitalier Lyon-Sud, Hospices Civils de LyonDepartment of Clinical Hematology, Nantes University HospitalDepartment of Clinical Hematology, Centre Hospitalier Régional Universitaire de ToursDepartment of Clinical Hematology, Besançon University HospitalInstitut de Cancérologie Lucien NeuwirthDepartment of Clinical Hematology, Centre Hospitalier Universitaire Grenoble-AlpesDepartment of Clinical Hematology, Besançon University HospitalDepartment of Clinical Hematology, Centre Hospitalier Lyon-Sud, Hospices Civils de LyonInstitut de Cancérologie Lucien NeuwirthDepartment of Clinical Hematology, Centre Hospitalier Régional Universitaire de NancyDepartment of Clinical Hematology, Nantes University HospitalDepartment of Clinical Hematology, Groupe Hospitalier Pitié-Salpêtrière, AP-HP Sorbonne UniversitéAbstract Since the emergence of the Omicron variant of SARS-CoV-2, though considered less virulent, hospitalization and death rates among immunocompromised patients remain high, especially for poor responders to vaccination. We conducted a retrospective multicentric study to evaluate pre-exposure prophylaxis with AZD7442 (tixagevimab/cilgavimab) for preventing COVID-19 in adult allogeneic hematopoietic stem cell transplant (allo-HSCT) recipients. Among the 161 patients of our cohort, 22 (14%) contracted COVID-19 after a median follow-up of 105 days, but no severe form was observed. Only one major adverse event was reported: an acute coronary syndrome, resolved without sequelae. Pending randomized controlled trial results, our data support the use of AZD7442 as pre-exposure prophylaxis for COVID-19 during Omicron wave in allo-HSCT patients who failed to develop humoral immunity to vaccination, to prevent severe and potentially lethal forms of SARS-CoV-2 infection.https://doi.org/10.1186/s13045-022-01387-0SARS-CoV-2Allogeneic stem cell transplantationPre-exposure prophylaxisAZD7442
spellingShingle Ludovic Jondreville
Maud D’Aveni
Hélène Labussière-Wallet
Amandine Le Bourgeois
Alban Villate
Ana Berceanu
Silvia-Maria Bezsera
Anne Thiebaut
Marion Boissard-Simonet
Marlène Legrand
Jérôme Cornillon
Marie-Thérèse Rubio
Patrice Chevallier
Stéphanie Nguyen
Pre-exposure prophylaxis with tixagevimab/cilgavimab (AZD7442) prevents severe SARS-CoV-2 infection in recipients of allogeneic hematopoietic stem cell transplantation during the Omicron wave: a multicentric retrospective study of SFGM-TC
Journal of Hematology & Oncology
SARS-CoV-2
Allogeneic stem cell transplantation
Pre-exposure prophylaxis
AZD7442
title Pre-exposure prophylaxis with tixagevimab/cilgavimab (AZD7442) prevents severe SARS-CoV-2 infection in recipients of allogeneic hematopoietic stem cell transplantation during the Omicron wave: a multicentric retrospective study of SFGM-TC
title_full Pre-exposure prophylaxis with tixagevimab/cilgavimab (AZD7442) prevents severe SARS-CoV-2 infection in recipients of allogeneic hematopoietic stem cell transplantation during the Omicron wave: a multicentric retrospective study of SFGM-TC
title_fullStr Pre-exposure prophylaxis with tixagevimab/cilgavimab (AZD7442) prevents severe SARS-CoV-2 infection in recipients of allogeneic hematopoietic stem cell transplantation during the Omicron wave: a multicentric retrospective study of SFGM-TC
title_full_unstemmed Pre-exposure prophylaxis with tixagevimab/cilgavimab (AZD7442) prevents severe SARS-CoV-2 infection in recipients of allogeneic hematopoietic stem cell transplantation during the Omicron wave: a multicentric retrospective study of SFGM-TC
title_short Pre-exposure prophylaxis with tixagevimab/cilgavimab (AZD7442) prevents severe SARS-CoV-2 infection in recipients of allogeneic hematopoietic stem cell transplantation during the Omicron wave: a multicentric retrospective study of SFGM-TC
title_sort pre exposure prophylaxis with tixagevimab cilgavimab azd7442 prevents severe sars cov 2 infection in recipients of allogeneic hematopoietic stem cell transplantation during the omicron wave a multicentric retrospective study of sfgm tc
topic SARS-CoV-2
Allogeneic stem cell transplantation
Pre-exposure prophylaxis
AZD7442
url https://doi.org/10.1186/s13045-022-01387-0
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AT mauddaveni preexposureprophylaxiswithtixagevimabcilgavimabazd7442preventsseveresarscov2infectioninrecipientsofallogeneichematopoieticstemcelltransplantationduringtheomicronwaveamulticentricretrospectivestudyofsfgmtc
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AT albanvillate preexposureprophylaxiswithtixagevimabcilgavimabazd7442preventsseveresarscov2infectioninrecipientsofallogeneichematopoieticstemcelltransplantationduringtheomicronwaveamulticentricretrospectivestudyofsfgmtc
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AT silviamariabezsera preexposureprophylaxiswithtixagevimabcilgavimabazd7442preventsseveresarscov2infectioninrecipientsofallogeneichematopoieticstemcelltransplantationduringtheomicronwaveamulticentricretrospectivestudyofsfgmtc
AT annethiebaut preexposureprophylaxiswithtixagevimabcilgavimabazd7442preventsseveresarscov2infectioninrecipientsofallogeneichematopoieticstemcelltransplantationduringtheomicronwaveamulticentricretrospectivestudyofsfgmtc
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AT marlenelegrand preexposureprophylaxiswithtixagevimabcilgavimabazd7442preventsseveresarscov2infectioninrecipientsofallogeneichematopoieticstemcelltransplantationduringtheomicronwaveamulticentricretrospectivestudyofsfgmtc
AT jeromecornillon preexposureprophylaxiswithtixagevimabcilgavimabazd7442preventsseveresarscov2infectioninrecipientsofallogeneichematopoieticstemcelltransplantationduringtheomicronwaveamulticentricretrospectivestudyofsfgmtc
AT mariethereserubio preexposureprophylaxiswithtixagevimabcilgavimabazd7442preventsseveresarscov2infectioninrecipientsofallogeneichematopoieticstemcelltransplantationduringtheomicronwaveamulticentricretrospectivestudyofsfgmtc
AT patricechevallier preexposureprophylaxiswithtixagevimabcilgavimabazd7442preventsseveresarscov2infectioninrecipientsofallogeneichematopoieticstemcelltransplantationduringtheomicronwaveamulticentricretrospectivestudyofsfgmtc
AT stephanienguyen preexposureprophylaxiswithtixagevimabcilgavimabazd7442preventsseveresarscov2infectioninrecipientsofallogeneichematopoieticstemcelltransplantationduringtheomicronwaveamulticentricretrospectivestudyofsfgmtc