Experience with the combination of tixagevimab + cilgavimab for pre-exposure prophylaxis of COVID-19 in cancer patients: A retrospective analysis

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Abstract

Background. COVID-19 (COrona VIrus Disease 2019) is a serious threat to cancer patients, who are at an increased risk of severe infection complications. Pre-exposure prophylaxis with a combination of monoclonal antibodies, tixagevimab-cilgavimab (Evusheld), has been shown to be effective in preventing COVID-19, reducing hospital admission rate and mortality in immunocompromised individuals.

Aim. To describe the experience of using tixagevimab-cilgavimab for pre-exposure prophylaxis of COVID-19 in the Russian population of patients with solid tumors receiving antitumor drug therapies.

Materials and methods. The retrospective analysis included case histories of 79 patients (57% females and 43% males) with solid tumors treated at the Moscow City Clinical Oncology Hospital No. 1 from October 2022 to June 2023. All patients received tixagevimab-cilgavimab for COVID-19 pre-exposure prophylaxis.

Results. The mean age was 64±11 years (32 to 83 years). Seventy-three percent of patients received cytotoxic therapy, associated with an increased risk of infectious complications, including COVID-19. No immediate or delayed adverse events related to tixagevimab-cilgavimab were reported. During the observation period since the drug injection, 3 (3.8%) new mild cases of COVID-19 were reported.

Conclusion. Tixagevimab-cilgavimab (Evusheld) is safe and effective for pre-exposure prophylaxis of COVID-19 in the Russian population of patients with solid tumors receiving antitumor drug therapy.

About the authors

Marina A. Lyadova

Moscow State Budgetary Healthcare Institution "Moscow City Oncological Hospital No.1, Moscow Healthcare Department"; Novokuznetsk State Institute for the Advanced Training of Doctors – branch of the Russian Medical Academy of Continuous Professional Education

Author for correspondence.
Email: dr.lyadova@gmail.com
ORCID iD: 0000-0002-9558-5579

cand. sci. (med.)

Russian Federation, Moscow; Novokuznetsk

Denis S. Fedorinov

Moscow State Budgetary Healthcare Institution "Moscow City Oncological Hospital No.1, Moscow Healthcare Department"; Russian Medical Academy of Continuous Professional Education

Email: deni_fe@mail.ru
ORCID iD: 0000-0001-5516-7367

oncologist

Russian Federation, Moscow

Evgeniya S. Kuzmina

Moscow State Budgetary Healthcare Institution "Moscow City Oncological Hospital No.1, Moscow Healthcare Department"

Email: kuz011@mail.ru
ORCID iD: 0009-0007-2856-5176

chemotherapy department head

Russian Federation, Moscow

Tatiana G. Antonova

Moscow State Budgetary Healthcare Institution "Moscow City Oncological Hospital No.1, Moscow Healthcare Department"

Email: tattg@mail.ru
ORCID iD: 0009-0007-6646-7454

chemotherapy day care center head

Russian Federation, Moscow

Valentina K. Sokolskaya

Moscow State Budgetary Healthcare Institution "Moscow City Oncological Hospital No.1, Moscow Healthcare Department"

Email: sddv1@yandex.ru

deputy chief doctor

Russian Federation, Moscow

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Supplementary files

Supplementary Files
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1. JATS XML
2. Fig. 1. Characteristics of patients by nosology, %.

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3. Fig. 2. Characteristics of patients by drug therapy, %.

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4. Fig. 3. Efficacy of tixagevimab-cilgavimab in patients with solid tumors. Development of COVID-19 after administration of the tixagevimab-cilgavimab.

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