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

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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.

作者简介

Marina 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

编辑信件的主要联系方式.
Email: dr.lyadova@gmail.com
ORCID iD: 0000-0002-9558-5579

cand. sci. (med.)

俄罗斯联邦, Moscow; Novokuznetsk

Denis 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

俄罗斯联邦, Moscow

Evgeniya 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

俄罗斯联邦, Moscow

Tatiana 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

俄罗斯联邦, Moscow

Valentina Sokolskaya

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

Email: sddv1@yandex.ru

deputy chief doctor

俄罗斯联邦, Moscow

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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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