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All Studies   Meta Analysis   Recent: 
Casirivimab/imdevimab for COVID-19: real-time meta analysis of 24 studies
Covid Analysis (Preprint) (meta analysis)
20 Sep 2022    Source   PDF   Share   Tweet
• Statistically significant improvements are seen for mortality, hospitalization, progression, recovery, cases, and viral clearance. 17 studies from 12 independent teams in 4 different countries show statistically significant improvements in isolation (7 for the most serious outcome).
• Meta analysis using the most serious outcome reported shows 56% [37‑69%] improvement. Results are similar for Randomized Controlled Trials, similar after exclusions, and slightly worse for peer-reviewed studies. Results are consistent with early treatment being more effective than late treatment.
• Results are robust — in exclusion sensitivity analysis 13 of 24 studies must be excluded to avoid finding statistically significant efficacy in pooled analysis.
• Efficacy is variant dependent. In Vitro studies suggest a lack of efficacy for omicron [Liu, Sheward, Tatham, VanBlargan]. Monoclonal antibody use with variants can be associated with prolonged viral loads, clinical deterioration, and immune escape [Choudhary].
• No treatment, vaccine, or intervention is 100% effective and available. All practical, effective, and safe means should be used based on risk/benefit analysis. Multiple treatments are typically used in combination, and other treatments may be more effective. Only 29% of casirivimab/imdevimab studies show zero events with treatment.
• All data to reproduce this paper and sources are in the appendix.
Covid Analysis et al., 20 Sep 2022, preprint, 1 author.
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Please send us corrections, updates, or comments. Vaccines and treatments are both valuable and complementary. All practical, effective, and safe means should be used. No treatment, vaccine, or intervention is 100% available and effective for all current and future variants. Denying the efficacy of any method increases mortality, morbidity, collateral damage, and the risk of endemic status. We do not provide medical advice. Before taking any medication, consult a qualified physician who can provide personalized advice and details of risks and benefits based on your medical history and situation. FLCCC and WCH provide treatment protocols.
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