Successful early treatment combining remdesivir with high-titer convalescent plasma among COVID-19-infected hematological patients

Authors

WEINBERGEROVÁ Barbora MAYER Jiří KABUT Tomáš HRABOVSKÝ Štěpán PROCHÁZKOVÁ Jiřina KRÁL Zdeněk HEROUT Vladimír PACASOVÁ Rita ZDRAŽILOVÁ DUBSKÁ Lenka HUSA Petr BEDNAR Petr RUZEK Daniel LENGEROVÁ Martina

Year of publication 2021
Type Article in Periodical
Magazine / Source Hematological Oncology
MU Faculty or unit

Faculty of Medicine

Citation
Web https://onlinelibrary.wiley.com/doi/10.1002/hon.2908
Doi http://dx.doi.org/10.1002/hon.2908
Keywords COVID-19; remdesivir; hematological patients
Description Immunocompromised patients with hematological malignancies are at high risk for a severe course of COVID-19 (Coronavirus Disease 2019) with a deadly outcome.1, 2 With remdesivir use, several randomized trials have recorded abbreviated recovery periods, lower mortality, and positive consequences of early treatment initiation.3, 4 Based on randomized trial results, the FDA has approved remdesivir for the treatment of COVID-19. Regarding convalescent plasma (CP), evidence from recently published large trials implies that early administration of high-titer CP is most efficacious.5 However, no published studies assessing the effect of remdesivir or CP in COVID-19 have included a substantial proportion of hematooncology patients, and available data are limited to case reports.6, 7 In view of this dearth of data, we decided to analyze the efficacy of early combination therapy of remdesivir and high-titer CP among hematological patients. This treatment strategy was implemented after observing several grim COVID-19 outcomes among these patients.

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