The Atlanta Journal-Constitution

■ Study results bolster the case that antibody drugs can prevent COVID-19,

- Rebecca Robbins

A monoclonal antibody cocktail developed by the drugmaker Regeneron offered strong protection against COVID-19 when given to people living with someone infected with the coronaviru­s, according to clinical trial results announced Monday. The drug, if authorized, could offer another line of defense against the disease for people who are not protected by vaccinatio­n.

The findings are the latest evidence that such lab-made drugs not only prevent the worst outcomes of the disease when given early enough, but also help prevent people from getting sick in the first place.

Using the cumbersome drugs preventive­ly on a large scale won’t be necessary, as vaccines are sufficient for the vast majority of people and are increasing­ly available.

Still, antibody drugs like Regeneron’s could give doctors a new way to protect high-risk people who haven’t been inoculated or who may not respond well to vaccinatio­n, such as those taking drugs that weaken their immune system. That could be an important tool as rising coronaviru­s cases and dangerous virus variants threaten to outpace vaccinatio­ns.

Regeneron said in a news release that it would ask the Food and Drug Administra­tion to expand the drug’s emergency authorizat­ion — for highrisk people who already have COVID-19 but are not hospitaliz­ed — to allow it to be given for preventive purposes in “appropriat­e population­s.”

There’s “a very substantia­l number of people” in the United States and globally who could be a good fit to receive these drugs for preventive purposes, said Dr. Myron Cohen, a University of North Carolina researcher who leads monoclonal antibody efforts for the COVID Prevention Network, a National Institutes of Health-sponsored initiative that helped to oversee the trial.

“Not everyone’s going to take a vaccine, no matter what we do, and not everyone’s going to respond to a vaccine,” Cohen said.

Regeneron’s new data comes from a clinical trial that enrolled more than 1,500 people who lived in the same household as someone who had tested positive for the virus within four days. Participan­ts, who were recruited after their household contact sought treatment at a health care facility, had to test negative for the virus to enroll in that section of the study. Those who got an injection of Regeneron’s drug were 81% less likely to get sick with COVID-19 compared to volunteers who got a placebo.

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