[HTML][HTML] Convalescent plasma improves overall survival in patients with B-cell lymphoid malignancy and COVID-19: a longitudinal cohort and propensity score …

T Hueso, AS Godron, E Lanoy, J Pacanowski, LI Levi… - Leukemia, 2022 - nature.com
T Hueso, AS Godron, E Lanoy, J Pacanowski, LI Levi, E Gras, L Surgers, A Guemriche…
Leukemia, 2022nature.com
Patients with hematological malignancy and COVID-19 display a high mortality rate. In such
patients, immunosuppression due to underlying disease and previous specific treatments
impair humoral response, limiting viral clearance. Thus, COVID-19 convalescent plasma
(CCP) therapy appears as a promising approach through the transfer of neutralizing
antibodies specific to SARS-CoV-2. We report the effect of CCP in a cohort of 112 patients
with hematological malignancy and COVID-19 and a propensity score analysis on …
Abstract
Patients with hematological malignancy and COVID-19 display a high mortality rate. In such patients, immunosuppression due to underlying disease and previous specific treatments impair humoral response, limiting viral clearance. Thus, COVID-19 convalescent plasma (CCP) therapy appears as a promising approach through the transfer of neutralizing antibodies specific to SARS-CoV-2. We report the effect of CCP in a cohort of 112 patients with hematological malignancy and COVID-19 and a propensity score analysis on subgroups of patients with B-cell lymphoid disease treated (n = 81) or not (n = 120) with CCP between May 1, 2020 and April 1, 2021. The overall survival of the whole cohort was 65% (95% CI = 56–74.9) and 77.5% (95% CI = 68.5–87.7) for patients with B-cell neoplasm. Prior anti-CD20 monoclonal antibody therapy was associated with better overall survival, whereas age, high blood pressure, and COVID-19 severity were associated with a poor outcome. After an inverse probability of treatment weighting approach, we observed in anti-CD20–exposed patients with B-cell lymphoid disease a decreased mortality of 63% (95% CI = 31–80) in the CCP-treated group compared to the CCP-untreated subgroup, confirmed in the other sensitivity analyses. Convalescent plasma may be beneficial in COVID-19 patients with B-cell neoplasm who are unable to mount a humoral immune response.
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