Evusheld Offers Significant Prevention Against Severe COVID-19 Disease, Death

Analysis exhibits that people who acquired therapy inside 3 days of symptom onset with tixagevimab and cilgavimab diminished their danger by 88% in contrast with the placebo.

Detailed outcomes from the TACKLE section 3 outpatient therapy trial confirmed that tixagevimab and cilgavimab (Evusheld; AstraZeneca) offered clinically and statistically important safety in opposition to development to extreme COVID-19 or demise from any trigger in contrast with the placebo, AstraZeneca stated in a press release.

Additionally, the findings, revealed in The Lancet Respiratory Medicine, confirmed that therapy with tixagevimab and cilgavimab earlier within the illness course led to extra favorable outcomes.

“Despite the success of vaccines, many individuals such as older adults, individuals with co-morbidities and those who are immunocompromised, remain at risk for poor outcomes from severe COVID-19. Additional options are needed to prevent disease progression and reduce the burden on health care systems, especially with the continued emergence of new variants,” Hugh Montgomery, MD, professor of Intensive Care Medicine at University College London, United Kingdom, stated within the assertion.

“The TACKLE results show that 1 intramuscular dose of [tixagevimab and cilgavimab] can prevent these individuals from progressing to severe COVID-19, with earlier treatment leading to even better results,” he stated.

The TACKLE examine was carried out in people with gentle to average COVID-19 who had been symptomatic for 7 days or fewer and weren’t hospitalized. Investigators reported that 90% of the people within the examine had been at excessive danger of development to extreme COVID-19 due to age or comorbidities.

In the examine, a single 600-mg intramuscular dose of tixagevimab and cilgavimab considerably diminished the relative danger of progressing to extreme COVID-19 or demise, from any trigger, by 50% by way of day 29 in contrast with the placebo in people with mild-to-moderate COVID-19 who had been symptomatic for 7 days or fewer and never hospitalized, which was the first endpoint of the examine.

In pre-specified analyses of people who acquired therapy inside 3 days of symptom onset, tixagevimab and cilgavimab diminished the danger of creating extreme COVID-19 or demise, from any trigger, by 88% in contrast with the placebo.

Additionally, the danger discount was 67% when people acquired tixagevimab and cilgavimab inside 5 days of symptom onset.

Tixagevimab and cilgavimab additionally diminished the danger of respiratory failure, a secondary endpoint by 72%, with 3 people who acquired tixagevimab and cilgavimab in contrast with 11 people taking the placebo requiring measures, comparable to extracorporeal membrane oxygenation or mechanical air flow.

“These results published in The Lancet Respiratory Medicine add to the growing evidence supporting the use of [tixagevimab and cilgavimab] to help patients who most need additional protection against COVID-19. We are discussing the TACKLE data with regulatory authorities and continue to progress submissions in both treatment and prophylaxis indications to help combat COVID-19 on all fronts,” Mene Pangalos, PHD, govt vp of BioPharmaceuticals R&D at AstraZeneca, stated within the assertion.

Tixagevimab and cilgavimab was typically well-tolerated within the trial with antagonistic occasions (AEs) occurring extra incessantly within the placebo arm than the tixagevimab and cilgavimab arm at 36% and 29%, respectively.

The most typical AE was COVID-19 pneumonia, occurring in 11% of people within the placebo arm and 6% within the tixagevimab and cilgavimab arm. Serious AEs occurred in 12% and seven%, respectively, and there have been 6 deaths and three deaths, respectively.


Evusheld considerably prevented COVID-19 illness development or demise in TACKLE Phase 3 therapy trial. AstraZeneca. News launch. June 8, 2022. Accessed June 10, 2022. https://www.astrazeneca.com/media-centre/press-releases/2022/evusheld-significantly-prevented-covid-19-disease-progression-or-death-in-tackle-phase-iii-treatment-trial.html

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