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10.1111/ajt.16927

http://scihub22266oqcxt.onion/10.1111/ajt.16927
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suck abstract from ncbi


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pmid34910857      Am+J+Transplant 2022 ; 22 (4): 1261-1265
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  • ALVR109, an off-the-shelf partially HLA matched SARS-CoV-2-specific T cell therapy, to treat refractory severe COVID-19 pneumonia in a heart transplant patient: Case report #MMPMID34910857
  • Martits-Chalangari K; Spak CW; Askar M; Killian A; Fisher TL; Atillasoy E; Marshall WL; McNeel D; Miller MD; Mathai SK; Gottlieb RL
  • Am J Transplant 2022[Apr]; 22 (4): 1261-1265 PMID34910857show ga
  • An unvaccinated adult male heart transplant recipient patient with recalcitrant COVID-19 due to SARS-CoV-2 delta variant with rising nasopharyngeal quantitative viral load was successfully treated with ALVR109, an off-the-shelf SARS-CoV-2-specific T cell therapy. Background immunosuppression included 0.1 mg/kg prednisone, tacrolimus, and mycophenolate mofetil 1 gm twice daily for historical antibody-mediated rejection. Prior therapies included remdesivir, corticosteroids, and tocilizumab, with requirement for high-flow nasal oxygen. Lack of clinical improvement and acutely rising nasopharyngeal viral RNA more than 3 weeks into illness prompted the request of ALVR109 through an emergency IND. The day following the first ALVR109 infusion, the patient's nasopharyngeal SARS-CoV-2 RNA declined from 7.43 to 5.02 log(10) RNA copies/ml. On post-infusion day 4, the patient transitioned to low-flow oxygen. Two subsequent infusions of ALVR109 were administered 10 and 26 days after the first; nasopharyngeal SARS-CoV-2 RNA became undetectable on Day 11, and he was discharged the following day on low-flow oxygen 5 weeks after the initial diagnosis of COVID-19. The clinical and virologic improvements observed in this patient following administration of ALVR109 suggest a potential benefit that warrants further exploration in clinical trials.
  • |*COVID-19[MESH]
  • |*Heart Transplantation[MESH]
  • |Adult[MESH]
  • |Cell- and Tissue-Based Therapy[MESH]
  • |Humans[MESH]
  • |Male[MESH]
  • |RNA, Viral/genetics[MESH]


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