A groundbreaking medical study has demonstrated that nirsevimab, a long-acting monoclonal antibody, can dramatically reduce hospitalizations from bronchiolitis in infants. The research, conducted across European hospitals, showed nearly a 50% reduction in respiratory infection hospitalizations for children under six months. World Health Organization now recommends this treatment globally to protect babies against respiratory syncytial virus. The single-dose injection provides protection for at least five months, covering the entire RSV seasonal risk period.
June 06, 2025
Study shows monoclonal antibody can lower common lung infection risk
"Represents an important step in assessing real
effectiveness of new preventive strategies" - Danilo Buonsenso, Researcher
A single dose of the long-acting antibody nirsevimab
developed to prevent respiratory syncytial virus infections in infants can
halve hospitalisations for bronchiolitis, according to a study.
Key Points
1 Single
dose of nirsevimab cuts infant bronchiolitis hospitalizations
2 WHO
recommends global implementation of antibody treatment
3 Most
effective in first six months of life
4 Provides
protection against respiratory syncytial virus
Bronchiolitis is an acute viral infection that
affects the respiratory system of children under one year of age mainly in the
first six months of life with greater frequency between November and March.
It is often associated with respiratory syncytial
virus infection (in about 3 out of 4 cases) that can cause respiratory failure,
especially in children under one year of age - among babies under six months
old.
In a first, the real-world study analysed the
concrete impact of nirsevimab by comparing European countries – Spain, the UK,
and Italy -- with different health policies.
The data, collected from 68 Catalan hospitals in
Spain and five hospitals in the UK and Italy, showed that in children under 6
months in Catalonia, hospitalisations for bronchiolitis have almost halved
compared to the average of previous seasons.
Emergency room admissions for the same age group
were also significantly reduced. In contrast, no significant reduction emerged
in the other European centres where nirsevimab was not administered.
The study, published in the journal Lancet Regional
Health – Europe, "represents an important step in assessing the real
effectiveness of new preventive strategies against RSV, comparing for the first
time countries with different approaches to its implementation,” said Danilo
Buonsenso, a researcher in General and Specialist Paediatrics at the Catholic
University, US.
Further, the study showed that nirsevimab's effect
was less pronounced in older children (between six and 23 months), suggesting that
the greatest efficacy is concentrated in the first few months of life.
In May, the World Health Organization (WHO)
recommended all countries use nirsevimab along with a maternal vaccine --
RSVpreF -- to protect babies against respiratory syncytial virus (RSV), the
leading cause of acute lower respiratory infections in children globally.
While the vaccine can be given during routine
antenatal care, nirsevimab is given as a single injection of monoclonal
antibodies that starts protecting babies against RSV within a week of
administration. It lasts for at least 5 months and can cover the entire RSV
season in countries with RSV seasonality.
The global health body recommends that infants
receive a single dose of nirsevimab right after birth or before being
discharged from a birthing facility.
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