A2 Refereed review article in a scientific journal

Systematic Review and Expert Consensus on the Use of Long-acting Monoclonal Antibodies for Prevention of Respiratory Syncytial Virus Disease: ARMADA (Advancing RSV Management And Disease Awareness) Taskforce




AuthorsManzoni, Paolo; Baraldi, Eugenio; Midulla, Fabio; Claris, Olivier; Dessardo, Sandro; Heikkinen, Terho; Thwaites, Richard; Paes, Bosco; Carbonell-Estrany, Xavier; Dobryanskyy, Dmytro; Cetinkaya, Merih; Al Harbi, Adel S.; Kang, Ji-Man; Goh Eng Neo, Anne; Chi, Hsin; Sant'Anna, Guilherme; Villa Guillen, Monica; Mariani, Gonzalo Luis; Safadi, Marco Aurelio Palazzi; Urzua, Soledad; Zar, Heather J.; Goussard, Pierre; Rodgers-Gray, Barry; Waghorne, Nicola; Sanchez Luna, Manuel

PublisherOxford University Press (OUP)

Publishing placeCARY

Publication year2025

JournalOpen Forum Infectious Diseases

Journal name in sourceOpen Forum Infectious Diseases

Journal acronymOPEN FORUM INFECT DI

Article numberofaf396

Volume12

Issue7

Number of pages16

ISSN2328-8957

eISSN2328-8957

DOIhttps://doi.org/10.1093/ofid/ofaf396

Web address https://doi.org/10.1093/ofid/ofaf396

Self-archived copy’s web addresshttps://research.utu.fi/converis/portal/detail/Publication/499701893


Abstract

Background: Long-acting monoclonal antibodies (LAmAbs) could dramatically reduce the respiratory syncytial virus (RSV) disease burden in children if implemented using clear, evidence-based recommendations.

Methods: The ARMADA Taskforce-an international, multidisciplinary expert panel-undertook a systematic review to develop LAmAbs consensus recommendations for RSV disease prevention in children.

Results: The Taskforce recommends LAmAbs for all infants aged <8 months in the absence of maternal RSV vaccination, preterm infants (<37 weeks' gestational age) aged <12 months, and children <24 months with high-risk conditions. Seasonal LAmAb administration is recommended, although in RSV-endemic countries decisions should be made locally concerning administration year-round or with peak RSV incidences.

Conclusions: The Taskforce strongly endorses LAmAbs implementation based on their efficacy, effectiveness, and public health impact. These recommendations provide a blueprint to inform guidelines worldwide. Wider equitable access to LAmAbs at affordable prices, especially in low- and middle-income countries is needed to reduce the childhood RSV burden.


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Funding information in the publication
Financial support for this study was provided by Sanofi and AstraZeneca. The sponsors had no role in the selection of ARMADA participants, the preparation of the manuscript, or the decision to submit for publication.


Last updated on 2025-11-09 at 15:36