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 - Summary - MDSpire

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

  • By

  • Paolo Manzoni

  • Eugenio Baraldi

  • Fabio Midulla

  • Olivier Claris

  • Sandro Dessardo

  • Terho Heikkinen

  • Richard Thwaites

  • Bosco Paes

  • Xavier Carbonell-Estrany

  • Dmytro Dobryanskyy

  • Merih Cetinkaya

  • Adel S Al Harbi

  • Ji-Man Kang

  • Anne Goh Eng Neo

  • Hsin Chi

  • Guilherme Sant’Anna

  • Mónica Villa Guillén

  • Gonzalo Luis Mariani

  • Marco Aurelio Palazzi Safadi

  • Soledad Urzua

  • Heather J Zar

  • Pierre Goussard

  • Barry Rodgers-Gray

  • Nicola Waghorne

  • Manuel Sanchez Luna

  • July 2, 2025

  • 0 min

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Objective:

To develop consensus recommendations for the use of long-acting monoclonal antibodies (LAmAbs) for RSV disease prevention in children.

Key Findings:
  • LAmAbs are recommended for all infants <8 months without maternal RSV vaccination, preterm infants <12 months, and children <24 months with high-risk conditions.
  • Seasonal administration of LAmAbs is recommended, with local decisions in endemic regions regarding year-round use.
  • LAmAbs have shown high efficacy, effectiveness, and cost-effectiveness in preventing RSV disease.
Interpretation:

The recommendations provide a framework for global guidelines on LAmAbs use, emphasizing the need for equitable access, especially in low- and middle-income countries.

Limitations:
  • Affordability and access to LAmAbs in low- and middle-income countries remain significant challenges.
  • Further research is needed on LAmAbs effectiveness in children with underlying medical conditions.
Conclusion:

The ARMADA Taskforce strongly endorses the implementation of LAmAb programs to reduce the burden of RSV disease in infants and young children globally.

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