Anti-SARS-CoV-2 Monoclonal Antibodies for Long COVID (COVID-19) (outSMART-LC)

Anti-SARS-CoV-2 Monoclonal Antibodies for Long COVID (COVID-19) (outSMART-LC)
https://clinicaltrials.gov/ct2/show/NCT05877508

Summary: This company, Aerium Therapeutics, is trying antibody against the coronavirus in long Covid. It's double-blind with an expected enrollment of 30, with about 20 getting the medicine and 10 the placebo. They're giving the antibodies as a one-time dose, using the PROMIS questionnaire of general health as the primary outcome, and the COMPASS autonomic questionnaire and 6-minute walk test as secondary.
 
Aerium Therapeutics has only been in existence since 2022 - no track record, although the scientific pedigree seems sound: https://www.aeriumtx.com/ however it's not clear why the Monoclonal Antibodies route would be useful post COVID19 when it's not recommended as a preventative: Anti-SARS-CoV-2 Monoclonal Antibodies

The linked NIH page seems to say that monoclonal antibodies work on earlier strains, and they're not recommended because they're not as effective against later strains.
NIH said:
Monoclonal antibodies (mAbs) that target the SARS-CoV-2 spike protein have been shown to have clinical benefits in treating SARS-CoV-2 infection. However, laboratory studies have found that the activity of anti-SARS-CoV-2 mAbs against specific variants and subvariants can vary dramatically. The anti-SARS-CoV-2 mAb products that have received Emergency Use Authorizations (EUAs) from the Food and Drug Administration (FDA) are not expected to be effective against the currently circulating SARS-CoV-2 variants and subvariants. As a result, these products are not currently recommended by the COVID-19 Treatment Guidelines Panel (the Panel) for the treatment or prevention of COVID-19.

Michael Peluso says as much in the NIH Research Roadmap webinar:

"We're taking 30 people with long COVID attributed to a variant that the monoclonal would be thought to work against - so before September of [2022]."
 
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