Use of Monoclonal Antibodies in Immunocompromised Patients Hospitalized with Severe COVID-19: A Retrospective Multicenter Cohort

Objective: We aim to describe the safety and efficacy of sotrovimab in severe cases of COVID-19 in immunocompromised hosts. Methods: We used a retrospective multicenter cohort including immunocompromised hospitalized patients with severe COVID-19 treated with sotrovimab between October 2021 and Dece...

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Detalles Bibliográficos
Autores: Calderón Parra, Jorge, Guisado Vasco, Pablo, Montejano Sánchez, Rocío, Estrada Pérez, Vicente, Cuevas Tascón, Guillermo, Aguareles Gorines, José, Arribas, José, Erro Iribarren, Marta, Calvo Salvador, Marina, Fernández Cruz, Ana, Ramos Martínez, Antonio, Muñez Rubio, Elena
Tipo de recurso: artículo
Fecha de publicación:2023
País:España
Institución:Universidad Complutense de Madrid (UCM)
Repositorio:Docta Complutense
Idioma:inglés
OAI Identifier:oai:docta.ucm.es:20.500.14352/72323
Acceso en línea:https://hdl.handle.net/20.500.14352/72323
Access Level:acceso abierto
Palabra clave:616.98:578.834
578.834:616.98
612.017
COVID-19
Monoclonal antibodies
Sotrovimab
Severe COVID-19
Immunocompromised hosts
Enfermedades infecciosas
3205.05 Enfermedades Infecciosas
Descripción
Sumario:Objective: We aim to describe the safety and efficacy of sotrovimab in severe cases of COVID-19 in immunocompromised hosts. Methods: We used a retrospective multicenter cohort including immunocompromised hospitalized patients with severe COVID-19 treated with sotrovimab between October 2021 and December 2021. Results: We included 32 patients. The main immunocompromising conditions were solid organ transplantation (46.9%) and hematological malignancy (37.5%). Seven patients (21.9%) had respiratory progression: 12.5% died and 9.4% required mechanical ventilation. Patients treated within the first 14 days of their symptoms had a lower progression rate: 12.0% vs. 57.1%, p = 0.029. No adverse event was attributed to sotrovimab. Conclusions: Sotrovimab was safe and may be effective in its use for immunocompromised patients with severe COVID-19. More studies are needed to confirm these preliminary data.