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Updated: Aug 16, 2025

Generation of Multivirus-specific T Cells to Prevent/treat Viral Infections after Allogeneic Hematopoietic Stem Cell Transplant
Published on: May 27, 2011
Sotrovimab therapy in solid organ transplant recipients with mild to moderate COVID-19: a systematic review and
Negin Farhadian1, Maryam Farhadian2, Mohammad Hossein Zamanian3,4
1Research Center for Environmental Determinants of Health, Health Institute, Kermanshah University of Medical Sciences, Kermanshah, Iran.
Abstract:
Purpose: Solid organ transplant recipients (SOTR) have a high risk for severe COVID-19 infection; hence it is necessary to find alternative treatment strategies to protect these patients from the complications caused by the severe progression of the disease. This study aimed to determine the effectiveness of sotrovimab among SOTR with COVID-19.Materials and methods: A systematic literature search was conducted with relevant keywords to find studies that reported clinical outcomes regarding sotrovimab administration in SOTR outpatients with confirmed COVID-19 infection, who had mild-to-moderate symptoms.Results: Of 796 records found by a systematic search, only 14 met the inclusion criteria for reporting in a systematic review and only 6 enrolled in a meta-analysis. This meta-analysis indicated that SOTR outpatients with mild to moderate COVID-19 who received sotrovimab had lower likelihood of all-cause hospitalization (OR: 0.29, CI: 0.16, 0.52, p < 0.001), ICU admission (OR: 0.17, CI: 0.05, 0.64, p = 0.009) and mortality (OR: 0.15, CI: 0.03, 0.64, p = 0.010) within 30 days of drug infusion compared to controls.Conclusions: Our findings confirm that monoclonal antibody therapy with sotrovimab in SOTR is associated with better outcomes and consequently a reduced risk of disease progression in this high-risk population.
Insights
Sotrovimab treatment significantly reduced hospitalization, ICU admission, and mortality in solid organ transplant recipients with mild-to-moderate COVID-19. This monoclonal antibody therapy offers a protective strategy for this high-risk patient group.
Area of Science:
- Immunology
- Infectious Diseases
- Transplantation Medicine
Background:
- Solid organ transplant recipients (SOTR) face elevated risks of severe COVID-19.
- Effective treatment strategies are crucial for mitigating COVID-19 complications in SOTR.
- Sotrovimab is investigated as a potential therapeutic agent for this vulnerable population.
Approach:
- A systematic literature search identified studies on sotrovimab in SOTR with mild-to-moderate COVID-19.
- A meta-analysis synthesized clinical outcomes from eligible studies.
- Statistical analysis evaluated the effectiveness of sotrovimab compared to control groups.
Key Points:
- Sotrovimab administration was associated with a significantly lower likelihood of all-cause hospitalization (OR: 0.29).
- The treatment reduced the risk of ICU admission (OR: 0.17) and mortality (OR: 0.15) within 30 days.
- These benefits were observed in SOTR with mild-to-moderate COVID-19 symptoms.
Conclusions:
- Monoclonal antibody therapy with sotrovimab demonstrates improved outcomes in SOTR.
- Sotrovimab therapy is linked to a reduced risk of severe disease progression in this high-risk population.
- Findings support sotrovimab as a valuable treatment option for COVID-19 in solid organ transplant recipients.
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