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.

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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