Sotrovimab Resistance and Viral Persistence After Treatment of Immunocompromised Patients Infected With the Severe Acute Respiratory Syndrome Coronavirus 2 Omicron Variant

Author:

Huygens Sammy1,Oude Munnink Bas2,Gharbharan Arvind1,Koopmans Marion2ORCID,Rijnders Bart1

Affiliation:

1. Department of Internal Medicine, Section of Infectious Diseases and Department of Medical Microbiology and Infectious Diseases, Erasmus Medical Center, University Medical Center , Rotterdam , The Netherlands

2. Department of Viroscience, Erasmus Medical Center, University Medical Center , Rotterdam , The Netherlands

Abstract

Abstract Viral evolution was evaluated in 47 immunocompromised patients treated with sotrovimab. Sequencing of SARS-CoV-2 following therapy was successful in 16. Mutations associated with sotrovimab resistance were documented in 6; viral replication continued after 30 days in 5. Combination antibody therapy may be required to avoid acquired resistance in immunocompromised patients.

Funder

European Union’s Horizon 2020, a

ZorgOnderzoek Nederland en het gebied Medische wetenschappen

Publisher

Oxford University Press (OUP)

Subject

Infectious Diseases,Microbiology (medical)

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