Characterization of Virologic Rebound Following Nirmatrelvir-Ritonavir Treatment for Coronavirus Disease 2019 (COVID-19)

Author:

Boucau Julie1,Uddin Rockib2,Marino Caitlin1,Regan James3,Flynn James P3,Choudhary Manish C34,Chen Geoffrey2,Stuckwisch Ashley M2,Mathews Josh2,Liew May Y2,Singh Arshdeep2,Reynolds Zahra2,Iyer Surabhi L2,Chamberlin Grace C2,Vyas Tammy D2,Vyas Jatin M24,Turbett Sarah E2,Li Jonathan Z34,Lemieux Jacob E245,Barczak Amy K124ORCID,Siedner Mark J24

Affiliation:

1. Ragon Institute of Massachusetts General Hospital (MGH) , Massachusetts Institute of Technology (MIT) and Harvard, Cambridge, Massachusetts , USA

2. Massachusetts General Hospital , Boston, Massachusetts , USA

3. Brigham and Women’s Hospital , Boston, Massachusetts , USA

4. Harvard Medical School , Boston, Massachusetts , USA

5. Broad Institute , Cambridge, Massachusetts , USA

Abstract

Abstract We enrolled 7 individuals with recurrent symptoms or antigen test conversion following nirmatrelvir-ritonavir treatment. High viral loads (median 6.1 log10 copies/mL) were detected after rebound for a median of 17 days after initial diagnosis. Three had culturable virus for up to 16 days after initial diagnosis. No known resistance-associated mutations were identified.

Funder

Massachusetts Consortium for Pathogen Readiness

Massachusetts General Hospital Department of Medicine

Harvard

CFAR)

Publisher

Oxford University Press (OUP)

Subject

Infectious Diseases,Microbiology (medical)

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