A Review of Treatment and Prevention of Coronavirus Disease 2019 among Solid Organ Transplant Recipients

Therapeutic management of solid organ transplant (SOT) recipients infected with severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), the cause of coronavirus disease 2019 (COVID-19), may challenge healthcare providers given a paucity of clinical data specific to this cohort. Herein, we summ...

Full description

Bibliographic Details
Main Authors: Deanna J. Buehrle, Robert R. Sutton, Erin L. McCann, Aaron E. Lucas
Format: Article
Language:English
Published: MDPI AG 2021-08-01
Series:Viruses
Subjects:
Online Access:https://www.mdpi.com/1999-4915/13/9/1706
_version_ 1797517026254651392
author Deanna J. Buehrle
Robert R. Sutton
Erin L. McCann
Aaron E. Lucas
author_facet Deanna J. Buehrle
Robert R. Sutton
Erin L. McCann
Aaron E. Lucas
author_sort Deanna J. Buehrle
collection DOAJ
description Therapeutic management of solid organ transplant (SOT) recipients infected with severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), the cause of coronavirus disease 2019 (COVID-19), may challenge healthcare providers given a paucity of clinical data specific to this cohort. Herein, we summarize and review the studies that have formed the framework for current COVID-19 consensus management guidelines. Our review focuses on COVID-19 treatment options including monoclonal antibody products, antiviral agents such as remdesivir, and immunomodulatory agents such as corticosteroids, interleukin inhibitors, and kinase inhibitors. We highlight the presence or absence of clinical data of these therapeutics related to the SOT recipient with COVID-19. We also describe data surrounding COVID-19 vaccination of the SOT recipient. Understanding the extent and limitations of observational and clinical trial data for the prevention and treatment of COVID-19 specific to the SOT population is crucial for optimal management. Although minimal data exist on clinical outcomes among SOT recipients treated with varying COVID-19 therapeutics, reviewing these agents and the studies that have led to their inclusion or exclusion in clinical management of COVID-19 highlights the need for further studies of these therapeutics in SOT patients with COVID-19.
first_indexed 2024-03-10T07:09:12Z
format Article
id doaj.art-fccb3d573c2249e7b3d57c878a46cd57
institution Directory Open Access Journal
issn 1999-4915
language English
last_indexed 2024-03-10T07:09:12Z
publishDate 2021-08-01
publisher MDPI AG
record_format Article
series Viruses
spelling doaj.art-fccb3d573c2249e7b3d57c878a46cd572023-11-22T15:36:46ZengMDPI AGViruses1999-49152021-08-01139170610.3390/v13091706A Review of Treatment and Prevention of Coronavirus Disease 2019 among Solid Organ Transplant RecipientsDeanna J. Buehrle0Robert R. Sutton1Erin L. McCann2Aaron E. Lucas3Department of Medicine, Veterans Affairs Pittsburgh Healthcare System, Pittsburgh, PA 15240, USADepartment of Pharmacy, Veterans Affairs Pittsburgh Healthcare System, Pittsburgh, PA 15240, USADepartment of Pharmacy, Veterans Affairs Pittsburgh Healthcare System, Pittsburgh, PA 15240, USADepartment of Medicine, Veterans Affairs Pittsburgh Healthcare System, Pittsburgh, PA 15240, USATherapeutic management of solid organ transplant (SOT) recipients infected with severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), the cause of coronavirus disease 2019 (COVID-19), may challenge healthcare providers given a paucity of clinical data specific to this cohort. Herein, we summarize and review the studies that have formed the framework for current COVID-19 consensus management guidelines. Our review focuses on COVID-19 treatment options including monoclonal antibody products, antiviral agents such as remdesivir, and immunomodulatory agents such as corticosteroids, interleukin inhibitors, and kinase inhibitors. We highlight the presence or absence of clinical data of these therapeutics related to the SOT recipient with COVID-19. We also describe data surrounding COVID-19 vaccination of the SOT recipient. Understanding the extent and limitations of observational and clinical trial data for the prevention and treatment of COVID-19 specific to the SOT population is crucial for optimal management. Although minimal data exist on clinical outcomes among SOT recipients treated with varying COVID-19 therapeutics, reviewing these agents and the studies that have led to their inclusion or exclusion in clinical management of COVID-19 highlights the need for further studies of these therapeutics in SOT patients with COVID-19.https://www.mdpi.com/1999-4915/13/9/1706solid organ transplantCOVID-19vaccineSARS-CoV-2immunosuppressed
spellingShingle Deanna J. Buehrle
Robert R. Sutton
Erin L. McCann
Aaron E. Lucas
A Review of Treatment and Prevention of Coronavirus Disease 2019 among Solid Organ Transplant Recipients
Viruses
solid organ transplant
COVID-19
vaccine
SARS-CoV-2
immunosuppressed
title A Review of Treatment and Prevention of Coronavirus Disease 2019 among Solid Organ Transplant Recipients
title_full A Review of Treatment and Prevention of Coronavirus Disease 2019 among Solid Organ Transplant Recipients
title_fullStr A Review of Treatment and Prevention of Coronavirus Disease 2019 among Solid Organ Transplant Recipients
title_full_unstemmed A Review of Treatment and Prevention of Coronavirus Disease 2019 among Solid Organ Transplant Recipients
title_short A Review of Treatment and Prevention of Coronavirus Disease 2019 among Solid Organ Transplant Recipients
title_sort review of treatment and prevention of coronavirus disease 2019 among solid organ transplant recipients
topic solid organ transplant
COVID-19
vaccine
SARS-CoV-2
immunosuppressed
url https://www.mdpi.com/1999-4915/13/9/1706
work_keys_str_mv AT deannajbuehrle areviewoftreatmentandpreventionofcoronavirusdisease2019amongsolidorgantransplantrecipients
AT robertrsutton areviewoftreatmentandpreventionofcoronavirusdisease2019amongsolidorgantransplantrecipients
AT erinlmccann areviewoftreatmentandpreventionofcoronavirusdisease2019amongsolidorgantransplantrecipients
AT aaronelucas areviewoftreatmentandpreventionofcoronavirusdisease2019amongsolidorgantransplantrecipients
AT deannajbuehrle reviewoftreatmentandpreventionofcoronavirusdisease2019amongsolidorgantransplantrecipients
AT robertrsutton reviewoftreatmentandpreventionofcoronavirusdisease2019amongsolidorgantransplantrecipients
AT erinlmccann reviewoftreatmentandpreventionofcoronavirusdisease2019amongsolidorgantransplantrecipients
AT aaronelucas reviewoftreatmentandpreventionofcoronavirusdisease2019amongsolidorgantransplantrecipients