San Antonio Express-News

Omicron treatment supplies grow scarce

- By James Barragán The Austin American-statesman contribute­d to this report. The Texas Tribune is a nonprofit, nonpartisa­n media organizati­on that informs Texans about public policy, politics, government and statewide issues.

Texas’ health department is warning that five of its regional infusion centers have run out of the only monoclonal antibody treatment known to be effective against the omicron variant of COVID-19, which now accounts for 90 percent of new cases in the state.

The Texas Department of State Health Services said its regional infusion centers in San Antonio, Austin, El Paso, Fort Worth and The Woodlands “have exhausted their supply of sotrovimab,” the only monoclonal antibody treatment that appears to be effective against the omicron variant.

The department said the scarcity stems from a national shortage of the treatment, which is made by Glaxosmith­kline and received emergency use authorizat­ion from the U.S. Food and Drug Administra­tion in May.

The affected infusion centers will not be able to offer sotrovimab until federal authoritie­s ship more supplies in January. Chris Van Deusen, a department spokespers­on, said it’s likely other infusion centers will use the remainder of their sotrovimab in the next few days.

Monoclonal antibodies are laboratory-made proteins that mimic how the immune system prevents the virus from entering healthy cells, and they have been used to treat patients at high risk of becoming severely ill from COVID-19.

A scarcity of the treatment would leave the state’s health department without an important tool to combat the virus as cases surge across the country.

Some hospitals in the New York region have had to stop offering monoclonal antibody treatment because they’ve run out of sotrovimab. Those hospitals have said they will resume offering them when they receive additional supplies from state and federal agencies.

Van Deusen said Texas purchased 1,000 courses of the treatment in September, before the federal government bought up most of the supply. Between the state’s purchase and allocation­s from the federal government, Texas has gotten about 12,000 courses of sotrovimab this year.

The department does not know how many additional courses it will receive from the federal government in January, but the supply likely will remain limited because of manufactur­ing constraint­s, Van Deusen said.

The federal government paused all shipments of monoclonal antibodies late last month while scientists studied the effectiven­ess of the antibodies against omicron. But in December, the federal government resumed its distributi­on of sotrovimab, including 55,000 doses that were supposed to be delivered beginning last week, according to NBC News.

A spokespers­on for the U.S. Department of Health and Human Services told NBC News that the department expects more than 300,000 doses to be available next month.

People who had an appointmen­t scheduled at the affected regional infusion centers for the treatment will be alerted. People who have been diagnosed with a non-omicron variant can receive other monoclonal antibody treatments at the regional infusion centers.

Last week, the Food and Drug Administra­tion gave emergency use authorizat­ion for two new oral antiviral drugs, the Pfizer COVID-19 pill and the Merck COVID-19 pill. The state expects that those will be available soon but in a limited supply from the federal government.

Without these three early response treatments available, the state is recommendi­ng that people take precaution­s against getting COVID-19, including getting a booster shot as soon as possible. Wearing a mask, avoiding gatherings, social distancing and hand washing are also recommende­d by the Centers for Disease Control and Prevention.

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