ID | Age, sex | ANCA serotype | Concomitant immunosuppressant at the time of COVID-19 | Vaccination status | Spike antibody level* | Prevailing COVID-19 variant | Days from induction treatment to COVID-19 | COVID-19 treatment | COVID-19 severity | Outcome | Long COVID |
1 | 83F | MPO | RTX | 3 mRNA doses during BCD | Positive | Omicron | 165 | Nirmatrelvir/ritonavir | Mild | Resolved | No |
2 | 54F | PR3 | RTX | 3 mRNA doses preceding BCD | NT | Omicron | 77 | Nirmatrelvir/ritonavir | Mild | Resolved | No |
3 | 71M | PR3 | RTX | 2 mRNA doses preceding BCD, 1 mRNA dose after BCD | Positive | Omicron | 160 | Molnupiravir | Mild | Resolved | No |
4 | 81M | PR3 | RTX, CYC prednisone 15 mg | 3 mRNA doses preceding BCD | NT | Omicron | 55 | Remdesivir, dexamethasone | Severe | Death | No |
5 | 58F | MPO | RTX prednisone 5 mg | 2 mRNA doses preceding BCD | NT | Omicron | 123 | None | Mild | Resolved | No |
6 | 58F | MPO | RTX | 3 mRNA doses preceding BCD | Positive | Omicron | 108 | Bebtelovimab | Mild | Resolved | No |
7 | 75M | MPO | RTX | 2 mRNA doses preceding BCD, 1 mRNA dose after BCD | Negative | Omicron | 280 | None | Mild | Resolved | No |
8 | 34M | MPO | RTX | 3 mRNA doses preceding BCD | NT | Omicron | 67 | Nirmatrelvir/ritonavir | Mild | Resolved | No |
*Positive spike antibody levels preceding this episode of COVID-19 resulted from either vaccination or prior infection during peripheral B cell presence, or through prior receipt of tixagevimab/cilgavimab.
ANCA, antineutrophil cytoplasmic antibody; BCD, B cell depletion; CYC, cyclophosphamide; F, female; M, male; MPO, myeloperoxidase; mRNA, messenger RNA; NT, not tested; PR3, proteinase-3; RTX, rituximab.