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. 2020 Jun 10;59(5):102850. doi: 10.1016/j.transci.2020.102850

Table 1.

Dosing of convalescent plasma in sundry coronavirus outbreaks.

Disease Location Dose of CP Titer Summary finding
SARS1 Hong Kong, China Mean volume 279.3 ± 127.1 ml(range, 160–640 ml)
  • Not performed

  • Retrospective chart review of 80 patients who received CP

  • ∼14 (range, 7–30 days) following the onset of symptoms

  • Good clinical outcome in 33 (41.3%) patients as defined by hospital discharge by day 22

  • Improved outcome associated with early administration

  • No adverse events

SARS1 Taipei, Taiwan 500 mL
  • Serum antibody(IgG) titer was>640

  • Uncontrolled case series of 3 severely ill patients

  • Improvement in clinical status of all 3 patients

SARS1 Hong Kong, China 200mL
  • Not stated

  • Case report of one patient

  • Improved clinical status

  • Other therapies also used

  • No adverse effect

SARS1 Shenzhen, China 2 units of 250 ml each (total 500 mL); transfused12 h apart
  • Not stated

  • Letter to editor/case report of one patient

  • Improvement in clinical status

MERS Seoul, South Korea 4 transfusions of CP to 3 patients; volumes not stated
  • PRNT negative (n = 2), 1:40 (n = 1) and 1:80 (n = 1)

  • Uncertain benefit although all 3 patients survived

  • ELISA IgG Optical density of 1.9 predictive of PRNT titer ≥1:80 with 100% specificity

MERS Riyadh, Saudi Arabia
  • (feasibility study)

  • 2 units (250–350 mL/unit) proposed for Phase 2

Of 196 individuals with suspected or confirmed MERSCoV:
  • 8 (2.7%) reactive by ELISA;6 of 8 reactive by MN Of 230 exposed healthcare workers:

  • 4 (1.7%) reactive by ELISA;3 of 4 reactive by MN

  • Feasibility study to assess proportion of convalescent donors that had antibodies against MERS-CoV

  • No transfusions of CP undertaken

MERS Seoul, South Korea 250 mL
  • Not stated

  • Case report (letter to editor) of 1 patient

  • Possible TRALI reported

COVID-19 Wuhan, China 200 mL
  • Neutralizing AntiSARS-CoV-2–antibody titer >1:640

  • Uncontrolled case series of 10 severely ill patients

  • Other therapies included steroids, antimicrobials, antivirals

  • Median onset of symptoms to CP 16.5 days (IQR11.0–19.3 days)

  • Improvement in clinical status of all patients

  • No significant adverse effect

COVID-19 Shenzhen, China 2 consecutive transfusions of 200-250 ml (400 ml total)
  • ELISA AntiSARS-CoV-2– antibody titer>1:1000

  • Neutralizing antibody titer >40

  • Uncontrolled case series of 5 critically ill patients

  • Administration of CP 10-22d post-admission

  • All had had steroids and antivirals

  • Improvement in clinical status of all patients

Abbreviations: CP-Convalescent plasma TRALI- Transfusion related acute lung injury ELISA- Enzyme Linked Immunosorbent Antibody assay PRNT-plaque reduction neutralization assay IFA- Indirect fluorescent antibody testing MN- Microneutralization assay.