| Study name |
Efficacy and safety of early anti‐SARS‐COV‐2 convalescent plasma in patients admitted for COVID‐19 infection: a randomized phase II trial |
| Methods |
Trial design: randomized, open‐label, phase II trial
Sample size: 30
Setting: inpatient
Country: Chile
Language: translated to English
Number of centres: 1
|
| Participants |
Inclusion criteria:
Patient > 18 years
CALL score ≥ 9 (progression risk score)
PCR‐confirmed COVID‐19 infection with ≤ 7 days of symptoms
Any symptoms of COVID‐19 infection
Admission due to COVID‐19 infection
Signed informed consent
ECOG before COVID‐19 infection 0‐2
Exclusion criteria:
PaFi < 200 or mechanical ventilation indication
Clinically relevant co‐infection at admission
Pregnancy or lactation
IgA deficiency or IgA nephropathy
Immunoglobulin or plasma administration in the last 60 days
Contraindication to transfusion or previous allergy to blood‐derived products
Do‐not‐resuscitate status
Patients receiving other investigational drug for COVID‐19 in a clinical trial
Any condition, that in opinion of the investigator may increase the risk associated with study participation or interfere with the interpretation of study results
|
| Interventions |
Intervention(s): CP
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Details of CP:
Type of plasma: early COVID‐19 CP
Volume: 200 mL
Number of doses: 2, day 1 and 2 at admission after confirmation of eligibility
Antibody‐titre: NR
Pathogen inactivated: NR
Treatment details, including time of plasma therapy (e.g. early stage of disease): NR
Comparator: COVID‐19 CP 200 mL day 1 and 2 only if worsening of respiratory function or persistence of COVID symptoms for > 7 days after enrolment
Concomitant therapy: NR
Treatment cross‐overs: no
|
| Outcomes |
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Primary study outcome:
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Primary review outcomes reported
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Secondary review outcomes reported
Number of participants with grade 3 and grade 4 AEs, including potential relationship between intervention and adverse reaction (e.g. TRALI, transfusion‐transmitted infection, TACO, TAD, acute transfusion reactions): NR
Number of participants with SAEs: NR
Improvement of clinical symptoms, assessed through need for respiratory support at up to 7 days; 8‐15 days; 16‐30 days: invasive mechanical ventilation during infection; ECMO duration during infection: yes (median duration of mechanical ventilation (time frame: 1‐year follow‐up)
30‐day and 90‐day mortality: yes (30‐day mortality, (time frame: 1‐year follow‐up), hospital mortality rate (percentage) (time frame: 1‐year follow‐up)
Admission on the ICU: NR
Length of stay on the ICU: yes (percentage mechanical ventilation, hospitalisation > 14 days or death during hospitalisation (time frame: 1‐year follow‐up), median length of ICU stay (time frame: 1‐year follow‐up)
Time to discharge from hospital: yes (median length of admission (time frame: 1‐year follow‐up)
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Additional study outcomes
Median duration of fever (time frame: 1 year)
Readmission rate (percentage) (time frame: 1‐year follow‐up)
Median length of viral clearance (time frame: 1‐year follow‐up)
|
| Starting date |
4 May 2020 |
| Contact information |
Contact: Maria Elvira Balcells, MD +562 23543508 ebalcells@uc.cl
|
| Notes |
Recruitment status: recruiting Prospective completion date: December 2020 Sponsor/funding: Pontificia Universidad Catolica de Chile, Fundacion Arturo Lopez Perez, Principal Investigator: Maria Elvira Balcells, MD ebalcells@uc.cl |