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. 2020 Jul 10;2020(7):CD013600. doi: 10.1002/14651858.CD013600.pub2

NCT04375098.

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

  • 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
  • Primary study outcome:

    • Percentage mechanical ventilation, hospitalisation > 14 days or death during hospitalisation (time frame: 1‐year follow‐up)

  • Primary review outcomes reported

    • All‐cause mortality at hospital discharge: 30‐day mortality (percentage)

    • Time to death: NR

  • 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)

  • 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