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

NCT04383548.

Study name Clinical study for efficacy of anti‐corona VS2 immunoglobulins prepared from COVID19 convalescent plasma prepared by VIPS mini‐pool IVIG medical devices in prevention of SARS‐CoV‐2 infection in high risk groups as well as treatment of early cases of COVID19 patients
Methods
  • Trial design: interventional, single‐arm, open‐label, clinical trial

  • Sample size: 100

  • Setting: inpatients

  • Country: Egypt

  • Language: English

  • Number of centres: NR

Participants Inclusion criteria:
  • Passive immunisation group (Group A)

    • 20 high‐risk exposed people (HCPs) who are nasopharyngeal swab SARSCoV‐2 PCR‐negative and seronegative for SARS‐CoV‐2 IgM/IgG antibodies to receive prophylactic anti‐SARS‐CoV‐2 hyper immunoglobulin. Selected population can be both male and female with age range 21‐50 years

    • 20 high‐risk people (HCPs) who are nasopharyngeal swab SARS‐CoV‐2 PCR negative and seronegative for SARS‐CoV‐2 IgM/IgG antibodies as control group. Selected population can be both male and female with age range 21‐50 years

  • Patient group (group B)

    • 30 patients with COVID‐19 disease and nasopharyngeal swab or sputum SARS‐CoV‐2‐positive PCR to receive anti‐SARS‐CoV‐2 in addition to applied clinical management protocol. Selected test group can be male or female with age > 20 years

    • 30 patients with COVID‐19 disease and nasopharyngeal swab or sputum SARS‐CoV‐2 PCR‐positive managed according to applied clinical management protocols of COVID‐19 disease as control group. Selected test group can be male or female with age > 30 years


Exclusion criteria:
  • Passive immunisation group (Group A)

    • Age < 21 or > 50 years

    • Nasopharyngeal swab SARS‐CoV‐2‐positive PCR

    • Presence of anti‐SARS‐CoV‐2 IgM, IgG

    • Presence of comorbidities such as hypertension, diabetes, chronic renal disease, previous thrombotic events or states of allergy such as urticaria or bronchial asthma as well as previous AEs due to infusion of IVIG

  • Patient group (group B)

    1. Age < 20 years

    2. SARS‐CoV‐2 PCR‐negative

    3. COVID‐19 patients who may suffer from co‐morbidities such as hypertension, diabetes, chronic renal disease, thrombotic tendency or history of AEs to IVIG as well as old age will be excluded to reduce the possibility of development of SAEs related to infusion of IVIG unless it will be for compassionate use in advanced stages of COVID‐19 patients and after obtaining informed consent

Interventions
  • Intervention(s): hyper immunoglobulin

  • Details of CP:

    • Type of plasma: hyperimmune globulin ‐ prepared from CP using VIPS Mini‐Pool IVIG medical device

    • Volume: NR

    • Number of doses: NR

    • Antibody‐titre: NR

    • Pathogen inactivated: NR

  • Treatment details, including time of plasma therapy (e.g. early stage of disease): NR

  • Comparator: NA

  • Concomitant therapy: NR

  • Treatment cross‐overs: NA

Outcomes
  • Primary study outcome: efficacy of COVID19 hyper immunoglobulins for patients

  • Primary review outcomes reported

    • All‐cause mortality at hospital discharge: NR

    • 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): yes

    • 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: NR

    • 30‐day and 90‐day mortality: NR

    • Admission on the ICU: NR

    • Length of stay on the ICU: NR

    • Time to discharge from hospital: NR

    • QoL: NR

  • Additional study outcomes: NR

Starting date 1 June 2020
Contact information Contact: Alshaimaa M Selim, specialist 01003580480 shaimaamokhtargood@yahoo.com
Contact: Maha A Mohamed, Professor 01000004572 atwa_maha@yahoo.com
Notes Recruitment status: not yet recruiting
Prospective completion date: 1 January 2021
Sponsor/funding: Assiut University