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

NCT04384588.

Study name COVID19‐convalescent plasma for treating patients with active symptomatic COVID 19 infection (FALP‐COVID) (FALP‐COVID)
Methods
  • Trial design: multicentre, single‐arm, open‐label, non‐randomised clinical trial

  • Sample size: 100 

  • Setting: inpatient

  • Country: Chile

  • Language:  English

  • Number of centres: 4

Participants Inclusion criteria for all patients:
  • Patient must sign an informed consent to participate in this trial

  • Signed consent to participate in this trial must be given not after 14 days from the first day of symptoms COVID‐19 related

  • Patients with severity criteria must have any of the following: dyspnoea and or respiratory rate ≥ 30/min and or saturation ≤ 93% with fraction of inspired oxygen 21% and/or ratio of partial pressure arterial oxygen and fraction of inspired oxygen (PaFi) < 300 and/or lung images showing worsening in 24‐48 h

  • Patients without severity criteria but with ≥ 2 risk factors:

    • ≥ 50 years

    • Any of the following comorbidities: diabetes mellitus, hypertension, COPD, chronic kidney failure, non‐oncological‐related chronic immunosuppression

    • Total bilirubin > 1.2 mg/dL or blood urea nitrogen > 20 mg/dL or lactate dehydrogenase > 245 U/L

    • D‐dimer > 1 mg/L

    • Neutrophils ≥ 7.3 x 10³ and/or lymphocytes < 0,8 x 10³ µl

    • CRP > 9.5 mg/dL and ferritin > 300 ug/mL

    • Interleukin‐6 > 7 pg/mL

    • Antineoplastic treatment such as radiotherapy‐ cytotoxic chemotherapy‐ immunotherapy‐ molecular therapy‐ oncological surgery during the last 8 weeks


Exclusion criteria:
  • known allergy to plasma

  • Severe multiple organic failure

  • Active intra brain haemorrhage

  • Disseminated intravascular coagulation with blood products requirements

  • Patient with an adult respiratory distress > 10 days

  • patients with active cancer and life expectancy < 12 months according with medical criteria

Interventions
  • Intervention(s): CP

  • Details of CP:

    • Type of plasma: NR

    • 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: in hospital mortality

  • Primary review outcomes reported

    • All‐cause mortality at hospital discharge: yes

    • 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: days on ventilatory support

    • 30‐day and 90‐day mortality: yes 

    • Admission on the ICU: yes

    • Length of stay on the ICU: yes 

    • Time to discharge from hospital: yes 

    • QoL: NR

  • Additional study outcomes

    • viral load, laboratory studies

Starting date 7 April 2020
Contact information Contact: Christian Caglevic, MD56981369487 christian.caglevic@falp.org
Notes Recruitment status: recruiting
Prospective completion date: 6 April 20201
Sponsor/funding: Fundacion Arturo Lopez PerezConfederación de la Producción y del Comercio (CPC)Bolsa de Santiago