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

NCT04389710.

Study name Convalescent plasma for the treatment of patients with COVID‐19
Methods
  • Trial design: single‐arm intervention 

  • Sample size: 100

  • Setting: inpatient

  • Country: USA

  • Language: English

  • Number of centres: 1

Participants
  • Inclusion criteria

    • Age ≥ 18 years

    • Laboratory‐confirmed diagnosis of SARS‐CoV‐2

    • Admitted to an acute care facility for the treatment of COVID‐19 complications

    • Informed consent provided by patient or LAR

    • Severe or life‐threatening COVID‐19, or judged by the treating provider to be at high risk of progression to severe or life‐threatening disease

    • Severe disease defined as any of the following

      • Dyspnoea

      • Respiratory rate > 30/min

      • Oxygen saturation < 94%

      • Partial pressure of arterial oxygen to fraction of inspired oxygen ratio < 300

      • Lung infiltrates > 50% within 24‐48 h

    • Life‐threatening disease defined as any of the following

      • Respiratory failure

      • Septic shock

      • Multiple organ dysfunction or failure

      • Informed consent provided by patient or healthcare proxy

  • Exclusion criteria

    • Receipt of pooled immunoglobulin in past 30 days

    • Contraindication to transfusion or history of prior reactions to transfusion blood products

Interventions
  • Intervention(s): CP therapy

  • Details of CP:

    • Type of plasma: ABO‐compatible

    • Volume: 200‐600 mL

    • Number of doses: 1‐2

    • Antibody‐titre: NR

    • Pathogen inactivated: NR

  • Treatment details, including time of plasma therapy (e.g. early stage of disease): inpatient with severe or life‐threatening disease

  • Comparator: nil

  • Concomitant therapy: NR

  • Treatment cross‐overs: no

Outcomes
  • Primary study outcome: number of participants who receive COVID‐19 CP transfusions in acute care facilities infected with SARS‐CoV‐2 (time frame: 1 year)

  • Primary review outcomes reported

    • All‐cause mortality at hospital discharge: yes

    • Time to death: yes

  • 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: yes 

    • 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

    • 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

    • Changes in complete blood count

    • Abnormal changes in basic metabolic panel (BMP) measures

    • Changes in CRP,  d‐dimer, fibrinogen, prothrombin time (PT), partial thromboplastin time (PTT) in participants after receiving CP (time frame: 0 and 7 days)

Starting date 15 April 2020
Contact information
  • Michael Baram, MD215‐955‐5161 Michael.Baram@jefferson.edu

  • Anna Marie Chang, MD215‐605‐5897 AnnaMarie.Chang@jefferson.edu

Notes
  • Recruitment status: recruiting

  • Prospective completion date: 14 April 2021

  • Sponsor/funding: Thomas Jefferson University