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

ChiCTR2000031501.

Study name The efficacy of convalescent plasma in patients with critical novel coronavirus pneumonia (COVID‐19): a pragmatic, prospective cohort study 
Methods
  • Trial design: prospective cohort study, controlled

  • Sample size: 10 in each arm (20)

  • Setting: inpatient

  • Country: China

  • Language: translated to English

  • Number of centres: 1

Participants
  • Inclusion criteria

    • Severe or critical patients with COVID‐19 pneumonia confirmed by novel coronavirus diagnosis and treatment plan (7th Edition)

    • 18‐85 years old

    • Obtaining informed consent

  • Exclusion criteria

    • Participating in clinical trials of other drugs

    • Pregnant or lactating women

    • ALT/AST > 5‐fold ULN, neutrophil < 0.5 x 10^9/L, platelet < 50 x 10^9/L

    • Diagnosis of rheumatic immune‐related diseases was clear

    • Long‐term oral anti‐rejection drugs or immunomodulatory drugs

    • Hypersensitive reaction to mAb or any adjuvant

    • Active TB patients with definite bacterial and fungal infection

    • Patients with organ transplantation history within 3 months

    • History of percutaneous coronary intervention in the past 60 days;

    • COPD with end‐stage chronic diseases, including heart failure above NYHA grade III, chronic kidney disease with creatinine clearance < 40 mL/min or requiring family oxygen therapy

Interventions
  • CP therapy or hyperimmune immunoglobulin therapy: CP

  • Details of CP:

    • type of plasma: NR

    • volume: NR

    • number of doses: NR

    • antibody‐titre: NR

    • pathogen inactivated or not: NR

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

  • For studies including a control group: comparator (type): routine treatment

  • Concomitant therapy: NR

  • Treatment cross‐overs: NR

Outcomes
  • Primary study outcome: hospital mortality

  • 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): 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: new receipt of high‐flow oxygen absorption, new receipt of non‐invasive mechanical ventilation, new receipt of continuous renal replacement therapy, new receipt of ECMO

    • 30‐day and 90‐day mortality: hospital mortality, day 90 mortality

    • Admission on the ICU: yes

    • Length of stay on the ICU: ICU hospitalisation days

    • Time to discharge from hospital: NR

    • QoL: NR

  • Additional study outcomes

    • Time to COVID‐19 RT‐PCR‐negative in surviving patients

    • Time of medical imaging improvement

    • Lymphocyte count

    • CRP

    • IL‐6

    • New onset organ failure

    • Incidence of secondary bacterial infection

    • Incidence of secondary fungal infection

    • Incidence of critical illness in severe patients

    • Day 90 readmission for COVID‐19 pneumonia

Starting date 17 March 2020
Contact information Weiqin LI
liweiqindr@vip.163.com 
Eastern Theater General Hospital  
305 Zhongshandong road, Xuanwu district, Nanjing, Jiangsu, China
Notes
  • Recruitment status: recruiting

  • Prospective completion date: 17 July 2020

  • Sponsor/funding: Eastern Theater General Hospital, 305 Zhongshan Road East, Xuanwu District, Nanjing, Jiangsu, China