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

IRCT20200310046736N1.

Study name Comparison of the therapeutic effect of convalescent plasma and plasma‐derived immunoglobulin‐enriched solution on COVID‐19 patients
Methods
  • Trial design: a hospital‐based, parallel‐group, single‐blind, RCT

  • Sample size: 45

  • Setting: inpatient

  • Country: Iran

  • Language: English

  • Number of centres: 1

Participants
  • Inclusion criteria

    • COVID‐19 patients who have the clinical signs of COVID‐19 infection such as fever, cough, sputum production, sore throat, and so on

    • Positive CT scan

    • Declare informed consent for this study

    • Age: 20‐45 years

  • Exclusion criteria

    • Pregnant women (based on WHO protocol)

    • Lactating women (based on WHO protocol)

    • Individuals who exhibit specific allergic reactions to IV administration

    • History of dangerous underlying diseases such as IgA deficiency

    • History of dangerous diseases such as cardiovascular and or haematological disorders (haemophilia, thalassaemia, leukaemia)

    • History of underlying diseases such as liver and kidney disease

    • Smokers

Interventions
  • CP therapy or hyperimmune immunoglobulin therapy: CP 

  • Details of CP:

    • type of plasma: obtained from fully recovered patients according to inclusion criteria 

    • volume: 200 cc/day IV administration for 1‐4 h

    • number of doses: for 1‐4 days

    • 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): randomised (3 arms): CP, plasma‐derived immunoglobulin‐enriched solution and best supportive care or routine care without any new therapeutic interventions

  • Concomitant therapy: NR

  • Treatment cross‐overs: NR

Outcomes
  • Primary study outcome: complete remission of clinical signs of disease (about 1 week after starting the treatment), negative result for COVID‐19 RT‐PCR test (7‐14 days after starting the treatment), normal CT scan (7‐14 days after starting the treatment)

  • Primary review outcomes

    • All‐cause mortality at hospital discharge: NR

    • Time to death: NR

  • Secondary review outcomes

    • 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: yes

    • 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 outcomes

    • Negative result for COVID‐19 RT‐PCR test

    • Normal CT scan

    • Recovery and normal levels of biomarkers associated with COVID‐19

Starting date 24 March 2020
Contact information Parastoo Moradi Choghakabodi, Iran (Islamic Republic of); parastoomoradi40@yahoo.com
Notes
  • Recruitment status: not yet recruiting

  • Prospective completion date: 24 July 2020

  • Sponsor/funding: Ahvaz University of Medical Sciences, 61357‐15794 Ahvaz, Iran