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

NCT04332835.

Study name Convalescent plasma for patients with COVID‐19: a randomized, open label, parallel, controlled clinical study (CP‐COVID‐19)
Methods
  • Trial design: randomised, open‐label, parallel‐controlled trial

  • Sample size: 40 in each arm (80)

  • Setting: hospital

  • Country: Colombia

  • Language: English

  • Number of centres: 1

Participants
  • Inclusion criteria  

    • Aged 18‐60 years, male or female

    • Hospitalised participants with diagnosis of COVID 19 by RT‐PCR

    • Moderate cases according to the official guideline 'Pneumonia Diagnosis and Treatment Scheme for Novel Coronavirus Infection (Trial Version 6)'

    • Confusion, urea, respiratory rate, blood pressure‐65 score (CURB‐65 score) ≥ 2

    • SOFA < 6

    • Ability to understand and the willingness to sign a written informed consent document

  • Exclusion criteria

    • Pregnant or breastfeeding

    • Prior allergic reactions to transfusions

    • Critically ill patients in ICUs

    • Patients with surgical procedures in the last 30 days

    • Patients with active treatment for cancer (radiotherapy or chemotherapy)

    • HIV‐diagnosed patients with viral failure (detectable viral load > 1000 copies/mL persistent, 2 consecutive viral load measurements within a 3‐month interval, with medication adherence between measurements after at least 6 months of starting a new regimen antiretrovirals)

    • Suspicion or evidence of co‐infections

    • End‐stage chronic kidney disease (GFR < 15 mL/min /1.73 m2)

    • Child Pugh C stage liver cirrhosis

    • High cardiac output diseases

    • Autoimmune diseases or IgA nephropathy

    • Any condition that in the judgement of the Investigators would make the patient inappropriate for entry into this study

Interventions
  • CP therapy or hyperimmune immunoglobulin therapy: CP therapy

  • Details of CP:

    • type of plasma: NR

    • volume: 500 mL total

    • number of doses: 2

    • 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): azithromycin (500 mg daily) and hydroxychloroquine (400 mg every 12 h) for 10 days

  • Concomitant therapy: azithromycin (500 mg daily) and hydroxychloroquine (400 mg every 12 h) for 10 days

  • Treatment cross‐overs: not applicable

Outcomes
  • Primary study outcome: change in viral load, change in immunoglobulin M COVID‐19 antibodies titres, change in immunoglobulin G COVID‐19 antibodies titres

  • Primary review outcomes

    • All‐cause mortality at hospital discharge: yes (7, 14, 28 day mortality)

    • 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: yes

    • Length of stay on the ICU: yes

    • Time to discharge from hospital: yes

    • QoL: NR

  • Additional outcomes

    • Change in viral load

    • Change in immunoglobulin M COVID‐19 antibodies titres

    • Change in immunoglobulin G COVID‐19 antibodies titres

    • Clinical status assessed according to the WHO guideline

Starting date 1 May 2020
Contact information Juan M Anaya Cabrera, MD, PhD; +57 321 233 9828; anayajm@gmail.com   
Manuel E Rojas Quintana, MD, MSc; +57 315 459 9951; manuel_9316@hotmail.com
Notes
  • Recruitment status: not yet recruiting

  • Prospective completion date: 31 December 2020

  • Sponsor/funding: Universidad del RosarioFundación Universitaria de Ciencias de la SaludCES UniversityInstituto Distrital de Ciencia Biotecnología e Innovacion en Salud