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

NCT04342182.

Study name Convalescent plasma therapy from recovered COVID‐19 patients as therapy for hospitalized patients with COVID‐19 (CONCOVID Study) (ConCoVid‐19)
Methods
  • Trial design: open‐label, RCT

  • Sample size: 426

  • Setting: hospitalised patients 

  • Country: Netherlands 

  • Language: English

  • Number of centres: 2 

Participants
  • Inclusion criteria 

    • Patients with PCR‐confirmed COVID disease

    • Written informed consent by patient or legal patient representative

    • Age > 18

  • Exclusion criteria 

    • Patient in which a 'no ICU admission' or 'no invasive ventilation' restriction was implemented at the time of screening for the study

  • Donor eligibility criteria

    • Donors with a history of COVID infection that was documented by PCR

    • Known ABO‐Resus(D) blood group

    • Negative screening for irregular antibodies

    • Asymptomatic for at least 24 h

    • Written informed consent regarding the plasmapheresis procedure

  • Donor exclusion criteria

    • Donors excluded if age < 18 years and > 66 years

    • Weight < 45 kg

    • Medical history of heart failure

    • History of transfusion with red blood cells, platelets or plasma

Interventions
  • CP therapy or hyperimmune immunoglobulin therapy: CP 

  • Details of CP:

    • type of plasma: Infusion of plasma retrieved from donors with a history of PCR‐proven symptomatic COVID

    • volume: 300 mL

    • number of doses: 1

    • 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): standard of care (supportive care, oxygen, antibiotics)

  • Concomitant therapy: standard of care

  • Treatment cross‐overs: none

Outcomes
  • Primary study outcome: overall mortality until discharge from the hospital or a maximum of 60 days after admission whichever comes first

  • Primary review outcomes

    • All‐cause mortality at hospital discharge: yes (overall mortality until discharge from the hospital or a maximum of 60 days after admission whichever comes first)

    • Time to death: yes

  • 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: yes (up to 30 days post‐discharge)

    • Admission on the ICU: yes

    • Length of stay on the ICU: yes

    • Time to discharge from hospital: yes

    • QoL: NR

  • Additional outcomes

    • Impact of plasma therapy on the decrease in SARS‐CoV‐2 shedding from airways (time frame: until hospital discharge, estimated average 2 weeks)

Starting date 8 April 2020
Contact information Bart Rijnders, MD, PhD+31107033510; b.rijnders@erasmusmc.nl
Notes
  • Recruitment status: recruiting (1 site only, 2nd site not yet recruiting)

  • Prospective completion date: 1 July 2020

  • Sponsor/funding: Erasmus Medical Center