The Efficacy of Intravenous Immunoglobulin Therapy for Severe 2019-nCoV Infected Pneumonia

NCT ID: NCT04261426

Last Updated: 2020-02-07

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

UNKNOWN

Clinical Phase

PHASE2/PHASE3

Total Enrollment

80 participants

Study Classification

INTERVENTIONAL

Study Start Date

2020-02-10

Study Completion Date

2020-06-30

Brief Summary

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In this single-center, randomized, open-label, controlled study, the investigators will evaluate the efficacy and safety of Intravenous Immunoglobulin (IVIG) in combination with standard care for severe 2019 novel coronavirus (2019-nCoV) pneumonia.

Detailed Description

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In December 2019, viral pneumonia caused by a novel beta-coronavirus (2019-nCoV) outbroke in Wuhan, China. Part of patients rapidly progress severe acute respiratory failure with substantial mortality, making it imperative to develop an efficient treatment for severe 2019-nCoV pneumonia besides the supportive care.

Intravenous immunoglobulin (IVIG) has been shown to improve the treatment effect and prognosis of severe infection over the past decades with its capacity of proving passive immunity and anti-inflammatory, immunomodulatory effect. We hypothesized that IVIG therapy would improve the prognosis of severe and critically ill patients with 2019-nCoV.

This single-center, randomized, open-label, controlled trial will evaluate the efficacy and safety of IVIG therapy in patients with severe or critically ill 2019-nCoV respiratory disease.

Conditions

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2019-nCoV

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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IVIG therapy+ standard care

Group Type EXPERIMENTAL

Intravenous Immunoglobulin

Intervention Type DRUG

IVIG 0.5g/kg/d for 5 days

Standard care

Intervention Type OTHER

Standard care

Standard care

Group Type PLACEBO_COMPARATOR

Standard care

Intervention Type OTHER

Standard care

Interventions

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Intravenous Immunoglobulin

IVIG 0.5g/kg/d for 5 days

Intervention Type DRUG

Standard care

Standard care

Intervention Type OTHER

Other Intervention Names

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Human Immunoglobulin (pH4) for Intravenous Injection

Eligibility Criteria

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Inclusion Criteria

* Adult aged \>=18years old;
* Laboratory (RT-PCR) confirmed 2019-nCoV infection in throat swab and/or sputum and/or lower respiratory tract samples;
* The interval between the onset of symptoms and randomized is within 7 days. The onset of symptoms is mainly based on fever. If there is no fever, cough or other related symptoms can be used;
* Meet any of the following criteria for severe or critical ill conditions:

1. Respiratory rate \>=30/min; or
2. Rest SPO2\<=90%; or
3. PaO2/FiO2\<=300mmHg; or
4. Respiratory failure and needs mechanical ventilation; or
5. Shock occurs; or
6. Multiple organ failure and needs ICU monitoring;
* Sign the Informed Consent Form on a voluntary basis.

Exclusion Criteria

* Exist of other evidences that can explain pneumonia including but not limited to:

influenza A virus, influenza B virus, bacterial pneumonia, fungal pneumonia, noninfectious causes, etc.;

* Allergy to Intravenous Immunoglobulin or its preparation components;
* Patients with selective IgA deficiency
* Women who are pregnant or breast-feeding;
* Researchers consider unsuitable.
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Tongji Hospital

OTHER

Sponsor Role collaborator

Peking Union Medical College Hospital

OTHER

Sponsor Role lead

Responsible Party

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LI Taisheng

Director of Infectious Disease, Principal Investigator

Responsibility Role PRINCIPAL_INVESTIGATOR

Central Contacts

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Taisheng Li

Role: CONTACT

010-69155086

Wei Cao

Role: CONTACT

Other Identifiers

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IVIG-001

Identifier Type: -

Identifier Source: org_study_id

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