Convalescent Plasma Trial in COVID -19 Patients

NCT ID: NCT04356534

Last Updated: 2021-10-26

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

COMPLETED

Clinical Phase

NA

Total Enrollment

40 participants

Study Classification

INTERVENTIONAL

Study Start Date

2020-04-19

Study Completion Date

2020-07-09

Brief Summary

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Plasma therapy using convalescent plasma has been shown to be effective in severe acute respiratory syndrome, Ebola virus infection and in H1N1 influenza. More recently there has been a report of the use of convalescent plasma in the treatment of 5 ventilated COVID-19 patients with the suggestion of expedited recovery as the patients improved 1 week after the transfusion. However, this was not a clinical trial and the patients were on other antiviral medication.; therefore, there is a need to undertake such a trial to see if deploying plasma with SARS-CoV-2 neutralizing antibody has utility in managing patients infected with COVID-19 in respiratory distress.

The objective of this pilot study is to compare plasma therapy using convalescent plasma with antibody against SARS-CoV-2 to usual supportive therapy in COVID-19 patients with pneumonia and hypoxia, and to determine if the clinical course is improved. The difference between groups will allow an effect size to be determined for a definitive clinical trial.

Detailed Description

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Coronavirus disease 2019 (COVID-19) is caused by the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) and has developed into a pandemic with serious global public health and economic sequelae. As of March 30, 2020, over 750,000 cases have been confirmed worldwide leading to over 34,000 deaths (https://coronavirus.jhu.edu/map.html). There is no current vaccine available, but there have been a number of reports of medication such as hydroxychloroquine having antiviral properties with efficacy against SARS-CoV-2.

Plasma therapy using convalescent plasma has been shown to be effective in severe acute respiratory syndrome, Ebola virus infection and in H1N1 influenza. More recently there has been a report of the use of convalescent plasma in the treatment of 5 ventilated COVID-19 patients with the suggestion of expedited recovery as the patients improved 1 week after the transfusion. However, this was not a clinical trial and the patients were on other antiviral medication; therefore, there is a need to undertake such a trial to see if deploying plasma with SARS-CoV-2 neutralizing antibody has utility in managing patients infected with COVID-19 in respiratory distress.

The objective of this pilot study is to compare plasma therapy using convalescent plasma with antibody against SARS-CoV-2 to usual supportive therapy in COVID-19 patients with pneumonia and hypoxia, and to determine if the clinical course is improved. The difference between groups will allow an effect size to be determined for a definitive clinical trial

Could using convalescent plasma transfusion, from recovered COVID19 patients with antibody against COVID-19 be beneficial in treatment of COVID19 patients with hypoxia and pneumonia, in order to avoid or delay the need for invasive ventilation?

This is a prospective, interventional and randomized open label trial involving 40 patients with COVID-19 who are in respiratory distress, with the criteria that all require oxygen therapy and have radiological evidence of pneumonia, 20 of whom will receive a single transfusion of convalescent patient plasma plus routine care, compared to 20 COVID-19 patients who will receive routine care alone.

Conditions

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SARS-CoV 2 COVID-19

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

This is a prospective, interventional and randomized open label trial involving 40 patients with COVID-19 who are in respiratory distress, with the criteria that all require oxygen therapy and have radiological evidence of pneumonia, 20 of whom will receive a transfusion of convalescent patient plasma plus routine care, compared to 20 COVID-19 patients who will receive routine care alone.
Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Control group

local standard of care which include antivirals and supportive care

Group Type ACTIVE_COMPARATOR

Routine care for COVID-19 patients

Intervention Type OTHER

local standard of care which include antivirals and supportive care

Intervention group

convalescent patient plasma 400ml given as 200ml over 2 hours in 2 consecutive days, plus routine local standard of care

Group Type EXPERIMENTAL

plasma therapy using convalescent plasma with antibody against SARS-CoV-2

Intervention Type OTHER

convalescent patient plasma plus routine local standard of care

Interventions

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plasma therapy using convalescent plasma with antibody against SARS-CoV-2

convalescent patient plasma plus routine local standard of care

Intervention Type OTHER

Routine care for COVID-19 patients

local standard of care which include antivirals and supportive care

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* COVID-19 diagnosis
* Hypoxia, (Oxygen saturation of less than or equal 92% or PO2 \< 60mmHg on arterial blood gas analysis) and patient requiring oxygen therapy
* Evidence of infiltrates on Chest Xray or CT scan
* Able to give informed consent
* Patients between the ages of 21 and above with no upper age.

Exclusion Criteria

* Patients with mild disease not requiring oxygen therapy
* Patients with normal CXR \& CT scan
* Patients requiring ventilatory support
* Patients with a history of allergy to plasma, sodium citrate or methylene blue
* Patients with a history of autoimmune disease or selective IGA deficiency.
Minimum Eligible Age

21 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Salmaniya Medical Complex

OTHER_GOV

Sponsor Role collaborator

Bahrain Defence Force Hospital

OTHER

Sponsor Role collaborator

Mohammed Bin Khalifa Bin Sulman Al Khalifa Cardiac Centre, Awali

UNKNOWN

Sponsor Role collaborator

Royal College of Surgeons in Ireland - Medical University of Bahrain

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Manaf Al Qahtani, Dr.

Role: PRINCIPAL_INVESTIGATOR

Royal College of Surgeons in Ireland - Bahrain

Locations

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Royal College of Surgeons in Ireland - Bahrain

Manama, , Bahrain

Site Status

Countries

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Bahrain

References

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Other Identifiers

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BDF/R&REC/2020-423

Identifier Type: -

Identifier Source: org_study_id