Effectiveness and Safety of Convalescent Plasma Therapy on COVID-19 Patients With Acute Respiratory Distress Syndrome

NCT ID: NCT04380935

Last Updated: 2020-08-18

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

60 participants

Study Classification

INTERVENTIONAL

Study Start Date

2020-05-18

Study Completion Date

2020-10-31

Brief Summary

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Corona virus disease 2019 (COVID-19) has been declared as a Pandemic by the World Health Organization (WHO). According to WHO report on March 31st 2020, globally COVID-19 have infected over 750,000 people and caused over 36,000 deaths with case fatality rate of 4.85%. In Indonesia, COVID-19 have infected 1,414 people and caused 122 deaths with case fatality rate of 8.63%. In severe cases, COVID-19 causes complications, such as acute respiratory distress syndrome (ARDS), sepsis, septic shock, and multi-organ dysfunction syndrome (MODS), where age and comorbid illnesses as a major factor to these complications. Up to this point there are several promising therapies for COVID-19 but is not yet recommended and in need of further research. The use of convalescent plasma has been approved by the US Food and Drug Administration (FDA) through the scheme of emergency investigational new drug (eIND). This method has been used as the treatment in several outbreak or plague cases over the years, such as the flu epidemic in 1918, polio, measles, mumps, SARS (severe acute respiratory syndrome), EVD (Ebola virus disease) and MERS (middle-eastern respiratory syndrome) and this treatment shows better outcome. Several case report on the use of convalescent plasma for COVID-19 patients with ARDS and mechanical ventilation has been reported and shows promising outcome. Nevertheless, larger and multicenter research need to be done to assess and evaluate the effectiveness and safety of convalescent plasma therapy on for COVID-19 patients with ARDS.

Detailed Description

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Conditions

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COVID Acute Respiratory Distress Syndrome

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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convalescent plasma and standard of care

Group Type EXPERIMENTAL

Convalescent plasma

Intervention Type BIOLOGICAL

Convalescent plasma of recovered COVID-19 patients (donor)

Standard of care

Intervention Type DRUG

According to national or hospital guidelines "COVID-19 Management Protocol"

standard of care

Group Type ACTIVE_COMPARATOR

Standard of care

Intervention Type DRUG

According to national or hospital guidelines "COVID-19 Management Protocol"

Interventions

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Convalescent plasma

Convalescent plasma of recovered COVID-19 patients (donor)

Intervention Type BIOLOGICAL

Standard of care

According to national or hospital guidelines "COVID-19 Management Protocol"

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Patients aged more than equal to 18 years.
* COVID-19 confirmed by reverse transcriptase-polymerase chain reaction (RT-PCR)
* Having severe pneumonia.
* PAO2 / FIO2 \<300.

Exclusion Criteria

* Contraindication to blood transfusions (fluid overload, history of anaphylaxis of blood products)
* Multiple and severe organ failure, hemodynamically unstable
* Other uncontrolled infections
* Disseminated intravascular coagulation (DIC) which requires a replacement factor/FFP
* Hemodialysis patients or CRRT (continuous renal replacement therapy)
* Active intracranial bleeding
* Significant myocardial ischemia
* Receiving tocilizumab treatment
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Dr Cipto Mangunkusumo General Hospital

OTHER

Sponsor Role collaborator

Fakultas Kedokteran Universitas Indonesia

OTHER

Sponsor Role collaborator

Indonesia University

OTHER

Sponsor Role lead

Responsible Party

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Andri Maruli Tua Lubis

Head of Research Division RSCM

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Andri MT Lubis, MD, PhD

Role: STUDY_CHAIR

Faculty of Medicine Universitas Indonesia - Dr Cipto Mangunkusumo Hospital

Locations

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Dr. Cipto Mangunkusumo General Hospital

Jakarta, DKI Jakarta, Indonesia

Site Status RECRUITING

St. Carolus Hospital

Jakarta, DKI Jakarta, Indonesia

Site Status RECRUITING

Ciputra Hospital CitraRaya

Jakarta, DKI Jakarta, Indonesia

Site Status RECRUITING

Countries

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Indonesia

Central Contacts

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Robert Sinto, MD

Role: CONTACT

+628158835432

Facility Contacts

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Robert Sinto, MD

Role: primary

+628158835432

Robert Sinto, MD

Role: primary

+628158835432

Santi Gultom, MD

Role: primary

+6282120683216

References

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Related Links

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https://www.eurosurveillance.org/content/10.2807/1560-7917.ES.2020.25.11.2000230

Coronavirus disease (COVID-19) in a paucisymptomatic patient: epidemiological and clinical challenge in settings with limited community transmission, Italy, February 2020.

https://www.eurosurveillance.org/content/10.2807/1560-7917.ES.2020.25.11.2000266

Serological and molecular findings during SARS-CoV-2 infection: the first case study in Finland, January to February 2020

Other Identifiers

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convalescent plasma RSCM-FKUI

Identifier Type: -

Identifier Source: org_study_id

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