Trial Outcomes & Findings for Convalescent Plasma for Early Treatment of COVID-19 (NCT NCT04390503)

NCT ID: NCT04390503

Last Updated: 2024-08-28

Results Overview

Participants who were discharged from the hospital after receiving the study intervention.

Recruitment status

TERMINATED

Study phase

PHASE2

Target enrollment

223 participants

Primary outcome timeframe

Up to 28 days

Results posted on

2024-08-28

Participant Flow

Participant milestones

Participant milestones
Measure
Experimental Arm: Convalescent Plasma
Participants will receive 2 units (approximately 200 to 250 mL per unit, total 400-500mL) of convalescent plasma that was collected from a volunteer who recovered from COVID-19 disease.
Control Arm: Albumin 5%
Participants will receive 2 units of 250 mL (500mL total) of human albumin 5% infusion. Albumin 5% is a sterile aqueous solution for intravenous use containing the albumin component human plasma. The albumin will be prepared in bags that are identical to the bags used for plasma. The similar appearance of albumin and plasma will facilitate maintaining the blinded status of subjects and most of the study staff.
Overall Study
STARTED
150
73
Overall Study
COMPLETED
147
72
Overall Study
NOT COMPLETED
3
1

Reasons for withdrawal

Reasons for withdrawal
Measure
Experimental Arm: Convalescent Plasma
Participants will receive 2 units (approximately 200 to 250 mL per unit, total 400-500mL) of convalescent plasma that was collected from a volunteer who recovered from COVID-19 disease.
Control Arm: Albumin 5%
Participants will receive 2 units of 250 mL (500mL total) of human albumin 5% infusion. Albumin 5% is a sterile aqueous solution for intravenous use containing the albumin component human plasma. The albumin will be prepared in bags that are identical to the bags used for plasma. The similar appearance of albumin and plasma will facilitate maintaining the blinded status of subjects and most of the study staff.
Overall Study
Physician Decision
2
1
Overall Study
Adverse Event
1
0

Baseline Characteristics

Race and Ethnicity were not collected from any participant.

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Experimental Arm: Convalescent Plasma
n=150 Participants
Participants will receive 2 units (approximately 200 to 250 mL per unit, total 400-500mL) of convalescent plasma that was collected from a volunteer who recovered from COVID-19 disease.
Control Arm: Albumin 5%
n=73 Participants
Participants will receive 2 units of 250 mL (500mL total) of human albumin 5% infusion. Albumin 5% is a sterile aqueous solution for intravenous use containing the albumin component human plasma. The albumin will be prepared in bags that are identical to the bags used for plasma. The similar appearance of albumin and plasma will facilitate maintaining the blinded status of subjects and most of the study staff.
Total
n=223 Participants
Total of all reporting groups
Age, Customized
<60 years
74 Participants
n=150 Participants
28 Participants
n=73 Participants
102 Participants
n=223 Participants
Age, Customized
60-69 years
35 Participants
n=150 Participants
24 Participants
n=73 Participants
59 Participants
n=223 Participants
Age, Customized
70-79 years
28 Participants
n=150 Participants
16 Participants
n=73 Participants
44 Participants
n=223 Participants
Age, Customized
≥80 years
13 Participants
n=150 Participants
5 Participants
n=73 Participants
18 Participants
n=223 Participants
Sex: Female, Male
Female
96 Participants
n=150 Participants
51 Participants
n=73 Participants
147 Participants
n=223 Participants
Sex: Female, Male
Male
54 Participants
n=150 Participants
22 Participants
n=73 Participants
76 Participants
n=223 Participants
Race and Ethnicity Not Collected
0 Participants
Race and Ethnicity were not collected from any participant.
Region of Enrollment
Brazil
101 participants
n=150 Participants
49 participants
n=73 Participants
150 participants
n=223 Participants
Region of Enrollment
United States
49 participants
n=150 Participants
24 participants
n=73 Participants
73 participants
n=223 Participants
Clinical status at randomization
Hospitalized, not requiring supplemental oxygen
5 Participants
n=150 Participants
5 Participants
n=73 Participants
10 Participants
n=223 Participants
Clinical status at randomization
Hospitalized, requiring supplemental oxygen, HFO, NIV
125 Participants
n=150 Participants
57 Participants
n=73 Participants
182 Participants
n=223 Participants
Clinical status at randomization
Hospitalized, requiring IMV, ECMO, or both
17 Participants
n=150 Participants
11 Participants
n=73 Participants
28 Participants
n=223 Participants
Baseline conditions
COVID-19
150 Participants
n=150 Participants
73 Participants
n=73 Participants
223 Participants
n=223 Participants
Baseline conditions
Hypertension
53 Participants
n=150 Participants
22 Participants
n=73 Participants
75 Participants
n=223 Participants
Baseline conditions
Diabetes mellitus
55 Participants
n=150 Participants
27 Participants
n=73 Participants
82 Participants
n=223 Participants
Baseline conditions
Hyperlipidemia
27 Participants
n=150 Participants
9 Participants
n=73 Participants
36 Participants
n=223 Participants
Baseline conditions
Chronic cardiac disease
56 Participants
n=150 Participants
28 Participants
n=73 Participants
84 Participants
n=223 Participants
Baseline conditions
Chronic kidney disease
13 Participants
n=150 Participants
8 Participants
n=73 Participants
21 Participants
n=223 Participants
Baseline conditions
Chronic pulmonary disease
15 Participants
n=150 Participants
5 Participants
n=73 Participants
20 Participants
n=223 Participants
Baseline conditions
Chronic liver disease
3 Participants
n=150 Participants
1 Participants
n=73 Participants
4 Participants
n=223 Participants
Baseline conditions
HIV
4 Participants
n=150 Participants
0 Participants
n=73 Participants
4 Participants
n=223 Participants

PRIMARY outcome

Timeframe: Up to 28 days

Participants who were discharged from the hospital after receiving the study intervention.

Outcome measures

Outcome measures
Measure
Experimental Arm: Convalescent Plasma
n=150 Participants
Participants will receive 2 units (approximately 200 to 250 mL per unit, total 400-500mL) of convalescent plasma that was collected from a volunteer who recovered from COVID-19 disease.
Control Arm: Albumin 5%
n=73 Participants
Participants will receive 2 units of 250 mL (500mL total) of human albumin 5% infusion. Albumin 5% is a sterile aqueous solution for intravenous use containing the albumin component human plasma. The albumin will be prepared in bags that are identical to the bags used for plasma. The similar appearance of albumin and plasma will facilitate maintaining the blinded status of subjects and most of the study staff.
Number of Non-Hospitalized Participants
108 Participants
48 Participants

PRIMARY outcome

Timeframe: Up to 28 days

Population: Only includes individuals who have data at day 28.

Participants who remained hospitalized and required supplemental oxygen after receiving the study drug.

Outcome measures

Outcome measures
Measure
Experimental Arm: Convalescent Plasma
n=42 Participants
Participants will receive 2 units (approximately 200 to 250 mL per unit, total 400-500mL) of convalescent plasma that was collected from a volunteer who recovered from COVID-19 disease.
Control Arm: Albumin 5%
n=25 Participants
Participants will receive 2 units of 250 mL (500mL total) of human albumin 5% infusion. Albumin 5% is a sterile aqueous solution for intravenous use containing the albumin component human plasma. The albumin will be prepared in bags that are identical to the bags used for plasma. The similar appearance of albumin and plasma will facilitate maintaining the blinded status of subjects and most of the study staff.
Number of Hospitalized Participants Requiring Supplemental Oxygen
7 Participants
1 Participants

PRIMARY outcome

Timeframe: Up to 28 days

Population: Only includes individuals who have data at day 28.

Participants who remained hospitalized and required high-flow oxygen therapy or noninvasive mechanical ventilation after receiving the study intervention.

Outcome measures

Outcome measures
Measure
Experimental Arm: Convalescent Plasma
n=42 Participants
Participants will receive 2 units (approximately 200 to 250 mL per unit, total 400-500mL) of convalescent plasma that was collected from a volunteer who recovered from COVID-19 disease.
Control Arm: Albumin 5%
n=25 Participants
Participants will receive 2 units of 250 mL (500mL total) of human albumin 5% infusion. Albumin 5% is a sterile aqueous solution for intravenous use containing the albumin component human plasma. The albumin will be prepared in bags that are identical to the bags used for plasma. The similar appearance of albumin and plasma will facilitate maintaining the blinded status of subjects and most of the study staff.
Number of Hospitalized Participants Requiring High-flow Oxygen Therapy or Noninvasive Mechanical Ventilation
1 Participants
0 Participants

SECONDARY outcome

Timeframe: Up to 28 days

Participants who died in the hospital after receiving the study drug.

Outcome measures

Outcome measures
Measure
Experimental Arm: Convalescent Plasma
n=150 Participants
Participants will receive 2 units (approximately 200 to 250 mL per unit, total 400-500mL) of convalescent plasma that was collected from a volunteer who recovered from COVID-19 disease.
Control Arm: Albumin 5%
n=73 Participants
Participants will receive 2 units of 250 mL (500mL total) of human albumin 5% infusion. Albumin 5% is a sterile aqueous solution for intravenous use containing the albumin component human plasma. The albumin will be prepared in bags that are identical to the bags used for plasma. The similar appearance of albumin and plasma will facilitate maintaining the blinded status of subjects and most of the study staff.
Number of In-hospital Mortalities
19 Participants
18 Participants

SECONDARY outcome

Timeframe: Up to 90 days

Population: These samples were not collected for analysis.

To compare the rate of measurable anti-SARS-CoV-2 titers between recipients of CP (anti-SARS-CoV-2 plasma) versus control (albumin 5%).

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: Up to 28 days

Population: These samples were not collected for analysis.

Compare the rates of SARS-CoV-2 PCR positivity (RT PCR) amongst the anti-SARS-CoV-2 convalescent plasma and control (albumin 5%).

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: Up to 28 days

Population: Data was not collected for this outcome measure.

Compare the duration of SARS-CoV-2 PCR positivity (RT PCR) amongst the anti-SARS-CoV-2 convalescent plasma and control (albumin 5%).

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: Up to 28 days

Population: Samples were not collected for analysis.

Compare the levels of SARS-CoV-2 RNA between the recipients of antiSARS-CoV-2 plasma and control (albumin 5%)

Outcome measures

Outcome data not reported

Adverse Events

Experimental Arm: Convalescent Plasma

Serious events: 39 serious events
Other events: 38 other events
Deaths: 19 deaths

Control Arm: Albumin 5%

Serious events: 26 serious events
Other events: 17 other events
Deaths: 18 deaths

Serious adverse events

Serious adverse events
Measure
Experimental Arm: Convalescent Plasma
n=147 participants at risk
Participants will receive 2 units (approximately 200 to 250 mL per unit, total 400-500mL) of convalescent plasma that was collected from a volunteer who recovered from COVID-19 disease.
Control Arm: Albumin 5%
n=72 participants at risk
Participants will receive 2 units of 250 mL (500mL total) of human albumin 5% infusion. Albumin 5% is a sterile aqueous solution for intravenous use containing the albumin component human plasma. The albumin will be prepared in bags that are identical to the bags used for plasma. The similar appearance of albumin and plasma will facilitate maintaining the blinded status of subjects and most of the study staff.
Blood and lymphatic system disorders
arterial thrombosis
0.00%
0/147 • Collected from baseline until day 28.
Adverse Events and Serious AEs were only collected from participants who completed the study (i.e., 147 participants in the Experimental Arm and 72 participants in the Control Arm).
1.4%
1/72 • Collected from baseline until day 28.
Adverse Events and Serious AEs were only collected from participants who completed the study (i.e., 147 participants in the Experimental Arm and 72 participants in the Control Arm).
Blood and lymphatic system disorders
disseminated intravascular coagulation
0.68%
1/147 • Collected from baseline until day 28.
Adverse Events and Serious AEs were only collected from participants who completed the study (i.e., 147 participants in the Experimental Arm and 72 participants in the Control Arm).
0.00%
0/72 • Collected from baseline until day 28.
Adverse Events and Serious AEs were only collected from participants who completed the study (i.e., 147 participants in the Experimental Arm and 72 participants in the Control Arm).
Blood and lymphatic system disorders
pulmonary embolism
1.4%
2/147 • Collected from baseline until day 28.
Adverse Events and Serious AEs were only collected from participants who completed the study (i.e., 147 participants in the Experimental Arm and 72 participants in the Control Arm).
0.00%
0/72 • Collected from baseline until day 28.
Adverse Events and Serious AEs were only collected from participants who completed the study (i.e., 147 participants in the Experimental Arm and 72 participants in the Control Arm).
Blood and lymphatic system disorders
venous thrombosis
2.7%
4/147 • Collected from baseline until day 28.
Adverse Events and Serious AEs were only collected from participants who completed the study (i.e., 147 participants in the Experimental Arm and 72 participants in the Control Arm).
2.8%
2/72 • Collected from baseline until day 28.
Adverse Events and Serious AEs were only collected from participants who completed the study (i.e., 147 participants in the Experimental Arm and 72 participants in the Control Arm).
Cardiac disorders
arrhythmia
6.8%
10/147 • Collected from baseline until day 28.
Adverse Events and Serious AEs were only collected from participants who completed the study (i.e., 147 participants in the Experimental Arm and 72 participants in the Control Arm).
6.9%
5/72 • Collected from baseline until day 28.
Adverse Events and Serious AEs were only collected from participants who completed the study (i.e., 147 participants in the Experimental Arm and 72 participants in the Control Arm).
Cardiac disorders
cardiac arrest
0.68%
1/147 • Collected from baseline until day 28.
Adverse Events and Serious AEs were only collected from participants who completed the study (i.e., 147 participants in the Experimental Arm and 72 participants in the Control Arm).
4.2%
3/72 • Collected from baseline until day 28.
Adverse Events and Serious AEs were only collected from participants who completed the study (i.e., 147 participants in the Experimental Arm and 72 participants in the Control Arm).
Cardiac disorders
cardiogenic shock
0.00%
0/147 • Collected from baseline until day 28.
Adverse Events and Serious AEs were only collected from participants who completed the study (i.e., 147 participants in the Experimental Arm and 72 participants in the Control Arm).
1.4%
1/72 • Collected from baseline until day 28.
Adverse Events and Serious AEs were only collected from participants who completed the study (i.e., 147 participants in the Experimental Arm and 72 participants in the Control Arm).
Cardiac disorders
myocarditis
0.68%
1/147 • Collected from baseline until day 28.
Adverse Events and Serious AEs were only collected from participants who completed the study (i.e., 147 participants in the Experimental Arm and 72 participants in the Control Arm).
0.00%
0/72 • Collected from baseline until day 28.
Adverse Events and Serious AEs were only collected from participants who completed the study (i.e., 147 participants in the Experimental Arm and 72 participants in the Control Arm).
Cardiac disorders
septic shock
2.7%
4/147 • Collected from baseline until day 28.
Adverse Events and Serious AEs were only collected from participants who completed the study (i.e., 147 participants in the Experimental Arm and 72 participants in the Control Arm).
5.6%
4/72 • Collected from baseline until day 28.
Adverse Events and Serious AEs were only collected from participants who completed the study (i.e., 147 participants in the Experimental Arm and 72 participants in the Control Arm).
Gastrointestinal disorders
pneumoperitoneum
0.68%
1/147 • Collected from baseline until day 28.
Adverse Events and Serious AEs were only collected from participants who completed the study (i.e., 147 participants in the Experimental Arm and 72 participants in the Control Arm).
0.00%
0/72 • Collected from baseline until day 28.
Adverse Events and Serious AEs were only collected from participants who completed the study (i.e., 147 participants in the Experimental Arm and 72 participants in the Control Arm).
Immune system disorders
hypothermia
0.00%
0/147 • Collected from baseline until day 28.
Adverse Events and Serious AEs were only collected from participants who completed the study (i.e., 147 participants in the Experimental Arm and 72 participants in the Control Arm).
1.4%
1/72 • Collected from baseline until day 28.
Adverse Events and Serious AEs were only collected from participants who completed the study (i.e., 147 participants in the Experimental Arm and 72 participants in the Control Arm).
Infections and infestations
ventilator-associated pneumonia
1.4%
2/147 • Collected from baseline until day 28.
Adverse Events and Serious AEs were only collected from participants who completed the study (i.e., 147 participants in the Experimental Arm and 72 participants in the Control Arm).
2.8%
2/72 • Collected from baseline until day 28.
Adverse Events and Serious AEs were only collected from participants who completed the study (i.e., 147 participants in the Experimental Arm and 72 participants in the Control Arm).
Renal and urinary disorders
ketoacidosis
0.68%
1/147 • Collected from baseline until day 28.
Adverse Events and Serious AEs were only collected from participants who completed the study (i.e., 147 participants in the Experimental Arm and 72 participants in the Control Arm).
0.00%
0/72 • Collected from baseline until day 28.
Adverse Events and Serious AEs were only collected from participants who completed the study (i.e., 147 participants in the Experimental Arm and 72 participants in the Control Arm).
Renal and urinary disorders
metabolic acidosis
0.00%
0/147 • Collected from baseline until day 28.
Adverse Events and Serious AEs were only collected from participants who completed the study (i.e., 147 participants in the Experimental Arm and 72 participants in the Control Arm).
1.4%
1/72 • Collected from baseline until day 28.
Adverse Events and Serious AEs were only collected from participants who completed the study (i.e., 147 participants in the Experimental Arm and 72 participants in the Control Arm).
Respiratory, thoracic and mediastinal disorders
acute respiratory failure
16.3%
24/147 • Collected from baseline until day 28.
Adverse Events and Serious AEs were only collected from participants who completed the study (i.e., 147 participants in the Experimental Arm and 72 participants in the Control Arm).
22.2%
16/72 • Collected from baseline until day 28.
Adverse Events and Serious AEs were only collected from participants who completed the study (i.e., 147 participants in the Experimental Arm and 72 participants in the Control Arm).

Other adverse events

Other adverse events
Measure
Experimental Arm: Convalescent Plasma
n=147 participants at risk
Participants will receive 2 units (approximately 200 to 250 mL per unit, total 400-500mL) of convalescent plasma that was collected from a volunteer who recovered from COVID-19 disease.
Control Arm: Albumin 5%
n=72 participants at risk
Participants will receive 2 units of 250 mL (500mL total) of human albumin 5% infusion. Albumin 5% is a sterile aqueous solution for intravenous use containing the albumin component human plasma. The albumin will be prepared in bags that are identical to the bags used for plasma. The similar appearance of albumin and plasma will facilitate maintaining the blinded status of subjects and most of the study staff.
Gastrointestinal disorders
diarrhea
6.1%
9/147 • Collected from baseline until day 28.
Adverse Events and Serious AEs were only collected from participants who completed the study (i.e., 147 participants in the Experimental Arm and 72 participants in the Control Arm).
4.2%
3/72 • Collected from baseline until day 28.
Adverse Events and Serious AEs were only collected from participants who completed the study (i.e., 147 participants in the Experimental Arm and 72 participants in the Control Arm).
Infections and infestations
Pneumonia
10.9%
16/147 • Collected from baseline until day 28.
Adverse Events and Serious AEs were only collected from participants who completed the study (i.e., 147 participants in the Experimental Arm and 72 participants in the Control Arm).
9.7%
7/72 • Collected from baseline until day 28.
Adverse Events and Serious AEs were only collected from participants who completed the study (i.e., 147 participants in the Experimental Arm and 72 participants in the Control Arm).
Cardiac disorders
hypotension
5.4%
8/147 • Collected from baseline until day 28.
Adverse Events and Serious AEs were only collected from participants who completed the study (i.e., 147 participants in the Experimental Arm and 72 participants in the Control Arm).
8.3%
6/72 • Collected from baseline until day 28.
Adverse Events and Serious AEs were only collected from participants who completed the study (i.e., 147 participants in the Experimental Arm and 72 participants in the Control Arm).
Blood and lymphatic system disorders
anemia
8.2%
12/147 • Collected from baseline until day 28.
Adverse Events and Serious AEs were only collected from participants who completed the study (i.e., 147 participants in the Experimental Arm and 72 participants in the Control Arm).
9.7%
7/72 • Collected from baseline until day 28.
Adverse Events and Serious AEs were only collected from participants who completed the study (i.e., 147 participants in the Experimental Arm and 72 participants in the Control Arm).

Additional Information

Jessica Justman, MD

Columbia University

Phone: 212-342-0537

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place