Trial Outcomes & Findings for Efficacy and Safety of COVID-19 Convalescent Plasma (NCT NCT04397523)

NCT ID: NCT04397523

Last Updated: 2024-05-28

Results Overview

The total number of days patients required respiratory support.

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

200 participants

Primary outcome timeframe

28 days after transfusion or until hospital discharge (whichever comes first)

Results posted on

2024-05-28

Participant Flow

Participant milestones

Participant milestones
Measure
Hospitalized Patients With SARS CoV-2 Infection
Hospitalized patients with SARS CoV-2 infection will receive an anti SARS-CoV-2 convalescent plasma anti-SARS-CoV-2 convalescent plasma: Administration of convalescent plasma obtained from donors with prior documented SARS-CoV-2 infection
Overall Study
STARTED
200
Overall Study
COMPLETED
189
Overall Study
NOT COMPLETED
11

Reasons for withdrawal

Reasons for withdrawal
Measure
Hospitalized Patients With SARS CoV-2 Infection
Hospitalized patients with SARS CoV-2 infection will receive an anti SARS-CoV-2 convalescent plasma anti-SARS-CoV-2 convalescent plasma: Administration of convalescent plasma obtained from donors with prior documented SARS-CoV-2 infection
Overall Study
Lost to Follow-up
3
Overall Study
Transfer from/to other hospital
8

Baseline Characteristics

Efficacy and Safety of COVID-19 Convalescent Plasma

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Hospitalized Patients With SARS CoV-2 Infection
n=189 Participants
Hospitalized patients with SARS CoV-2 infection will receive an anti SARS-CoV-2 convalescent plasma anti-SARS-CoV-2 convalescent plasma: Administration of convalescent plasma obtained from donors with prior documented SARS-CoV-2 infection
Age, Continuous
57.4 years
STANDARD_DEVIATION 12.8 • n=5 Participants
Age, Customized
18-35 years
11 Participants
n=5 Participants
Age, Customized
36-45 years
23 Participants
n=5 Participants
Age, Customized
46-55 years
47 Participants
n=5 Participants
Age, Customized
56-65 years
56 Participants
n=5 Participants
Age, Customized
66-75 years
41 Participants
n=5 Participants
Age, Customized
more than 75 years
11 Participants
n=5 Participants
Sex: Female, Male
Female
41 Participants
n=5 Participants
Sex: Female, Male
Male
148 Participants
n=5 Participants
Race/Ethnicity, Customized
Ethnicity · Macedonians
139 Participants
n=5 Participants
Race/Ethnicity, Customized
Ethnicity · Albanians
36 Participants
n=5 Participants
Race/Ethnicity, Customized
Ethnicity · others
14 Participants
n=5 Participants
Region of Enrollment
North Macedonia
189 Participants
n=5 Participants
Body Mass Index
18.5-24.9 kg/m^2 (normal)
37 Participants
n=5 Participants
Body Mass Index
25-29.9 kg/m^2 (overweight)
95 Participants
n=5 Participants
Body Mass Index
equal or more than 30 kg/m^2 (obese)
57 Participants
n=5 Participants
ABO blood type
A
94 Participants
n=5 Participants
ABO blood type
B
32 Participants
n=5 Participants
ABO blood type
O
47 Participants
n=5 Participants
ABO blood type
AB
16 Participants
n=5 Participants
WHO progression score
WHO disease progression score 3 - hospitalized patients without oxygen support
65 Participants
n=5 Participants
WHO progression score
WHO progression score 4 - hospitalized patients with oxygen support (nasal canila, oxygen mask)
65 Participants
n=5 Participants
WHO progression score
WHO progression score 5 - hospitalized with high-flow oxygen support (noninvasive ventilation)
59 Participants
n=5 Participants
Comorbidities
yes
134 Participants
n=5 Participants
Comorbidities
no
55 Participants
n=5 Participants
Body Mass Index
28.4 kg/m^2
STANDARD_DEVIATION 4.4 • n=5 Participants

PRIMARY outcome

Timeframe: 28 days after transfusion or until hospital discharge (whichever comes first)

Population: This is the number of patients that required respiratory support before CCP transfusion

The total number of days patients required respiratory support.

Outcome measures

Outcome measures
Measure
Hospitalized Patients With SARS CoV-2 Infection
n=124 Participants
Hospitalized patients with SARS CoV-2 infection will receive an anti SARS-CoV-2 convalescent plasma anti-SARS-CoV-2 convalescent plasma: Administration of convalescent plasma obtained from donors with prior documented SARS-CoV-2 infection
Duration of Oxygenation Support
7.4 days
Standard Deviation 5.2

PRIMARY outcome

Timeframe: 28 days after transfusion or until hospital discharge (whichever comes first)

Population: The bellow are shown subgroups of participants according to the WHO disease progression scores 3,4 and 5, which all together comprises total investigated group of 189 participants.

Total number of days patients were admitted to the hospital after convalescent plasma transfusion.

Outcome measures

Outcome measures
Measure
Hospitalized Patients With SARS CoV-2 Infection
n=189 Participants
Hospitalized patients with SARS CoV-2 infection will receive an anti SARS-CoV-2 convalescent plasma anti-SARS-CoV-2 convalescent plasma: Administration of convalescent plasma obtained from donors with prior documented SARS-CoV-2 infection
Hospital Length of Stay (LOS)
total investigated group
11.0 days
Standard Deviation 5.3
Hospital Length of Stay (LOS)
patients with WHO disease progression score 3, which are not on oxygen support
8.6 days
Standard Deviation 2.7
Hospital Length of Stay (LOS)
patients with WHO score 4, which are on oxygen support with nasal canila or oxygen mask
11.1 days
Standard Deviation 4.7
Hospital Length of Stay (LOS)
patients with WHO score 5, which are on oxygen support with noninvasive ventilation
13.6 days
Standard Deviation 6.7

PRIMARY outcome

Timeframe: 28 days after transfusion or until hospital discharge (whichever comes first)

Total number of subjects to be admitted to the ICU after the convalescent plasma transfusion.

Outcome measures

Outcome measures
Measure
Hospitalized Patients With SARS CoV-2 Infection
n=189 Participants
Hospitalized patients with SARS CoV-2 infection will receive an anti SARS-CoV-2 convalescent plasma anti-SARS-CoV-2 convalescent plasma: Administration of convalescent plasma obtained from donors with prior documented SARS-CoV-2 infection
ICU Admission
1 Participants

PRIMARY outcome

Timeframe: 28 days after transfusion or until hospital discharge (whichever comes first)

Number of participants without oxygenation support after receiving convalescent plasma

Outcome measures

Outcome measures
Measure
Hospitalized Patients With SARS CoV-2 Infection
n=189 Participants
Hospitalized patients with SARS CoV-2 infection will receive an anti SARS-CoV-2 convalescent plasma anti-SARS-CoV-2 convalescent plasma: Administration of convalescent plasma obtained from donors with prior documented SARS-CoV-2 infection
Number of Participants With Oxygenation Free Days
Participants with oxygenation free days 24 hours after CCP transfusion
76 Participants
Number of Participants With Oxygenation Free Days
Participants with oxygenation free days before CCP transfusion
65 Participants
Number of Participants With Oxygenation Free Days
Participants with oxygenation free days after 7 days after transfusion
103 Participants
Number of Participants With Oxygenation Free Days
Participants with oxygenation free days at discharge
167 Participants

PRIMARY outcome

Timeframe: 28 days after transfusion or until hospital discharge (whichever comes first)

Number of participants with serious adverse events during the study protocol

Outcome measures

Outcome measures
Measure
Hospitalized Patients With SARS CoV-2 Infection
n=189 Participants
Hospitalized patients with SARS CoV-2 infection will receive an anti SARS-CoV-2 convalescent plasma anti-SARS-CoV-2 convalescent plasma: Administration of convalescent plasma obtained from donors with prior documented SARS-CoV-2 infection
Number of Participants With Serious Adverse Events
0 Participants

SECONDARY outcome

Timeframe: 28 days after transfusion or until hospital discharge (whichever comes first)

Type of supplemental oxygen support (e.g. nasal canula, high flow nasal canula, noninvasive ventilation, intubation and invasive mechanical ventilation, rescue ventilation)

Outcome measures

Outcome measures
Measure
Hospitalized Patients With SARS CoV-2 Infection
n=189 Participants
Hospitalized patients with SARS CoV-2 infection will receive an anti SARS-CoV-2 convalescent plasma anti-SARS-CoV-2 convalescent plasma: Administration of convalescent plasma obtained from donors with prior documented SARS-CoV-2 infection
Type of Respiratory Support
Nasal canula, oxygen mask before CCP transfusion
65 Participants
Type of Respiratory Support
Nasal canula, oxygen mask 24 hours after CCP transfusion
56 Participants
Type of Respiratory Support
Nasal canula, oxygen mask 7 days after CCP transfusion
35 Participants
Type of Respiratory Support
Noninvasive ventilation, high flow nasal canula before CCP transfusion
59 Participants
Type of Respiratory Support
Noninvasive ventilation, high flow nasal canula 24 hours after CCP transfusion
56 Participants
Type of Respiratory Support
Noninvasive ventilation, high flow nasal canula 7 days after CCP transfusion
25 Participants
Type of Respiratory Support
Intubation or invasive mechanical ventilation, before CCP transfusion
0 Participants
Type of Respiratory Support
Intubation or invasive mechanical ventilation, 24 hours after CCP transfusion
1 Participants
Type of Respiratory Support
Intubation or invasive mechanical ventilation, 7 days after CCP transfusion
1 Participants
Type of Respiratory Support
Rescue ventilation before CCP transfusion
0 Participants
Type of Respiratory Support
Rescue ventilation 24 hours after CCP transfusion
0 Participants
Type of Respiratory Support
Rescue ventilation 7 days after CCP transfusion
1 Participants

SECONDARY outcome

Timeframe: 28 days after transfusion or until hospital discharge (whichever comes first)

Number of participants with different clinical outcomes including death, critical illness, limitation of activities and recovery

Outcome measures

Outcome measures
Measure
Hospitalized Patients With SARS CoV-2 Infection
n=189 Participants
Hospitalized patients with SARS CoV-2 infection will receive an anti SARS-CoV-2 convalescent plasma anti-SARS-CoV-2 convalescent plasma: Administration of convalescent plasma obtained from donors with prior documented SARS-CoV-2 infection
Number of Participants With Different Clinical Outcomes Including Death, Critical Illness and Recovery
total recovery
164 Participants
Number of Participants With Different Clinical Outcomes Including Death, Critical Illness and Recovery
recovery with limitation of activities
3 Participants
Number of Participants With Different Clinical Outcomes Including Death, Critical Illness and Recovery
death
22 Participants

Adverse Events

Hospitalized Patients With SARS CoV-2 Infection

Serious events: 0 serious events
Other events: 1 other events
Deaths: 22 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Other adverse events
Measure
Hospitalized Patients With SARS CoV-2 Infection
n=189 participants at risk
Hospitalized adult patients with confirmed SARS CoV-2 infection will receive an anti SARS-CoV-2 convalescent plasma anti-SARS-CoV-2 convalescent plasma: Administration of convalescent plasma obtained from donors with prior documented SARS-CoV-2 infection
Skin and subcutaneous tissue disorders
Urticaria
0.53%
1/189 • Number of events 1 • During hospitalization, after receiving convalescent plasma

Additional Information

Assoc. Prof. Dr. Rada M. Grubovic Rastvorceva, MD MSci PhD, CMO

Institute for Transfusion Medicine of RNM

Phone: +38923226923

Results disclosure agreements

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