Hyperimmune Plasma for Patients With COVID-19

NCT ID: NCT04614012

Last Updated: 2020-11-03

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

NA

Total Enrollment

100 participants

Study Classification

INTERVENTIONAL

Study Start Date

2020-07-02

Study Completion Date

2022-07-02

Brief Summary

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The outbreak of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), which originated in Wuhan, China, has become a major concern all over the world.

Convalescent plasma or immunoglobulins have been used as a last resort to improve the survival rate of patients with SARS whose condition continued to deteriorate despite treatment with pulsed methylprednisolone. Moreover, several studies showed a shorter hospital stay and lower mortality in patients treated with convalescent plasma than those who were not treated with convalescent plasma. Evidence shows that convalescent plasma from patients who have recovered from viral infections can be used effectively as a treatment of patients with active disease. To date, no specific treatment has been proven to be effective. The investigators plan to treat critical Covid-19 patients with hyperimmune plasma.

Detailed Description

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Apheresis from recovered donors will be performed with a cell separator device , with 500-600 mL of plasma obtained from each donor. Donors are males and womens , age 18 yrs or more, evaluated for transmissible diseases according to the italian law. Adjunctive tests will be for hepatitis A virus, hepatitis E virus and Parvovirus B-19. All donors will be tested for the Covid-19 neutralizing title. Each plasma bag obtained from plasmapheresis will be immediately divided in two units and frozen according to the national standards and stored separately.

Based on experience published in literature 250-300 mL of convalescent plasma will be used to treat each of the recruited patients at most 3 times over 5 days.

Conditions

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Covid19

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

Longitudinal assessment of COVID-19 patients treated with hyperimmune plasma
Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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hyperimmune plasma

treated with hyperimmune plasma

Group Type EXPERIMENTAL

treated with hyperimmune plasma

Intervention Type OTHER

administration of hyperimmune plasma at day 1 and based on clinical response on day 3 and 5

Interventions

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treated with hyperimmune plasma

administration of hyperimmune plasma at day 1 and based on clinical response on day 3 and 5

Intervention Type OTHER

Other Intervention Names

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hyperimmune plasma

Eligibility Criteria

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Inclusion Criteria

* age \>=18 yrs
* positive for reverse transcription polymerase chain reaction (RT-PCR) severe acute respiratory syndrome (SARS)-CoV-2
* Acute respiratory distress syndrome (ARDS) moderate to severe, according to Berlin definition, lasting less than10 days
* Polymerase chain reaction (PCR) positive
* signed informed consent unless unfeasible for the critical condition

Exclusion Criteria

* proven hypersensitivity or allergic reaction to hemoderivatives or immunoglobulins
* consent denied
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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ANNA FALANGA

OTHER

Sponsor Role lead

Responsible Party

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ANNA FALANGA

Prof

Responsibility Role SPONSOR_INVESTIGATOR

Locations

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Anna Falanga

Bergamo, , Italy

Site Status RECRUITING

Countries

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Italy

Central Contacts

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Anna Falanga

Role: CONTACT

+39 0352674776

Facility Contacts

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Anna Falanga

Role: primary

Other Identifiers

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IMMUNO-COVID19

Identifier Type: -

Identifier Source: org_study_id