IVIG in Patients With Severe COVID-19 Requiring Mechanical Ventilation

NCT ID: NCT04616001

Last Updated: 2020-11-04

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

PHASE4

Total Enrollment

10 participants

Study Classification

INTERVENTIONAL

Study Start Date

2020-11-01

Study Completion Date

2021-06-30

Brief Summary

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The purpose of this Pilot Study is to establish a hypothesis of whether or not intravenous immunoglobulin (IVIG) may impact the hospital length of stay, if started within 48 of mechanical ventilation in patients infected with SARS-CoV-2 virus.

Detailed Description

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This is an investigator initiated, open label, 1 arm study to observe the impact of length of hospitalization by starting IVIG administration within 48 hours of mechanical ventilation. The exploratory objective is to analyze the blood before, during and after IVIG administration. The blood will be analyzed for the production of inflammatory and non-inflammatory cytokines, biomarkers for endothelial injury and biomarkers for coagulation via Mass Spectrometry.

Conditions

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Covid19 SARS-CoV Infection

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

Open label, single group, pilot study
Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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IVIG

IVIG 0.5gram/kg IVPB using actual body weight daily x 4 days

Group Type EXPERIMENTAL

IVIG

Intervention Type DRUG

Patients will receive IVIG daily for four days.

Interventions

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IVIG

Patients will receive IVIG daily for four days.

Intervention Type DRUG

Other Intervention Names

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Octagam

Eligibility Criteria

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Inclusion Criteria

1. Confirmed COVID-19 positive test result
2. Initiation of the first dose of IVIG within 72 hours of mechanical ventilation.
3. Age \>18 years old.
4. Consenting next of kin having access to an electronic device that is able to access DocuSign® online and email for consenting.
5. Subjects or their proxy must have the ability to understand the requirements of the study, provide informed consent, and provide authorization of use and disclosure of personal health information.

Exclusion Criteria

1. Superimposed bacterial pneumonia or bacteremia
2. Severe allergy to any IVIG product formulation
3. Hypersensitivity to corn
4. Uncontrolled hypertension (SBP\>180 mm Hg or DBP\>120mmHg)
5. Active participant in another research treatment study
6. Advanced dementia
7. Severe renal disease (CrCl\< 20 mL/min)
8. Active cancer malignancy
9. Active treatment with cancer chemotherapy or immunotherapy
10. Congestive heart failure clinically or by history (EF\< 25%)
11. Prior receipt during admission of any other investigational agent (eg. convalescent plasma, tocilizumab)
12. Venous or arterial thrombosis \< 90 days prior
13. Are receiving cytotoxic or biologic treatments such as TNF inhibitors, anti-interleukin-1 (IL-1), anti-IL-6 (tocilizumab or sarilumab), T-cell or B-cell targeted therapies (rituximab), interferon, or Janus kinase (JAK) inhibitors for any indication at study entry. Note: A washout period 4 weeks (or 5 half-lives, whichever is longer) is required prior to screening, with the following exceptions:

* B-cell targeted therapies: a washout period of 24 weeks or 5 half-lives (whichever is longer)
* TNF inhibitors: a washout period of 2 weeks or 5 half-lives (whichever is longer), and
* JAK inhibitor: a washout period of 1 week or 5 half-lives (whichever is longer).
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Sharp HealthCare

OTHER

Sponsor Role lead

Responsible Party

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George Sakoulas, MD

Infectious Disease Specialist

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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George Sakoulas, MD

Role: PRINCIPAL_INVESTIGATOR

Sharp HealthCare

Locations

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Sharp Memorial Hospital

San Diego, California, United States

Site Status

Countries

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United States

Central Contacts

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Kathryn Miller

Role: CONTACT

858-939-7161

Matthew Geriak, PharmD

Role: CONTACT

858-939-3717

Facility Contacts

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Kathryn Miller

Role: primary

858-939-7161

Other Identifiers

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2010902

Identifier Type: OTHER

Identifier Source: secondary_id

COVID-IVIG VENT

Identifier Type: -

Identifier Source: org_study_id