Phase 1
N=80
COVID-19 Convalescent Plasma for the Treatment of Hospitalized Patients With Pneumonia Caused by SARS-CoV-2.
COVID-19
Bottom Line
View on ClinicalTrials.gov: NCT04397757 ↗Enrolled (actual)
80
Serious AEs
40.5%
Results posted
Apr 2022
Primary outcome: Primary: Participants With Serious Adverse Events. — 12; 15 Participants
Study Design & Population
- Study type
- Interventional
- Phase
- Phase 1
- Interventions
- COVID-19 Convalescent Plasma (Biological)
- Age
- Adult, Older Adult · 18+ yrs
- Sex
- All
- Sponsor
- University of Pennsylvania
- Primary completion
- Feb 2021
Outcome Measures
| Outcome | Result | p-value |
|---|---|---|
| PRIMARY Participants With Serious Adverse Events. |
12; 15 | — |
| PRIMARY Clinical Severity Score |
7; 10 | — |
| SECONDARY Clinical Status Assessment, Time to Recovery |
7; 7 | — |
| SECONDARY National Early Warning Score (NEWS) Clinical Status Assessment |
3; 4 | — |
| SECONDARY Oxygenation |
7; 8 | — |
| SECONDARY Incidence of New Oxygenation Use up to Day 29 |
— | — |
| SECONDARY Duration of New Oxygen Use up to Day 29 |
— | — |
| SECONDARY Non-invasive Ventilation/High Flow Oxygen Days up to Day 29 |
2; 3 | — |
| SECONDARY Number of Participants With at Least One Day on Non-invasive Ventilation/High Flow Oxygen up to Day 29 |
24; 23 | — |
| SECONDARY Duration of Non-invasive Ventilation/High Flow Oxygen up to Day 29 |
— | — |
| SECONDARY Ventilator/ECMO Days to Day 29 |
0; 0 | — |
| SECONDARY New Mechanical Ventilation or ECMO Use |
5; 10 | — |
| SECONDARY Duration of New Mechanical Ventilation or ECMO |
7; 12.5 | — |
| SECONDARY Duration of Hospitalization |
7; 9 | — |
| SECONDARY Mortality |
2; 10 | — |
| SECONDARY Number of Subjects With SAEs Through Day 29 |
— | — |
| SECONDARY Number of Subjects With at Least One Grade 3 and Grade 4 Clinical and/or Laboratory Adverse Events Through Day 29 |
18; 22 | — |
| SECONDARY Changes in WBC With Differential Through Day 29 |
1.45; 2.50 | — |
| SECONDARY Changes in Hemoglobin Measurement Through Day 29 |
-0.35; -0.30 | — |
| SECONDARY Changes in Platelets Measurement Through Day 29 |
38; 59 | — |
| SECONDARY Changes in Creatinine Measurement Through Day 29 |
0.035; -0.050 | — |
| SECONDARY Changes in Glucose Measurement Through Day 29 |
-14.00; -20.00 | — |
| SECONDARY Changes in Total Bilirubin Measurement Through Day 29 |
0.00; 0.00 | — |
| SECONDARY Changes in ALT Measurement Through Day 29 |
0.00; -1.00 | — |
| SECONDARY Changes in AST Measurement Through Day 29 |
-7.00; -6.00 | — |
| SECONDARY Changes in PT Measurement Laboratory Through Day 29 |
0.0; 0.0 | — |
Summary
The purpose of this study is to see if this plasma can be safely used in humans with COVID-19 and to see if it improves patients' health as compared to not using it in patients with pneumonia caused by SARS-CoV-2.
Eligibility Criteria
Inclusion Criteria
- Adult ≥18 years of age
- Laboratory-confirmed SARS-CoV-2 infection as determined by PCR or other authorized or approved assay in any specimen collected within 72 hours prior to enrollment.
Note - An exception must be requested to the Sponsor if ≥72 hours since positive test.
- Hospitalized in participating facility.
- Documentation of pneumonia with radiographic evidence of infiltrates by imaging (e.g., chest x-ray or CT scan).
- Abnormal respiratory status that is judged worse than baseline by the investigator and as documented at any point within 24 hours prior to randomization, consistent with ordinal scale levels 5, 6 or 7, specifically defined as:
- Room air saturation of oxygen (SaO2) < 93%, OR
- Requiring supplemental oxygen, OR
- Tachypnea with respiratory rate ≥30
- Patient or proxy is willing and able to provide written informed consent and comply with all protocol requirements
Exclusion Criteria
- Contraindication to transfusion (e.g., severe volume overload, history of severe allergic reaction to blood products), as judged by the investigator.
- Clinical suspicion that the etiology of acute illness (acute decompensation) is primarily due to a condition other than COVID-19
- Receipt of other investigational therapy as a part of another clinical trial. Note: investigational therapies used as part of clinical care, (eg, remdesivir, hydroxychloroquine) are permissible.
Data sourced from ClinicalTrials.gov (NCT04397757). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication.