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临床试验/NCT04408209
NCT04408209已完成不适用

Convalescent Plasma for the Treatment of Patients With Severe COVID-19 Infection - A Multicenter Phase II Trial

National and Kapodistrian University of Athens12 个研究点 分布在 1 个国家目标入组 60 人开始时间: 2020年4月23日最近更新:
适应症

试验速览

阶段
不适用
状态
已完成
入组人数
60
试验地点
12
主要终点
Survival

研究概览

简要总结

This is a multicenter, Phase 2 study, to assess the efficacy of the treatment with convalescent plasma in patients with severe COVID-19 infection.

详细描述

Convalescent plasma will be collected by plasmapheresis from patients fully recovered from COVID-19 infection and will be administered in patients with severe COVID-19 infection. The results will be compared with an historical matched control.

研究设计

研究类型
Interventional
分配方式
Na
干预模型
Single Group
主要目的
Treatment
盲法
None

入排标准

年龄范围
18 Years 至 —(Adult, Older Adult)
性别
All
接受健康志愿者

入选标准

  • Age >18 years
  • Confirmed SARS-CoV2 infection by PCR of the nasal/pharyngeal swab, sputum, BAL
  • Onset of the disease symptoms no more than 12 days before the inclusion of the patients in the trial
  • Severe COVID-19 infection as determined with one of the following:
  • Respiratory rate 30/min
  • Oxygen Hemoglobin Saturation SAT 93
  • CRP >1.5 (upper normal limit <0.5)
  • Ferritin value >100
  • Ratio of PaO2:FiO2 <300mmHg
  • Pulmonary infiltrates in Chest X-Ray or Chest CT scan >50% during 24-48 hours
  • Life threatening infection as determined by one of the following:
  • Respiratory failure
  • Septic Shock
  • Multiple organ failure
  • Signature of informed consent by the patient or legal representative Patients fulfilling criteria 1, 2, 3, 6 and one of criteria 4 or 5 will be eligible for the study.

排除标准

  • Critical illness due to progressive COVID-19 with expected survival time <48 hours
  • Intubated patients >72 hours
  • Chronic Heart failure NYHA 3 and/or preexisting left ventricular ejection fraction 30%
  • Cardiovascular failure requiring 0.5μg/Kg/min nor-adrenaline or equivalent or more than 2 types of vasopressor medication
  • Liver Cirrhosis Child C
  • Liver failure with bilirubin >5X ULN and increase of ALT/AST (at least one >10X ULN)
  • Previous history of allergic reaction to blood or blood products transfusion
  • Known IgA deficiency
  • Breast feeding women
  • Pulmonary edema

结局指标

主要结局

Survival

时间窗: Day 60

The primary endpoint of this trial is the survival on day 60.

次要结局

  • Clinical improvement ie percentage of patients not fulfilling the criteria for severe disease(Day 21)

研究者

申办方类型
Other
责任方
Principal Investigator
主要研究者

Professor Meletios-Athanasios Dimopoulos

Professor & Rector of the NKU Athens Plasma Cell Dyscrasias Unit Section of Hematology & Medical Oncology Department of Clinical Therapeutics School of Medicine NKU Athens Alexandra Hospital

National and Kapodistrian University of Athens

研究点 (12)

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