Convalescent Plasma to Treat and Prevent Pulmonary Complications Associated With COVID-19
试验速览
- 阶段
- 不适用
- 状态
- No Longer Available
- 发起方
- 试验地点
- 1
研究概览
简要总结
I. Study Design: This is a single-arm feasibility study to assess the safety and efficacy of anti-SARS-CoV-2 convalescent plasma (CP) in
- intubated, mechanically ventilated patients with confirmed COVID-19 pneumonia by chest X-ray or chest CT.
- hospitalized patients with acute respiratory symptoms between 3 and 7 days after the onset of symptoms, with COVID-19.
II. Study Population:
- Population 1: Mechanically ventilated intubated COVID-19 patients aged 18 years or older.
- Population 2: Hospitalized COVID-19 patients aged ≥18 years of age with respiratory symptoms within 3 to 7 days from the beginning of illness.
III. Study Agent:
SARS-CoV-2 convalescent plasma (1-2 units; ~200-400 mL at neutralization antibody titer >1:160.
详细描述
There are currently no proven safe and efficacious treatment for COVID-19. While most patients recover on their own with basic measures at home, around 20% suffer a more aggressive disease requiring hospitalization, of which 5% necessitating intensive care unit (ICU) admission and potential invasive breathing support. The wide spectrum of COVID 19 also include a significant number of totally asymptomatic patients who are unknowingly spreading the disease. Human convalescent plasma is an option for treatment of COVID-19 and could be rapidly available when there are sufficient numbers of people who have recovered and can donate high titer neutralizing immunoglobulin-containing plasma. This convalescent plasma could be beneficial, not only for severely ill and intubated patients, but also for those with moderate disease early in their disease course to prevent further disease progression and ICU admission.
I. Study Design: This is a single-arm feasibility study to assess the safety and efficacy of anti-SARS-CoV-2 convalescent plasma (CP) in
- intubated, mechanically ventilated patients with confirmed COVID-19 pneumonia by chest X-ray or chest CT.
- hospitalized patients with acute respiratory symptoms between 3 and 7 days after the onset of symptoms, with COVID-19.
II. Study Population:
- Population 1: Mechanically ventilated intubated COVID-19 patients aged 18 years or older.
- Population 2: Hospitalized COVID-19 patients aged ≥18 years of age with respiratory symptoms within 3 to 7 days from the beginning of illness.
研究设计
- 研究类型
- Expanded Access
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Population 1: Associated Severe Pulmonary Complications
- •18 years or older.
- •Hospitalized and intubated in the ICU with COVID-19 respiratory symptoms and confirmation via COVID-19 SARS-CoV-2 RT-PCR testing. Patient or proxy is willing and able to provide written informed consent and comply with all protocol requirements, or requirement for informed consent is WAIVED due to the inability to communicate with the patient and unable to identify legally authorized representative.
- •Consents to storage of specimens for future testing, or consent waived.
- •The requirements to waive a consent are delineated in 21 CFR 50.23 and will be followed.
- •Pregnant and breastfeeding women will not be excluded from the study.
- •Population 2: Coronavirus Associated Complications in hospitalized patients
- •Patients must be 18 years of age or older.
- •Hospitalized with COVID-19 respiratory symptoms and confirmation via COVID-19 SARS-CoV-2 RT-PCR testing. Patient is willing and able to provide written informed consent and comply with all protocol requirements.
- •Patient agrees to storage of specimens for future testing.
排除标准
- •Population 1:
- •Contraindication to transfusion (severe volume overload, history of anaphylaxis to blood products).
- •Severe multi-organ failure with expected life expectancy < 24h as determined by the treating physician.
- •Population 2:
- •Female subjects with positive pregnancy test, breastfeeding, or planning to become pregnant/breastfeed during the study period.
- •Receipt of pooled immunoglobulin in past 30 days.
- •Contraindication to transfusion or history of prior reactions to transfusion blood products.
研究者
Nakhle Saba, MD
Associate Professor of Clinical Medicine
Tulane University School of Medicine