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A clinical trial for validating therapeutic efficacy of convalescent plasma in severe COVID-19 disease

Phase 2
Completed
Conditions
Coronavirus as the cause of diseases classified elsewhere,
Registration Number
CTRI/2020/05/025209
Lead Sponsor
Council of Scientific and Industrial Research
Brief Summary

The coronavirus disease (COVID-19) caused by the novel coronavirus SARS-CoV2 has spread globally, with confirmed infected cases crossing 4.5 million worldwide resulting in more than 300,000 fatalities. On 11th of March, 2020, the World Health Organization (WHO) has declared COVID-19 to be a pandemic and research laboratories all over the world are working towards developing a vaccine and other therapeutic interventions. Passive immunization using convalescent plasma is an age-old therapeutic strategy in infections for which no vaccine or drugs with roven efficacy are available. Our aim is to study convalescent plasma therapy in an open label randomised control trial, which involves administration of plasma from patients who have recovered from COVID-19 infection to patients with severe COVID-19 disease, with or without mild or moderate acute respiratory distress syndrome. Primary objectives of this trial will be, 1) to compare progression to severe Acute Respiratory Distress Syndrome between two groups, 2) to compare ‘all cause’ mortality, 3) to identify the immune correlates for response to plasma therapy. Secondary outcomes are, 1) to compare recovery from acute respiratory distress syndrome in both groups, 2) to compare time taken to negative viral RNA PCR, 3) to document any adverse reaction to plasma therapy.

Detailed Description

Not available

Recruitment & Eligibility

Status
Completed
Sex
All
Target Recruitment
80
Inclusion Criteria

Patients admitted with RNA PCR proven COVID-19 with severe disease (fever or suspected respiratory infection, plus one of the following; respiratory rate >30 breaths/min, severe respiratory distress, SpO2< 90% at room air) with Mild ARDS (200 mmHg < PaO2/FiO2 ≤ 300 mmHg, with PEEP or CPAP ≥5 cm H2O, or non-ventilated) or Moderate ARDS (100 mmHg < PaO2/FiO2 ≤200 mmHg, with PEEP ≥5 cm H2O, or non-ventilated) within 5 to 10 days from initial presentation.

Exclusion Criteria
  • Pregnant mothers 2.
  • Patients with age less than 18 years 3.
  • Admitted late after 10 days of initial presentation 4.
  • Patients refusing consent.

Study & Design

Study Type
Interventional
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
3. To identify the immune correlates for response to plasma therapy.1. Discharge | 2. Discharge/death | 3. Day 0, Day 3, Day 7 after admission
2. To compare ‘all cause’ mortality1. Discharge | 2. Discharge/death | 3. Day 0, Day 3, Day 7 after admission
Secondary Outcome Measures
NameTimeMethod
1. To compare recovery from ARDS in both groups2. To compare time taken to negative viral RNA PCR

Trial Locations

Locations (1)

ID and BG Hospital COVID Hospital

🇮🇳

Kolkata, WEST BENGAL, India

ID and BG Hospital COVID Hospital
🇮🇳Kolkata, WEST BENGAL, India
Dr Biswanath Sharma Sarkar
Principal investigator
9434649592
rimbisss@yahoo.co.in

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