Efficacy and Safety of Early Anti-SARS-COV-2 Convalescent Plasma in Patients Admitted for COVID-19 Infection: a Randomized Phase II Trial
试验速览
- 阶段
- 2 期
- 状态
- 已完成
- 入组人数
- 58
- 试验地点
- 1
- 主要终点
- Percentage Mechanical Ventilation, hospitalization longer than 14 days or death during hospitalization
研究概览
简要总结
Currently there is no standard treatment for SARS-CoV-2 infection. Use of convalescent plasma has been studied in outbreaks of other respiratory infections, including SARS-CoV-1 , MERS-CoV and Hantavirus infection. This study is an open-label randomized trial in which patients with high risk of COVID19-associated respiratory failure will be randomized to early treatment with convalescent plasma (≤ 7 days from symptoms start) or at early signs of respiratory failure or prolonged hospitalization. COVID-19 convalescent plasma will be collected from individuals according to the institutional protocol.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 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
- 否
入选标准
- •Patient older than 18 years
- •CALL score ≥ 9 (progression risk score)
- •PCR-confirmed COVID-19 infection with equal or less than 7 days of symptoms (or imaging consistent with COVID-19 pneumonia and confirmed COVID-19 contact)
- •Any symptoms of COVID-19 infection
- •Admission due to COVID-19 infection
- •Signed informed consent
- •ECOG before COVID-19 infection 0-2
排除标准
- •PaFi <200 or mechanical ventilation indication
- •Clinically relevant co-infection at admission
- •Pregnancy or lactation
- •IgA deficiency or IgA nephropathy
- •Immunoglobulin or plasma administration in the last 60 days
- •Contraindication to transfusion or previous allergy to blood-derived products
- •Do-not-resuscitate status
- •Patients receiving other investigational drug for COVID-19 in a clinical trial
- •Any condition, that in opinion of the investigator may increase the risk associated with study participation or interfere with the interpretation of study results.
结局指标
主要结局
Percentage Mechanical Ventilation, hospitalization longer than 14 days or death during hospitalization
时间窗: 1 year follow up
次要结局
- 30-day mortality (percentage)(1 year follow up)
- Hospital mortality rate (percentage)(1 year follow up)
- Median duration of fever(1 year)
- Median duration of mechanical ventilation(1 year follow up)
- Median length of ICU stay(1 year follow up)
- Median length of admission(1 year follow up)
- Readmission rate (percentage)(1 year follow up)
- Median length of viral clearance(1 year follow up)
