Status:

COMPLETED

Human Convalescent Plasma for High Risk Children Exposed or Infected With SARS-CoV-2 (COVID-19)

Lead Sponsor:

Johns Hopkins University

Conditions:

SARS-CoV-2 Infection

Eligibility:

All Genders

1-18 years

Phase:

PHASE1

Brief Summary

The purpose of this study is to evaluate the safety of administration of plasma containing antibodies to the SARS-CoV-2 virus (i.e., convalescent plasma) and if it is able to prevent disease or lessen...

Detailed Description

People who become infected with a virus such as SARS-CoV-2 usually develop an immune response and produce antibodies against the virus. Antibodies are natural proteins made by the body's immune system...

Eligibility Criteria

Inclusion

  • Between 1 month and 18 years of age at the time of consent.
  • Determined to be at high-risk for severe SARS-CoV-2 disease based on the American Academy of Pediatrics definition of immunocompromised children and reported high-risk Pediatric subpopulations. These include the following groups: Immunocompromised, Hemodynamically significant cardiac disease {e.g. congenital heart disease}, Lung disease with chronic respiratory failure, Medically complex children defined as children who have a long-term dependence on technological support (including tracheotomy) associated with developmental delay and/or genetic anomalies21, Obesity, Infant, i.e. child ≤1 year old.
  • Confirmed SARS-CoV-2 infection OR high-risk exposure as defined:
  • Confirmed infection: Child who tested positive for COVID-19 and is no more than 168 hours after onset of symptoms (and within 192 hours at the time of receipt of plasma).
  • High-risk exposure: Susceptible child who was not previously infected or otherwise immune to SARS-CoV-2 and exposed within 96 hours prior to enrollment (and within 120 hours at the time of receipt of plasma). Both criteria below should be met: A household member or daycare center (same room) exposure to a person with \[confirmed SARS-CoV-2 OR with clinically compatible disease in regions with widespread ongoing transmission\] and a negative for SARS-CoV-2 (nasopharyngeal swab)
  • Subject is judged by the investigator to have the initiative and means to be compliant with the protocol.
  • Subjects or their legal representatives must have the ability to read, understand, and provide written informed consent for the initiation of any study related procedures.

Exclusion

  • History of severe reactions (e.g. anaphylaxis) to transfusion of blood products. Subjects with minor reactions such as fever, itching, chills, etc. that resolve spontaneously or respond to pre-medications, and that do not represent more significant allergic reactions will not be excluded.
  • Inability to complete therapy with the study product within the stipulated time frame outlined above
  • Female subjects in child-bearing age with a positive pregnancy test, breastfeeding, or planning to become pregnant/breastfeed during the study period.
  • Subject / caregiver deemed by the study team to be non-compliant with the study protocol

Key Trial Info

Start Date :

May 28 2020

Trial Type :

INTERVENTIONAL

Allocation :

ACTUAL

End Date :

December 13 2021

Estimated Enrollment :

14 Patients enrolled

Trial Details

Trial ID

NCT04377672

Start Date

May 28 2020

End Date

December 13 2021

Last Update

March 27 2024

Active Locations (1)

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1

Johns Hopkins Hospitals

Baltimore, Maryland, United States, 21287