Status:

TERMINATED

Convalescent Plasma as Treatment for Subjects With Early COVID-19 Infection

Lead Sponsor:

Hackensack Meridian Health

Collaborating Sponsors:

United States Department of Defense

Conditions:

COVID-19

Eligibility:

All Genders

18+ years

Phase:

PHASE2

Brief Summary

* This is a phase II randomized study of convalescent plasma for the treatment of non-immune individuals with COVID-19 infection at high risk of complications. * Subjects will be considered as having ...

Detailed Description

Overall study design * This is a phase II randomized study of convalescent plasma for the treatment of non-immune individuals with COVID-19 infection at high risk of complications. * Subjects will be...

Eligibility Criteria

Inclusion

  • Donor Eligibility Criteria:
  • Age 18-60
  • A history of a positive nasopharyngeal swab for COVID-19 or a history of positive antibody titer test.
  • At least 14 days from resolution of COVID-19-associated symptoms including fevers.
  • A negative nasopharyngeal swab (or similar test) for COVID-19
  • anti-SARS-CoV2 titers \>1:500
  • Adequate venous access for apheresis
  • Meets donor eligibility criteria in accordance to Hackensack University Medical Center (HUMC) Collection Facility at the John Theurer Cancer Center (JTCC) if collecting at the JTCC, and all regulatory agencies as describes in SOP 800 01.
  • Required testing of the donor and product must be performed in accordance to FDA regulations (21 CFR 610.40), and the donation must be found suitable (21 CFR 630.30)
  • Recipient Eligibility Criteria:
  • Patient age \>30 years old, newly diagnosed with a COVID-19 infection with onset of first symptoms \< 96 hours.
  • And least one other high-risk feature:
  • Age \> 65
  • BMI 30 or above
  • Hypertension, defined as SBP above 140 or DBP above 90, or requiring medication for control.
  • Coronary artery disease (history, not ECG changes only)
  • Congestive heart failure
  • Peripheral vascular disease (includes aortic aneurysm \>= 6 cm)
  • Cerebrovascular disease (history of CVA or TIA)
  • Dementia
  • Chronic pulmonary disease
  • Liver disease (such as portal hypertension, chronic hepatitis)
  • Diabetes (excludes diet-controlled alone)
  • Moderate or severe renal disease defined as having a GFR \< 60 mL/min
  • Cancer (exclude if \> 5 year in remission)
  • AIDS (not just HIV positive)
  • Recipient exclusion criteria:
  • History of severe transfusion reaction to plasma products
  • Need for oxygen supplementation
  • Positive test for COVID-19 antibodies
  • Chemotherapy-induced neutropenia (ANC \< 0.5 x 103/mcL)
  • Immunosuppressive medications except for prednisone (or steroid equivalent) \> 10 mg daily.
  • Performance status \< 50 by KPS
  • Pneumonia by radiographic evaluation

Exclusion

    Key Trial Info

    Start Date :

    November 6 2020

    Trial Type :

    INTERVENTIONAL

    Allocation :

    ACTUAL

    End Date :

    May 4 2021

    Estimated Enrollment :

    21 Patients enrolled

    Trial Details

    Trial ID

    NCT04456413

    Start Date

    November 6 2020

    End Date

    May 4 2021

    Last Update

    October 10 2023

    Active Locations (1)

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    Hackensack University Medical Center

    Hackensack, New Jersey, United States, 07601