Status:

UNKNOWN

Early Use of Hyperimmune Plasma in COVID-19

Lead Sponsor:

Catherine Klersy

Collaborating Sponsors:

Fondazione IRCCS Policlinico San Matteo di Pavia

Conditions:

Covid19

Eligibility:

All Genders

18+ years

Phase:

NA

Brief Summary

The study assesses the efficacy of early administration of hyperimmune plasma in covid-19 patients who are on CPAP or intubated. Efficacy is measured as a 2 point decrease in the WHO scale

Detailed Description

Patients who satisfy eligibility criteria and in particular have started positive pressure respiratory support not more than no more than 48 hours are administered 200 to 300 ml in 2 or 3 times admini...

Eligibility Criteria

Inclusion

  • Written informed consent prior to performing study procedures. Witnessed oral consent will be accepted in order to avoid paper handling. Written consent by patient or representatives will be obtained as soon as possible.
  • Male or female adult patient ≥18 years of age at time of enrolment.
  • Laboratory-confirmed SARS-CoV-2 infection as determined by real-time RT-PCR in naso/oropharyngeal swabs or any other relevant specimen..
  • Patient is hospitalized for COVID-19, is severely hypoxic with a P/F ≤ 200 while breathing room air or supplemental oxygen and requires positive pressure respiratory support, either non-invasive (helmet/mask CPAP or NIV) or invasive (endotracheal intubation and mechanical ventilation)
  • No more than 48 hours between the onset of positive pressure respiratory support and treatment administration day
  • Evidence of pulmonary infiltrates at chest imaging (chest x-ray, CT scan or LUS)
  • The patient is not eligible in the Tsunami trial.

Exclusion

  • Participation in any other clinical trial of an experimental treatment for COVID-19.
  • In the opinion of the clinical team, progression to death is imminent and inevitable within the next 24 hours, irrespective of the provision of treatments.
  • Stage 4 severe chronic kidney disease or requiring dialysis (i.e. eGFR \<30).
  • Pregnancy
  • Current documented and uncontrolled bacterial infection.

Key Trial Info

Start Date :

November 19 2020

Trial Type :

INTERVENTIONAL

Allocation :

ACTUAL

End Date :

May 19 2022

Estimated Enrollment :

260 Patients enrolled

Trial Details

Trial ID

NCT04721236

Start Date

November 19 2020

End Date

May 19 2022

Last Update

March 31 2022

Active Locations (1)

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1

Catherine Klersy

Pavia, Italy, 27100