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Study Testing Convalescent Plasma vs Best Supportive Care

Primary Purpose

Pneumonia, Interstitial

Status
Unknown status
Phase
Phase 1
Locations
Study Type
Interventional
Intervention
high-titer anti-Sars-CoV-2 plasma
oxygen therapy
Sponsored by
Baylor Research Institute
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Pneumonia, Interstitial

Eligibility Criteria

18 Years - undefined (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria Donor:

  • 18 years or older
  • must have been hospitalized w/COVID-19 respiratory symptoms and confirmation via COVID-19 SARS-CoV-2 RT-PCR testing but are now PCR negative by 2 nasopharyngeal testing
  • females of child-bearing potential must have a negative serum pregnancy test
  • subject and/or LAR willing to provide informed consent
  • patient agrees to storage of specimens for future testing

Inclusion Criteria Recipient:

  • 18 years or older
  • must have been hospitalized w/COVID-19 respiratory symptoms within 3 to 7 days from the beginning of illness
  • subject and/or LAR willing to provide informed consent
  • patient agrees to storage of specimens for future testing

Exclusion Criteria:

  • 18 years or older
  • receipt of pooled immunoglobulin in past 30 days
  • contraindication to transfusion or history of prior reactions to transfusion blood products
  • females who are identified as donors must not be pregnant

Sites / Locations

    Arms of the Study

    Arm 1

    Arm 2

    Arm Type

    Experimental

    Placebo Comparator

    Arm Label

    convalescent plasma

    best supportive care

    Arm Description

    This arm will receive convalescent plasma

    Oxygen therapy

    Outcomes

    Primary Outcome Measures

    reduction in oxygen and ventilation support
    reduction in oxygen and ventilation support

    Secondary Outcome Measures

    Full Information

    First Posted
    March 27, 2020
    Last Updated
    April 2, 2020
    Sponsor
    Baylor Research Institute
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    1. Study Identification

    Unique Protocol Identification Number
    NCT04333251
    Brief Title
    Study Testing Convalescent Plasma vs Best Supportive Care
    Official Title
    Evaluating Convalescent Plasma to Decrease Coronavirus Associated Complications. A Phase I Study Comparing the Efficacy and Safety of High-titer Anti-Sars-CoV-2 Plasma vs Best Supportive Care in Hospitalized Patients With Interstitial Pneumonia Due to COVID-19
    Study Type
    Interventional

    2. Study Status

    Record Verification Date
    April 2020
    Overall Recruitment Status
    Unknown status
    Study Start Date
    April 1, 2020 (Anticipated)
    Primary Completion Date
    December 31, 2022 (Anticipated)
    Study Completion Date
    December 31, 2022 (Anticipated)

    3. Sponsor/Collaborators

    Responsible Party, by Official Title
    Sponsor
    Name of the Sponsor
    Baylor Research Institute

    4. Oversight

    Studies a U.S. FDA-regulated Drug Product
    No
    Studies a U.S. FDA-regulated Device Product
    No
    Product Manufactured in and Exported from the U.S.
    No
    Data Monitoring Committee
    Yes

    5. Study Description

    Brief Summary
    Currently there are no proven treatment option for COVID-19. Human convalescent plasma is an option for COVID-19 treatment and could be available from people who have recovered and can donate plasma.
    Detailed Description
    Experience from prior outbreaks with other coronaviruses, such as SARS-CoV-1 shows that convalescent plasma contains neutralizing antibodies to the relevant virus. In the case of SARS-CoV-2, the anticipated mechanism of action by which passive antibody therapy would mediate protection is viral neutralization. The only antibody type that is currently available for immediate use is that found in human convalescent plasma. As more individuals contract COVID-19 and recover, the number of potential donors will continue to increase. The investigators seek to treat participants who are sick enough to warrant hospitalization prior to the onset of overwhelming disease.

    6. Conditions and Keywords

    Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
    Pneumonia, Interstitial

    7. Study Design

    Primary Purpose
    Treatment
    Study Phase
    Phase 1
    Interventional Study Model
    Parallel Assignment
    Masking
    None (Open Label)
    Allocation
    Randomized
    Enrollment
    115 (Anticipated)

    8. Arms, Groups, and Interventions

    Arm Title
    convalescent plasma
    Arm Type
    Experimental
    Arm Description
    This arm will receive convalescent plasma
    Arm Title
    best supportive care
    Arm Type
    Placebo Comparator
    Arm Description
    Oxygen therapy
    Intervention Type
    Biological
    Intervention Name(s)
    high-titer anti-Sars-CoV-2 plasma
    Intervention Description
    Recipients will receive 1-2 units of ABO matched donor plasma at neutralization antibody titer >1:64 vs best supportive care
    Intervention Type
    Other
    Intervention Name(s)
    oxygen therapy
    Intervention Description
    oxygen therapy
    Primary Outcome Measure Information:
    Title
    reduction in oxygen and ventilation support
    Description
    reduction in oxygen and ventilation support
    Time Frame
    through study completion, an average of 4 weeks

    10. Eligibility

    Sex
    All
    Minimum Age & Unit of Time
    18 Years
    Accepts Healthy Volunteers
    No
    Eligibility Criteria
    Inclusion Criteria Donor: 18 years or older must have been hospitalized w/COVID-19 respiratory symptoms and confirmation via COVID-19 SARS-CoV-2 RT-PCR testing but are now PCR negative by 2 nasopharyngeal testing females of child-bearing potential must have a negative serum pregnancy test subject and/or LAR willing to provide informed consent patient agrees to storage of specimens for future testing Inclusion Criteria Recipient: 18 years or older must have been hospitalized w/COVID-19 respiratory symptoms within 3 to 7 days from the beginning of illness subject and/or LAR willing to provide informed consent patient agrees to storage of specimens for future testing Exclusion Criteria: 18 years or older receipt of pooled immunoglobulin in past 30 days contraindication to transfusion or history of prior reactions to transfusion blood products females who are identified as donors must not be pregnant

    12. IPD Sharing Statement

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