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Convalescent Plasma for Early Treatment of COVID-19

Primary Purpose

SARS-CoV 2, COVID-19

Status
Terminated
Phase
Phase 2
Locations
Brazil
Study Type
Interventional
Intervention
Convalescent Plasma (anti-SARS-CoV-2 plasma)
Control (albumin 5%)
Sponsored by
Andrew Eisenberger
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for SARS-CoV 2 focused on measuring Coronavirus, COVID, Convalescent Plasma

Eligibility Criteria

18 Years - undefined (Adult, Older Adult)All SexesAccepts Healthy Volunteers

Inclusion Criteria:

  • Subjects must be 18 years of age or older
  • Recent close contact with a person with COVID-19, i.e. last close contact occurred within 7 days of anticipated infusion of study product. It is anticipated that most contacts will be household contacts with extensive interaction. All must meet the CDC criteria for close contacts. This includes healthcare workers at higher risk of developing severe disease.

OR

  • Recent self-reported or documented evidence of infection by nasal swab PCR that is positive for SARS-CoV-2, i.e., nasal sample was collected within 7 days or 10 days of anticipated infusion of study product for those who are asymptomatic or symptomatic, respectively.
  • Evidence of infection by nasal swab PCR that is positive for SARS-CoV-2 at screening visit.
  • May or may not be hospitalized.
  • No symptoms or no more than 5 days of mild symptoms at the time of screening. Mild symptoms (rated by participant as mild and not interfering with normal daily activities) may include:

    • Mild rhinorrhea
    • Mild sore throat or throat irritation
    • Mild nonproductive cough
    • Mild fatigue (able to perform Activities of Daily Living (ADLs))
  • Risk for severe COVID-19 based on a risk score of ≥ 1 Calculated Risk Score of ≥ 1 point, with risk factors based on Center for Disease Control and Prevention (CDC) description

    • Age 65-74: 1 point
    • Age ≥ 75: 2 points
    • Known cardiovascular disease (including hypertension): 1 point
    • Diabetes mellitus: 1 point
    • Pulmonary disease (COPD, moderate to severe asthma, current smoking or other): 1 point
    • Morbid obesity: 1 point
    • Immunocompromised state: 1 point Received a bone marrow or solid organ transplant at any time, received chemotherapy for a malignancy within the past 6 months, has an acquired or congenital immunodeficiency, currently receiving immunosuppressive or immune modulating medications, HIV with non-suppressed viral load and/or cluster of differentiation 4 (CD4+) T cell count <200 cells/mL).

Exclusion Criteria:

  • Receipt of any blood product in past 120 days.
  • Psychiatric or cognitive illness or recreational drug/alcohol use that in the opinion of the principal investigator, would affect subject safety and/or compliance.
  • Confirmed or self-reported presumed COVID-19, with symptoms that began more than 5 days prior to enrollment, and SARS-CoV-2 PCR positive sample that was collected more than 7 days prior to anticipated infusion for an asymptomatic participant or more than 10 days prior to anticipated infusion for a patient with mild symptoms at screening.
  • Symptoms consistent with COVID---19 infection that are more than mild (as defined above) at time of screening.
  • Symptoms consistent with COVID---19 infection that are more than mild at time of screening.
  • History of allergic reaction to transfusion blood products
  • Inability to complete infusion of the product within 48 hours after randomization.
  • Resident of a long term or skilled nursing facility
  • Known prior diagnosis of immunoglobulin A (IgA) deficiency
  • Oxygen saturation that is < 95% at the screening visit
  • On supplemental oxygen at time of enrollment
  • Participation in another clinical trial of anti-viral agent(s) for COVID-19
  • Receipt of any COVID-19 vaccine, either as part of a clinical research trial or through routine service delivery.

Sites / Locations

  • National Institute of Infectious Diseases Evandro Chagas (INI)

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Active Comparator

Arm Label

Convalescent Plasma (anti-SARS-CoV-2 plasma)

Control (albumin 5%)

Arm Description

Participants randomized to the experimental arm will receive 2 units (approximately 200 to 250 mL per unit, total 400-500mL) of convalescent plasma that was collected from a volunteer who recovered from COVID-19 disease.

Participants randomized to the control arm will receive 2 units of 250 mL (500mL total) of albumin (human) 5% infusion. The albumin will be prepared in bags that are identical to the bags used for plasma. The similar appearance of albumin and plasma will facilitate maintaining the blinded status of subjects and most of the study staff.

Outcomes

Primary Outcome Measures

Rate of Severe Disease
The efficacy of treatment will be determined by rating disease severity on Day 28, or last rating evaluated, using a seven-category severity scale.

Secondary Outcome Measures

Rate of measurable anti-SARS-CoV-2 titers
To compare the rate of measurable anti-SARS-CoV-2 titers between recipients of CP (anti-SARS-CoV-2 plasma) versus control (albumin 5%).
Rate of SARS-CoV-2 PCR Positivity
Compare the rates of SARS-CoV-2 PCR positivity (RT PCR) amongst the anti-SARS-CoV-2 convalescent plasma and control (albumin 5%).
Duration of SARS-CoV-2 PCR Positivity
Compare the duration of SARS-CoV-2 PCR positivity (RT PCR) amongst the anti-SARS-CoV-2 convalescent plasma and control (albumin 5%).
Levels of SARS-CoV-2 RNA
Compare the levels of SARS-CoV-2 RNA between the recipients of antiSARS-CoV-2 plasma and control (albumin 5%)

Full Information

First Posted
May 14, 2020
Last Updated
June 26, 2022
Sponsor
Andrew Eisenberger
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1. Study Identification

Unique Protocol Identification Number
NCT04390503
Brief Title
Convalescent Plasma for Early Treatment of COVID-19
Official Title
A Phase 2 Randomized, Double-blinded Trial to Evaluate the Efficacy and Safety of Human Anti-SARS-CoV-2 Plasma for Early Treatment of COVID-19
Study Type
Interventional

2. Study Status

Record Verification Date
June 2022
Overall Recruitment Status
Terminated
Why Stopped
Enrollment challenges
Study Start Date
March 12, 2021 (Actual)
Primary Completion Date
January 6, 2022 (Actual)
Study Completion Date
January 6, 2022 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor-Investigator
Name of the Sponsor
Andrew Eisenberger

4. Oversight

Studies a U.S. FDA-regulated Drug Product
Yes
Studies a U.S. FDA-regulated Device Product
No
Data Monitoring Committee
Yes

5. Study Description

Brief Summary
This is a double-blinded, randomized control trial to assess the efficacy and safety of anti-SARS-CoV-2 convalescent plasma as early treatment. Participants will be randomized 2:1 to receive either convalescent plasma qualitatively positive for SARS-CoV-2 antibody ("anti-SARS-CoV-2 plasma") or control (albumin 5%). This study will investigate the potential of convalescent plasma (CP) to reduce severity of and/or help treat SARS-CoV-2 disease in patients with mild disease.
Detailed Description
There are no approved therapies for Coronavirus disease 2019 (COVID-19), also known as severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). Exposure to viruses results in an adaptive immune response that commonly include antibodies with neutralization activity. Plasma from subjects who have recovered from viral infections has been used to both prevent or treat disease. Notable examples of the successful use of convalescent plasma (CP) include influenza, measles, Argentine hemorrhagic fever, Middle East respiratory syndrome (MERS), Ebola and severe acute respiratory syndrome (SARS). In recent work in China, an open label safety trial of CP in patients with COVID-19 suggested a substantive benefit.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
SARS-CoV 2, COVID-19
Keywords
Coronavirus, COVID, Convalescent Plasma

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 2
Interventional Study Model
Parallel Assignment
Model Description
A total of 150 eligible subjects will be randomized in a 2:1 ratio to receive either convalescent plasma qualitatively positive for SARS-CoV-2 antibody (anti-SARS-CoV-2 plasma) or control (albumin 5%)
Masking
ParticipantOutcomes Assessor
Allocation
Randomized
Enrollment
89 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Convalescent Plasma (anti-SARS-CoV-2 plasma)
Arm Type
Experimental
Arm Description
Participants randomized to the experimental arm will receive 2 units (approximately 200 to 250 mL per unit, total 400-500mL) of convalescent plasma that was collected from a volunteer who recovered from COVID-19 disease.
Arm Title
Control (albumin 5%)
Arm Type
Active Comparator
Arm Description
Participants randomized to the control arm will receive 2 units of 250 mL (500mL total) of albumin (human) 5% infusion. The albumin will be prepared in bags that are identical to the bags used for plasma. The similar appearance of albumin and plasma will facilitate maintaining the blinded status of subjects and most of the study staff.
Intervention Type
Biological
Intervention Name(s)
Convalescent Plasma (anti-SARS-CoV-2 plasma)
Intervention Description
Convalescent Plasma that contains antibody titers against SARS-CoV-2.
Intervention Type
Biological
Intervention Name(s)
Control (albumin 5%)
Intervention Description
Albumin (Human) 5% is a sterile aqueous solution for intravenous use containing the albumin component human plasma.
Primary Outcome Measure Information:
Title
Rate of Severe Disease
Description
The efficacy of treatment will be determined by rating disease severity on Day 28, or last rating evaluated, using a seven-category severity scale.
Time Frame
Up to 28 days
Secondary Outcome Measure Information:
Title
Rate of measurable anti-SARS-CoV-2 titers
Description
To compare the rate of measurable anti-SARS-CoV-2 titers between recipients of CP (anti-SARS-CoV-2 plasma) versus control (albumin 5%).
Time Frame
Up to 90 days
Title
Rate of SARS-CoV-2 PCR Positivity
Description
Compare the rates of SARS-CoV-2 PCR positivity (RT PCR) amongst the anti-SARS-CoV-2 convalescent plasma and control (albumin 5%).
Time Frame
Up to 28 days
Title
Duration of SARS-CoV-2 PCR Positivity
Description
Compare the duration of SARS-CoV-2 PCR positivity (RT PCR) amongst the anti-SARS-CoV-2 convalescent plasma and control (albumin 5%).
Time Frame
Up to 28 days
Title
Levels of SARS-CoV-2 RNA
Description
Compare the levels of SARS-CoV-2 RNA between the recipients of antiSARS-CoV-2 plasma and control (albumin 5%)
Time Frame
Up to 28 days

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria: Subjects must be 18 years of age or older Recent close contact with a person with COVID-19, i.e. last close contact occurred within 7 days of anticipated infusion of study product. It is anticipated that most contacts will be household contacts with extensive interaction. All must meet the CDC criteria for close contacts. This includes healthcare workers at higher risk of developing severe disease. OR Recent self-reported or documented evidence of infection by nasal swab PCR that is positive for SARS-CoV-2, i.e., nasal sample was collected within 7 days or 10 days of anticipated infusion of study product for those who are asymptomatic or symptomatic, respectively. Evidence of infection by nasal swab PCR that is positive for SARS-CoV-2 at screening visit. May or may not be hospitalized. No symptoms or no more than 5 days of mild symptoms at the time of screening. Mild symptoms (rated by participant as mild and not interfering with normal daily activities) may include: Mild rhinorrhea Mild sore throat or throat irritation Mild nonproductive cough Mild fatigue (able to perform Activities of Daily Living (ADLs)) Risk for severe COVID-19 based on a risk score of ≥ 1 Calculated Risk Score of ≥ 1 point, with risk factors based on Center for Disease Control and Prevention (CDC) description Age 65-74: 1 point Age ≥ 75: 2 points Known cardiovascular disease (including hypertension): 1 point Diabetes mellitus: 1 point Pulmonary disease (COPD, moderate to severe asthma, current smoking or other): 1 point Morbid obesity: 1 point Immunocompromised state: 1 point Received a bone marrow or solid organ transplant at any time, received chemotherapy for a malignancy within the past 6 months, has an acquired or congenital immunodeficiency, currently receiving immunosuppressive or immune modulating medications, HIV with non-suppressed viral load and/or cluster of differentiation 4 (CD4+) T cell count <200 cells/mL). Exclusion Criteria: Receipt of any blood product in past 120 days. Psychiatric or cognitive illness or recreational drug/alcohol use that in the opinion of the principal investigator, would affect subject safety and/or compliance. Confirmed or self-reported presumed COVID-19, with symptoms that began more than 5 days prior to enrollment, and SARS-CoV-2 PCR positive sample that was collected more than 7 days prior to anticipated infusion for an asymptomatic participant or more than 10 days prior to anticipated infusion for a patient with mild symptoms at screening. Symptoms consistent with COVID---19 infection that are more than mild (as defined above) at time of screening. Symptoms consistent with COVID---19 infection that are more than mild at time of screening. History of allergic reaction to transfusion blood products Inability to complete infusion of the product within 48 hours after randomization. Resident of a long term or skilled nursing facility Known prior diagnosis of immunoglobulin A (IgA) deficiency Oxygen saturation that is < 95% at the screening visit On supplemental oxygen at time of enrollment Participation in another clinical trial of anti-viral agent(s) for COVID-19 Receipt of any COVID-19 vaccine, either as part of a clinical research trial or through routine service delivery.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Jessica Justman, MD
Organizational Affiliation
Columbia University
Official's Role
Principal Investigator
Facility Information:
Facility Name
National Institute of Infectious Diseases Evandro Chagas (INI)
City
Rio de Janeiro
ZIP/Postal Code
21040-900
Country
Brazil

12. IPD Sharing Statement

Plan to Share IPD
No
Citations:
PubMed Identifier
27532807
Citation
Arabi YM, Hajeer AH, Luke T, Raviprakash K, Balkhy H, Johani S, Al-Dawood A, Al-Qahtani S, Al-Omari A, Al-Hameed F, Hayden FG, Fowler R, Bouchama A, Shindo N, Al-Khairy K, Carson G, Taha Y, Sadat M, Alahmadi M. Feasibility of Using Convalescent Plasma Immunotherapy for MERS-CoV Infection, Saudi Arabia. Emerg Infect Dis. 2016 Sep;22(9):1554-61. doi: 10.3201/eid2209.151164.
Results Reference
background
PubMed Identifier
15372080
Citation
Casadevall A, Dadachova E, Pirofski LA. Passive antibody therapy for infectious diseases. Nat Rev Microbiol. 2004 Sep;2(9):695-703. doi: 10.1038/nrmicro974.
Results Reference
background
PubMed Identifier
12967670
Citation
Casadevall A, Pirofski LA. Antibody-mediated regulation of cellular immunity and the inflammatory response. Trends Immunol. 2003 Sep;24(9):474-8. doi: 10.1016/s1471-4906(03)00228-x. No abstract available.
Results Reference
background
PubMed Identifier
7985997
Citation
Casadevall A, Scharff MD. Serum therapy revisited: animal models of infection and development of passive antibody therapy. Antimicrob Agents Chemother. 1994 Aug;38(8):1695-702. doi: 10.1128/AAC.38.8.1695. No abstract available.
Results Reference
background
PubMed Identifier
15616839
Citation
Cheng Y, Wong R, Soo YO, Wong WS, Lee CK, Ng MH, Chan P, Wong KC, Leung CB, Cheng G. Use of convalescent plasma therapy in SARS patients in Hong Kong. Eur J Clin Microbiol Infect Dis. 2005 Jan;24(1):44-6. doi: 10.1007/s10096-004-1271-9.
Results Reference
background
PubMed Identifier
11564809
Citation
Crowe JE Jr, Firestone CY, Murphy BR. Passively acquired antibodies suppress humoral but not cell-mediated immunity in mice immunized with live attenuated respiratory syncytial virus vaccines. J Immunol. 2001 Oct 1;167(7):3910-8. doi: 10.4049/jimmunol.167.7.3910.
Results Reference
background
PubMed Identifier
30092199
Citation
Gunn BM, Yu WH, Karim MM, Brannan JM, Herbert AS, Wec AZ, Halfmann PJ, Fusco ML, Schendel SL, Gangavarapu K, Krause T, Qiu X, He S, Das J, Suscovich TJ, Lai J, Chandran K, Zeitlin L, Crowe JE Jr, Lauffenburger D, Kawaoka Y, Kobinger GP, Andersen KG, Dye JM, Saphire EO, Alter G. A Role for Fc Function in Therapeutic Monoclonal Antibody-Mediated Protection against Ebola Virus. Cell Host Microbe. 2018 Aug 8;24(2):221-233.e5. doi: 10.1016/j.chom.2018.07.009.
Results Reference
background

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Convalescent Plasma for Early Treatment of COVID-19

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