VA CoronavirUs Research and Efficacy Studies-1 (VACURES-1)
COVID-19
About this trial
This is an interventional treatment trial for COVID-19 focused on measuring 2019 novel coronavirus disease, COVID-19 pandemic, COVID-19 virus infection, COVID-19 virus disease, Respiratory failure, Pneumonia, viral / therapy, Blood Component Transfusion, Severity of Illness Index, Survival Analysis, Treatment Outcome, Prospective Study, Humans, Adults, Male, Female, convalescent plasma, SARS CoV-2, COVID-19 convalescent plasma
Eligibility Criteria
Inclusion Criteria:
Veterans must meet all of the following criteria to be eligible to participate:
- Admitted to a participating VA clinical site with symptoms suggestive of SARS-CoV-2 infection.
- Participant (or legally authorized representative) provides informed consent prior to initiation of any study procedures.
- Participant (or legally authorized representative) understands and agrees to comply with planned study procedures.
- Veteran 18 years of age at time of screening.
- Has laboratory-confirmed SARS-CoV-2 infection as determined by polymerase chain reaction (PCR) or antigen test, as documented by either of the following:
(1)Reverse Transcription polymerase chain reaction (RT-PCR) or antigen positive (nasopharyngeal, oropharyngeal, saliva, lower respiratory) in sample collected 72 hours prior to screening; (2)RT-PCR or antigen positive in sample collected > 72 hours but 168 hours (i.e. 7 days) prior to screening, documented inability to obtain a repeat sample (e.g. due to lack of testing supplies, limited testing capacity, results taking > 24 hours, etc.), AND progressive disease suggestive of ongoing SARS-CoV-2 infection.
6.Requiring oxygen by nasal cannula or by face-mask as a new treatment (or if previously on home oxygen, at a liter flow at least 2 Lpm greater than home prescription), but not on humidified heated high-flow nasal cannula (HHHFNC) at 15 Lpm.
7.Can be randomized within 72 hours of hospital admission. 8.Agrees not to participate in another therapeutic clinical trial for the treatment of COVID-19 or SARS-CoV-2 through Day 29 without approval from the investigator(s). Taking part in other research studies, including those unrelated to SARS-CoV-2, without first discussing it with the investigators of this study may invalidate the results of this study, as well as that of the other study.
Exclusion Criteria:
An individual who meets any of the following criteria will be excluded from participation in this study:
- Respiratory failure requiring mechanical ventilation, non-invasive ventilation including continuous positive airway pressure (CPAP) (for an indication other than previously diagnosed sleep apnea and maintained on outpatient settings), or extra-corporeal membrane oxygenation or anticipated to require any of those treatments or to die within 24 hours.
- Anticipated discharge from the hospital or transfer to another hospital that is not a study site within 72 hours.
- History of previous transfusion reaction.
- Previously documented serum immunoglobulin A (IgA) deficiency (<7 mg/dL)
- Documented to have received convalescent plasma in the last 60 days.
Sites / Locations
- Birmingham VA Medical Center, Birmingham, AL
- Phoenix VA Health Care System, Phoenix, AZ
- Rocky Mountain Regional VA Medical Center, Aurora, CO
- North Florida/South Georgia Veterans Health System, Gainesville, FL
- Orlando VA Medical Center, Orlando, FL
- James A. Haley Veterans' Hospital, Tampa, FL
- Atlanta VA Medical and Rehab Center, Decatur, GA
- Edward Hines Jr. VA Hospital, Hines, IL
- VA Ann Arbor Healthcare System, Ann Arbor, MI
- John D. Dingell VA Medical Center, Detroit, MI
- VA Southern Nevada Healthcare System, North Las Vegas, NV
- James J. Peters VA Medical Center, Bronx, NY
- Durham VA Medical Center, Durham, NC
- Louis Stokes VA Medical Center, Cleveland, OH
- Oklahoma City VA Medical Center, Oklahoma City, OK
- VA Portland Health Care System, Portland, OR
- Ralph H. Johnson VA Medical Center, Charleston, SC
- VA North Texas Health Care System Dallas VA Medical Center, Dallas, TX
- Michael E. DeBakey VA Medical Center, Houston, TX
- South Texas Health Care System, San Antonio, TX
- VA Salt Lake City Health Care System, Salt Lake City, UT
- Hunter Holmes McGuire VA Medical Center, Richmond, VA
- William S. Middleton Memorial Veterans Hospital, Madison, WI
- VA Caribbean Healthcare System, San Juan, PR
Arms of the Study
Arm 1
Arm 2
Experimental
Placebo Comparator
Convalescent Plasma
Masked Saline Placebo
The study intervention consists of intravenous administration of 200-500 mL of convalescent plasma administered in two equally divided doses, less than 12 hours apart.
The study intervention consists of intravenous administration of 200-500 mL of 0.9% saline administered in two equally divided doses, less than 12 hours apart.