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SARS-CoV 2Phase 2NCT04390503

Convalescent Plasma for Early Treatment of COVID-19

A Phase 2 study testing Convalescent Plasma (anti-SARS-CoV-2 plasma) in people with SARS-CoV 2 and COVID-19, run by Andrew Eisenberger at 1 site in Brazil.

Terminated

Stopped early. The study ended before it was planned to and will not resume.

Official record
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Trial 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%). Read more about this study

Who is it for?
Ages 18 years and olderHealthy volunteers can take part
Conditions the study is for
SARS-CoV 2, COVID-19
What is being tested?
Convalescent Plasma (anti-SARS-CoV-2 plasma)
Type of treatment
Injection or infusion
Could I receive a placebo?
No, everyone receives an active treatment
How many people
223 participants
Where
1 siteBrazil
Study dates
12 Mar 2021to 6 Jan 2022
Phase
Phase 2
Are there results?
Yes, posted in the registrySummary in the doctors' view

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 years and older
  • All sexes
  • Healthy volunteers accepted
  • Adult, Older adult

Who may be able to join

  • 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.
Show all 19Show fewer
  • 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).

Who cannot join

  • 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
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  • 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.

Trial locations and contacts

1 site in 1 country.

Brazil1 site
  • National Institute of Infectious Diseases Evandro Chagas (INI)

    Rio de Janeiro, 21040-900

Other trials in Brazil

About this study

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

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.

Read the 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.

Conditions
SARS-CoV 2, COVID-19
Being tested
Convalescent Plasma (anti-SARS-CoV-2 plasma), Control (albumin 5%)
Keywords
Coronavirus, COVID, Convalescent Plasma
Medical subject headings
COVID-19, Coronavirus Infections

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

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

    Convalescent Plasma that contains antibody titers against SARS-CoV-2.

  • Control (albumin 5%)Biological

    Albumin (Human) 5% is a sterile aqueous solution for intravenous use containing the albumin component human plasma.

Study groups in NCT04390503
Study groupRoleWhat they receive
Convalescent Plasma (anti-SARS-CoV-2 plasma)ExperimentalParticipants 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.
Receives: Biological: Convalescent Plasma (anti-SARS-CoV-2 plasma)
Control (albumin 5%)Active comparatorParticipants 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.
Receives: Biological: Control (albumin 5%)

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Number of Non-Hospitalized Participants

    Participants who were discharged from the hospital after receiving the study intervention.

    Measured: Up to 28 days

  2. Number of Hospitalized Participants Requiring Supplemental Oxygen

    Participants who remained hospitalized and required supplemental oxygen after receiving the study drug.

    Measured: Up to 28 days

  3. Number of Hospitalized Participants Requiring High-flow Oxygen Therapy or Noninvasive Mechanical Ventilation

    Participants who remained hospitalized and required high-flow oxygen therapy or noninvasive mechanical ventilation after receiving the study intervention.

    Measured: Up to 28 days

Secondary outcomes (5)
  1. Number of In-hospital Mortalities

    Participants who died in the hospital after receiving the study drug.

    Measured: Up to 28 days

  2. 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%).

    Measured: Up to 90 days

  3. 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%).

    Measured: Up to 28 days

  4. 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%).

    Measured: Up to 28 days

  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%)

    Measured: Up to 28 days

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted15 May 2020
  2. Study start12 Mar 2021
  3. Primary completion6 Jan 2022
  4. Study completion6 Jan 2022

Why it stopped: Enrollment challenges

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 2
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
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
Double blind
Who is masked
Participant, Outcomes assessor
Enrolment
223 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT04390503
Sponsor's protocol ID
AAAT0052
Status last verified
Aug 2024
First submitted
14 May 2020
Last updated
28 Aug 2024
Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
No

Publications

  • 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.

    PubMed 27532807
  • 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.

    PubMed 15372080
  • 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.

    PubMed 12967670
  • 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.

    PubMed 7985997
  • 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.

    PubMed 15616839
  • 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.

    PubMed 11564809
  • 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.

    PubMed 30092199

Questions about this trial

What is this clinical trial studying?

A Phase 2 study testing Convalescent Plasma (anti-SARS-CoV-2 plasma) in people with SARS-CoV 2 and COVID-19, run by Andrew Eisenberger at 1 site in Brazil.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 19 inclusion and 13 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: stopped early, as of the sponsor's last update on 28 Aug 2024. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in Brazil. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

Yes. Results are posted in the registry (first posted 28 Aug 2024). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Number of Non-Hospitalized Participants (time frame: Up to 28 days). The study lists 3 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT04390503, which also lists 7 linked publications.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 28 Aug 2024.

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