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COVID-19Phase 1NCT04397757

COVID-19 Convalescent Plasma for the Treatment of Hospitalized Patients With Pneumonia Caused by SARS-CoV-2.

A Phase 1 study testing COVID-19 Convalescent Plasma in people with COVID-19, run by University of Pennsylvania at 1 site in United States.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

The purpose of this study is to see if this plasma can be safely used in humans with COVID-19 and to see if it improves patients' health as compared to not using it in patients with pneumonia caused by SARS-CoV-2. Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
COVID-19
What is being tested?
COVID-19 Convalescent Plasma
Could I receive a placebo?
No, everyone receives an active treatment
How many people
80 participants
Where
1 siteUnited States
Study dates
13 May 2020to 8 Mar 2021
Phase
Phase 1
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
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Adult ≥18 years of age
  • Laboratory-confirmed SARS-CoV-2 infection as determined by PCR or other authorized or approved assay in any specimen collected within 72 hours prior to enrollment.
  • Note - An exception must be requested to the Sponsor if ≥72 hours since positive test.
  • Hospitalized in participating facility.
  • Documentation of pneumonia with radiographic evidence of infiltrates by imaging (e.g., chest x-ray or CT scan).
  • Abnormal respiratory status that is judged worse than baseline by the investigator and as documented at any point within 24 hours prior to randomization, consistent with ordinal scale levels 5, 6 or 7, specifically defined as:
Show all 10Show fewer
  • Room air saturation of oxygen (SaO2) < 93%, OR
  • Requiring supplemental oxygen, OR
  • Tachypnea with respiratory rate ≥30
  • Patient or proxy is willing and able to provide written informed consent and comply with all protocol requirements

Who cannot join

  • Contraindication to transfusion (e.g., severe volume overload, history of severe allergic reaction to blood products), as judged by the investigator.
  • Clinical suspicion that the etiology of acute illness (acute decompensation) is primarily due to a condition other than COVID-19
  • Receipt of other investigational therapy as a part of another clinical trial. Note: investigational therapies used as part of clinical care, (eg, remdesivir, hydroxychloroquine) are permissible.

Trial locations and contacts

1 site in 1 country.

United States1 site
  • Hospital of the University of Pennsylvania

    Philadelphia, Pennsylvania, 19104

Other trials in United States

About this study

Official title: An Open-Label, Controlled, Phase 1, Safety and Exploratory Efficacy Study of Convalescent Plasma for Severely Ill, Hospitalized Participants With COVID-19 Pneumonia Caused by SARS-CoV-2.

The purpose of this study is to see if this plasma can be safely used in humans with COVID-19 and to see if it improves patients' health as compared to not using it in patients with pneumonia caused by SARS-CoV-2.

Read the detailed description

This open-label, randomized, controlled, phase 1 trial will assess the safety and efficacy of convalescent plasma in severely ill, hospitalized participants with pneumonia due to COVID-19. This study will enroll adults 18 years old and older, including pregnant women.

A total of 80 eligible participants will be randomized to receive either 2 units of convalescent plasma collected from ABO-compatible donors who have recovered from COVID-19 and standard of care (treatment arm) or standard of care alone (control arm). Participants in the treatment arm will receive 2 units of convalescent plasma on Study Day 1 in addition to standard of care.

Participants will be assessed on study Day 1 (pre-dose), 30 minutes after each unit of plasma, on all Study Days while hospitalized, and Study Days 15, 22, 29, and 60. All participants will undergo a series of safety and efficacy, assessments. Blood samples will be collected on Days 1 (prior to plasma administration), 3, 8, 15, 29, and 60. Oropharyngeal or endotracheal samples will be collected on Days 1 (prior to plasma administration), 3, 5, 8, 11, and 15.

Conditions
COVID-19
Being tested
COVID-19 Convalescent Plasma
Keywords
Convalescent plasma
Medical subject headings
COVID-19

What participants receive

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

  • COVID-19 Convalescent PlasmaBiological

    2 units of COVID-19 convalescent plasma compatible with their blood type

Study groups in NCT04397757
Study groupRoleWhat they receive
COVID-19 Convalescent plasmaExperimentalCOVID-19 Convalescent plasma on Study Day 1 in addition to standard care
Receives: Biological: COVID-19 Convalescent Plasma
Standard careNo interventionStandard care alone

What is being measured

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

  1. Participants With Serious Adverse Events.

    Number of participants with at least one serious adverse events (SAEs) up to Study Day 29.

    Measured: Up to Study Day 29

  2. Clinical Severity Score

    Clinical Severity Score (CSC) measured by both survival time, time to recovery (defined by reaching levels 1-3 of the WHO modified 8-Point Ordinal Severity scale), and disease course while hospitalized and is calculated based on a procedure proposed by Shaw and Fay 2016 (https://doi.org/10.1002/sim.6950). CSC ranges from 1 to 57. Higher CSC is worse outcome.

    Clinical status assessment (WHO modified 8-Point Ordinal Severity scale) includes:

    1. Not hospitalized, no limitations on activities.
    2. Not hospitalized, limitation on activities and/or requiring home oxygen;
    3. Hospitalized, not requiring supplemental oxygen - no longer requires ongoing medical care;
    4. Hospitalized, not requiring supplemental oxygen - requiring ongoing medical care (COVID-19 related or otherwise);
    5. Hospitalized, requiring supplemental oxygen;
    6. Hospitalized, on non-invasive ventilation or high flow oxygen devices;
    7. Hospitalized, on invasive mechanical ventilation or ECMO;
    8. Death

    Measured: Up to Study Day 29

Secondary outcomes (24)
  1. Clinical Status Assessment, Time to Recovery

    Time to recovery, defined by time needed to reach levels 1-3 using the WHO modified 8-Point Ordinal Severity scale assessed daily while hospitalized and on Day 15, 22, and 29:

    1. Not hospitalized, no limitations on activities.
    2. Not hospitalized, limitation on activities and/or requiring home oxygen;
    3. Hospitalized, not requiring supplemental oxygen - no longer requires ongoing medical care;
    4. Hospitalized, not requiring supplemental oxygen - requiring ongoing medical care (COVID-19 related or otherwise);
    5. Hospitalized, requiring supplemental oxygen;
    6. Hospitalized, on non-invasive ventilation or high flow oxygen devices;
    7. Hospitalized, on invasive mechanical ventilation or ECMO;
    8. Death

    Measured: Up to Study Day 29

  2. National Early Warning Score (NEWS) Clinical Status Assessment

    Time to discharge or to a National Early Warning Score (NEWS) of ≤ 2 and maintained for 24 hours, whichever occurs first. NEWS assessed daily while hospitalized until discharge or death and on Days 15 and 29.

    Higher NEWS is worse, range from 0 to 20.

    Measured: Up to Study Day 29

  3. Oxygenation

    Days of supplemental oxygen while in hospital. defined as days with WHO8 ordinal score of 5, 6, or 7

    Measured: Daily while hospitalized and up to Study Day 29

  4. Incidence of New Oxygenation Use up to Day 29

    Incidence of new oxygenation use up to Day 29.

    Measured: From enrollment to Day 29.

  5. Duration of New Oxygen Use up to Day 29

    Duration (days) of new oxygen use up to Day 29.

    Measured: From enrollment to Day 29.

  6. Non-invasive Ventilation/High Flow Oxygen Days up to Day 29

    Days of non-invasive ventilation/high flow oxygen up to Day 29 Defined by having a WHO8 ordinal scale of 6 = Hospitalized, on non-invasive ventilation or high flow oxygen devices

    Measured: Daily while in hospital to Study Day 29.

  7. Number of Participants With at Least One Day on Non-invasive Ventilation/High Flow Oxygen up to Day 29

    number of participants with at least one day on non-invasive ventilation/high flow oxygen Defined by having a WHO8 ordinal scale of 6 = Hospitalized, on non-invasive ventilation or high flow oxygen devices

    Measured: Daily while in hospital until Study Day 29

  8. Duration of Non-invasive Ventilation/High Flow Oxygen up to Day 29

    Days of non-invasive ventilation/high flow oxygen up to Day 29

    Measured: Daily while in hospital to Study Day 29.

  9. Ventilator/ECMO Days to Day 29

    Days of mechanical ventilation or ECMO use (having a WHO8 ordinal score of 7 = Hospitalized, on invasive mechanical ventilation or ECMO) during the study in hospital until study day 29.

    Measured: Daily while in hospital to Study Day 29

  10. New Mechanical Ventilation or ECMO Use

    number of subjects with new mechanical ventilation or ECMO use up to Day 29 since all subjects were not on mechanical ventilation or ECMO at baseline.

    Measured: From enrollment to Day 29.

  11. Duration of New Mechanical Ventilation or ECMO

    Days of new mechanical ventilation or ECMO use up to Day 29.

    Measured: Daily while in hospital to Study Day 29

  12. Duration of Hospitalization

    Duration (days) of first hospitalization. Time until death or discharge or Study Day 29

    Measured: To Study Day 29

  13. Mortality

    28 day mortality.

    Measured: 28 days from Study Day 1

  14. Number of Subjects With SAEs Through Day 29

    Number of subjects with SAEs through Day 29.

    Measured: Through Study Day 29

  15. Number of Subjects With at Least One Grade 3 and Grade 4 Clinical and/or Laboratory Adverse Events Through Day 29

    Number of subjects with at least one Grade 3 or Grade 4 clinical and/or laboratory adverse events (AEs) through Day 29.

    Measured: Through Study Day 29

  16. Changes in WBC With Differential Through Day 29

    Collected labs on Days 1 (baseline), 3, 5, 8, and 11 (while hospitalized), Days 15 and 29 (if attends in person visit or still hospitalized). Changes measured as difference between last measured lab value and baseline lab value. A negative value indicates last lab value > baseline lab value.

    Measured: Through Day 29

  17. Changes in Hemoglobin Measurement Through Day 29

    Collected labs on Days 1 (baseline), 3, 5, 8, and 11 (while hospitalized), Days 15 and 29 (if attends in person visit or still hospitalized). Changes measured as difference between last measured lab value and baseline lab value. A negative value indicates last lab value > baseline lab value.

    Measured: Through Day 29

  18. Changes in Platelets Measurement Through Day 29

    Collected labs on Days 1 (baseline), 3, 5, 8, and 11 (while hospitalized), Days 15 and 29 (if attends in person visit or still hospitalized). Changes measured as difference between last measured lab value and baseline lab value. A negative value indicates last lab value > baseline lab value.

    Measured: Through Day 29.

  19. Changes in Creatinine Measurement Through Day 29

    Collected labs on Days 1 (baseline), 3, 5, 8, and 11 (while hospitalized), Days 15 and 29 (if attends in person visit or still hospitalized). Changes measured as difference between last measured lab value and baseline lab value. A negative value indicates last lab value > baseline lab value.

    Measured: Through Day 29.

  20. Changes in Glucose Measurement Through Day 29

    Collected labs on Days 1 (baseline), 3, 5, 8, and 11 (while hospitalized), Days 15 and 29 (if attends in person visit or still hospitalized). Changes measured as difference between last measured lab value and baseline lab value. A negative value indicates last lab value > baseline lab value.

    Measured: Through Day 29.

  21. Changes in Total Bilirubin Measurement Through Day 29

    Collected labs on Days 1 (baseline), 3, 5, 8, and 11 (while hospitalized), Days 15 and 29 (if attends in person visit or still hospitalized). Changes measured as difference between last measured lab value and baseline lab value. A negative value indicates last lab value > baseline lab value.

    Measured: Through Day 29

  22. Changes in ALT Measurement Through Day 29

    Collected labs on Days 1 (baseline), 3, 5, 8, and 11 (while hospitalized), Days 15 and 29 (if attends in person visit or still hospitalized). Changes measured as difference between last measured lab value and baseline lab value. A negative value indicates last lab value > baseline lab value.

    Measured: Through Day 29

  23. Changes in AST Measurement Through Day 29

    Collected labs on Days 1 (baseline), 3, 5, 8, and 11 (while hospitalized), Days 15 and 29 (if attends in person visit or still hospitalized). Changes measured as difference between last measured lab value and baseline lab value. A negative value indicates last lab value > baseline lab value.

    Measured: Through Day 29.

  24. Changes in PT Measurement Laboratory Through Day 29

    Collected labs on Days 1 (baseline), 3, 5, 8, and 11 (while hospitalized), Days 15 and 29 (if attends in person visit or still hospitalized). Changes measured as difference between last measured lab value and baseline lab value. A negative value indicates last lab value > baseline lab value.

    Measured: Through Day 29.

Timeline

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

  1. First posted21 May 2020
  2. Study start13 May 2020
  3. Primary completion6 Feb 2021
  4. Study completion8 Mar 2021

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 1
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Model description
Participants will be randomized 1:1 to receive either convalescent plasma on Study Day 1 in addition to standard care or standard care alone.
Masking
None (open label)
Enrolment
80 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT04397757
Sponsor's protocol ID
843003 (PennCCP-02)
Status last verified
Mar 2022
First submitted
19 May 2020
Last updated
19 Apr 2022
Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No

Publications

  • Herman JD, Wang C, Burke JS, Zur Y, Compere H, Kang J, Macvicar R, Taylor S, Shin S, Frank I, Siegel D, Tebas P, Choi GH, Shaw PA, Yoon H, Pirofski LA, Julg BD, Bar KJ, Lauffenburger D, Alter G. Nucleocapsid-specific antibody function is associated with therapeutic benefits from COVID-19 convalescent plasma therapy. Cell Rep Med. 2022 Nov 15;3(11):100811. doi: 10.1016/j.xcrm.2022.100811. Epub 2022 Oct 24.

    PubMed 36351430
  • Bar KJ, Shaw PA, Choi GH, Aqui N, Fesnak A, Yang JB, Soto-Calderon H, Grajales L, Starr J, Andronov M, Mastellone M, Amonu C, Feret G, DeMarshall M, Buchanan M, Caturla M, Gordon J, Wanicur A, Monroy MA, Mampe F, Lindemuth E, Gouma S, Mullin AM, Barilla H, Pronina A, Irwin L, Thomas R, Eichinger RA, Demuth F, Luning Prak ET, Pascual JL, Short WR, Elovitz MA, Baron J, Meyer NJ, Degnan KO, Frank I, Hensley SE, Siegel DL, Tebas P. A randomized controlled study of convalescent plasma for individuals hospitalized with COVID-19 pneumonia. J Clin Invest. 2021 Dec 15;131(24):e155114. doi: 10.1172/JCI155114.

    PubMed 34788233

Questions about this trial

What is this clinical trial studying?

A Phase 1 study testing COVID-19 Convalescent Plasma in people with COVID-19, run by University of Pennsylvania at 1 site in United States.

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 10 inclusion and 3 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: finished, as of the sponsor's last update on 19 Apr 2022. 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 United States. 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 1 studies test a treatment in a small group of people for the first time or in a new way, mainly to check safety and find the right dose.

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 19 Apr 2022). 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?

Participants With Serious Adverse Events. (time frame: Up to Study Day 29). The study lists 2 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 NCT04397757, which also lists 2 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 19 Apr 2022.

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