- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT04873414
Convalescent Plasma as Adjunct Therapy for COVID-19 (PlaSenTer)
Clinical Trial of Convalescent Plasma Administration as Adjunct Therapy for COVID-19 (Uji Klinik Pemberian Plasma Konvalesen Sebagai Terapi Tambahan COVID-19)
Convalescent plasma (CP) has been the subject of increasing expectation for treating coronavirus disease 2019 (COVID-19). Reports on CP transfusion have shown promising clinical improvements without serious adverse events. To date, most studies focused on reporting CP treatment in patients with severe COVID-19, but only a few addressed benefits on less severe disease. The vast majority of studies reporting COVID-19 infection and treatment have come from earlier affected countries with established health systems and research infrastructure, while very few are from low- and middle-income countries (LMICs). Nonetheless, CP therapy could be one of the few available options in LMICs where constraints may exist in the access to novel treatments, even once available. Clinical trials conducted in LMICs may differ in many respects from those in high-income countries.
This study will evaluate the safety and efficacy of convalescent plasma therapy in hospitalized with moderate and severe COVID-19, to investigate the impacts of the treatment over the course of clinical illness, including non-mortal clinical outcomes.
Study Overview
Status
Conditions
Intervention / Treatment
Detailed Description
Coronavirus disease 2019 (COVID-19), which is caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), has spread rapidly around the world, with high rates of transmission and substantial mortality.
Convalescent plasma (CP) collected from recovered patients has been evaluated in the treatment of SARS, Middle East respiratory syndrome (MERS), and Ebola, but not well further studied and with no definitive results. Preliminary studies in COVID-19 patients showed improvement in clinical status after CP transfusion. However, a multicenter, open-label, randomized clinical trial of 103 patients in China with severe or life-threatening COVID-19 found no statistical difference in clinical improvement within 28 days among patients treated with CP versus standard treatment alone.
To date, CP has not been approved as a standard of care for COVID-19. There are insufficient data from well-controlled, adequately powered, randomized clinical trials to evaluate the efficacy and safety of CP for the treatment of this disease. One randomized controlled trial (NCT04342182) was halted for redesign based on the consideration that most COVID-19 patients already have high neutralizing antibody titers at hospital admission and no difference in mortality (p=0.95), hospital stay (p=0.68), or day-15 disease severity (p=0.58) was observed between plasma treated patients and patients on standard of care. Another clinical study (NCT04345523) showed efficacy and safety of CP in preventing progression to severe disease or death. However, this study was halted early due to low enrolment. Further studies have been published and assessed in several systematic reviews that remain uncertain about the safety and effectiveness of CP treatment for COVID-19.
The vast majority of studies reporting COVID-19 trials have come from the earlier affected countries with established healthcare systems and better research infrastructure, while very few are from low- and middle-income countries (LMICs). Meanwhile, the cases in LMICs have risen considerably with critical research questions specific to the needs of are hard to answer. As an LMIC with a geographically dispersed archipelago, access to healthcare remains a challenge in remote districts that could impact the adoption of CP deployment in Indonesia. Consequently, clinical trials conducted in LMICs may differ in many respects from those in high-income countries.
This study will evaluate the safety and efficacy of CP therapy in hospitalized with moderate and severe COVID-19, to investigate the impacts of the treatment over the course of clinical illness, including non-mortal clinical outcomes. This study will involve hospitals from different places of the Indonesian archipelago, with different characteristics and community structures, social, and values. To obtain supports for the trial, the investigators will seek community engagement that allows investigators and community leaders working collaboratively.
Study Type
Enrollment (Anticipated)
Phase
- Phase 2
- Phase 3
Contacts and Locations
Study Contact
- Name: Muhammad Karyana, MD, MKes
- Phone Number: 062816789813
- Email: mkaryana@gmail.com
Study Contact Backup
- Name: Retna M Indah, MD, MPH
- Phone Number: 0628990222987
- Email: retnaindah.sugiyono@ina-respond.net
Study Locations
-
-
-
Jakarta, Indonesia, 10430
- Recruiting
- Dr. Cipto Mangunkusumo National Central General Hospital
-
Contact:
- Cleopas Martin Rumende, MD,SpPD-KP
- Email: rumende_martin@yahoo.com
-
Principal Investigator:
- Cleopas Martin Rumende, MD,SpPD-KP
-
Sub-Investigator:
- Lugyanti Sukrisman, MD,SpPD,KHOM
-
Sub-Investigator:
- Nova Sri Hartati, MD,MGizi
-
Jakarta, Indonesia, 10510
- Not yet recruiting
- YARSI Hospital
-
Contact:
- Faizal Drissa Hasibuan, SpPD-KHOM
-
Principal Investigator:
- Faizal Drissa Hasibuan, SpPD-KHOM
-
Sub-Investigator:
- Rika Bur, SpPD-KPTI
-
Sub-Investigator:
- Annisa Rizky Afrilia, MD
-
Jakarta, Indonesia, 12330
- Recruiting
- Dr. Suyoto Pusrehab Kemenhan Hospital
-
Sub-Investigator:
- Annisa Rizky Afrilia, MD
-
Contact:
- Eko Martdiyanto, MD,SpP
- Email: drechom@gmail.com
-
Contact:
- Arditya Endiarsari, MD,SpPK
- Email: arditya.endiarsari@gmail.com
-
Principal Investigator:
- Eko Martdiyanto, MD,SpP
-
Sub-Investigator:
- Arditya Endiarsari, MD,SpPK
-
Jakarta, Indonesia, 13230
- Not yet recruiting
- Persahabatan Central hospital
-
Sub-Investigator:
- Lelly Andayasari, drg,MKes
-
Contact:
- Sita Laksmi Andarini, MD,SpP-KP
- Email: sitaandarini@yahoo.com
-
Principal Investigator:
- Sita Laksmi Andarini, MD,SpP-KP
-
Sub-Investigator:
- Hayatun Nufus, MD,SpPD
-
Jakarta, Indonesia
- Recruiting
- Fatmawati Central Hospital
-
Contact:
- Martha Iskandar, MD,SpPD
- Email: marthaiskandar@gmail.com
-
Contact:
- Krishna A Wibisana, MD,SpPD
- Email: K.wibisana@gmail.com
-
Principal Investigator:
- Martha Iskandar, MD,SpPD
-
Sub-Investigator:
- Krishna A Wibisana, MD,SpPD
-
Sub-Investigator:
- Aprildah, MD
-
Jakarta, Indonesia
- Recruiting
- Prof. Dr. Sulianti Saroso Infectious Disease Hospital
-
Sub-Investigator:
- Sundari Wirasmi, SSi
-
Contact:
- Herlina, MD,SpPD
- Email: herlinadr21@gmail.com
-
Contact:
- Dian Wahyu W Tanjungsari, MD,SpPK
- Email: dianwahyu@gmail.com
-
Principal Investigator:
- Herlina, MD,SpPD
-
Sub-Investigator:
- Dian Wahyu Tanjungsari, MD,SpPK
-
Jakarta, Indonesia
- Withdrawn
- University of Indonesia Hospital (RSUI)
-
Jakarta Pusat, Indonesia
- Recruiting
- Gatot Soebroto Central Army Hospital
-
Sub-Investigator:
- Made A Lely Suratri, MD
-
Contact:
- Retno Wihastuti, MD,SpP
- Email: rwihastuti@gmail.com
-
Contact:
- Marliana S Rejeki, MD,SpFK
- Email: marliana.sr@gmail.com
-
Principal Investigator:
- Retno Wihastuti, MD,SpP
-
Sub-Investigator:
- Marliana S Rejeki, MD,SpFK
-
-
Aceh
-
Aceh Tamiang, Aceh, Indonesia, 13760
- Recruiting
- Aceh Tamiang Hospital
-
Contact:
- Wahyudin, MD,SpPD
- Email: wahyuddin@gmail.com
-
Contact:
- Andika Putra, MD,SpPD
- Email: andikaputra_13@yahoo.com
-
Principal Investigator:
- Wahyudin, MD,SpPD
-
Sub-Investigator:
- Andika Putra, MD,SpPD
-
Sub-Investigator:
- Hadjar Siswantoro, MD,MPH
-
-
Bali
-
Denpasar, Bali, Indonesia
- Recruiting
- Sanglah Central Hospital
-
Contact:
- Ni Wayan Candrawati, MD,SpP
- Email: niwayancandrawati@gmail.com
-
Contact:
- I Ketut Agus Somia, MD,SpPD-KPTI
- Email: agus.somia@unud.ac.id
-
Principal Investigator:
- Ni Wayan Candrawati, MD,SpP
-
Sub-Investigator:
- I Ketut Agus Somia, MD,SpPD-KPTI
-
Sub-Investigator:
- Widianto Pancaharjono, MD
-
Denpasar, Bali, Indonesia
- Recruiting
- Udayana University Hospital
-
Contact:
- I Wayan Aryabiantara, MD,SpAn-KIC
- Email: aryabiantara@gmail.com
-
Contact:
- Cokorda Agung W Purnamasidhi, MD
- Email: purnamasidhi@unud.ac.id
-
Principal Investigator:
- I Wayan Aryabiantara, MD,SpAn-KIC
-
Sub-Investigator:
- Cokorda Agung W Purnamasidhi, MD
-
Sub-Investigator:
- Made A Lely Suratri, MD
-
-
Central Java
-
Klaten, Central Java, Indonesia
- Recruiting
- Dr. Soeradji Tirtonegoro Hospital
-
Contact:
- Achmad Thabrani, MD,SpPD
- Email: thabraniachmad0@gmail.com
-
Contact:
- Zakiah Novianti, MD,SpP
- Email: zakiahnovianti.pulmonologist@gmail.com
-
Principal Investigator:
- Achmad Thabrani, MD,SpPD
-
Sub-Investigator:
- Zakiah Novianti, MD,SpP
-
Sub-Investigator:
- Tince Jovina, drg,MKM
-
Semarang, Central Java, Indonesia, 50272
- Not yet recruiting
- Dr. Wongsonegoro Regency Hospital
-
Contact:
- Jenny W Kandowangko, SpP
- Email: kandowangko@yahoo.com
-
Contact:
- Diana Novitasari, SpPD,KEMD
- Email: diana_budiharto@yahoo.com
-
Principal Investigator:
- Jenny W Kandowangko, SpP
-
Sub-Investigator:
- Diana Novitasari, SpPD-KEMD
-
Sub-Investigator:
- Lelly Andayasari, drg,MKes
-
-
DKI
-
Jakarta, DKI, Indonesia
- Recruiting
- Pasar Minggu Hospital
-
Sub-Investigator:
- Lelly Andayasari, drg,MKes
-
Contact:
- Mohammad Yanuar Fajar, MD,SpP
- Email: mohyanfa_dr@yahoo.co.id
-
Contact:
- Sri Rachmawati, SpAn-KIC
- Email: srirachmawati1945@gmail.com
-
Principal Investigator:
- Mohammad Yanuar Fajar, MD,SpP
-
Sub-Investigator:
- Sri Rachmawati, MD,SpAn-KIC
-
-
East Java
-
Lumajang, East Java, Indonesia, 67311
- Recruiting
- Dr. Haryoto Regency Hospital
-
Contact:
- Halimi Maksum, MD,MMRS
- Email: halimi_maksum@yahoo.co.id
-
Contact:
- Dwi Yuliati, MD,SpP
- Email: dyparu@gmail.com
-
Principal Investigator:
- Halimi Maksum, MD,MMRS
-
Sub-Investigator:
- Dwi Yuliati, MD,SpP
-
Sub-Investigator:
- Lusitawati, MSi
-
Probolinggo, East Java, Indonesia, 67282
- Not yet recruiting
- Waluyo Jati Kraksaan Regency Hospital
-
Contact:
- Yessi Rachmawati, MD,SpOG-K
- Email: yessirahmawati76@gmail.com
-
Contact:
- M. Reza, MD,MSc,SpA
- Email: reza.paed@gmail.com
-
Principal Investigator:
- Yessi Rachmawati, MD,SpOG-K
-
Sub-Investigator:
- M. Reza, MD,MSc,SpA
-
Sub-Investigator:
- Arvina Silalahi
-
Sidoarjo, East Java, Indonesia
- Recruiting
- Sidoarjo Regency Hospital
-
Contact:
- Nisvi Dewi Andaningrum,,SpPD
- Email: nisvidewi22@gmail.com
-
Contact:
- Raditya Rizky Muhammad, MD
- Email: radityarizki25@gmail.com
-
Principal Investigator:
- Nisvi Dewi Andaningrum, MD,SpPD
-
Sub-Investigator:
- Raditya Rizky Muhammad, MD
-
Sub-Investigator:
- Lutfah Rif'ati, MD,PhD
-
Surabaya, East Java, Indonesia
- Recruiting
- Dr Ramelan Navy Hospital
-
Contact:
- Fransiscus OH Prasetyadi, MD,SpOG-K
- Email: fransohp@gmail.com
-
Contact:
- Sri SI Marthaty, MD,SpP
- Email: ss.indah.martha@gmail.com
-
Principal Investigator:
- Fransiscus OH Prasetyadi, MD,SpOG-K
-
Sub-Investigator:
- Sri SI Marthaty, MD,SpP
-
Sub-Investigator:
- Sri M Nugraha, MD
-
Surabaya, East Java, Indonesia
- Recruiting
- Dr. Soetomo Hospital
-
Contact:
- Bambang P Semadi, MD,SpAn-KIC
- Email: bpsemedi@gmail.com
-
Contact:
- Ugroseno Y Bintoro, MD,SpPD-KHOM
- Email: ugrosenoyb2004@yahoo.com
-
Principal Investigator:
- Bambang P Semadi, MD,SpAn-KIC
-
Sub-Investigator:
- Ugroseno Y Bintoro, MD,SpPD-KHOM
-
Sub-Investigator:
- Danny Fajar Mogsa, MD
-
-
Jakarta
-
Jakarta Pusat, Jakarta, Indonesia, 14360
- Not yet recruiting
- Emergency Hospital for COVID-19 - Wisma Atlet Kemayoran
-
Contact:
- Efriadi Ismail, MD,SpP(K)
- Email: efriadidr@gmail.com
-
Contact:
- Arief Riadi Arifin, MD,SpP(K)
- Email: riadiarifin4@gmail.com
-
Principal Investigator:
- Efriadi Ismail, SpP(K)
-
Sub-Investigator:
- Arief Riadi Arifin, SpP(K)
-
Sub-Investigator:
- Tince Arniati Jovina, drg,MKM
-
-
North Sulawesi
-
Manado, North Sulawesi, Indonesia
- Recruiting
- Prof. Dr. R.D. Kandou Hospital
-
Sub-Investigator:
- Danny Fajar Mogsa, MD
-
Contact:
- Linda WA Rotty, SpPDKHOMProf
- Email: linda_rotty@yahoo.com
-
Contact:
- John Wantania, SpOG-K,Prof
- Email: john_w_md@yahoo.com
-
Principal Investigator:
- Linda Rotty, SpPDKHOMProf
-
Sub-Investigator:
- John Wantania, SpOG-K,Prof
-
-
Souh Sulawesi
-
Makassar, Souh Sulawesi, Indonesia
- Recruiting
- Dr. Tadjuddin Chalid Hospital
-
Contact:
- Sitti Nursiyah, MD,SpP
- Email: ichanurisyah@gmail.com
-
Contact:
- Erwin Arief, MD,SpPD-KP
- Email: erwin.pulmo@gmail.com
-
Principal Investigator:
- Sitti Nursiyah, MD,SpP
-
Sub-Investigator:
- Erwin Arief, MD,SpPD-KP
-
Sub-Investigator:
- Tince Jovina, Drg, MKM
-
-
South Sulawesi
-
Makassar, South Sulawesi, Indonesia, 90245
- Recruiting
- Dr. Wahidin Sudirohusodo Central Hospital
-
Contact:
- Faisal Muchtar, MD,SpAn-KIC
- Email: faisal_kedok@yahoo.com
-
Contact:
- Andi Adil, MD,SpAn-KAKV
- Email: adilzanetti4444@gmail.com
-
Principal Investigator:
- Faisal Muchtar, MD,SpAn-KIC
-
Sub-Investigator:
- Andi Adil, MD,SpAn-KAKV
-
Sub-Investigator:
- Sundari Wirasmi, SSi
-
Makassar, South Sulawesi, Indonesia, 90245
- Recruiting
- Hasanuddin University Hospital
-
Sub-Investigator:
- Lusitawati, MSi
-
Contact:
- Haizah Nurdin, MD,SpAn-KIC
- Email: haizahnurdin.anestesi@yahoo.com
-
Contact:
- Rezki Hardiyanti, SpAn
- Email: rezkihardiyanti.taufik@gmail.com
-
Principal Investigator:
- Haizah Nurdin, MD,SpAn-KIC
-
Sub-Investigator:
- Rezki Hardiyanti, SpAn
-
Makassar, South Sulawesi, Indonesia
- Not yet recruiting
- Dadi Hospital
-
Sub-Investigator:
- Arvina Silalahi
-
Contact:
- Alamsyah AA Husain, M
- Email: alamsyah.md@gmail.com
-
Contact:
- Muhammad Iswan Wahab, MD
- Email: iswanwahab@gmail.com
-
Principal Investigator:
- Alamsyah AA Husain, MD
-
Sub-Investigator:
- Muhammad Iswan Wahab, MD
-
-
South Sumatra
-
Palembang, South Sumatra, Indonesia
- Recruiting
- Dr. Mohammad Hoesin Central Hospital
-
Sub-Investigator:
- Widianto Pancaharjono, MD
-
Contact:
- Zen Achmad, MD,SpPD-KP
- Email: joniahmad21@yahoo.com
-
Contact:
- Nelda Aprilia Salim, MD,SpPD
- Email: apriliadoctor@gmail.com
-
Principal Investigator:
- Zen Achmad, MD,SpPD-KP
-
Sub-Investigator:
- Nelda Aprilia Salim, MD,SpPD
-
-
West Java
-
Bandung, West Java, Indonesia
- Recruiting
- Dr. Hasan Sadikin Central Hospital
-
Sub-Investigator:
- Lutfah Rif'ati, MD,PhD
-
Contact:
- Ruswana Anwar, OG(REI),PhD
- Email: ruswana_anwar@yahoo.com
-
Contact:
- Dimmy Prasetya, MD,SpPD-KHOM
- Email: dimmyprasetyaipd@gmail.com
-
Principal Investigator:
- Ruswana Anwar, OG(REI),PhD
-
Sub-Investigator:
- Dimmy Prasetya, MD,SpPD-KHOM
-
Cirebon, West Java, Indonesia
- Recruiting
- RSD Gunung Jati
-
Contact:
- Agung Hujjatulislam, MD,SpAn,KIC
- Email: agung.hujjatulislam@gmail.com
-
Contact:
- Oom Nurrohmah, MD,SpPD
- Email: oomnurrohmah2@gmail.com
-
Principal Investigator:
- Agung Hujjatulislam, MD,SpAn,KIC
-
Sub-Investigator:
- Oom Nurrohmah, MD,SpPD
-
Sub-Investigator:
- Christa G. Manik, SKep,NS,MPH
-
-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
INCLUSION CRITERIA:
- Patients with PCR-confirmed COVID-19
- Minimal age:18 years
- Agree to participate in the trial with written informed consent
Moderate or Severe COVID-19 at the time of enrollment
.
A. Definition of moderate disease (according to Siddiqi et al):
Moderate COVID-19 is defined as disease with fever, respiratory symptoms (dry cough, chest distress, or shortness of breath after activities), and pulmonary imaging findings, and at least one of the following findings:
i) Abnormal coagulation parameters:
- D-dimer >1 µg/mL (normal <0.5 µg/mL)
- Prothrombin time (>13.6 second) or International normalized ratio (INR) ≥1.8
- Thrombocyte count <100x 10^3/mL
ii) Increased pro-inflammatory markers:
- C-reactive protein (CRP) ≥26.9 mg/L
- Procalcitonin ≥0.5 ng/mL,
- Lymphocyte count <1.5x 10^9/L) or Neutrophil/Lymphocyte ratio (NLR) >3.3
iii) Presence of risk factors or comorbidities:
- Age >65 years
- Type 1 Diabetes Mellitus or type 2 Diabetes Mellitus (with any of the following: Fasting blood glucose ≥126 mg/dl, 2-h plasma glucose ≥200 mg/dL, or random plasma glucose ≥200 mg/dL, plus HbA1C >6.5%)
- Chronic kidney disease (creatinine >2.0 mg/dL) or with routine hemodialysis
- Chronic liver Disease with signs of liver cirrhosis; Child-Turcotte-Pugh (CTP) Class A (score 5-6) or Class B (score 7-9) or higher; or Model for End-Stage Liver Disease (MELD) score <39
- Heart failure (New York Health Association [NYHA] Class I or II)
- Bronchial asthma, chronic obstructive pulmonary disease (COPD), or pulmonary tuberculosis
- Cancer (particularly patients with chemotherapy or immunotherapy)
- Immunocompromised conditions, including HIV/AIDS, post-organ transplantation, or judged by attending physician (preferable after specialist consultation)
- Long-term corticosteroid use
- autoimmune disease
- Sequential Organ Failure Assessment [SOFA] score ≥5.65
- Body Mass Index (BMI) ≥35 kg/m2
B. Definition of severe COVID-19 (according to Siddiqi et al):
Severe Covid-19 is defined as disease with a respiratory rate ≥30 breaths/min, oxygen saturation <90% or oxygenation index (PaO2/FiO2) ≤300 mmHg, and/or lung infiltrates >50% within 24-48 h.
EXCLUSION CRITERIA:
- Pregnant or lactating woman
- History of transfusion reaction, blood-group incompatibility, IgA deficiency, or Allergy to Immunoglobulin-containing substances
- Concurrent participation of clinical trials of COVID-19 treatment
- Possibility of transfer to other hospital within 72 hours
- Heart Failure (NYHA Class III or higher) or other diseases with risks of volume overload
Permanent organ failure unrelated to COVID-19, including:
- End-stage liver disease (CTP score >10 or MELD score >40)
- End stage renal disease with creatinine clearance <30% or in routine dialysis
- Multiple organ failure (SOFA score ≥11)
- Concomitant condition or treatment with risks of thrombosis, e.g., cryoglobulinemia, refractory hypertriglyceridemia, or monoclonal gammopathy
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: None (Open Label)
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
|---|---|
|
Experimental: Treatment group
Subjects in the Treatment Group are given 200 ml of Plasma collected from Convalescent Patients recovered from COVID-19 at two-day intervals in addition to standard supportive treatment
|
Convalescent Plasma collected from patients who recover from COVID-19 and have been discharged from the hospital for at least 14 days.
|
|
No Intervention: Control group
Subjects in the Control Group are given standard supportive treatment
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
The mortality in COVID-19 patients treated with convalescent plasma
Time Frame: From the initiation of CP treatment until hospital discharge or death, up to 28 days
|
Number of deaths from the initiation of CP treatment until hospital discharge or death.
|
From the initiation of CP treatment until hospital discharge or death, up to 28 days
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Change in clinical status category in CP-receiving patients
Time Frame: From the initiation of CP treatment until hospital discharge or death, up to 28 days
|
Change in clinical status category will be scored daily based on the modified WHO six-point ordinal scale.
The six-point scale is as follows: 1, non-hospitalized; 2, hospitalized, without supplemental oxygen; 3, hospitalized, with supplemental oxygen; 4, hospitalized, with nasal high-flow oxygen therapy, non-invasive mechanical ventilation, or both; 5, hospitalized, with invasive mechanical ventilation, extracorporeal membrane oxygenation (ECMO), or both; and 6, death
|
From the initiation of CP treatment until hospital discharge or death, up to 28 days
|
|
Duration of hospitalization
Time Frame: From admisstion until hospital discharge or death, up to 28 days
|
Number of days from the admission to the date of discharge or death.
Patients who are not discharged and remain in the hospital at the end of study period will be censored on the study's end date, while those who are lost to follow-up will be censored on the last encounter date
|
From admisstion until hospital discharge or death, up to 28 days
|
|
Duration of mechanical ventilation
Time Frame: From the initiation of CP treatment until hospital discharge or death, up to 28 days
|
Number of days in patients with ventilatory support
|
From the initiation of CP treatment until hospital discharge or death, up to 28 days
|
|
Duration of ICU stay
Time Frame: From the initiation of CP treatment until hospital discharge or death, up to 28 days
|
Number of days from entry to release from ICU
|
From the initiation of CP treatment until hospital discharge or death, up to 28 days
|
|
Change in lung image radiography in CP-receiving patients
Time Frame: Days 0, 6, 14, 21, and 28
|
The lung radiological image will be assessed using the Brixia chest X-ray scoring (Morghesi and Maroldi, 2020).
Each lung is divided into three zones, marked by letters A, B, and C for the right lung, and D, E, and F for the left lung.
The letters divide the lungs into three levels: upper level (A and D), above the inferior wall of the aortic arch; middle level (B and E), below the inferior wall of the aortic arch and above the inferior wall of the right inferior pulmonary vein; and lower level (C and F), below the inferior wall of the right inferior pulmonary vein.
A score (from 0 to 3) is assigned to each zone based on the detected lung abnormalities: 0, no lung abnormalities; 1, interstitial infiltrates; 2, interstitial and alveolar infiltrates (interstitial pre-dominance); and 3, interstitial and alveolar infiltrates (alveolar predominance).
The overall CXR score is the sum of points from the six lung zones with a range from 0 to 18.
|
Days 0, 6, 14, 21, and 28
|
|
Change in inflammatory parameters in CP-receiving patients
Time Frame: Days 0, 6, 14, 21, and 28
|
Measurement of C-reactive protein (reference: <5.0 mg/L); neutrophil/lymphocyte ratio reference range: male, 0.43~2.75;
female,0.37~2.87),
procalcitonin (reference: <0.15 ng/mL), and IL-6 (reference range: (5-15 pg/ml) levels in CP-receiving patients
|
Days 0, 6, 14, 21, and 28
|
|
Change in coagulation parameters in CP-receiving patients
Time Frame: Days 0, 6, 14, 21, and 28
|
Measurement of D-Dimer (reference: <0.5 mcg/mL) and prothrombin time (reference range: 11.0-13.6)
seconds in CP-receiving patients
|
Days 0, 6, 14, 21, and 28
|
|
Change in viral load in CP-receiving patients
Time Frame: Days 0, 3, 6, 14, 21, and 28
|
Measurement of viral load by nasopharyngeal swab PCR in CP-receiving patients.
Additional test on day 3 will be performed to identify the early clearance of the virus.
|
Days 0, 3, 6, 14, 21, and 28
|
|
Changes in anti-SARS-CoV-2 antibody levels in CP-receiving patients
Time Frame: Days 0, 3, 6, 14, 21, and 28
|
Plasma/serum titer of anti-SARS-CoV-2 antibodies in CP-receiving patients by the plaque reduction neutralization test or enzyme-linked immunosorbent assay.
Additional test on day 3 will be performed to identify the early changes in antibody levels.
|
Days 0, 3, 6, 14, 21, and 28
|
|
Systemic organ involvement in patients receiving CP treatment
Time Frame: Days 0, 6, 14, 21, and 28
|
Systemic organ involvement measured by the Sequential Organ Failure Assessment (SOFA) score.
It is used for calculation of both the number and the severity of organ dysfunction in six organ systems (respiratory, coagulatory, liver, cardiovascular, renal, and neurologic), and can measure individual or aggregate organ dysfunction.
Each organ system is assigned a point value from 0 (normal) to 4 (high degree of dysfunction/failure).
The SOFA score ranges from 0 to 24.
An increasing or unchanged SOFA score is associated with a higher mortality rate than patients with a decreasing score.
|
Days 0, 6, 14, 21, and 28
|
|
Time to resolution of symptoms in patients receiving CP treatment
Time Frame: Days 0, 6, 14, 21, and 28
|
Patients whose symptoms are not resolved and remain in the hospital at the end of study period will be censored on the study's end date, while those are lost to follow-up will be censored on the last encounter date.
|
Days 0, 6, 14, 21, and 28
|
|
Treatment-related adverse events (AEs) and serious adverse events (SAEs)
Time Frame: From the initiation of CP treatment until hospital discharge or death, up to 28 days
|
Number of participants with treatment-related adverse events as assessed by the Common Terminology Criteria for Adverse Events (CTCAE) v5.0.
|
From the initiation of CP treatment until hospital discharge or death, up to 28 days
|
|
Impact of anti-SARS-CoV-2 antibody levels in donors on the efficacy of CP therapy in CP-receiving patients
Time Frame: Days 0, 6, 14, 21, and 28
|
Correlation between anti-SARS-CoV-2 antibody levels in donors and the clinical status of CP-receiving patients according to the modified WHO 6-point ordinal scale
|
Days 0, 6, 14, 21, and 28
|
|
Impact of anti-SARS-CoV-2 antibody levels in donors on the viral clearance in CP-receiving patients
Time Frame: Days 0, 3, 6, 14, 21, and 28
|
Correlation between anti-SARS-CoV-2 antibody levels in the donors and the viral clearance in CP-receiving patients.
Additional test on day 3 will be performed to identify the early clearance of the virus.
|
Days 0, 3, 6, 14, 21, and 28
|
Collaborators and Investigators
Sponsor
Investigators
- Principal Investigator: David H Muljono, MD, PhD., Eijkman Institute for Molecular Biology
- Principal Investigator: Irmansyah, MD, PhD, National Institute of Health Research and Development, Ministry of Health Republic of Indonesia
- Study Director: Sri Idaiani, MD, PhD, National Institute of Health Research and Development, Ministry of Health Republic of Indonesia
- Study Director: Tetra Fajarwati, MD,PhD, National Institute of Health Research and Development, Ministry of Health Republic of Indonesia
Publications and helpful links
General Publications
- Mair-Jenkins J, Saavedra-Campos M, Baillie JK, Cleary P, Khaw FM, Lim WS, Makki S, Rooney KD, Nguyen-Van-Tam JS, Beck CR; Convalescent Plasma Study Group. The effectiveness of convalescent plasma and hyperimmune immunoglobulin for the treatment of severe acute respiratory infections of viral etiology: a systematic review and exploratory meta-analysis. J Infect Dis. 2015 Jan 1;211(1):80-90. doi: 10.1093/infdis/jiu396. Epub 2014 Jul 16.
- Casadevall A, Pirofski LA. The convalescent sera option for containing COVID-19. J Clin Invest. 2020 Apr 1;130(4):1545-1548. doi: 10.1172/JCI138003. No abstract available.
- Yancy CW, Jessup M, Bozkurt B, Butler J, Casey DE Jr, Drazner MH, Fonarow GC, Geraci SA, Horwich T, Januzzi JL, Johnson MR, Kasper EK, Levy WC, Masoudi FA, McBride PE, McMurray JJ, Mitchell JE, Peterson PN, Riegel B, Sam F, Stevenson LW, Tang WH, Tsai EJ, Wilkoff BL; American College of Cardiology Foundation; American Heart Association Task Force on Practice Guidelines. 2013 ACCF/AHA guideline for the management of heart failure: a report of the American College of Cardiology Foundation/American Heart Association Task Force on Practice Guidelines. J Am Coll Cardiol. 2013 Oct 15;62(16):e147-239. doi: 10.1016/j.jacc.2013.05.019. Epub 2013 Jun 5. No abstract available.
- WHO Working Group on the Clinical Characterisation and Management of COVID-19 infection. A minimal common outcome measure set for COVID-19 clinical research. Lancet Infect Dis. 2020 Aug;20(8):e192-e197. doi: 10.1016/S1473-3099(20)30483-7. Epub 2020 Jun 12. Erratum In: Lancet Infect Dis. 2020 Oct;20(10):e250.
- Siddiqi HK, Mehra MR. COVID-19 illness in native and immunosuppressed states: A clinical-therapeutic staging proposal. J Heart Lung Transplant. 2020 May;39(5):405-407. doi: 10.1016/j.healun.2020.03.012. Epub 2020 Mar 20. No abstract available.
- Li L, Zhang W, Hu Y, Tong X, Zheng S, Yang J, Kong Y, Ren L, Wei Q, Mei H, Hu C, Tao C, Yang R, Wang J, Yu Y, Guo Y, Wu X, Xu Z, Zeng L, Xiong N, Chen L, Wang J, Man N, Liu Y, Xu H, Deng E, Zhang X, Li C, Wang C, Su S, Zhang L, Wang J, Wu Y, Liu Z. Effect of Convalescent Plasma Therapy on Time to Clinical Improvement in Patients With Severe and Life-threatening COVID-19: A Randomized Clinical Trial. JAMA. 2020 Aug 4;324(5):460-470. doi: 10.1001/jama.2020.10044. Erratum In: JAMA. 2020 Aug 4;324(5):519.
- Szakó L, Farkas N, Kiss S, Váncsa S, Zádori N, Vörhendi N, Erőss B, Hegyi P, Alizadeh H. Convalescent plasma therapy for COVID-19 patients: a protocol of a prospective meta-analysis of randomized controlled trials. Trials. 2021 Feb 1;22(1):112. doi: 10.1186/s13063-021-05066-2.
- Focosi D, Anderson AO, Tang JW, Tuccori M. Convalescent Plasma Therapy for COVID-19: State of the Art. Clin Microbiol Rev. 2020 Aug 12;33(4):e00072-20. doi: 10.1128/CMR.00072-20. Print 2020 Sep 16.
- Diago-Sempere E, Bueno JL, Sancho-Lopez A, Rubio EM, Torres F, de Molina RM, Fernandez-Cruz A, de Diego IS, Velasco-Iglesias A, Payares-Herrera C, Flecha IC, Avendano-Sola C, Palomino RD, Ramos-Martinez A, Ruiz-Antoran B. Evaluation of convalescent plasma versus standard of care for the treatment of COVID-19 in hospitalized patients: study protocol for a phase 2 randomized, open-label, controlled, multicenter trial. Trials. 2021 Jan 20;22(1):70. doi: 10.1186/s13063-020-05011-9.
- Borghesi A, Maroldi R. COVID-19 outbreak in Italy: experimental chest X-ray scoring system for quantifying and monitoring disease progression. Radiol Med. 2020 May;125(5):509-513. doi: 10.1007/s11547-020-01200-3. Epub 2020 May 1.
- Ekmekci PE, Arda B. Interculturalism and Informed Consent: Respecting Cultural Differences without Breaching Human Rights. Cultura (Iasi). 2017;14(2):159-172.
- Zulu JM, Sandøy IF, Moland KM, Musonda P, Munsaka E, Blystad A. The challenge of community engagement and informed consent in rural Zambia: an example from a pilot study. BMC Med Ethics. 2019 Jul 4;20(1):45. doi: 10.1186/s12910-019-0382-x.
- Janiaud P, Axfors C, Schmitt AM, Gloy V, Ebrahimi F, Hepprich M, Smith ER, Haber NA, Khanna N, Moher D, Goodman SN, Ioannidis JPA, Hemkens LG. Association of Convalescent Plasma Treatment With Clinical Outcomes in Patients With COVID-19: A Systematic Review and Meta-analysis. JAMA. 2021 Mar 23;325(12):1185-1195. doi: 10.1001/jama.2021.2747.
- Libster R, Perez Marc G, Wappner D, Coviello S, Bianchi A, Braem V, Esteban I, Caballero MT, Wood C, Berrueta M, Rondan A, Lescano G, Cruz P, Ritou Y, Fernandez Vina V, Alvarez Paggi D, Esperante S, Ferreti A, Ofman G, Ciganda A, Rodriguez R, Lantos J, Valentini R, Itcovici N, Hintze A, Oyarvide ML, Etchegaray C, Neira A, Name I, Alfonso J, Lopez Castelo R, Caruso G, Rapelius S, Alvez F, Etchenique F, Dimase F, Alvarez D, Aranda SS, Sanchez Yanotti C, De Luca J, Jares Baglivo S, Laudanno S, Nowogrodzki F, Larrea R, Silveyra M, Leberzstein G, Debonis A, Molinos J, Gonzalez M, Perez E, Kreplak N, Pastor Arguello S, Gibbons L, Althabe F, Bergel E, Polack FP; Fundacion INFANT-COVID-19 Group. Early High-Titer Plasma Therapy to Prevent Severe Covid-19 in Older Adults. N Engl J Med. 2021 Feb 18;384(7):610-618. doi: 10.1056/NEJMoa2033700. Epub 2021 Jan 6.
- Marx R, Eggert G, Beldner W. [Thermal expansion and plasticizing temperatures of dental adhesives]. Dtsch Zahnarztl Z. 1988 Apr;43(4):465-8. German.
- American Diabetes Association. Diagnosis and classification of diabetes mellitus. Diabetes Care. 2009 Jan;32 Suppl 1:S62-7. doi: 10.2337/dc09-S062.
- Jones AE, Trzeciak S, Kline JA. The Sequential Organ Failure Assessment score for predicting outcome in patients with severe sepsis and evidence of hypoperfusion at the time of emergency department presentation. Crit Care Med. 2009 May;37(5):1649-54. doi: 10.1097/CCM.0b013e31819def97.
- Wiesner R, Edwards E, Freeman R, Harper A, Kim R, Kamath P, Kremers W, Lake J, Howard T, Merion RM, Wolfe RA, Krom R; United Network for Organ Sharing Liver Disease Severity Score Committee. Model for end-stage liver disease (MELD) and allocation of donor livers. Gastroenterology. 2003 Jan;124(1):91-6. doi: 10.1053/gast.2003.50016.
- Cholongitas E, Papatheodoridis GV, Vangeli M, Terreni N, Patch D, Burroughs AK. Systematic review: The model for end-stage liver disease--should it replace Child-Pugh's classification for assessing prognosis in cirrhosis? Aliment Pharmacol Ther. 2005 Dec;22(11-12):1079-89. Review.
- Ng JJ, Luo Y, Phua K, Choong AMTL. Acute kidney injury in hospitalized patients with coronavirus disease 2019 (COVID-19): A meta-analysis. J Infect. 2020 Oct;81(4):647-679. doi: 10.1016/j.jinf.2020.05.009. Epub 2020 May 8. No abstract available.
Helpful Links
Study record dates
Study Major Dates
Study Start (Actual)
Primary Completion (Anticipated)
Study Completion (Anticipated)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Actual)
Study Record Updates
Last Update Posted (Actual)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
Other Study ID Numbers
- COVID-CT002
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
IPD Plan Description
IPD Sharing Time Frame
IPD Sharing Access Criteria
IPD Sharing Supporting Information Type
- Study Protocol
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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