The investigators propose to evaluate intravenous administration of convalescent plasma (CP) obtained from COVID19 survivors in COVID19 patients who are in the medium stage. Supportive data exist for use of convalescent plasma in the treatment of COVID19 and other overwhelming viral illnesses. The study team wants to test the hypothesis that treatment with COVID19 CP will demonstrate salutary effects on COVID19 disease severity/duration, with the primary objective to reduce mortality. In addition, a major secondary objective to reduce the requirement for and/or duration of mechanical ventilation. The first phase is to test the safety of CP therapy.
Coronaviruses are among the most common causes of the common cold in humans.1,2 In recent
decades, coronavirus has caused several epidemic worldwide with a vast number of deaths such
as severe acute respiratory syndrome-SARS (2003) with 8098 people infected and 774 people
died over 29 countries. The disease caused by SARS CoV-2 (COVID19) is manifest by fever,
fatigue, dry cough, pharyngitis, and headache. In addition to the common clinical
presentation of respiratory distress, and increasing frequency of cardiovascular
manifestations has become evident.
In this context, the investigators propose to evaluate the safety of intravenous
administration of convalescent plasma (CP) obtained from COVID19 survivors in patients
requiring hospitalization for symptomatic "high risk" COVID19 disease. The study team wants
to test the hypothesis that treatment with COVID19 CP will demonstrate salutary effects on
COVID19 disease severity/duration, with the primary objective to reduce mortality. In
addition, a major secondary objective to reduce the requirement for and/or duration of
mechanical ventilation This is a single-arm, non-randomized, open-label treatment of eligible
subjects defined as those who satisfy all inclusion criteria.
Written informed consent will be obtained all eligible subjects prior to participation.
Convalescent plasma will be obtained from male donors, nulliparous females, or female donors
negative for HLA antibodies at least 14 days following recovery from COVID-19 infection.
Biological: Convalescent COVID 19 Plasma
A total of 500 ml of convalescent COVID 19 plasma will be transfused intravenously per subject
Inclusion Criteria:
- Age 18-75 years
- SARS-CoV-19 PCR positive
- Medium stage
- Time from onset to screening ≤ 21 days, the SARS-CoV-2 test is still positive
Exclusion Criteria:
- Patients with a history of autoimmune disease or IgA deficiency
- Patients with a history of allergy
- Multi-organ/system failure
- Pregnant or breastfeeding at the time of study
- Cancer, history of heart failure, stroke, bronchial asthma
- Multi-organ/system failure with indications for dialysis, severe hypoxia, failure with
conventional treatment methods, indications for ECMO.
- The patient is infected with multidrug-resistant bacteria.
- The patient is participating in another study.
- Time from onset to screening> 21 days
Vinmec Research Institute of Stem cell and Gene Technology
Hanoi, Vietnam