Currently there is no standard treatment for SARS-CoV-2 infection. Use of convalescent plasma has been studied in outbreaks of other respiratory infections, including SARS-CoV-1 , MERS-CoV and Hantavirus infection. This study is an open-label randomized trial in which patients with high risk of COVID19-associated respiratory failure will be randomized to early treatment with convalescent plasma (≤ 7 days from symptoms start) or at early signs of respiratory failure or prolonged hospitalization. COVID-19 convalescent plasma will be collected from individuals according to the institutional protocol.
Biological: COVID-19 convalescent plasma
COVID-19 convalescent plasma
Inclusion Criteria:
- Patient older than 18 years
- CALL score ≥ 9 (progression risk score)
- PCR-confirmed COVID-19 infection with equal or less than 7 days of symptoms (or
imaging consistent with COVID-19 pneumonia and confirmed COVID-19 contact)
- Any symptoms of COVID-19 infection
- Admission due to COVID-19 infection
- Signed informed consent
- ECOG before COVID-19 infection 0-2
Exclusion Criteria:
- PaFi <200 or mechanical ventilation indication
- Clinically relevant co-infection at admission
- Pregnancy or lactation
- IgA deficiency or IgA nephropathy
- Immunoglobulin or plasma administration in the last 60 days
- Contraindication to transfusion or previous allergy to blood-derived products
- Do-not-resuscitate status
- Patients receiving other investigational drug for COVID-19 in a clinical trial
- Any condition, that in opinion of the investigator may increase the risk associated
with study participation or interfere with the interpretation of study results.
Hospital Clínico Universidad Católica
Santiago, Chile
Maria Elvira Balcells, MD, Principal Investigator
ebalcells@uc.cl