Title
Therapeutic Use of Convalescent Plasma in the Treatment of Patients With Moderate to Severe COVID-19
A Prospective, Randomized, Placebo-controlled, Double-blinded, Phase III Clinical Trial of the Therapeutic Use of Convalescent Plasma in the Treatment of Patients With Moderate to Severe COVID-19
Phase
Phase 3Lead Sponsor
South African National Blood ServiceStudy Type
InterventionalStatus
Unknown statusIndication/Condition
COVID-19 SARS-CoV-2 Infection Severe Acute Respiratory Syndrome Coronavirus 2Intervention/Treatment
COVID-19 convalescent plasma (CCP) plus standard of care (SOC) ...Study Participants
600A prospective, randomized, placebo-controlled, double-blinded, phase III clinical trial of the therapeutic use of convalescent plasma in the treatment of patients with moderate to severe COVID-19
Full Title: A prospective, randomized, placebo-controlled, double-blinded, phase III clinical trial of the therapeutic use of convalescent plasma in the treatment of patients with moderate to severe COVID-19.
Short Title: PROTECT-Patient study
Aim: Assess the safety and efficacy of COVID-19 convalescent plasma (CCP) as a therapeutic treatment for hospitalised patients with moderate to severe COVID-19
Study Design: Randomised, double-blinded, placebo-controlled, phase III clinical trial
Intervention: Randomised 1:1 to either CCP plus standard of care (SOC) or to SOC plus placebo (200 mL normal saline)
Active Agent: A single unit of approximately 200-250 mL of CCP that contains anti-SARS-CoV-2 collected by plasmapheresis from a volunteer who recovered from COVID19 with SOC as determined by local practice and guidelines.
Placebo: A single unit of 200 mL normal saline with SOC as determined by local practice and guidelines
Sample Size: 600
Study Population: Consenting adult inpatients with moderate to severe COVID-19, not requiring invasive ventilation, who are admitted to a participating public or private sector hospital and who are not enrolled in another COVID-19 treatment trial.
Settings: Participating public and private sector hospitals in South Africa
A single unit of approximately 200-250 mL of CCP that contains anti-SARS-CoV-2 collected by plasmapheresis from a volunteer who recovered from COVID19 with SOC as determined by local practice and guidelines.
A single unit of 200 mL normal saline with SOC as determined by local practice and guidelines
A single unit of approximately 200-250 mL of CCP that contains anti-SARS-CoV-2 collected by plasmapheresis from a volunteer who recovered from COVID19 with SOC as determined by local practice and guidelines.
A single unit of 200 mL normal saline with SOC as determined by local practice and guidelines.
Inclusion Criteria: Laboratory confirmed SARS-CoV-2 by positive RT-PCR on any respiratory sample; Age ≥ 18 years; Require hospital admission for COVID-19 pneumonia as defined by the presence of pulmonary infiltrates on chest x-ray; Moderate to severe Covid-19 disease, defined as: SpO2 ≤ 93% on room air; plus requiring non-invasive oxygen therapy (WHO R&D BOSCI 4 or 5 Signed informed consent; Pregnant women will be allowed to participate. Exclusion Criteria: Current participation in another therapeutic clinical trial for COVID-19; Invasive mechanical ventilation; Expected survival < 24 hours based on clinical assessment (however, the study does not exclude critically ill patients who are not, due to resource limitations, candidates for critical care admission and/or mechanical ventilation); Known hypersensitivity to immunoglobulin or any components of the formulation;