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The use of Anti-Coronavirus Hyperimmune Intravenous Immunoglobulin in patients with COVID 19 - a trial to know its efficacy and safety

An International Multicenter, Adaptive, Randomized Double-Blind, Placebo- Controlled Trial of the Safety, Tolerability and Efficacy of Anti-Coronavirus Hyperimmune Intravenous Immunoglobulin for the Treatment of Adult Hospitalized Patients at Onset of Clinical Progression of COVID-19 - ITAC

Status
Active, not recruiting
Phases
Phase 2Phase 3
Study type
Interventional
Source
CTRI
Registry ID
CTRI/2021/12/038622
Enrollment
500
Registered
2021-12-14
Start date
Unknown
Completion date
Unknown
Last updated
2022-10-17

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Health Condition 1: - Health Condition 2: B972- Coronavirus as the cause of diseases classified elsewhere

Interventions

Intervention1: Anti SARS CoV-2 Hyperimmune Intravenous Immunoglobulin: Anti-Coronavirus Hyperimmune IVIG contains polyvalent antibodies with neutralizing specificity for SARS-CoV-2. It has the potenti

Sponsors

University of Minnesota
Lead Sponsor
National Institute of Allergy and Infectious Diseases NIAID National Institutes of Health NIH
Collaborator

Eligibility

Inclusion criteria

Inclusion criteria: 1. SARS-CoV-2 infection documented by PCR or other nucleic acid test (NAT) within 3 days prior to randomization OR documented by NAT more than 3 days prior to randomization AND progressive disease suggestive of ongoing SARS-CoV-2 infection 2. Symptomatic COVID-19 disease 3. Duration of symptoms attributable to COVID-19 � 12 days 4.Requiring in patient hospital medical care for clinical manifestations of COVID-19 (admission for public health or quarantine only is not included) 5.Age � 18 years 6. Willingness to abstain from participation in other COVID-19 treatment trials until after study Day 7 7. Provision of informed consent by participant or legally authorized representative

Exclusion criteria

Exclusion criteria: 1.Prior receipt of SARS-CoV-2 hIVIG or convalescent plasma from a person who recovered from COVID-19 at any time 2. Prior receipt of standard IVIG (not hyperimmune to SARS-CoV-2) within 45 days 3.Current or predicted imminent (within 24 hours) requirement for any of the following: � Invasive ventilation � Non-invasive ventilation � Extracorporeal membrane oxygenation � Mechanical circulatory support � Continuous vasopressor therapy 4. History of allergy to IVIG or plasma products 5. History of selective IgA deficiency with documented presence of anti-IgA antibodies 6. Any medical conditions for which receipt of the required volume of intravenous fluid may be dangerous to the patient � Includes New York Heart Association Class III or IV stage heart failure 7. Any of the following thrombotic or procoagulant disorders: � Acute coronary syndromes, cerebrovascular syndromes and pulmonary or deep venous thrombosis within 28 days of randomization � History of prothrombin gene mutation 20210, homozygous Factor V Leiden mutations, antithrombin III deficiency, protein C deficiency, protein S deficiency or antiphospholipid syndrome 8.Any condition for which in the opinion of the investigator, participation would not be in the best interest of the participant or that could prevent, limit, or confound the protocol-specified assessments

Design outcomes

Secondary

MeasureTime frame
Because there is no established endpoint for evaluating the clinical efficacy of treatments for COVID-19, other clinically relevant outcomes, including outcomes used in other COVID-19 treatment trials, will be recorded. Thus, the randomized groups can be compared for multiple outcomes, and results can be compared or combined with other trials.Timepoint: The time points for the secondary outcome is day 28. Delayed outcome will be measured on day 90.

Primary

MeasureTime frame
The primary endpoint of this trial in hospitalized patients is an ordinal outcome based on the patient�s clinical status on Day 7. It includes 7 mutually exclusive categories capturing the range of organ dysfunction that may be associated with progression of COVID-19, such as respiratory dysfunction and coagulation-related complications. Timepoint: On Days 1, 2, 3, 7, and 28

Countries

Denmark, Greece, India, Japan, Nigeria, Spain, United Kingdom, United States of America

Contacts

Public ContactDr Jerin Jose Cherian

Indian Council of Medical Research

cherian.jj@icmr.gov.in

Outcome results

None listed

Source: CTRI (via WHO ICTRP) · Data processed: Feb 4, 2026