COVID-19 or protective effect against in B-cell depleted patients or vaccination non-responders MedDRA version: 23.1 Level: LLT Classification code 10084464 Term: COVID-19 immunization System Organ Class: 100000004865
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 18 years or older Written informed consent ? B-cell depleted status because one of following: o Prior B-cell depletion therapy (latest administration =65 years) yes F.1.3.1 Number of subjects for this age range 80
Exclusion criteria
Exclusion criteria: Symptoms of respiratory infection at time of inclusion Anti-SARS-CoV-2 antibodies prior to administration of study product > 2.0 OD (Wantai total Ig) Positive SARS-CoV-2 PCR Known previous history of transfusion-related acute lung injury Known IgA deficiency Known hypersensitivity to human immunoglobulins Liver cirrhosis Received anti-SARS-CoV-2 vaccination in the 2 weeks preceding screening or between screening and baseline
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Secondary Objective: We will test this on patients with B-cell depletion and/or dysfunction or patients who are non-responder on vaccination. Because they are unable or hardly able to make neutralizing antibodies themselves, this could give them a protective effect against COVID19. Safety of convalescent plasma or nanogam will be evaluated;Primary end point(s): Main study parameter/endpoint • Duration and titers of virus neutralizing antibodies in serum of patients after the administration of different doses of ConvP • Duration and titers of virus neutralizing antibodies in serum of patients after the administration of different doses of Nanogam?plus ;Timepoint(s) of evaluation of this end point: Control of titer before administration of study product. One and 24 hours post-administration. on day 3 and 7 After 2, 4, 6, 8, 12, 18 and 24 weeks;Main Objective: To create a population pharmacokinetic model of SARS-COV-2 neutralizing antibodies as present in ConvP and Nanogam plus. | — |
Secondary
| Measure | Time frame |
|---|---|
| Secondary end point(s): • The incidence of COVID-19 during follow-up until antibody levels have become undetectable • Percentage of patients with adverse events (in particular TRALI of TACO) after administration of convalescent plasma • Percentage of patients with adverse events (in particular TRALI or TACO) after administration of Nanogam?plus Other study parameters (if applicable) • Whenever a breakthrough infection is diagnosed, we will do everything possible to collect the SARS-CoV-2 strain for sequencing in order to identify new or emerging variants of concern (e.g. strain 501.V2 or P.1 also known as the South-African or Brazilian variant) to evaluate the virus neutralizing capacity of the ConvP or Nanogam?plus that the patient received. ;Timepoint(s) of evaluation of this end point: Control of titer before administration of study product. One and 24 hours post-administration. After 3 and 7 days After 2, 4, 6, 8, 12, 18 and 24 weeks | — |
Countries
Netherlands
Contacts
Erasmus MC