Covid-19
Conditions
Keywords
covid-19, pneumonia, pandemic, convalescent plasma
Brief summary
Open label two arms, non randomized Convalescent Plasma treatment to severe and critical pneumonia COVID-19 hospitlaized patients compared to a historical cohort with matched controls.
Detailed description
We will perform an open label two arms, non randomized trial giving Convalescent Plasma donated from recovered COVID-19 patients with positive serology to severe and clinical pneumonia COVID-19 patients admitted to the ABC Medical Center.
Interventions
Administration of Convalescent Plasma to COVID-19 obtained from donors with prior documented SARS-CoV 2 infection with IgG antibodies to hospitalized COVID-19 severe cases.
Administration of Convalescent Plasma to COVID-19 obtained from donors with prior documented SARS-CoV 2 infection with IgG antibodies to hospitalized COVID-19 critical cases.
Sponsors
Study design
Intervention model description
Two groups depending on the stage of the disease according to the CDC of China classification severe and critical COVID-19 pneumonia
Eligibility
Inclusion criteria
Donors: 1. Age: \>18 and \<60 years 2. Body weight : \>60 kg 3. Confirmed previous SARS CoV-2 infection 4. negative SARS CoV-2 test result 5. 21 day without symptoms from the negative SARS CoV2 negative test 6. Written informed consent to participate in this clinical trial, to donate plasma and to store the specimen for future testing. 7. Positive COVID-19 IgG antibodies 8. Male donors, or female donors who have not been pregnant, or female donors who have been pregnant tested negative for HLA antibodies 9. Individuals who meet all regular voluntary donor eligibility requirements by the Mexican legislation. Patients/recipients: 1. Age: \>18 years 2. Admitted to the ABC Medical Center facility for the treatment of COVID-19 3. Patients with severe or critical COVID-19 4. Informed consent provided by the patient or healthcare proxy
Exclusion criteria
Patients/recipients: 1\. Contraindication to transfusion (severe volume overload, history of anaphylaxis to blood products) 2. Any other not controlled infection 3. Disseminated Intravascular Coagulopathy 4. Patient under dialysis 5. Patient with recent Hemorrhagic Stroke 6. Severe Ischemic Heart Disease \-
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| INCIDENCE OF CRITICAL PNEUMONIA | 14 days after convalescent plasma administration | progression to critical stage |
| MORTALITY RATE AMONG CRITICAL PNEUMONIA PATIENTS | 28 days after convalescent plasma administration | mortality |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| INCIDENCE OF MECHANICAL VENTILATION | 14 days after convalescent plasma treatment | time to need mechanical ventilation |
| DAYS OF MECHANICAL VENTILATION | 28 days after convalescent plasma treatment | time of mechanical ventilation needed |
Countries
Mexico