Covid19
Conditions
Keywords
COVID19, Immune Plasma
Brief summary
The coronavirus disease 2019 (COVID-19) was classified as a pandemic by the World Health Organization (WHO) in March 2020. The SARS-COV-2 virus is easily transmissible and there is currently no approved treatment with effective results. Although the main epidemiological parameters are currently being studied, apparently the speed of contagion, the incidence and the mortality rate in severe cases appear to be high. Therefore, there is an urgent need to find a viable therapeutic option. The present trial is a pilot study with an objective to determine the efficacy of standard treatment reinforced with two repeated doses in two consecutive days of plasma from former convalescent people of the COVID-19 disease already discharged and / or with results in negative COVID-19 screenings, transfused to hospitalized COVID-19 patients.
Interventions
Convalescent plasma plus standard treatment for COVID-19. The convalescent plasma is from patients recovered from COVID-19 and negative viremia in the test detection COVID-19. The infusions will be given on days 1 and 2, of the study, after the positive result for COVID-19 of the recipient patient.
The patients will receive the standard treatment for COVID-19, according to guidelines for COVID-19 (retrovirals drugs, interferon-α / β, anti-Interleukin-6 monoclonal antibody, oxygen therapy, etc..)
Sponsors
Study design
Eligibility
Inclusion criteria
* Ability to understand the HIP and sign the study IC * male or female =/\> 18 years * Patient hospitalized with a COVID-19 diagnosis by PCR on nasopharyngeal swabs or any other biological sample. * Presence of respiratory symptoms and / or fever associated with COVID-19, with clinical evolution time for COVID-19 equal to or less than 7 days. * Presence of pneumonia on chest X-ray and / or SatO2 \<94% aa. * Sequential Organ Failure Assessment (SOFA) score ≤ 6. * Accept the condition of complying with the procedures established in the protocol.
Exclusion criteria
* Patients with a previous history of allergic transfusion reaction. * Lactating or pregnant women and a positive pregnancy test. * Patients who have been treated with plasma in the 21 days prior to the screening / baseline visit. * Patients who are at the time of study, participating in another clinical trial. * Patients who haven't completed all study procedures.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Adaptive COVID-19 Treatment Trial Scale (ACTT) Version II | Day 7 | The scale provides a measure of COVID-19 severity based on the patient's physical situation, whose design was based on a blueprint of the WHO in treating COVID-19. * 1= Death * 2= Hospitalized. on invasive mechanical ventilation or extracorporeal membrane oxygenation (ECMO) * 3= Hospitalized. on non-invasive ventilation or high flow oxygen devices * 4= Hospitalized. requiring supplemental oxygen * 5= Hospitalized. not requiring supplemental oxygen - requiring ongoing medical care (COVID-19 related or otherwise) * 6= Hospitalized. not requiring supplemental oxygen - no longer requiring ongoing medical care. * 7= Not hospitalized. limitation on activities and/or requiring home oxygen * 8= Not hospitalized. no limitations on activities. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Interleukin-6 Assessment | At inclusion, Day 3, Day 7, Day 14, Day 21 | measurement of serum levels Interleukin-6 in pg/mL, as a measure of assessing the severity of the disease. |
| Anti-SARS-CoV-2 S IgG Serum Titer | At inclusion, Day 21 | The levels of Anti-SARS-CoV-2 S IgG serum |
| Ferritin Blood Assessment | At inclusion, Day 3, Day 7, Day 14, Day 21 | measurement of the amount of ferritin (blood protein) in ng/ml in the blood, as a measure of assessing the severity of the disease. |
| Percentage of Patients Requiring Admission to Intensive Care Units. | Day 21 | Percentage of patients requiring admission to intensive care units. |
| Mortality Rate at 15 Days | Day 15 | number of dead participants through day 15 |
| Time of Hospitalization | Day 21 | time that the patients have passed in the hospital. |
| Time to Negativization of RT-PCR | Day 21 | total time elapsed until negative RT-PCR test |
| Diastolic Blood Pressure | At inclusion, Day 1, Day 3, Day 7, Day 14, Day 21 | the pressure of blood in the artery when the heart relaxes between beats. |
| Systolic Blood Pressure | At inclusion, Day 1, Day 3, Day 7, Day 14, Day 21 | The pressure of blood in the artery when the heart contracts. It is the high number in a blood pressure measurement. |
| Temperature | At inclusion, Day 1, Day 3, Day 7, Day 14, Day 21 | — |
| Cardiac Frequency | At inclusion, Day 1, Day 3, Day 7, Day 14, Day 21 | The number of heart contractions or beats per unit of time. The normal values in adults at rest range between 60 and 100 beats per minit. |
| Respiratory Frequency | At inclusion, Day 1, Day 3, Day 7, Day 14, Day 21 | Number of breaths the patient takes per minute. |
| Lactate Dehydrogenase (LDH) Assessment | At inclusion, Day 3, Day 7, Day 14, Day 21 | measurement of the level of lactate dehydrogenase in the blood (U/L), as a measure of assessing the severity of the disease. |
| Hemoglobin | At inclusion, Day 3, Day 7, Day 14, Day 21 | hemoglobin levels in the blood |
| Leucocytes | At inclusion, Day 3, Day 7, Day 14, Day 21 | Leucocyte count a patient's blood. |
| Neutrophils | At inclusion, Day 3, Day 7, Day 14, Day 21 | Neutrophils count a patient's blood. |
| Absolute Lymphocytes | At inclusion, Day 3, Day 7, Day 14, Day 21 | lymphocyte count a patient's blood. |
| Activated Partial Thromboplastin Time | At inclusion, Day 3, Day 7, Day 14, Day 21 | measurement of the number of seconds it takes for a clot to form in a patient's blood. |
| Fibrinogen Level | At inclusion, Day 3, Day 7, Day 14, Day 21 | measurement of the level of fibrinogen in the blood (mg / dl), as a measure of assessing the severity of the disease. |
| Fragment D-dimer Assessment | At inclusion, Day 3, Day 7, Day 14 | Determination of the existence of the D-dimer fragment in blood as a measure of assessing the severity of the disease. |
| Glomerular Filtration Rate Assessment | At inclusion, Day 3, Day 7, Day 14, Day 21 | estimation of how much blood passes per minute through the glomerular filters of the kidneys (ml/min). |
| Troponin I Assessment | At inclusion, Day 3, Day 7, Day 14, Day 21 | measurement of the levels of troponin I proteins in the blood (ng/mL), as a measure of assessing the severity of the disease. |
| Procalcitonin Assessment | At inclusion, Day 3, Day 7, Day 14, Day 21 | measurement of the levels of procalcitonin in the blood (ng/L), as a measure of assessing the severity of the disease. |
| C-reactive Protein Assessment | At inclusion, Day 3, Day 7, Day 14, Day 21 | measurement of the level of c-reactive protein in the blood (mg/dl), as a measure of a change in inflammation |
| Mortality Rate at 30 Days | Day 30 | number of dead participants through day 30 |
| Oxygen Saturation | At inclusion, Day 1, Day 3, Day 7, Day 14, Day 21 | blood oxygen percentage. A healthy percentage of oxygen in the blood is between 95% and 100%. |
Countries
Spain
Participant flow
Participants by arm
| Arm | Count |
|---|---|
| Control Group Standard treatment for COVID-19 (according to clinical guidelines for COVID-19). | 17 |
| Intervention Group Convalescent patient plasma 300 ml given in 2 consecutive days, plus standard treatment for COVID-19 (according to clinical guidelines). | 37 |
| Total | 54 |
Baseline characteristics
| Characteristic | Control Group | Intervention Group | Total |
|---|---|---|---|
| Age, Continuous | 59 years STANDARD_DEVIATION 3 | 58 years STANDARD_DEVIATION 2 | 58 years STANDARD_DEVIATION 1.87 |
| Body Mass Index | 30.34 kg/m^2 STANDARD_DEVIATION 1.99 | 30.72 kg/m^2 STANDARD_DEVIATION 1.24 | 30.62 kg/m^2 STANDARD_DEVIATION 1.05 |
| Concomitant illnesses No | 3 Participants | 10 Participants | 13 Participants |
| Concomitant illnesses Yes | 14 Participants | 27 Participants | 41 Participants |
| Concomitant medication No | 10 Participants | 20 Participants | 30 Participants |
| Concomitant medication Yes | 7 Participants | 17 Participants | 24 Participants |
| Drug abuse habits No | 16 Participants | 35 Participants | 51 Participants |
| Drug abuse habits Yes | 1 Participants | 2 Participants | 3 Participants |
| Race and Ethnicity Not Collected | — | — | 0 Participants |
| Sex: Female, Male Female | 7 Participants | 14 Participants | 21 Participants |
| Sex: Female, Male Male | 10 Participants | 23 Participants | 33 Participants |
| Smoke No | 16 Participants | 35 Participants | 51 Participants |
| Smoke Yes | 1 Participants | 2 Participants | 3 Participants |
| Standard treatment Antibiotic | 3 participants | 10 participants | 13 participants |
| Standard treatment Anticoagulant | 5 participants | 13 participants | 18 participants |
| Standard treatment Antiinflammatory | 11 participants | 29 participants | 40 participants |
| Standard treatment Antiviral | 5 participants | 14 participants | 19 participants |
| Standard treatment Oxygen therapy | 10 participants | 19 participants | 29 participants |
Adverse events
| Event type | EG000 affected / at risk | EG001 affected / at risk |
|---|---|---|
| deaths Total, all-cause mortality | 0 / 17 | 0 / 37 |
| other Total, other adverse events | 0 / 17 | 4 / 37 |
| serious Total, serious adverse events | 0 / 17 | 0 / 37 |
Outcome results
Adaptive COVID-19 Treatment Trial Scale (ACTT) Version II
The scale provides a measure of COVID-19 severity based on the patient's physical situation, whose design was based on a blueprint of the WHO in treating COVID-19. * 1= Death * 2= Hospitalized. on invasive mechanical ventilation or extracorporeal membrane oxygenation (ECMO) * 3= Hospitalized. on non-invasive ventilation or high flow oxygen devices * 4= Hospitalized. requiring supplemental oxygen * 5= Hospitalized. not requiring supplemental oxygen - requiring ongoing medical care (COVID-19 related or otherwise) * 6= Hospitalized. not requiring supplemental oxygen - no longer requiring ongoing medical care. * 7= Not hospitalized. limitation on activities and/or requiring home oxygen * 8= Not hospitalized. no limitations on activities.
Time frame: Day 7
| Arm | Measure | Group | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|---|
| Control Group | Adaptive COVID-19 Treatment Trial Scale (ACTT) Version II | Grade 1 | 0 Participants |
| Control Group | Adaptive COVID-19 Treatment Trial Scale (ACTT) Version II | Grade 2 | 0 Participants |
| Control Group | Adaptive COVID-19 Treatment Trial Scale (ACTT) Version II | Grade 3 | 2 Participants |
| Control Group | Adaptive COVID-19 Treatment Trial Scale (ACTT) Version II | Grade 4 | 5 Participants |
| Control Group | Adaptive COVID-19 Treatment Trial Scale (ACTT) Version II | Grade 5 | 4 Participants |
| Control Group | Adaptive COVID-19 Treatment Trial Scale (ACTT) Version II | Grade 6 | 2 Participants |
| Control Group | Adaptive COVID-19 Treatment Trial Scale (ACTT) Version II | Grade 7 | 1 Participants |
| Control Group | Adaptive COVID-19 Treatment Trial Scale (ACTT) Version II | Grade 8 | 3 Participants |
| Intervention Group | Adaptive COVID-19 Treatment Trial Scale (ACTT) Version II | Grade 8 | 12 Participants |
| Intervention Group | Adaptive COVID-19 Treatment Trial Scale (ACTT) Version II | Grade 1 | 0 Participants |
| Intervention Group | Adaptive COVID-19 Treatment Trial Scale (ACTT) Version II | Grade 5 | 10 Participants |
| Intervention Group | Adaptive COVID-19 Treatment Trial Scale (ACTT) Version II | Grade 2 | 0 Participants |
| Intervention Group | Adaptive COVID-19 Treatment Trial Scale (ACTT) Version II | Grade 7 | 3 Participants |
| Intervention Group | Adaptive COVID-19 Treatment Trial Scale (ACTT) Version II | Grade 3 | 3 Participants |
| Intervention Group | Adaptive COVID-19 Treatment Trial Scale (ACTT) Version II | Grade 6 | 3 Participants |
| Intervention Group | Adaptive COVID-19 Treatment Trial Scale (ACTT) Version II | Grade 4 | 6 Participants |
Adaptive COVID-19 Treatment Trial Scale (ACTT) Version II
The scale provides a measure of COVID-19 severity based on the patient's physical situation, whose design was based on a blueprint of the WHO in treating COVID-19. * 1= Death * 2= Hospitalized. on invasive mechanical ventilation or extracorporeal membrane oxygenation (ECMO) * 3= Hospitalized. on non-invasive ventilation or high flow oxygen devices * 4= Hospitalized. requiring supplemental oxygen * 5= Hospitalized. not requiring supplemental oxygen - requiring ongoing medical care (COVID-19 related or otherwise) * 6= Hospitalized. not requiring supplemental oxygen - no longer requiring ongoing medical care. * 7= Not hospitalized. limitation on activities and/or requiring home oxygen * 8= Not hospitalized. no limitations on activities.
Time frame: Day 14
| Arm | Measure | Group | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|---|
| Control Group | Adaptive COVID-19 Treatment Trial Scale (ACTT) Version II | Grade 4 | 1 Participants |
| Control Group | Adaptive COVID-19 Treatment Trial Scale (ACTT) Version II | Grade 8 | 6 Participants |
| Control Group | Adaptive COVID-19 Treatment Trial Scale (ACTT) Version II | Grade 1 | 0 Participants |
| Control Group | Adaptive COVID-19 Treatment Trial Scale (ACTT) Version II | Grade 2 | 1 Participants |
| Control Group | Adaptive COVID-19 Treatment Trial Scale (ACTT) Version II | Grade 3 | 0 Participants |
| Control Group | Adaptive COVID-19 Treatment Trial Scale (ACTT) Version II | Grade 5 | 1 Participants |
| Control Group | Adaptive COVID-19 Treatment Trial Scale (ACTT) Version II | Grade 6 | 3 Participants |
| Control Group | Adaptive COVID-19 Treatment Trial Scale (ACTT) Version II | Grade 7 | 5 Participants |
| Intervention Group | Adaptive COVID-19 Treatment Trial Scale (ACTT) Version II | Grade 8 | 18 Participants |
| Intervention Group | Adaptive COVID-19 Treatment Trial Scale (ACTT) Version II | Grade 4 | 2 Participants |
| Intervention Group | Adaptive COVID-19 Treatment Trial Scale (ACTT) Version II | Grade 7 | 9 Participants |
| Intervention Group | Adaptive COVID-19 Treatment Trial Scale (ACTT) Version II | Grade 3 | 2 Participants |
| Intervention Group | Adaptive COVID-19 Treatment Trial Scale (ACTT) Version II | Grade 6 | 3 Participants |
| Intervention Group | Adaptive COVID-19 Treatment Trial Scale (ACTT) Version II | Grade 1 | 0 Participants |
| Intervention Group | Adaptive COVID-19 Treatment Trial Scale (ACTT) Version II | Grade 5 | 3 Participants |
| Intervention Group | Adaptive COVID-19 Treatment Trial Scale (ACTT) Version II | Grade 2 | 0 Participants |
Absolute Lymphocytes
lymphocyte count a patient's blood.
Time frame: At inclusion, Day 3, Day 7, Day 14, Day 21
| Arm | Measure | Group | Value (MEAN) | Dispersion |
|---|---|---|---|---|
| Control Group | Absolute Lymphocytes | Day 3 | 1.32 cells x10^9/L | Standard Error 0.17 |
| Control Group | Absolute Lymphocytes | Day 14 | 2.02 cells x10^9/L | Standard Error 0.21 |
| Control Group | Absolute Lymphocytes | Day 7 | 1.94 cells x10^9/L | Standard Error 0.26 |
| Control Group | Absolute Lymphocytes | Day 21 | 1.63 cells x10^9/L | Standard Error 0.18 |
| Control Group | Absolute Lymphocytes | At inclusion | 1.165 cells x10^9/L | Standard Error 0.11 |
| Intervention Group | Absolute Lymphocytes | Day 21 | 1.88 cells x10^9/L | Standard Error 0.12 |
| Intervention Group | Absolute Lymphocytes | At inclusion | 1.44 cells x10^9/L | Standard Error 0.15 |
| Intervention Group | Absolute Lymphocytes | Day 3 | 1.36 cells x10^9/L | Standard Error 0.1 |
| Intervention Group | Absolute Lymphocytes | Day 7 | 2.07 cells x10^9/L | Standard Error 0.16 |
| Intervention Group | Absolute Lymphocytes | Day 14 | 2.14 cells x10^9/L | Standard Error 0.15 |
Activated Partial Thromboplastin Time
measurement of the number of seconds it takes for a clot to form in a patient's blood.
Time frame: At inclusion, Day 3, Day 7, Day 14, Day 21
| Arm | Measure | Group | Value (MEAN) | Dispersion |
|---|---|---|---|---|
| Control Group | Activated Partial Thromboplastin Time | Day 3 | 27.96 seconds | Standard Error 0.64 |
| Control Group | Activated Partial Thromboplastin Time | Day 14 | 28.29 seconds | Standard Error 0.88 |
| Control Group | Activated Partial Thromboplastin Time | Day 7 | 27.49 seconds | Standard Error 0.62 |
| Control Group | Activated Partial Thromboplastin Time | Day 21 | 31.39 seconds | Standard Error 2.03 |
| Control Group | Activated Partial Thromboplastin Time | At inclusion | 29.62 seconds | Standard Error 1.43 |
| Intervention Group | Activated Partial Thromboplastin Time | Day 21 | 31.12 seconds | Standard Error 0.73 |
| Intervention Group | Activated Partial Thromboplastin Time | At inclusion | 30.62 seconds | Standard Error 0.7 |
| Intervention Group | Activated Partial Thromboplastin Time | Day 3 | 29.62 seconds | Standard Error 0.76 |
| Intervention Group | Activated Partial Thromboplastin Time | Day 7 | 28.72 seconds | Standard Error 0.73 |
| Intervention Group | Activated Partial Thromboplastin Time | Day 14 | 29.37 seconds | Standard Error 0.67 |
Anti-SARS-CoV-2 S IgG Serum Titer
The levels of Anti-SARS-CoV-2 S IgG serum
Time frame: At inclusion, Day 21
| Arm | Measure | Group | Value (MEAN) | Dispersion |
|---|---|---|---|---|
| Control Group | Anti-SARS-CoV-2 S IgG Serum Titer | At inclusion | 90.28 AU/ ml | Standard Error 53.51 |
| Control Group | Anti-SARS-CoV-2 S IgG Serum Titer | Day 21 | 773.84 AU/ ml | Standard Error 327.53 |
| Intervention Group | Anti-SARS-CoV-2 S IgG Serum Titer | At inclusion | 98.16 AU/ ml | Standard Error 39.89 |
| Intervention Group | Anti-SARS-CoV-2 S IgG Serum Titer | Day 21 | 1102.81 AU/ ml | Standard Error 194.51 |
Cardiac Frequency
The number of heart contractions or beats per unit of time. The normal values in adults at rest range between 60 and 100 beats per minit.
Time frame: At inclusion, Day 1, Day 3, Day 7, Day 14, Day 21
| Arm | Measure | Group | Value (MEAN) | Dispersion |
|---|---|---|---|---|
| Control Group | Cardiac Frequency | At inclusion | 83.37 beats/minit | Standard Error 4.05 |
| Control Group | Cardiac Frequency | Day 1 | 75.54 beats/minit | Standard Error 4.08 |
| Control Group | Cardiac Frequency | Day 3 | 77.31 beats/minit | Standard Error 3.16 |
| Control Group | Cardiac Frequency | Day 7 | 79.77 beats/minit | Standard Error 4.28 |
| Control Group | Cardiac Frequency | Day 14 | 86.27 beats/minit | Standard Error 5.71 |
| Control Group | Cardiac Frequency | Day 21 | 84.90 beats/minit | Standard Error 5.31 |
| Intervention Group | Cardiac Frequency | Day 14 | 85.38 beats/minit | Standard Error 2.66 |
| Intervention Group | Cardiac Frequency | At inclusion | 79.82 beats/minit | Standard Error 2.25 |
| Intervention Group | Cardiac Frequency | Day 7 | 68.35 beats/minit | Standard Error 2.24 |
| Intervention Group | Cardiac Frequency | Day 1 | 79.57 beats/minit | Standard Error 2.34 |
| Intervention Group | Cardiac Frequency | Day 21 | 86.72 beats/minit | Standard Error 3.01 |
| Intervention Group | Cardiac Frequency | Day 3 | 73.73 beats/minit | Standard Error 2.1 |
C-reactive Protein Assessment
measurement of the level of c-reactive protein in the blood (mg/dl), as a measure of a change in inflammation
Time frame: At inclusion, Day 3, Day 7, Day 14, Day 21
| Arm | Measure | Group | Value (MEAN) | Dispersion |
|---|---|---|---|---|
| Control Group | C-reactive Protein Assessment | Day 3 | 52.25 mg/dL | Standard Error 12.77 |
| Control Group | C-reactive Protein Assessment | Day 14 | 18.49 mg/dL | Standard Error 4.85 |
| Control Group | C-reactive Protein Assessment | Day 7 | 33.83 mg/dL | Standard Error 11.42 |
| Control Group | C-reactive Protein Assessment | Day 21 | 17.46 mg/dL | Standard Error 5.35 |
| Control Group | C-reactive Protein Assessment | At inclusion | 64.19 mg/dL | Standard Error 15.81 |
| Intervention Group | C-reactive Protein Assessment | Day 21 | 8.72 mg/dL | Standard Error 1.72 |
| Intervention Group | C-reactive Protein Assessment | At inclusion | 55.39 mg/dL | Standard Error 9.2 |
| Intervention Group | C-reactive Protein Assessment | Day 3 | 43.51 mg/dL | Standard Error 8.67 |
| Intervention Group | C-reactive Protein Assessment | Day 7 | 16.60 mg/dL | Standard Error 3.55 |
| Intervention Group | C-reactive Protein Assessment | Day 14 | 9.18 mg/dL | Standard Error 1.97 |
Diastolic Blood Pressure
the pressure of blood in the artery when the heart relaxes between beats.
Time frame: At inclusion, Day 1, Day 3, Day 7, Day 14, Day 21
| Arm | Measure | Group | Value (MEAN) | Dispersion |
|---|---|---|---|---|
| Control Group | Diastolic Blood Pressure | At inclusion | 79.62 mmHg | Standard Error 3.17 |
| Control Group | Diastolic Blood Pressure | Day 1 | 77.18 mmHg | Standard Error 5.01 |
| Control Group | Diastolic Blood Pressure | Day 3 | 75.25 mmHg | Standard Error 2.84 |
| Control Group | Diastolic Blood Pressure | Day 7 | 81.07 mmHg | Standard Error 3.53 |
| Control Group | Diastolic Blood Pressure | Day 14 | 80.72 mmHg | Standard Error 5.06 |
| Control Group | Diastolic Blood Pressure | Day 21 | 83.83 mmHg | Standard Error 3.91 |
| Intervention Group | Diastolic Blood Pressure | Day 14 | 78.96 mmHg | Standard Error 1.71 |
| Intervention Group | Diastolic Blood Pressure | At inclusion | 75.21 mmHg | Standard Error 2.12 |
| Intervention Group | Diastolic Blood Pressure | Day 7 | 72.48 mmHg | Standard Error 1.38 |
| Intervention Group | Diastolic Blood Pressure | Day 1 | 74.83 mmHg | Standard Error 1.72 |
| Intervention Group | Diastolic Blood Pressure | Day 21 | 81.85 mmHg | Standard Error 1.82 |
| Intervention Group | Diastolic Blood Pressure | Day 3 | 74.33 mmHg | Standard Error 2.08 |
Ferritin Blood Assessment
measurement of the amount of ferritin (blood protein) in ng/ml in the blood, as a measure of assessing the severity of the disease.
Time frame: At inclusion, Day 3, Day 7, Day 14, Day 21
| Arm | Measure | Group | Value (MEAN) | Dispersion |
|---|---|---|---|---|
| Control Group | Ferritin Blood Assessment | Day 7 | 624.35 ng/mL | Standard Deviation 124.99 |
| Control Group | Ferritin Blood Assessment | Day 3 | 626.24 ng/mL | Standard Deviation 136.86 |
| Control Group | Ferritin Blood Assessment | Day 14 | 412.88 ng/mL | Standard Deviation 78.48 |
| Control Group | Ferritin Blood Assessment | Day 21 | 392.57 ng/mL | Standard Deviation 123.7 |
| Control Group | Ferritin Blood Assessment | At inclusion | 566.48 ng/mL | Standard Deviation 158.23 |
| Intervention Group | Ferritin Blood Assessment | Day 21 | 272.27 ng/mL | Standard Deviation 48.16 |
| Intervention Group | Ferritin Blood Assessment | At inclusion | 745.60 ng/mL | Standard Deviation 129.99 |
| Intervention Group | Ferritin Blood Assessment | Day 3 | 736.80 ng/mL | Standard Deviation 119.52 |
| Intervention Group | Ferritin Blood Assessment | Day 7 | 670.25 ng/mL | Standard Deviation 92.21 |
| Intervention Group | Ferritin Blood Assessment | Day 14 | 450.42 ng/mL | Standard Deviation 60.09 |
Fibrinogen Level
measurement of the level of fibrinogen in the blood (mg / dl), as a measure of assessing the severity of the disease.
Time frame: At inclusion, Day 3, Day 7, Day 14, Day 21
| Arm | Measure | Group | Value (MEAN) | Dispersion |
|---|---|---|---|---|
| Control Group | Fibrinogen Level | Day 3 | 671.94 mg/dL | Standard Error 42.38 |
| Control Group | Fibrinogen Level | Day 14 | 562.67 mg/dL | Standard Error 38.92 |
| Control Group | Fibrinogen Level | Day 7 | 591.44 mg/dL | Standard Error 36.4 |
| Control Group | Fibrinogen Level | Day 21 | 527.23 mg/dL | Standard Error 39.46 |
| Control Group | Fibrinogen Level | At inclusion | 713.13 mg/dL | Standard Error 44.64 |
| Intervention Group | Fibrinogen Level | Day 21 | 511.96 mg/dL | Standard Error 33.35 |
| Intervention Group | Fibrinogen Level | At inclusion | 732.36 mg/dL | Standard Error 32.57 |
| Intervention Group | Fibrinogen Level | Day 3 | 683.43 mg/dL | Standard Error 33.11 |
| Intervention Group | Fibrinogen Level | Day 7 | 559.77 mg/dL | Standard Error 32.01 |
| Intervention Group | Fibrinogen Level | Day 14 | 531.46 mg/dL | Standard Error 35.71 |
Fragment D-dimer Assessment
Determination of the existence of the D-dimer fragment in blood as a measure of assessing the severity of the disease.
Time frame: At inclusion, Day 3, Day 7, Day 14
| Arm | Measure | Group | Value (MEAN) | Dispersion |
|---|---|---|---|---|
| Control Group | Fragment D-dimer Assessment | At inclusion | 350.26 ng/mL | Standard Error 62.8 |
| Control Group | Fragment D-dimer Assessment | Day 3 | 443.2 ng/mL | Standard Error 77.12 |
| Control Group | Fragment D-dimer Assessment | Day 7 | 321.63 ng/mL | Standard Error 61.81 |
| Control Group | Fragment D-dimer Assessment | Day 14 | 300.69 ng/mL | Standard Error 51.74 |
| Intervention Group | Fragment D-dimer Assessment | Day 14 | 222.8 ng/mL | Standard Error 24.66 |
| Intervention Group | Fragment D-dimer Assessment | At inclusion | 294.11 ng/mL | Standard Error 36.63 |
| Intervention Group | Fragment D-dimer Assessment | Day 7 | 377.03 ng/mL | Standard Error 91.58 |
| Intervention Group | Fragment D-dimer Assessment | Day 3 | 377.52 ng/mL | Standard Error 117.12 |
Glomerular Filtration Rate Assessment
estimation of how much blood passes per minute through the glomerular filters of the kidneys (ml/min).
Time frame: At inclusion, Day 3, Day 7, Day 14, Day 21
| Arm | Measure | Group | Value (MEAN) | Dispersion |
|---|---|---|---|---|
| Control Group | Glomerular Filtration Rate Assessment | Day 3 | 86.15 ml/min | Standard Error 4.07 |
| Control Group | Glomerular Filtration Rate Assessment | Day 14 | 80.17 ml/min | Standard Error 5.29 |
| Control Group | Glomerular Filtration Rate Assessment | Day 7 | 87.04 ml/min | Standard Error 4.6 |
| Control Group | Glomerular Filtration Rate Assessment | Day 21 | 83.98 ml/min | Standard Error 4.59 |
| Control Group | Glomerular Filtration Rate Assessment | At inclusion | 80.44 ml/min | Standard Error 5.41 |
| Intervention Group | Glomerular Filtration Rate Assessment | Day 21 | 92.53 ml/min | Standard Error 3.71 |
| Intervention Group | Glomerular Filtration Rate Assessment | At inclusion | 93.65 ml/min | Standard Error 3.31 |
| Intervention Group | Glomerular Filtration Rate Assessment | Day 3 | 96.68 ml/min | Standard Error 3.35 |
| Intervention Group | Glomerular Filtration Rate Assessment | Day 7 | 96.81 ml/min | Standard Error 3.55 |
| Intervention Group | Glomerular Filtration Rate Assessment | Day 14 | 92.24 ml/min | Standard Error 3.35 |
Hemoglobin
hemoglobin levels in the blood
Time frame: At inclusion, Day 3, Day 7, Day 14, Day 21
| Arm | Measure | Group | Value (MEAN) | Dispersion |
|---|---|---|---|---|
| Control Group | Hemoglobin | Day 3 | 13.05 g/dL | Standard Error 0.34 |
| Control Group | Hemoglobin | Day 14 | 12.94 g/dL | Standard Error 0.31 |
| Control Group | Hemoglobin | Day 7 | 12.98 g/dL | Standard Error 0.37 |
| Control Group | Hemoglobin | Day 21 | 12.51 g/dL | Standard Error 0.4 |
| Control Group | Hemoglobin | At inclusion | 13.38 g/dL | Standard Error 0.31 |
| Intervention Group | Hemoglobin | Day 21 | 13.04 g/dL | Standard Error 0.37 |
| Intervention Group | Hemoglobin | At inclusion | 13.45 g/dL | Standard Error 0.29 |
| Intervention Group | Hemoglobin | Day 3 | 12.83 g/dL | Standard Error 0.31 |
| Intervention Group | Hemoglobin | Day 7 | 13.21 g/dL | Standard Error 0.35 |
| Intervention Group | Hemoglobin | Day 14 | 13.37 g/dL | Standard Error 0.28 |
Interleukin-6 Assessment
measurement of serum levels Interleukin-6 in pg/mL, as a measure of assessing the severity of the disease.
Time frame: At inclusion, Day 3, Day 7, Day 14, Day 21
| Arm | Measure | Group | Value (MEAN) | Dispersion |
|---|---|---|---|---|
| Control Group | Interleukin-6 Assessment | Day 3 | 28.18 pg/mL | Standard Error 4.1 |
| Control Group | Interleukin-6 Assessment | Day 14 | 11.31 pg/mL | Standard Error 3.45 |
| Control Group | Interleukin-6 Assessment | Day 7 | 17.33 pg/mL | Standard Error 3.54 |
| Control Group | Interleukin-6 Assessment | Day 21 | 10.76 pg/mL | Standard Error 2.68 |
| Control Group | Interleukin-6 Assessment | At inclusion | 29.48 pg/mL | Standard Error 6.01 |
| Intervention Group | Interleukin-6 Assessment | Day 21 | 11.80 pg/mL | Standard Error 3.31 |
| Intervention Group | Interleukin-6 Assessment | At inclusion | 32.60 pg/mL | Standard Error 5.21 |
| Intervention Group | Interleukin-6 Assessment | Day 3 | 25.37 pg/mL | Standard Error 5.83 |
| Intervention Group | Interleukin-6 Assessment | Day 7 | 12.24 pg/mL | Standard Error 3.12 |
| Intervention Group | Interleukin-6 Assessment | Day 14 | 12.02 pg/mL | Standard Error 2.53 |
Lactate Dehydrogenase (LDH) Assessment
measurement of the level of lactate dehydrogenase in the blood (U/L), as a measure of assessing the severity of the disease.
Time frame: At inclusion, Day 3, Day 7, Day 14, Day 21
| Arm | Measure | Group | Value (MEAN) | Dispersion |
|---|---|---|---|---|
| Control Group | Lactate Dehydrogenase (LDH) Assessment | Day 3 | 286.47 Unit/L | Standard Error 15.27 |
| Control Group | Lactate Dehydrogenase (LDH) Assessment | Day 14 | 277 Unit/L | Standard Error 27.41 |
| Control Group | Lactate Dehydrogenase (LDH) Assessment | Day 7 | 276.67 Unit/L | Standard Error 17.5 |
| Control Group | Lactate Dehydrogenase (LDH) Assessment | Day 21 | 246.38 Unit/L | Standard Error 21.33 |
| Control Group | Lactate Dehydrogenase (LDH) Assessment | At inclusion | 283.56 Unit/L | Standard Error 12.78 |
| Intervention Group | Lactate Dehydrogenase (LDH) Assessment | Day 21 | 215.04 Unit/L | Standard Error 8.1 |
| Intervention Group | Lactate Dehydrogenase (LDH) Assessment | At inclusion | 306.31 Unit/L | Standard Error 21.8 |
| Intervention Group | Lactate Dehydrogenase (LDH) Assessment | Day 3 | 317.18 Unit/L | Standard Error 25.14 |
| Intervention Group | Lactate Dehydrogenase (LDH) Assessment | Day 7 | 267.6 Unit/L | Standard Error 16.95 |
| Intervention Group | Lactate Dehydrogenase (LDH) Assessment | Day 14 | 232.25 Unit/L | Standard Error 9.21 |
Leucocytes
Leucocyte count a patient's blood.
Time frame: At inclusion, Day 3, Day 7, Day 14, Day 21
| Arm | Measure | Group | Value (MEAN) | Dispersion |
|---|---|---|---|---|
| Control Group | Leucocytes | Day 7 | 10.43 cells x10^9/L | Standard Error 0.87 |
| Control Group | Leucocytes | Day 14 | 9.32 cells x10^9/L | Standard Error 1.08 |
| Control Group | Leucocytes | At inclusion | 7.81 cells x10^9/L | Standard Error 0.87 |
| Control Group | Leucocytes | Day 21 | 6.47 cells x10^9/L | Standard Error 0.61 |
| Control Group | Leucocytes | Day 3 | 8.31 cells x10^9/L | Standard Error 0.9 |
| Intervention Group | Leucocytes | Day 21 | 6.20 cells x10^9/L | Standard Error 0.45 |
| Intervention Group | Leucocytes | Day 3 | 8.67 cells x10^9/L | Standard Error 0.65 |
| Intervention Group | Leucocytes | At inclusion | 7.40 cells x10^9/L | Standard Error 0.46 |
| Intervention Group | Leucocytes | Day 7 | 9.97 cells x10^9/L | Standard Error 0.66 |
| Intervention Group | Leucocytes | Day 14 | 9.40 cells x10^9/L | Standard Error 0.82 |
Mortality Rate at 15 Days
number of dead participants through day 15
Time frame: Day 15
| Arm | Measure | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|
| Control Group | Mortality Rate at 15 Days | 0 Participants |
| Intervention Group | Mortality Rate at 15 Days | 0 Participants |
Mortality Rate at 30 Days
number of dead participants through day 30
Time frame: Day 30
| Arm | Measure | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|
| Control Group | Mortality Rate at 30 Days | 0 Participants |
| Intervention Group | Mortality Rate at 30 Days | 0 Participants |
Neutrophils
Neutrophils count a patient's blood.
Time frame: At inclusion, Day 3, Day 7, Day 14, Day 21
| Arm | Measure | Group | Value (MEAN) | Dispersion |
|---|---|---|---|---|
| Control Group | Neutrophils | Day 3 | 6.27 cells x10^9/L | Standard Error 0.85 |
| Control Group | Neutrophils | Day 14 | 6.53 cells x10^9/L | Standard Error 1.16 |
| Control Group | Neutrophils | Day 7 | 7.60 cells x10^9/L | Standard Error 0.78 |
| Control Group | Neutrophils | Day 21 | 4.17 cells x10^9/L | Standard Error 0.59 |
| Control Group | Neutrophils | At inclusion | 6.11 cells x10^9/L | Standard Error 0.86 |
| Intervention Group | Neutrophils | Day 21 | 3.74 cells x10^9/L | Standard Error 0.4 |
| Intervention Group | Neutrophils | At inclusion | 5.50 cells x10^9/L | Standard Error 0.48 |
| Intervention Group | Neutrophils | Day 3 | 6.37 cells x10^9/L | Standard Error 0.61 |
| Intervention Group | Neutrophils | Day 7 | 6.75 cells x10^9/L | Standard Error 0.68 |
| Intervention Group | Neutrophils | Day 14 | 6.58 cells x10^9/L | Standard Error 0.83 |
Oxygen Saturation
blood oxygen percentage. A healthy percentage of oxygen in the blood is between 95% and 100%.
Time frame: At inclusion, Day 1, Day 3, Day 7, Day 14, Day 21
| Arm | Measure | Group | Value (MEAN) | Dispersion |
|---|---|---|---|---|
| Control Group | Oxygen Saturation | At inclusion | 95.31 percentage of blood oxygen | Standard Error 0.73 |
| Control Group | Oxygen Saturation | Day 1 | 95.63 percentage of blood oxygen | Standard Error 0.67 |
| Control Group | Oxygen Saturation | Day 3 | 95.18 percentage of blood oxygen | Standard Error 0.51 |
| Control Group | Oxygen Saturation | Day 7 | 94.69 percentage of blood oxygen | Standard Error 0.82 |
| Control Group | Oxygen Saturation | Day 14 | 95.1 percentage of blood oxygen | Standard Error 0.54 |
| Control Group | Oxygen Saturation | Day 21 | 96 percentage of blood oxygen | Standard Error 0.52 |
| Intervention Group | Oxygen Saturation | Day 14 | 95.73 percentage of blood oxygen | Standard Error 0.43 |
| Intervention Group | Oxygen Saturation | At inclusion | 95.4 percentage of blood oxygen | Standard Error 0.42 |
| Intervention Group | Oxygen Saturation | Day 7 | 95.82 percentage of blood oxygen | Standard Error 0.42 |
| Intervention Group | Oxygen Saturation | Day 1 | 95.21 percentage of blood oxygen | Standard Error 0.94 |
| Intervention Group | Oxygen Saturation | Day 21 | 96.15 percentage of blood oxygen | Standard Error 0.37 |
| Intervention Group | Oxygen Saturation | Day 3 | 95.78 percentage of blood oxygen | Standard Error 0.38 |
Percentage of Patients Requiring Admission to Intensive Care Units.
Percentage of patients requiring admission to intensive care units.
Time frame: Day 21
| Arm | Measure | Group | Value (NUMBER) |
|---|---|---|---|
| Control Group | Percentage of Patients Requiring Admission to Intensive Care Units. | yes | 16 percentage of participants |
| Control Group | Percentage of Patients Requiring Admission to Intensive Care Units. | No | 84 percentage of participants |
| Intervention Group | Percentage of Patients Requiring Admission to Intensive Care Units. | yes | 17 percentage of participants |
| Intervention Group | Percentage of Patients Requiring Admission to Intensive Care Units. | No | 83 percentage of participants |
Procalcitonin Assessment
measurement of the levels of procalcitonin in the blood (ng/L), as a measure of assessing the severity of the disease.
Time frame: At inclusion, Day 3, Day 7, Day 14, Day 21
| Arm | Measure | Group | Value (MEAN) | Dispersion |
|---|---|---|---|---|
| Control Group | Procalcitonin Assessment | Day 3 | 0.78 ng/L | Standard Error 0.7 |
| Control Group | Procalcitonin Assessment | Day 14 | 0.04 ng/L | Standard Error 0.005 |
| Control Group | Procalcitonin Assessment | Day 7 | 0.44 ng/L | Standard Error 0.39 |
| Control Group | Procalcitonin Assessment | Day 21 | 0.05 ng/L | Standard Error 0.01 |
| Control Group | Procalcitonin Assessment | At inclusion | 0.86 ng/L | Standard Error 0.73 |
| Intervention Group | Procalcitonin Assessment | Day 21 | 0.04 ng/L | Standard Error 0.01 |
| Intervention Group | Procalcitonin Assessment | At inclusion | 0.11 ng/L | Standard Error 0.02 |
| Intervention Group | Procalcitonin Assessment | Day 3 | 0.09 ng/L | Standard Error 0.02 |
| Intervention Group | Procalcitonin Assessment | Day 7 | 0.05 ng/L | Standard Error 0.01 |
| Intervention Group | Procalcitonin Assessment | Day 14 | 0.04 ng/L | Standard Error 0.004 |
Respiratory Frequency
Number of breaths the patient takes per minute.
Time frame: At inclusion, Day 1, Day 3, Day 7, Day 14, Day 21
| Arm | Measure | Group | Value (MEAN) | Dispersion |
|---|---|---|---|---|
| Control Group | Respiratory Frequency | At inclusion | 20.06 breath/minut | Standard Error 1.27 |
| Control Group | Respiratory Frequency | Day 1 | 22.36 breath/minut | Standard Error 1.2 |
| Control Group | Respiratory Frequency | Day 3 | 20.23 breath/minut | Standard Error 0.92 |
| Control Group | Respiratory Frequency | Day 7 | 21.12 breath/minut | Standard Error 1.29 |
| Control Group | Respiratory Frequency | Day 14 | 18.16 breath/minut | Standard Error 1.27 |
| Control Group | Respiratory Frequency | Day 21 | 16.43 breath/minut | Standard Error 0.61 |
| Intervention Group | Respiratory Frequency | Day 14 | 18.42 breath/minut | Standard Error 0.66 |
| Intervention Group | Respiratory Frequency | At inclusion | 22.42 breath/minut | Standard Error 1.25 |
| Intervention Group | Respiratory Frequency | Day 7 | 19.95 breath/minut | Standard Error 1.05 |
| Intervention Group | Respiratory Frequency | Day 1 | 23.61 breath/minut | Standard Error 1.13 |
| Intervention Group | Respiratory Frequency | Day 21 | 19.38 breath/minut | Standard Error 1.11 |
| Intervention Group | Respiratory Frequency | Day 3 | 22.65 breath/minut | Standard Error 0.98 |
Systolic Blood Pressure
The pressure of blood in the artery when the heart contracts. It is the high number in a blood pressure measurement.
Time frame: At inclusion, Day 1, Day 3, Day 7, Day 14, Day 21
| Arm | Measure | Group | Value (MEAN) | Dispersion |
|---|---|---|---|---|
| Control Group | Systolic Blood Pressure | At inclusion | 130.62 mmHg | Standard Error 5.84 |
| Control Group | Systolic Blood Pressure | Day 1 | 135 mmHg | Standard Error 7.53 |
| Control Group | Systolic Blood Pressure | Day 3 | 134.2 mmHg | Standard Error 3.34 |
| Control Group | Systolic Blood Pressure | Day 7 | 141.53 mmHg | Standard Error 6.85 |
| Control Group | Systolic Blood Pressure | Day 14 | 145.8 mmHg | Standard Error 6.57 |
| Control Group | Systolic Blood Pressure | Day 21 | 145.81 mmHg | Standard Error 6.01 |
| Intervention Group | Systolic Blood Pressure | Day 14 | 125.77 mmHg | Standard Error 2.56 |
| Intervention Group | Systolic Blood Pressure | At inclusion | 121.11 mmHg | Standard Error 3.25 |
| Intervention Group | Systolic Blood Pressure | Day 7 | 119.48 mmHg | Standard Error 2.82 |
| Intervention Group | Systolic Blood Pressure | Day 1 | 123.87 mmHg | Standard Error 3.25 |
| Intervention Group | Systolic Blood Pressure | Day 21 | 128.39 mmHg | Standard Error 2.84 |
| Intervention Group | Systolic Blood Pressure | Day 3 | 121.94 mmHg | Standard Error 2.15 |
Temperature
Time frame: At inclusion, Day 1, Day 3, Day 7, Day 14, Day 21
| Arm | Measure | Group | Value (MEAN) | Dispersion |
|---|---|---|---|---|
| Control Group | Temperature | At inclusion | 36.79 degrees Celsius | Standard Error 0.26 |
| Control Group | Temperature | Day 1 | 36.59 degrees Celsius | Standard Error 0.14 |
| Control Group | Temperature | Day 3 | 36.61 degrees Celsius | Standard Error 0.19 |
| Control Group | Temperature | Day 7 | 36.24 degrees Celsius | Standard Error 0.17 |
| Control Group | Temperature | Day 14 | 36.58 degrees Celsius | Standard Error 0.18 |
| Control Group | Temperature | Day 21 | 36.26 degrees Celsius | Standard Error 0.1 |
| Intervention Group | Temperature | Day 14 | 36.46 degrees Celsius | Standard Error 0.1 |
| Intervention Group | Temperature | At inclusion | 36.43 degrees Celsius | Standard Error 0.14 |
| Intervention Group | Temperature | Day 7 | 36.17 degrees Celsius | Standard Error 0.09 |
| Intervention Group | Temperature | Day 1 | 36.48 degrees Celsius | Standard Error 0.09 |
| Intervention Group | Temperature | Day 21 | 36.38 degrees Celsius | Standard Error 0.1 |
| Intervention Group | Temperature | Day 3 | 36.50 degrees Celsius | Standard Error 0.11 |
Time of Hospitalization
time that the patients have passed in the hospital.
Time frame: Day 21
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| Control Group | Time of Hospitalization | 10.5 days | Standard Error 1.8 |
| Intervention Group | Time of Hospitalization | 8.9 days | Standard Error 0.9 |
Time to Negativization of RT-PCR
total time elapsed until negative RT-PCR test
Time frame: Day 21
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| Control Group | Time to Negativization of RT-PCR | 14.6 days | Standard Error 2.1 |
| Intervention Group | Time to Negativization of RT-PCR | 12.4 days | Standard Error 1.4 |
Troponin I Assessment
measurement of the levels of troponin I proteins in the blood (ng/mL), as a measure of assessing the severity of the disease.
Time frame: At inclusion, Day 3, Day 7, Day 14, Day 21
| Arm | Measure | Group | Value (MEAN) | Dispersion |
|---|---|---|---|---|
| Control Group | Troponin I Assessment | Day 3 | 5.86 ng/mL | Standard Error 1.57 |
| Control Group | Troponin I Assessment | Day 14 | 5.24 ng/mL | Standard Error 1.8 |
| Control Group | Troponin I Assessment | Day 7 | 5.50 ng/mL | Standard Error 1.56 |
| Control Group | Troponin I Assessment | Day 21 | 5.44 ng/mL | Standard Error 1.27 |
| Control Group | Troponin I Assessment | At inclusion | 6.55 ng/mL | Standard Error 1.59 |
| Intervention Group | Troponin I Assessment | Day 21 | 4.24 ng/mL | Standard Error 0.56 |
| Intervention Group | Troponin I Assessment | At inclusion | 5.45 ng/mL | Standard Error 0.65 |
| Intervention Group | Troponin I Assessment | Day 3 | 6.41 ng/mL | Standard Error 0.78 |
| Intervention Group | Troponin I Assessment | Day 7 | 6.14 ng/mL | Standard Error 1.1 |
| Intervention Group | Troponin I Assessment | Day 14 | 4.32 ng/mL | Standard Error 0.57 |