NCT04323800

Brief Summary

Evaluate the efficacy of treatment with high-titer Anti- SARS-CoV-2 plasma versus control (SARS-CoV-2 non-immune plasma) in subjects exposed to Coronavirus disease (COVID-19) at day 28.

Trial Health

87
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
180

participants targeted

Target at P75+ for phase_2

Timeline
Completed

Started Jun 2020

Shorter than P25 for phase_2

Geographic Reach
1 country

25 active sites

Status
completed

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

First Submitted

Initial submission to the registry

March 24, 2020

Completed
3 days until next milestone

First Posted

Study publicly available on registry

March 27, 2020

Completed
3 months until next milestone

Study Start

First participant enrolled

June 10, 2020

Completed
11 months until next milestone

Primary Completion

Last participant's last visit for primary outcome

April 22, 2021

Completed
2 months until next milestone

Study Completion

Last participant's last visit for all outcomes

June 22, 2021

Completed
10 months until next milestone

Results Posted

Study results publicly available

April 22, 2022

Completed
Last Updated

April 26, 2022

Status Verified

April 1, 2022

Enrollment Period

11 months

First QC Date

March 24, 2020

Results QC Date

April 20, 2022

Last Update Submit

April 22, 2022

Conditions

Keywords

COVID-19

Outcome Measures

Primary Outcomes (3)

  • Efficacy of Treatment at Day 28 as Assessed by Number of Participants Who Develop SARS-Cov-2 Infection

    Comparison of proportions of cumulative incidence of development of SARS-Cov-2 infection (symptoms compatible with infection and/or + molecular testing) regardless of disease severity, following high-titer Anti- SARS-CoV-2 plasma versus control (SARS-CoV-2 non-immune plasma) in subjects exposed to COVID-19.

    Day 28

  • Safety of Treatment With High-titer Anti- SARS-CoV-2 Plasma Versus Control as Assessed by Number of Participants With "Serious Adverse Events"

    Number of participants with serious adverse events categorized as either severe infusion reactions or Acute Respiratory Distress Syndrome during the study period.

    Up to Day 28

  • Safety of Treatment With High-titer Anti- SARS-CoV-2 Plasma Versus Control as Assessed by Cumulative Incidence of Grade 3 and 4 Adverse Events

    Cumulative incidence of grade 3 and 4 adverse events during the study period evaluated as events per 100 person-years will be used to assess safety of the intervention.

    Up to Day 28

Secondary Outcomes (1)

  • Number of Participants With Severe Disease

    Up to 28 days

Study Arms (2)

High titer anti-SARS-CoV-2 plasma

EXPERIMENTAL

Participants with High titer anti-SARS-CoV-2 plasma.

Biological: Anti- SARS-CoV-2 Plasma

SARS-CoV-2 non-immune plasma

ACTIVE COMPARATOR

Participants with SARS-CoV-2 non-immune plasma.

Biological: SARS-CoV-2 non-immune Plasma

Interventions

SARS-CoV-2 convalescent plasma (1 unit; \~200-250 mL collected by pheresis from a volunteer who recovered from COVID-19 disease and has SARS-CoV-2 antibody titers ≥ 1:320

High titer anti-SARS-CoV-2 plasma

Normal human plasma collected prior to December 2019

SARS-CoV-2 non-immune plasma

Eligibility Criteria

Age18 Years+
Sexall
Healthy VolunteersYes
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Subjects must be 18 years of age or older
  • Close contact exposure (as defined by CDC guidelines) to person with COVID-19 within 96 hours of randomization (and 120 hours of receipt of plasma)

You may not qualify if:

  • Receipt of any blood product in past 120 days.
  • Medical, psychiatric,cognitive illness or recreational drug/alcohol use that in the opinion of the principal investigator, would affect subject safety and/or compliance.
  • Symptoms consistent with COVID-19 infection (fevers, acute onset cough, shortness of breath) at time of screening.
  • Laboratory evidence of COVID-19 infection at time of screening.
  • History or known laboratory evidence of previous COVID-19 infection.
  • History of prior reactions to transfusion blood products.
  • Inability to complete therapy with the study product within 24 hours after randomization.

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (25)

University of Alabama at Birmingham

Birmingham, Alabama, 35294, United States

Location

Center for American Indian Health - Whiteriver Office

Whiteriver, Arizona, 85941, United States

Location

University of California, San Diego

La Jolla, California, 92093, United States

Location

University of California, Los Angeles

Los Angeles, California, 90095, United States

Location

University of California, Irvine Health

Orange, California, 92868, United States

Location

Western Connecticut Health Network, Danbury Hospital

Danbury, Connecticut, 06810, United States

Location

Western Connecticut Health Netowrk, Norwalk Hospital

Norwalk, Connecticut, 06856, United States

Location

MedStar Georgetown University Hospital

Washington D.C., District of Columbia, 20007, United States

Location

University of Miami

Coral Gables, Florida, 33124, United States

Location

University of Miami Clinical Translational Research Site

Miami, Florida, 33136, United States

Location

NorthShore University HealthSystem

Evanston, Illinois, 60201, United States

Location

Anne Arundel Medical Center

Annapolis, Maryland, 21401, United States

Location

The Johns Hopkins University

Baltimore, Maryland, 21205, United States

Location

University of Massachusetts Worcester

Worcester, Massachusetts, 01655, United States

Location

Wayne State University

Detroit, Michigan, 48202, United States

Location

University of New Mexico Health Sciences Center

Albuquerque, New Mexico, 87131, United States

Location

Center for American Indian Health - Gallup Office

Gallup, New Mexico, 87301, United States

Location

Center for American Indian Health - Shiprock Office

Shiprock, New Mexico, 87420, United States

Location

Vassar Brothers Medical Center

Poughkeepsie, New York, 12601, United States

Location

University of Rochester

Rochester, New York, 14642, United States

Location

University of Cincinnati Medical Center

Cincinnati, Ohio, 45219, United States

Location

Lifespan/BrownUniversity (Rhode Island Hospital)

Providence, Rhode Island, 02903, United States

Location

Baylor College of Medicine

Houston, Texas, 77030, United States

Location

University of Texas Health Science Center at Houston

Houston, Texas, 77030, United States

Location

The University of Utah

Salt Lake City, Utah, 84132, United States

Location

Related Publications (2)

  • Shoham S, Bloch EM, Casadevall A, Hanley D, Lau B, Gebo K, Cachay E, Kassaye SG, Paxton JH, Gerber J, Levine AC, Naeim A, Currier J, Patel B, Allen ES, Anjan S, Appel L, Baksh S, Blair PW, Bowen A, Broderick P, Caputo CA, Cluzet V, Cordisco ME, Cruser D, Ehrhardt S, Forthal D, Fukuta Y, Gawad AL, Gniadek T, Hammel J, Huaman MA, Jabs DA, Jedlicka A, Karlen N, Klein S, Laeyendecker O, Lane K, McBee N, Meisenberg B, Merlo C, Mosnaim G, Park HS, Pekosz A, Petrini J, Rausch W, Shade DM, Shapiro JR, Singleton JR, Sutcliffe C, Thomas DL, Yarava A, Zand M, Zenilman JM, Tobian AAR, Sullivan DJ. Transfusing Convalescent Plasma as Post-Exposure Prophylaxis Against Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2) Infection: A Double-Blinded, Phase 2 Randomized, Controlled Trial. Clin Infect Dis. 2023 Feb 8;76(3):e477-e486. doi: 10.1093/cid/ciac372.

  • Shoham S, Bloch EM, Casadevall A, Hanley D, Lau B, Gebo K, Cachay E, Kassaye SG, Paxton JH, Gerber J, Levine AC, Currier J, Patel B, Allen ES, Anjan S, Appel L, Baksh S, Blair PW, Bowen A, Broderick P, Caputo CA, Cluzet V, Cordisco ME, Cruser D, Ehrhardt S, Forthal D, Fukuta Y, Gawad AL, Gniadek T, Hammel J, Huaman MA, Jabs DA, Jedlicka A, Karlen N, Klein S, Laeyendecker O, Lane K, McBee N, Meisenberg B, Merlo C, Mosnaim G, Park HS, Pekosz A, Petrini J, Rausch W, Shade DM, Shapiro JR, Singleton JR, Sutcliffe C, Thomas DL, Yarava A, Zand M, Zenilman JM, Tobian AAR, Sullivan D. Randomized controlled trial transfusing convalescent plasma as post-exposure prophylaxis against SARS-CoV-2 infection. medRxiv [Preprint]. 2021 Dec 14:2021.12.13.21267611. doi: 10.1101/2021.12.13.21267611.

MeSH Terms

Conditions

Coronavirus InfectionsConvalescenceCOVID-19

Condition Hierarchy (Ancestors)

Coronaviridae InfectionsNidovirales InfectionsRNA Virus InfectionsVirus DiseasesInfectionsDisease AttributesPathologic ProcessesPathological Conditions, Signs and SymptomsPneumonia, ViralPneumoniaRespiratory Tract InfectionsLung DiseasesRespiratory Tract Diseases

Results Point of Contact

Title
Shmuel Shoham
Organization
The Johns Hopkins University School of Medicine

Study Officials

  • Shmuel Shoham, MD

    Johns Hopkins University

    PRINCIPAL INVESTIGATOR

Publication Agreements

PI is Sponsor Employee
No
Restrictive Agreement
No

Study Design

Study Type
interventional
Phase
phase 2
Allocation
RANDOMIZED
Masking
TRIPLE
Who Masked
PARTICIPANT, CARE PROVIDER, INVESTIGATOR
Purpose
TREATMENT
Intervention Model
PARALLEL
Model Details: 1:1 ratio
Sponsor Type
OTHER
Responsible Party
SPONSOR

Study Record Dates

First Submitted

March 24, 2020

First Posted

March 27, 2020

Study Start

June 10, 2020

Primary Completion

April 22, 2021

Study Completion

June 22, 2021

Last Updated

April 26, 2022

Results First Posted

April 22, 2022

Record last verified: 2022-04

Data Sharing

IPD Sharing
Will not share

Sharing is governed by Johns Hopkins University Institutional Guidelines

Locations