NCT04372979

Brief Summary

COVID-19 (Corona Virus Disease 2019) hospitalized patients evolution is marked by the risk of worsening of the respiratory system during the second week of the disease. To date, treatments are currently being evaluated and none of them have shown to be effective in the care of these patients. The use of convalescent plasma is a passive immunotherapy. It has often been used in respiratory virus epidemic situations (during the 1918 or 2009 influenza pandemic, or during SARS-CoV-1 or MERS-CoV pandemic). Effects reported in literature are in favour of a beneficial impact of transfusion of these plasma without serious adverse effects reported. PlasCoSSA is a randomized, controlled, triple-blinded, parallel clinical trial. This study tests the efficacy of convalescent plasma transfusion therapy in the early care of COVID-19 hospitalized patients outside intensive care units.

Trial Health

57
Monitor

Trial Health Score

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

Enrollment
18

participants targeted

Target at below P25 for phase_3 covid19

Timeline
Completed

Started Sep 2020

Geographic Reach
1 country

4 active sites

Status
terminated

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

April 24, 2020

Completed
10 days until next milestone

First Posted

Study publicly available on registry

May 4, 2020

Completed
4 months until next milestone

Study Start

First participant enrolled

September 14, 2020

Completed
9 months until next milestone

Primary Completion

Last participant's last visit for primary outcome

June 1, 2021

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

June 1, 2021

Completed
Last Updated

April 14, 2022

Status Verified

April 1, 2022

Enrollment Period

9 months

First QC Date

April 24, 2020

Last Update Submit

April 6, 2022

Conditions

Keywords

SARS-CoV-2COVID 19Convalescent plasma

Outcome Measures

Primary Outcomes (1)

  • Survival time without needs of a ventilator.

    Survival time without needs of ventilator, i.e. the time until oxygen supply (patient previously in ambient air), or an increase by more than 6L/min of O2 for more than 24 hours, or the use of non-invasive ventilation, or intubation, or death.

    Day 30

Secondary Outcomes (12)

  • Morbidity

    Day 15

  • Morbidity

    Day 30

  • Mortality

    Day 30

  • Length of stay

    Day 30

  • Effect on viral pharyngeal specimen clearance

    At inclusion and Day 7

  • +7 more secondary outcomes

Study Arms (2)

SARS-CoV-2 patients treated with convalescent plasma

EXPERIMENTAL

Subjects will receive an intravenous injection of SARS-CoV-2 Convalescent Plasma.

Drug: Transfusion of SARS-CoV-2 Convalescent Plasma.

SARS-CoV-2 patients treated with standard plasma

ACTIVE COMPARATOR

Subjects will receive an intravenous injection of standard Plasma.

Drug: Transfusion of standard Plasma.

Interventions

2 Convalescent Plasma units of 200-230mL each, inactivated by amotosalen.

SARS-CoV-2 patients treated with convalescent plasma

2 Standard Plasma units of 200-230mL each, inactivated by amotosalen.

SARS-CoV-2 patients treated with standard plasma

Eligibility Criteria

Age18 Years - 90 Years
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Age 18-90 years ;
  • COVID-19 confirmed case ;
  • Cases showing respiratory symptoms, checking at least one of the following criteria:
  • Cough, dyspnea, respiratory rate \> 24 breaths/min
  • Oxygen saturation \< 95% at rest in ambient air
  • PaO2 \< 70mmHg
  • Scanographic pulmonary compatible with COVID in the absence of any other etiology
  • Risk of deterioration, checking at least one of the following comorbidity criteria :
  • Chronic respiratory pathology
  • Diabetes
  • Cancer pathology
  • Cardiovascular disease
  • Chronic kidney failure
  • Congenital or acquired immunodeficiency
  • Cirrhosis at stage B
  • +7 more criteria

You may not qualify if:

  • Patients admitted in intensive care within the first 6 hours of hospital care,
  • Patients after 10 days from the start of symptoms
  • Age \< 18 years and \> 90 years
  • Long-term oxygen-dependent patients (at home),
  • Decompensated chronic cardiac, respiratory, urological pathology
  • Patient refusing administration of blood products,
  • Allergic reaction to plasma products,
  • IgA deficiency,
  • Contraindication to transfusion
  • Ig transfusion within 30 days,
  • Patient currently participating to another clinical trial,
  • Pregnant women,
  • No affiliated to the social security,
  • Person deprived of liberty by a legal or administrative decision, person under guardianship

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (4)

HIA Percy

Clamart, 92140, France

Location

HIA Laveran

Marseille, 13013, France

Location

HIA Bégin

Saint-Mandé, 94160, France

Location

HIA Sainte Anne

Toulon, 83000, France

Location

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Related Links

MeSH Terms

Conditions

COVID-19

Condition Hierarchy (Ancestors)

Pneumonia, ViralPneumoniaRespiratory Tract InfectionsInfectionsVirus DiseasesCoronavirus InfectionsCoronaviridae InfectionsNidovirales InfectionsRNA Virus InfectionsLung DiseasesRespiratory Tract Diseases

Study Officials

  • Nathalie KOULMANN

    Direction Centrale du Service de Santé des Armées (DCSSA)

    STUDY DIRECTOR
  • Catherine VERRET

    Service de Santé des Armées-Direction de la Formation de la Recherche et de l'Innovation

    STUDY DIRECTOR
  • Christophe MARTINAUD

    Centre de Transfusion Sanguine des Armées

    PRINCIPAL INVESTIGATOR
  • Jean-Luc BOSSON

    Statistical and methodological investigator - Laboratoire TIMC UMR 5525 CNRS Equipe Themas

    PRINCIPAL INVESTIGATOR

Study Design

Study Type
interventional
Phase
phase 3
Allocation
RANDOMIZED
Masking
TRIPLE
Who Masked
PARTICIPANT, INVESTIGATOR, OUTCOMES ASSESSOR
Purpose
TREATMENT
Intervention Model
PARALLEL
Sponsor Type
OTHER
Responsible Party
SPONSOR

Study Record Dates

First Submitted

April 24, 2020

First Posted

May 4, 2020

Study Start

September 14, 2020

Primary Completion

June 1, 2021

Study Completion

June 1, 2021

Last Updated

April 14, 2022

Record last verified: 2022-04

Data Sharing

IPD Sharing
Will not share

Locations