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NCT04524507: UNC CCP RCT

Coronavirus Disease 2019 (COVID-19) Antibody Plasma Research Study in Hospitalized Patients

Completed Phase 2 Results posted Last updated 3 December 2021
What this trial tests

Phase 2 trial testing High-titer Convalescent COVID-19 Plasma (CCP1) in COVID-19 in 56 participants. Completed in 4 June 2021.

Timeline
27 August 2020
Primary endpoint
4 January 2021
4 June 2021

Quick facts

Lead sponsorUniversity of North Carolina, Chapel Hill
PhasePhase 2
StatusCompleted
Study typeINTERVENTIONAL
Allocationrandomized
Designparallel
Maskingdouble
Primary purposetreatment
Enrollment56
Start date27 August 2020
Primary completion4 January 2021
Estimated completion4 June 2021
Sites1 location across United States

Drugs / interventions tested

Conditions studied

Sponsor

University of North Carolina, Chapel Hill

Who can join

Adults 18 to 99, any sex, with COVID-19. Patients with the condition only — healthy volunteers not accepted.

Results — posted to ClinicalTrials.gov

Per-arm endpoint measurements with 95% confidence intervals where reported. Source: trial results section.

Total Number of Serious Adverse Events (SAE) Through Study Day 14 Primary · 14 days

Total number of SAE among all participants through Day 14; Definition of SAE per protocol and will only be included if related to COVID-19 Convalescent Plasma (CCP): 1. Death; 2. Life-threatening (immediate risk of death); 3. Prolongation of existing hospitalization; 4. Persistent or significant disability or incapacity; OR 5. Important medical events that may not result in death, be life threatening, or require intervention or escalation of care may be considered a serious adverse event when, based upon appropriate medical judgment, they may jeopardize the subject and may require medical or s

GroupValue95% CI
High-Titer (CCP1)0
Standard-Titer (CCP2)0
Median Time to Hospital Discharge (or Discharge Equivalent) Following First Dose of CCP Primary · up to 28 days

Median number of days to hospital discharge following first dose of CCP among all participants.

GroupValue95% CI
High-Titer (CCP1)52 – 6
Standard-Titer (CCP2)73 – 20

Adverse events — posted to ClinicalTrials.gov

Time frame: From the time participants received the study intervention through Day 28.. Reporting threshold: 5%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

High-Titer (CCP1)
Serious: 2/14 (14%)
Deaths: 2/14
Standard-Titer (CCP2)
Serious: 15/41 (37%)
Deaths: 10/41

Serious adverse events (11 terms)

ReactionSystemHigh-Titer (CCP1)Standard-Titer (CCP2)
Acute respiratory failureRespiratory, thoracic and mediastinal disorders
Acute respiratory distress syndromeRespiratory, thoracic and mediastinal disorders
Lymphocyte count decreasedInvestigations
Alanine aminotransferase increasedInvestigations
Aspartate aminotransferase increasedInvestigations
Blood bilirubin increasedInvestigations
Cardiac arrestCardiac disorders
Gastrointestinal hemorrhageGastrointestinal disorders
HyperkalemiaMetabolism and nutrition disorders
Platelet count decreasedInvestigations
Acute respiratory distressRespiratory, thoracic and mediastinal disorders
Other adverse events (50 terms — click to expand)

ReactionSystemHigh-Titer (CCP1)Standard-Titer (CCP2)
Alanine aminotransferase increasedInvestigations
AnemiaBlood and lymphatic system disorders
HypoalbuminemiaMetabolism and nutrition disorders
Lymphocyte count decreasedInvestigations
HyperkalemiaMetabolism and nutrition disorders
HyponatremiaMetabolism and nutrition disorders
Aspartate aminotransferase increasedInvestigations
HyperglycemiaMetabolism and nutrition disorders
HypernatremiaMetabolism and nutrition disorders
HypertensionVascular disorders
International normalized ratio increasedInvestigations
Blood bilirubin increasedInvestigations
Blood albumin decreasedInvestigations
Activated partial thromboplastin time prolongedInvestigations
Atrial fibrillationCardiac disorders
Blood creatinine increasedInvestigations
Blood pressure increasedInvestigations
HypoglycemiaMetabolism and nutrition disorders
HypokalemiaMetabolism and nutrition disorders
PneumoniaInfections and infestations
Blood alkaline phosphatase increasedInvestigations
BacteremiaInfections and infestations
Blood bicarbonate decreasedInvestigations
HypotensionVascular disorders
LeukopeniaBlood and lymphatic system disorders
Pneumonia staphylococcalInfections and infestations
White blood cell count decreasedInvestigations
BradycardiaCardiac disorders
DeliriumPsychiatric disorders
HyperphosphatemiaMetabolism and nutrition disorders
HypocalcemiaMetabolism and nutrition disorders
HypophosphatemiaMetabolism and nutrition disorders
Neutrophil count decreasedInvestigations
ThrombocytopeniaBlood and lymphatic system disorders
VomitingGastrointestinal disorders
Pneumonia bacterialInfections and infestations
Acute myocardial infarctionCardiac disorders
Blood potassium decreasedInvestigations
Confusional statePsychiatric disorders
Decubitus ulcerSkin and subcutaneous tissue disorders

Most-reported serious reactions: Acute respiratory failure, Acute respiratory distress syndrome, Lymphocyte count decreased, Alanine aminotransferase increased, Aspartate aminotransferase increased, Blood bilirubin increased, Cardiac arrest, Gastrointestinal hemorrhage.

Data from ClinicalTrials.gov NCT04524507 adverse events section.

Sponsor's own description

The purpose of this research study is to find out if CCP is safe and to determine the safest and most effective level of anti-viral antibody when given to people admitted to the hospital with confirmed COVID-19 infection. Participants enrolled on this study will be transfused with 2 units of CCP through an IV. These units will be given one at a time 4 to 24 hours apart. Participants will be randomized to receive either 2 units with standard antibody levels as recommended by the FDA or 2 units with an antibody level higher than that recommended by the FDA. This study is experimental and CCP is investigational and has not been approved by the FDA for the treatment of COVID-19. The CCP is collected per FDA guidelines from persons recovered from COVID-19 infection. The plasma contains antibodies and possibly other properties that inhibit the virus. The investigators do not know if the level of antibodies present in the CCP will make a difference in how the participant's body is able to fight the infection and hope to learn that in this study.

Publications & conference data

7 peer-reviewed publications reference this trial (live from Europe PMC):

  1. Convalescent plasma or hyperimmune immunoglobulin for people with COVID-19: a living systematic review.
    Piechotta V, Iannizzi C, Chai KL, Valk SJ, et al · · 2021 · cited 106× · PMID 34013969 · DOI 10.1002/14651858.cd013600.pub4
  2. Convalescent plasma for people with COVID-19: a living systematic review.
    Iannizzi C, Chai KL, Piechotta V, Valk SJ, et al · · 2023 · cited 24× · PMID 36734509 · DOI 10.1002/14651858.cd013600.pub5
  3. Convalescent plasma for people with COVID-19: a living systematic review.
    Iannizzi C, Chai KL, Piechotta V, Valk SJ, et al · · 2023 · cited 21× · PMID 37162745 · DOI 10.1002/14651858.cd013600.pub6
  4. Outcomes of Convalescent Plasma with Defined High versus Lower Neutralizing Antibody Titers against SARS-CoV-2 among Hospitalized Patients: CoronaVirus Inactivating Plasma (CoVIP) Study.
    Bartelt LA, Markmann AJ, Nelson B, Keys J, et al · · 2022 · cited 12× · PMID 36135380 · DOI 10.1128/mbio.01751-22
  5. Evaluation of a COVID-19 convalescent plasma program at a U.S. academic medical center.
    Root HB, Gilleskie M, Lu CH, Gilmore A, et al · · 2022 · cited 1× · PMID 36480499 · DOI 10.1371/journal.pone.0277707
  6. Outcomes of Convalescent Plasma with Defined High- Versus Lower-Neutralizing Antibody Titers Against SARS-CoV-2 Among Hospitalized Patients: Coronavirus Inactivating Plasma (CoVIP), Double-Blind Phase 2 Study
    Bartelt LA, Markmann AJ, Nelson B, Keys J, et al · · 2022 · DOI 10.2139/ssrn.4092959
  7. Outcomes of convalescent plasma with defined high- versus lower-neutralizing antibody titers against SARS-CoV-2 among hospitalized patients: CoronaVirus Inactivating Plasma (CoVIP), double-blind phase 2 study
    Bartelt LA, Markmann AJ, Nelson B, Keys J, et al · · 2022 · DOI 10.1101/2022.04.29.22274387

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Other recruiting trials for COVID-19

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Drug Landscape aggregates and links these public records for informational use only. Always verify against the primary source before clinical or regulatory decisions. Canonical URL: https://druglandscape.com/trial/NCT04524507.

Primary sources · FDA · ClinicalTrials.gov · EMA · SEC EDGAR · ChEMBL · Wikidata · full sourcing