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Clinical and immunological benefits of convalescent plasma therapy in severe COVID-19: insights from a single center open label randomised control trial


ABSTRACT: A randomised control trial was done to assess clinical and immunological benefits of passive immunization using convalescent plasma therapy (CPT), compared with standard of care, in severe COVID-19 patients presenting with acute respiratory distress syndrome (ARDS). Plasma abundance of a large panel of cytokines was quantitated before and after intervention to assess the effect of CPT on the systemic hyper-inflammation encountered in these patients. Transfused convalescent plasma was characterized in terms of its neutralizing antibody content as well as proteome. While across all age-groups clinical outcomes were not significantly different, significant immediate mitigation of hypoxia, reduction in hospital stay as well as significant survival benefit were registered in severe COVID-19 patients with ARDS aged less than 67 years receiving CPT. In addition to its neutralizing antibody content, a significant effect of the anti-inflammatory proteome of convalescent plasma on attenuation of systemic cytokine deluge, contributed to the clinical benefits of CPT.

INSTRUMENT(S): TripleTOF 6600

ORGANISM(S): Homo Sapiens (human)

TISSUE(S): Blood Plasma

DISEASE(S): Covid-19

SUBMITTER: Praveen Singh  

LAB HEAD: Dipyaman Ganguly

PROVIDER: PXD025453 | Pride | 2022-02-17

REPOSITORIES: Pride

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Publications

A phase 2 single center open label randomised control trial for convalescent plasma therapy in patients with severe COVID-19.

Ray Yogiraj Y   Paul Shekhar Ranjan SR   Bandopadhyay Purbita P   D'Rozario Ranit R   Sarif Jafar J   Raychaudhuri Deblina D   Bhowmik Debaleena D   Lahiri Abhishake A   Vasudevan Janani Srinivasa JS   Maurya Ranjeet R   Kanakan Akshay A   Sharma Sachin S   Kumar Manish M   Singh Praveen P   Roy Rammohan R   Chaudhury Kausik K   Maiti Rajsekhar R   Bagchi Saugata S   Maiti Ayan A   Perwez Md Masoom MM   Mondal Abhinandan A   Tewari Avinash A   Mandal Samik S   Roy Arpan A   Saha Moumita M   Biswas Durba D   Maiti Chikam C   Bhaduri Ritwik R   Chakraborty Sayantan S   Sarkar Biswanath Sharma BS   Haldar Anima A   Saha Bibhuti B   Sengupta Shantanu S   Pandey Rajesh R   Chatterjee Shilpak S   Bhattacharya Prasun P   Paul Sandip S   Ganguly Dipyaman D  

Nature communications 20220119 1


A single center open label phase 2 randomised control trial (Clinical Trial Registry of India No. CTRI/2020/05/025209) was done to assess clinical and immunological benefits of passive immunization using convalescent plasma therapy. At the Infectious Diseases and Beleghata General Hospital in Kolkata, India, 80 patients hospitalized with severe COVID-19 disease and fulfilling the inclusion criteria (aged more than 18 years, with either mild ARDS having PaO2/FiO2 200-300 or moderate ARDS having P  ...[more]

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