Effectiveness of Convalescent Plasma Therapy in 8 Non-Intubated COVID-19 Patients in Indonesia: A Case Series
Study Details
Study Description
Brief Summary
This is the first Case Studies article highlight factors determine the effectiveness of Convalescent Plasma Therapy (CPT) in Indonesia, accompanied by supporting data and images before and after the patients received the therapy. This Case Studies gives a huge contribution as CPT still on going as multicentre study and apply massively as emergency approved treatment in Indonesia.
Condition or Disease | Intervention/Treatment | Phase |
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Detailed Description
Eight non-intubated Covid-19 patients confirmed by real-time viral RNA PCR tests were included. Four patients had been administered two doses of 200 mL convalescent plasma (CP) and another four patients had been administered one dose of CP with an antibody titer of 1:320. This study has three goals included to detect the improvement of patient clinical and laboratory conditions, safety of CPT, and conversion from positive to negative results after CPT administration. Convalescent plasma applied within two weeks (13 days) from onset of illness and within a week (6.5 days) from the first day of hospital admission for all patients. Improvements in clinical symptoms, laboratory parameters, thorax photo, negative conversion of PCR, and decreased oxygen supplementation occurred within a week after CPT. Patients with two doses of CP tended to have faster recovery than those with one dose of CP. No severe adverse effects were observed in any patient. This is the first case series in Indonesia showing CPT is safe and well tolerated, and early CPT before the patient is intubated could potentially prevent disease progression, increase the recovery rate, and shorten the inpatient days.
Study Design
Arms and Interventions
Arm | Intervention/Treatment |
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One bag of convalescent plasma therapy Four patients had been administered one dose of 200 mL CP with an antibody titer of 1:320. |
Biological: Convalescent Plasma Therapy
In this study, eight non-intubated Covid-19 patients confirmed by real-time viral RNA PCR tests were included. Four patients had been administered two doses of 200 mL convalescent plasma (CP) and another four patients had been administered one dose of CP with an antibody titer of 1:320.
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Two bags of convalescent plasma therapy Four patients had been administered two doses of 200 mL CP with an antibody titer of 1:320. |
Biological: Convalescent Plasma Therapy
In this study, eight non-intubated Covid-19 patients confirmed by real-time viral RNA PCR tests were included. Four patients had been administered two doses of 200 mL convalescent plasma (CP) and another four patients had been administered one dose of CP with an antibody titer of 1:320.
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Outcome Measures
Primary Outcome Measures
- Patients with two doses of CP tended to have faster recovery than those with one dose of CP. [1 April 2020 - 31 December 2020]
The median time from onset of illness to CPT was 13 days (within two weeks), and from the first day of hospital admission to CPT was 6.5 days (within a week). There were improvements in clinical symptoms, laboratory parameters, thorax photo, negative conversion of PCR, and decreased oxygen supplementation within a week after CPT. No severe adverse effects were observed in any patient.
Secondary Outcome Measures
- Patients with two doses of CP tended to have faster PCR negative conversion time than those with one dose of CP [1 April 2020 - 31 December 2020]
All four patients given two doses of CP became negative in PCR swab but only two of four patients given one dose of CPT showed negative PCR swab result
Eligibility Criteria
Criteria
Inclusion Criteria:
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COVID-19 patients
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Severe stage
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Positive PCR swab
Exclusion Criteria:
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Non-COVID-19 patients
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No Symptoms COVID-19 patients
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Mild COVID-19 patients
Contacts and Locations
Locations
Site | City | State | Country | Postal Code | |
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1 | Theresia Monica Monica | Bandung | West Java | Indonesia | 40164 |
Sponsors and Collaborators
- Maranatha Christian University
- Primaya Hospital Tangerang Indonesia
Investigators
- Principal Investigator: Theresia M Rahardjo, Dr, Maranatha Christian University
Study Documents (Full-Text)
None provided.More Information
Publications
- Indonesia: WHO Coronavirus Disease (COVID-19) Dashboard | WHO Coronavirus Disease (COVID-19) Dashboard
- Ozdemir OHE. Convalescent (Immune) Plasma Therapy with all Aspects: Yesterday, Today and COVID-19. Erciyes Med J. 2020;1-8.
- Rahardjo TM, Triyono T, Harly PR. Buku Penatalaksanaan Terapi Plasma Konvalesen Bagi Pasien COVID-19 Di Indonesia. Revised Edition. September 2020.
- 0408087106