Evidence map›Paper›PMID 32861333›Full record

ArticleMayo Clinic proceedings2020

Safety Update: COVID-19 Convalescent Plasma in 20,000 Hospitalized Patients.

Michael J Joyner, Katelyn A Bruno, Stephen A Klassen, Katie L Kunze, Patrick W Johnson, Elizabeth R Lesser, Chad C Wiggins, Jonathon W Senefeld, Allan M Klompas, David O Hodge and 30 more

2 registry-linked trialsOpen access · bronzeAbstract readMulticenter Study
In one paragraph

Article in Mayo Clinic proceedings, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 270 papers, 16 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
270citing papers in PubMed, 16 pooled it
85.2field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT04547660 phase3completednot on this map

Convalescent Plasma for Severe COVID-19 Patients: a Randomized, Open-label, Phase 3 Trial

TypeinterventionalSponsorHospital de Clinicas de Porto AlegreRan2020 to 2021Enrolled160ConditionsCovid19ArmsConvalescent Plasma, Best Supportive Care
NCT04747158 phase2 / phase3completednot on this map

COVID-19 Convalescent Plasma Therapy

TypeinterventionalSponsorUniversidad Nacional de AsunciónRan2020 to 2021Enrolled350ConditionsSARS-CoV-2 Infection, COVID-19 InfectionArmsConvalescent plasma
3 · Its place in the literature

Who cites it

270 citing papers in PubMed, 16 syntheses or guidelines pooled it, 430 citations in OpenAlex.

  1. Pooled it
  2. Convalescent plasma for people with COVID-19: a living systematic review.The Cochrane database of systematic reviews · 2023
    Pooled it
  3. Convalescent plasma for people with COVID-19: a living systematic review.The Cochrane database of systematic reviews · 2023
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  4. Guideline
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  10. Guideline
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210 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

40 authors at 10 institutions in 1 country.

Michael J JoynerDepartment of Anesthesiology and Perioperative Medicine, Mayo Clinic, Rochester, MN. Electronic address: https://twitter.com/DrMJoyner.
Katelyn A BrunoDepartment of Cardiovascular Medicine, Mayo Clinic, Jacksonville, FL.
Stephen A KlassenDepartment of Anesthesiology and Perioperative Medicine, Mayo Clinic, Rochester, MN.
Katie L KunzeDepartment of Health Sciences Research, Mayo Clinic, Scottsdale, AZ.
Patrick W JohnsonDepartment of Health Sciences Research, Mayo Clinic, Jacksonville, FL.
Elizabeth R LesserDepartment of Health Sciences Research, Mayo Clinic, Jacksonville, FL.
Chad C WigginsDepartment of Anesthesiology and Perioperative Medicine, Mayo Clinic, Rochester, MN.
Jonathon W SenefeldDepartment of Anesthesiology and Perioperative Medicine, Mayo Clinic, Rochester, MN.
Allan M KlompasDepartment of Anesthesiology and Perioperative Medicine, Mayo Clinic, Rochester, MN.
David O HodgeDepartment of Health Sciences Research, Mayo Clinic, Jacksonville, FL.
John R A ShepherdDepartment of Anesthesiology and Perioperative Medicine, Mayo Clinic, Rochester, MN.
Robert F ReaDepartment of Cardiovascular Medicine, Mayo Clinic, Rochester, MN.
Emily R WhelanDepartment of Cardiovascular Medicine, Mayo Clinic, Jacksonville, FL.
Andrew J ClayburnDepartment of Anesthesiology and Perioperative Medicine, Mayo Clinic, Rochester, MN.
Matthew R SpiegelDepartment of Health Sciences Research, Mayo Clinic, Jacksonville, FL.
Sarah E BakerDepartment of Anesthesiology and Perioperative Medicine, Mayo Clinic, Rochester, MN.
Kathryn F LarsonDepartment of Anesthesiology and Perioperative Medicine, Mayo Clinic, Rochester, MN.
Juan G RipollDepartment of Anesthesiology and Perioperative Medicine, Mayo Clinic, Rochester, MN.
Kylie J AndersenDepartment of Anesthesiology and Perioperative Medicine, Mayo Clinic, Rochester, MN.
Matthew R BurasDepartment of Health Sciences Research, Mayo Clinic, Scottsdale, AZ.
Matthew N P VogtDepartment of Anesthesiology and Perioperative Medicine, Mayo Clinic, Rochester, MN.
Vitaly HerasevichDepartment of Anesthesiology and Perioperative Medicine, Mayo Clinic, Rochester, MN.
Joshua J DennisDepartment of Anesthesiology and Perioperative Medicine, Mayo Clinic, Rochester, MN.
Riley J RegimbalDepartment of Anesthesiology and Perioperative Medicine, Mayo Clinic, Rochester, MN.
Philippe R BauerDepartment of Internal Medicine, Division of Pulmonary and Critical Care, Mayo Clinic, Rochester, MN.
Janis E BlairDepartment of Internal Medicine, Division of Infectious Diseases, Mayo Clinic, Phoenix, AZ.
Camille M van BuskirkDepartment of Laboratory Medicine and Pathology, Mayo Clinic, Rochester, MN.
Jeffrey L WintersDepartment of Laboratory Medicine and Pathology, Mayo Clinic, Rochester, MN.
James R StubbsDepartment of Laboratory Medicine and Pathology, Mayo Clinic, Rochester, MN.
Noud van HelmondDepartment of Anesthesiology, Cooper Medical School of Rowan University, Cooper University Health Care, Camden, NJ.
Brian P ButterfieldDepartment of Anesthesiology and Perioperative Medicine, Mayo Clinic, Rochester, MN.
Matthew A SextonDepartment of Anesthesiology and Perioperative Medicine, Mayo Clinic, Rochester, MN.
Juan C Diaz SotoDepartment of Anesthesiology and Perioperative Medicine, Mayo Clinic, Rochester, MN.
Nigel S PanethDepartments of Epidemiology and Biostatistics and Pediatrics and Human Development, College of Human Medicine, Michigan State University, East Lansing.
Nicole C VerdunCenter for Biologics Evaluation and Research, US Food and Drug Administration, Silver Spring, MD.
Peter MarksCenter for Biologics Evaluation and Research, US Food and Drug Administration, Silver Spring, MD.
Arturo CasadevallDepartment of Molecular Microbiology and Immunology, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD.
DeLisa FairweatherDepartment of Cardiovascular Medicine, Mayo Clinic, Jacksonville, FL.
Rickey E CarterDepartment of Health Sciences Research, Mayo Clinic, Jacksonville, FL.
R Scott WrightDepartment of Cardiovascular Medicine, Mayo Clinic, Rochester, MN; Department of Human Research Protection Program, Mayo Clinic, Rochester, MN.
Mayo Clinic in Arizona · USMayo Clinic in Florida · USJacksonville College · USCenter for Biologics Evaluation and Research · USCooper Medical School of Rowan University · USJohns Hopkins University · USMayo Clinic · USMichigan State University · USTwitter (United States) · USWinnMed · US

Funding

Mayo Clinic Center for Clinical and Translational Science (CCaTS UL1 Supplement - Dr. Timothy Curry)UL1TR002377 · NCATS · MAYO CLINIC ROCHESTER · PI VESNA D GAROVIC · 2017 to 2026
$78.4M
DIABETES AND METABOLISMT32DK007352 · NIDDK · MAYO CLINIC ROCHESTER · PI MICHAEL D. JENSEN · 1986 to 2026
$9.4M
Sex-Specific Effects of Endocrine Disruption on Aging and Alzheimer's DiseaseU54AG044170 · NIA · MAYO CLINIC ROCHESTER · PI KAPOOR, EKTA · 2018 to 2022
$7.7M
Synergy of Host Defense Mechanisms in the LungR01HL059842 · NHLBI · YESHIVA UNIVERSITY · PI CASADEVALL, ARTURO · 1997 to 2023
$7.4M
Variant Hemoglobin and Cardiorespiratory Regulation in HumansR35HL139854 · NHLBI · MAYO CLINIC ROCHESTER · PI JOYNER, MICHAEL J · 2018 to 2024
$5.8M
Conjugate vaccines for prevention and treatment of cryptococcosis - COVID-19 Revision SupplementR01AI152078 · NIAID · JOHNS HOPKINS UNIVERSITY · PI CASADEVALL, ARTURO · 2020 to 2024
$5.1M
Role of viral mitophagosomes in driving sex differences in myocarditisR21AI145356 · NIAID · MAYO CLINIC JACKSONVILLE · PI FAIRWEATHER, DELISA, SIN, JON · 2019 to 2020
$463k
Adipose-derived biogenic nanoparticles for treatment of myocarditis/DCM(MPDPI)R21AI152318 · NIAID · MAYO CLINIC JACKSONVILLE · PI FAIRWEATHER, DELISA, WOLFRAM, JOY · 2020 to 2021
$430k
Sex differences in exercise-induced mitochondrial function during viral myocarditisR21AI154927 · NIAID · MAYO CLINIC JACKSONVILLE · PI FAIRWEATHER, DELISA · 2020 to 2021
$403k
HHS 75A50120C00096NCATS NIH HHS UL1 TR002377NHLBI NIH HHS R01 HL059842NHLBI NIH HHS R35 HL139854NIAID NIH HHS R01 AI152078NIAID NIH HHS R21 AI145356NIAID NIH HHS R21 AI152318NIA NIH HHS U54 AG044170NIDDK NIH HHS T32 DK007352
6 · The paper itself

Abstract

objectiveTo provide an update on key safety metrics after transfusion of convalescent plasma in hospitalized coronavirus 2019 (COVID-19) patients, having previously demonstrated safety in 5000 hospitalized patients. PATIENTS AND

methodsFrom April 3 to June 2, 2020, the US Food and Drug Administration Expanded Access Program for COVID-19 convalescent plasma transfused a convenience sample of 20,000 hospitalized patients with COVID-19 convalescent plasma.

resultsThe incidence of all serious adverse events was low; these included transfusion reactions (n=78; <1%), thromboembolic or thrombotic events (n=113; <1%), and cardiac events (n=677, ~3%). Notably, the vast majority of the thromboembolic or thrombotic events (n=75) and cardiac events (n=597) were judged to be unrelated to the plasma transfusion per se. The 7-day mortality rate was 13.0% (12.5%, 13.4%), and was higher among more critically ill patients relative to less ill counterparts, including patients admitted to the intensive care unit versus those not admitted (15.6 vs 9.3%), mechanically ventilated versus not ventilated (18.3% vs 9.9%), and with septic shock or multiple organ dysfunction/failure versus those without dysfunction/failure (21.7% vs 11.5%).

conclusionThese updated data provide robust evidence that transfusion of convalescent plasma is safe in hospitalized patients with COVID-19, and support the notion that earlier administration of plasma within the clinical course of COVID-19 is more likely to reduce mortality.

Indexed as

Patient SafetyAdolescentAdultAdverse Drug Reaction Reporting SystemsAgedAged, 80 and overCoronavirus InfectionsCOVID-19COVID-19 SerotherapyCritical IllnessFemaleHospitalizationHumansImmunization, PassiveMaleMiddle Aged

Identifiers

PMID32861333
PMCPMC7368917
OpenAlexW3042890801

What OpenQuestion holds

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Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.