Evidence map›Paper›PMID 33878505›Full record

ReviewClinical microbiology and infection : the official publication of the European Society of Clinical Microbiology and Infectious Diseases2021

Patient-blood management for COVID19 convalescent plasma therapy: relevance of affinity and donor-recipient differences in concentration of neutralizing antibodies.

Daniele Focosi, Fabrizio Maggi, Massimo Franchini, Adriano Aguzzi, Maria Lanza, Alessandro Mazzoni, Francesco Menichetti

Abstract readReview
In one paragraph

Review in Clinical microbiology and infection : the official publication of the European Society of Clinical Microbiology and Infectious Diseases, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

  1. Article
  2. Article
  3. Review
  4. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Daniele FocosiNorth-Western Tuscany Blood Bank, Pisa University Hospital, Pisa, Italy. Electronic address: daniele.focosi@gmail.com.
Fabrizio MaggiDepartment of Medicine and Surgery, University of Insubria, Varese, Italy.
Massimo FranchiniDepartment of Haematology and Transfusion Medicine, Carlo Poma Hospital, Mantua, Italy.
Adriano AguzziInstitute of Neuropathology, University of Zurich, Zurich, Switzerland.
Maria LanzaNorth-Western Tuscany Blood Bank, Pisa University Hospital, Pisa, Italy.
Alessandro MazzoniDivision of Transfusion Medicine and Transplant Biology, Pisa University Hospital, Pisa, Italy.
Francesco MenichettiInfectious Disease Unit, Pisa University, Pisa, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCoronavirus disease 2019 (COVID-19) convalescent plasma (CCP) is being extensively investigated as a treatment, with mixed results to date. Overall, there has been a generalized lack of appropriateness in prescriptions, which, in the field of transfusion medicine, is termed patient-blood management.

objectivesWe aimed to separate study design variables that could affect clinical outcome after CCP therapy. We focus here on variables such as pretransfusion antibody testing in recipients, dose adjustments and antibody affinity measurements. SOURCES: We searched PubMed and preprint servers for relevant preclinical and clinical studies discussing each of these variables in the field of CCP therapy. CONTENT: We show evidence that neglecting those variables has affected the outcomes of the vast majority of CCP clinical trials to date. IMPLICATIONS: A better understanding of such variables will improve the design of the next generation of CCP clinical trials. This will likely lead to better clinical outcomes and will minimize risks of immune evasion from subneutralizing doses of neutralizing antibodies.

Indexed as

Antibodies, NeutralizingAntibodies, ViralBlood DonorsCOVID-19COVID-19 SerotherapyDose-Response Relationship, ImmunologicEconomics, PharmaceuticalHumansImmunization, PassiveImmunoglobulin GSeverity of Illness IndexTreatment OutcomeAntibodies, NeutralizingAntibodies, ViralImmunoglobulin GConvalescent plasmaCoronavirus disease 2019Neutralizing antibodiesPharmacodynamicsStoichiometry

Identifiers

PMID33878505
PMCPMC8052606

What OpenQuestion holds

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Registered trials

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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.