Evidence map›Paper›PMID 33901641›Full record

ArticleTransfusion clinique et biologique : journal de la Societe francaise de transfusion sanguine2021

COVID-19 convalescent plasma as long-term therapy in immunodeficient patients?

D Rnjak, S Ravlić, A-M Šola, B Halassy, J Šemnički, M Šuperba, A Hećimović, I-C Kurolt, T Kurtović, Ž Mačak Šafranko and 7 more

Open access · hybridAbstract read
In one paragraph

Article in Transfusion clinique et biologique : journal de la Societe francaise de transfusion sanguine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 1 pooled it
1.6field-weighted citation impact, top 14% 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.

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

15 citing papers in PubMed, 1 synthesis or guideline pooled it, 27 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. SARS-CoV-2 variants in immunocompromised COVID-19 patients: The underlying causes and the way forward.Transfusion clinique et biologique : journal de la Societe francaise de transfusion sanguine · 2022
    Article
  6. COVID-19convalescent plasma use in the oncology and geriatric patients: Ethical aspects in transfusion medicine.Transfusion clinique et biologique : journal de la Societe francaise de transfusion sanguine · 2022
    Article
  7. Article
  8. Review
  9. Article
  10. Article
  11. Review
  12. Review
  13. Convalescent Covid-19 plasma: Back-to-basics and ethics, and next steps.Transfusion clinique et biologique : journal de la Societe francaise de transfusion sanguine · 2021
    Article
  14. Article
  15. Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

17 authors at 4 institutions in 1 country.

D RnjakSpecial Hospital for Pulmonary Diseases, Rockefellerova 3, 10000 Zagreb, Croatia. Electronic address: dina.rnjak@gmail.com.
S RavlićUniversity of Zagreb, Centre for Research and Knowledge Transfer in Biotechnology, Rockefellerova 10, 10000 Zagreb, Croatia; Centre of Excellence for Virus Immunology and Vaccines, Zagreb, Croatia. Electronic address: sravlic@unizg.hr.
A-M ŠolaSpecial Hospital for Pulmonary Diseases, Rockefellerova 3, 10000 Zagreb, Croatia.
B HalassyUniversity of Zagreb, Centre for Research and Knowledge Transfer in Biotechnology, Rockefellerova 10, 10000 Zagreb, Croatia; Centre of Excellence for Virus Immunology and Vaccines, Zagreb, Croatia.
J ŠemničkiSpecial Hospital for Pulmonary Diseases, Rockefellerova 3, 10000 Zagreb, Croatia.
M ŠuperbaSpecial Hospital for Pulmonary Diseases, Rockefellerova 3, 10000 Zagreb, Croatia.
A HećimovićCroatian Institute of Transfusion Medicine, Zagreb, Croatia.
I-C KuroltUniversity Hospital for Infectious Diseases Dr. Fran Mihaljević, Zagreb, Croatia; Centre of Excellence for Virus Immunology and Vaccines, Zagreb, Croatia.
T KurtovićUniversity of Zagreb, Centre for Research and Knowledge Transfer in Biotechnology, Rockefellerova 10, 10000 Zagreb, Croatia; Centre of Excellence for Virus Immunology and Vaccines, Zagreb, Croatia.
Ž Mačak ŠafrankoUniversity Hospital for Infectious Diseases Dr. Fran Mihaljević, Zagreb, Croatia; Centre of Excellence for Virus Immunology and Vaccines, Zagreb, Croatia.
D PolančecSrebrnjak Children's Hospital, Zagreb, Croatia.
K BendeljaUniversity of Zagreb, Centre for Research and Knowledge Transfer in Biotechnology, Rockefellerova 10, 10000 Zagreb, Croatia.
T MušlinCroatian Institute of Transfusion Medicine, Zagreb, Croatia.
I JukićCroatian Institute of Transfusion Medicine, Zagreb, Croatia.
T VukCroatian Institute of Transfusion Medicine, Zagreb, Croatia.
L ZenićSrebrnjak Children's Hospital, Zagreb, Croatia.
M ArtukovićSpecial Hospital for Pulmonary Diseases, Rockefellerova 3, 10000 Zagreb, Croatia.
Croatian Institute of Transfusion Medicine · HRUniversity of Zagreb · HRChildren's Hospital Srebrnjak · HRUniversity Hospital for Infectious Diseases "Dr Fran Mihaljevic" · HR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesThe patients with hematological malignancies are a vulnerable group to COVID-19, due to the immunodeficiency resulting from the underlying disease and oncological treatment that significantly impair cellular and humoral immunity. Here we report on a beneficial impact of a passive immunotherapy with convalescent plasma to treat a prolonged, active COVID-19 infection in a patient with a history of nasopharyngeal diffuse large B-cell lymphoma treated with the therapy inducing substantial impairment of particularly humoral arm of immune system. The specific aim was to quantify SARS-CoV2 neutralizing antibodies in a patient plasma during the course of therapy. MATERIALS AND

methodsBesides the standard of care treatment and monitoring, neutralizing antibody titers in patient's serum samples, calibrated according to the First WHO International Standard for anti-SARS-CoV-2 immunoglobulin (human), were quantified in a time-dependent manner. During the immunotherapy period peripheral blood flow cytometry immunophenotyping was conducted to characterize lymphocyte subpopulations.

resultsThe waves of clinical improvements and worsening coincided with transfused neutralizing antibodies rises and drops in the patient's systemic circulation, proving their contribution in controlling the disease progress. Besides the patient's lack of own humoral immune system, immunophenotyping analysis revealed also the reduced level of helper T-lymphocytes and immune exhaustion of monocytes.

conclusionTherapeutic approach based on convalescent plasma transfusion transformed a prolonged, active COVID-19 infection into a manageable chronic disease.

Indexed as

Immunocompromised HostAnimalsAntibodies, NeutralizingAntibodies, ViralAntineoplastic Combined Chemotherapy ProtocolsChlorocebus aethiopsCombined Modality TherapyCOVID-19COVID-19 Nucleic Acid TestingCOVID-19 SerotherapyHematopoietic Stem Cell TransplantationHumansImmunization, PassiveImmunophenotypingLymphocyte SubsetsLymphoma, Large B-Cell, DiffuseAntibodies, NeutralizingAntibodies, ViralRituximabRNA, ViralConvalescent plasmaCOVID-19ImmunodeficiencyInfective virus-neutralization assayNeutralizing antibodySARS-CoV-2

Identifiers

PMID33901641
PMCPMC8064810
OpenAlexW3159972093

What OpenQuestion holds

Textmetadata
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Registered trials

None linked

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.