Evidence map›Paper›PMID 34579646›Full record

Trial reportBMC infectious diseases2021

Usefulness of convalescent plasma transfusion for the treatment of severely ill COVID-19 patients in Pakistan.

Tehmina Nafees Sonia Khan, Samina Naz Mukry, Shahtaj Masood, Lubna Meraj, Bikha Ram Devrajani, Javed Akram, Naveena Fatima, Sidra Maqsood, Ayesha Mahesar, Roomana Siddiqui and 6 more

Registry-linked trialOpen access · goldAbstract readClinical Trial
In one paragraph

Trial report in BMC infectious diseases, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04352751 (Experimental Use of Convalescent Plasma for Passive Immunization in Current COVID-19 Pandemic in Pakistan in 2020), which is not on this map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
0.8field-weighted citation impact, top 25% 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.

NCT04352751 naunknown statusnot on this map

Experimental Use of Convalescent Plasma for Passive Immunization in Current COVID-19 Pandemic in Pakistan in 2020

TypeinterventionalSponsorHilton PharmaRan2020 to 2021Enrolled2,000ConditionsCovid-19Armsconvalescent plasma
3 · Its place in the literature

Who cites it

5 citing papers in PubMed, 15 citations in OpenAlex.

  1. Trial
  2. Article
  3. Article
  4. A comprehensive insight into current control of COVID-19: Immunogenicity, vaccination, and treatment.Biomedicine & pharmacotherapy = Biomedecine & pharmacotherapie · 2022
    Review
  5. 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

16 authors at 8 institutions in 1 country.

Tehmina Nafees Sonia KhanNational Institute of Blood Diseases & Bone Marrow Transplantation, Karachi, Pakistan. dr_tehmina@yahoo.com.ORCID http://orcid.org/0000-0001-6033-7375
Samina Naz MukryNational Institute of Blood Diseases & Bone Marrow Transplantation, Karachi, Pakistan.
Shahtaj MasoodHayatabad Medical Complex, Peshawar, Pakistan.
Lubna MerajRawalpindi Medical University, Rawalpindi, Pakistan.
Bikha Ram DevrajaniLiaquat University of Medical and Health Sciences, Jamshoro, Pakistan.
Javed AkramUniversity of Health Sciences, Lahore, Pakistan.
Naveena FatimaNational Institute of Blood Diseases & Bone Marrow Transplantation, Karachi, Pakistan.
Sidra MaqsoodNational Institute of Blood Diseases & Bone Marrow Transplantation, Karachi, Pakistan.
Ayesha MahesarRegional Blood Center, Sukkur, Pakistan.
Roomana SiddiquiOrthopedic and Medical Institute (OMI) Hospital, Karachi, Pakistan.
Sadia IshaqueLiaquat National Hospital, Karachi, Pakistan.
Muhammad Bilal AfzalShah Medical Center, Karachi, Pakistan.
Sanam MukhtarSaifee Hospital, Karachi, Pakistan.
Sara AhmedPatel Hospital, Karachi, Pakistan.
Arshi NazNational Institute of Blood Diseases & Bone Marrow Transplantation, Karachi, Pakistan.
Tahir Sultan ShamsiNational Institute of Blood Diseases & Bone Marrow Transplantation, Karachi, Pakistan.
National Institute Of Blood Disease and Bone Marrow Transplantation · PKCivil Hospital Karachi · PKHayatabad Medical Complex · PKIndus Hospital · PKLiaquat National Hospital · PKLiaquat University of Medical & Health Sciences · PKRawalpindi Medical University · PKUniversity of Health Sciences Lahore · PK

Funding

Hilton Pharmaceutical company NIBD/2019/1010
6 · The paper itself

Abstract

backgroundConvalescent plasma(CP) was utilized as potential therapy during COVID-19 pandemic in Pakistan. The study aimed at appraisal of CP transfusion safety and usefulness in COVID pneumonia.

methodsSingle arm, MEURI study design of non-randomized open label trial was conducted in five centers. Patients werecategorized as moderately severe, severe, and critical. The primary endpoint was a) improvement in clinical status and change in category of disease severity; secondary endpoint was b) CP ability to halt disease progression to invasive ventilation. CP transfused to hospitalized patients. Statistical tests including median (interquartile ranges), Mann-Whitney U test, Fisher's exact test using SPSS ver. 23, ANOVA and Chi-square test were applied for the analysis of results parameters before and after CP treatment. SOFA score was applied for multiorgan failure in severe and critical cases.

resultsA total of 50 adult patients; median age 58.5 years (range: 29-92 years) received CP with infusion titers; median 1:320 U/mL (Interquartile range 1:80-1:320) between April 4 to May 5, 2020. The median time from onset of symptoms to enrollment in trial was 3 to 7 days with shortness of breath and lung infiltration as severity criterion. In 35 (70%) recipients, oxygen saturation improved from 80 to 95% within 72h, with resolution of lung infiltrates. Primary endpoint was achieved in 44 (88%) recipients whereas secondary endpoint was achieved in 42 (84%). No patient experienced severe adverse events. A high SOFA score (> 7) correlated with deaths in severe and critical patients. Eight (16%) patients expired due to comorbidities; cardiac arrest in 2 (4%), multiorgan failure secondary to cytokine storm in 5 (10%) and ventilator associated complications in 1 (2%).

conclusionCP transfusion can be used as a safe and useful treatment in moderately severe and severe patients.

trial registrationThe trial registration number is NCT04352751  ( https://www.irct.ir/search/result?query=IRCT20200414047072N1 ). Trial Registration date is 28th April 2020.

Indexed as

COVID-19PandemicsAdultAgedAged, 80 and overBlood Component TransfusionCOVID-19 SerotherapyHumansImmunization, PassiveMiddle AgedPakistanPlasmaSARS-CoV-2Treatment OutcomeConvalescent CP recipientConvalescent plasma (CP)COVID-19SARS CoV2 infectionSOFA score

Identifiers

PMID34579646
PMCPMC8475331
OpenAlexW3202177778

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.