Evidence map›Paper›PMID 34594341›Full record

ArticleFrontiers in immunology2021

Use of Outpatient-Derived COVID-19 Convalescent Plasma in COVID-19 Patients Before Seroconversion.

Oliver F Wirz, Katharina Röltgen, Bryan A Stevens, Suchitra Pandey, Malaya K Sahoo, Lorna Tolentino, Michelle Verghese, Khoa Nguyen, Molly Hunter, Theo Thomas Snow and 8 more

Open access · goldAbstract read
In one paragraph

Article in Frontiers in immunology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.2field-weighted citation impact, top 46% 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

2 citing papers in PubMed, 4 citations in OpenAlex.

  1. Article
  2. 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

18 authors at 3 institutions in 1 country.

Oliver F WirzDepartment of Pathology, Stanford University School of Medicine, Stanford, CA, United States.
Katharina RöltgenDepartment of Pathology, Stanford University School of Medicine, Stanford, CA, United States.
Bryan A StevensDepartment of Pathology, Stanford University School of Medicine, Stanford, CA, United States.
Suchitra PandeyDepartment of Pathology, Stanford University School of Medicine, Stanford, CA, United States.
Malaya K SahooDepartment of Pathology, Stanford University School of Medicine, Stanford, CA, United States.
Lorna TolentinoStanford Blood Center, Palo Alto, CA, United States.
Michelle VergheseDepartment of Pathology, Stanford University School of Medicine, Stanford, CA, United States.
Khoa NguyenDepartment of Pathology, Stanford University School of Medicine, Stanford, CA, United States.
Molly HunterATUM, Newark, CA, United States.
Theo Thomas SnowSean N. Parker Center for Allergy and Asthma Research, Stanford, CA, United States.
Abhay Raj SinghSean N. Parker Center for Allergy and Asthma Research, Stanford, CA, United States.
Catherine A BlishDepartment of Medicine, Division of Infectious Diseases and Geographic Medicine, Stanford University, Stanford, CA, United States.
Jennifer R CochranDepartment of Bioengineering, Stanford University, Stanford, CA, United States.
James L ZehnderDepartment of Pathology, Stanford University School of Medicine, Stanford, CA, United States.
Kari C NadeauSean N. Parker Center for Allergy and Asthma Research, Stanford, CA, United States.
Benjamin A PinskyDepartment of Pathology, Stanford University School of Medicine, Stanford, CA, United States.
Tho D PhamDepartment of Pathology, Stanford University School of Medicine, Stanford, CA, United States.
Scott D BoydDepartment of Pathology, Stanford University School of Medicine, Stanford, CA, United States.
Stanford University · USStanford Blood Center · USATUM (United States) · US

Funding

Project 3: T CellsU54CA260517 · NCI · STANFORD UNIVERSITY · PI DAVIS, MARK MORRIS · 2020 to 2024
$10.4M
Effects of aging on primary and secondary vaccine responses in a 15-year longitudinal cohortR01AI130398 · NIAID · STANFORD UNIVERSITY · PI BOYD, SCOTT DEXTER · 2017 to 2021
$4.0M
Storage and recall of human B cell memory of influenza over tissues and timeR01AI127877 · NIAID · STANFORD UNIVERSITY · PI BOYD, SCOTT DEXTER · 2017 to 2021
$2.0M
NCI NIH HHS U54 CA260517NIAID NIH HHS R01 AI127877NIAID NIH HHS R01 AI130398
6 · The paper itself

Abstract

Background: Transfusion of COVID-19 convalescent plasma (CCP) containing high titers of anti-SARS-CoV-2 antibodies serves as therapy for COVID-19 patients. Transfusions early during disease course was found to be beneficial. Lessons from the SARS-CoV-2 pandemic could inform early responses to future pandemics and may continue to be relevant in lower resource settings. We sought to identify factors correlating to high antibody titers in convalescent plasma donors and understand the magnitude and pharmacokinetic time course of both transfused antibody titers and the endogenous antibody titers in transfused recipients. Methods: Plasma samples were collected up to 174 days after convalescence from 93 CCP donors with mild disease, and from 16 COVID-19 patients before and after transfusion. Using ELISA, anti-SARS-CoV-2 Spike RBD, S1, and N-protein antibodies, as well as capacity of antibodies to block ACE2 from binding to RBD was measured in an Results: Anti-SARS-CoV-2 antibody levels and RBD-ACE2 blocking capacity were highest within the first 60 days after symptom resolution and markedly decreased after 120 days. Highest antibody titers were found in CCP donors that experienced fever. Effect of transfused CCP was detectable in COVID-19 patients who received high-titer CCP and had not seroconverted at the time of transfusion. Decrease in viral RNA was seen in two of these patients. Conclusion: Our results suggest that high titer CCP should be collected within 60 days after recovery from donors with past fever. The much lower titers conferred by transfused antibodies compared to endogenous production in the patient underscore the importance of providing CCP prior to endogenous seroconversion.

Indexed as

ConvalescenceSeroconversionAdultAntibodies, NeutralizingAntibodies, ViralAntigens, ViralBlood DonorsCOVID-19COVID-19 SerotherapyFemaleHumansImmunization, PassiveKineticsMaleMiddle AgedOutpatientsAntibodies, NeutralizingAntibodies, ViralAntigens, ViralRNA, Viralantiviral antibodiesconvalescent plasma for COVID-19 therapyCOVID-19humoral immune responseSARS-CoV-2

Identifiers

PMID34594341
PMCPMC8477649
OpenAlexW3199775801

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.