Evidence map›Paper›PMID 34863304›Full record

Trial reportBMC research notes2021

Convalescence plasma treatment of COVID-19: results from a prematurely terminated randomized controlled open-label study in Southern Sweden.

Karin Holm, Maria N Lundgren, Jens Kjeldsen-Kragh, Oskar Ljungquist, Blenda Böttiger, Christian Wikén, Jonas Öberg, Nils Fernström, Ebba Rosendal, Anna K Överby and 4 more

Registry-linked trialAbstract readRandomized Controlled Trial
In one paragraph

Trial report in BMC research notes, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04600440 (Convalescent Plasma in the Treatment of Covid-19), which is not on this map. Cited by 15 papers, 9 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 9 pooled it
–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.

NCT04600440 naunknown statusnot on this map

Convalescent Plasma in the Treatment of Covid-19

TypeinterventionalSponsorSkane University HospitalRan2020 to 2022Enrolled100ConditionsCovid-19, Respiratory InsufficiencyArmsConvalescent plasma
3 · Its place in the literature

Who cites it

15 citing papers in PubMed, 9 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Convalescent plasma for people with COVID-19: a living systematic review.The Cochrane database of systematic reviews · 2023
    Pooled it
  4. Pooled it
  5. Convalescent plasma for people with COVID-19: a living systematic review.The Cochrane database of systematic reviews · 2023
    Pooled it
  6. Pooled it
  7. Guideline
  8. Pooled it
  9. Pooled it
  10. Trial
  11. Review
  12. Article
  13. Article
  14. Review
  15. Observational
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

14 authors.

Karin Holm *Department of Infectious diseases, Skåne University Hospital, Lund, Sweden. karin.holm@med.lu.se.ORCID http://orcid.org/0000-0002-8289-5949
Maria N Lundgren *Department of Clinical Immunology and Transfusion Medicine, University and Regional Laboratories, Region Skåne, Sweden.
Jens Kjeldsen-KraghDepartment of Clinical Immunology and Transfusion Medicine, University and Regional Laboratories, Region Skåne, Sweden.
Oskar LjungquistClinical Infection Medicine, Department of Translational Medicine, Lund University, Malmö, Sweden.
Blenda BöttigerDepartment of Clinical Microbiology, University and Regional Laboratories, Region Skåne, Sweden.
Christian WikénDepartment of Infectious diseases, Skåne University Hospital, Lund, Sweden.
Jonas ÖbergDepartment of Infectious diseases, Skåne University Hospital, Lund, Sweden.
Nils FernströmDepartment of Infectious diseases, Skåne University Hospital, Lund, Sweden.
Ebba RosendalDepartment of Clinical Microbiology, Umeå University, Umeå, Sweden.
Anna K ÖverbyDepartment of Clinical Microbiology, Umeå University, Umeå, Sweden.
Julia Wigren ByströmDepartment of Clinical Microbiology, Umeå University, Umeå, Sweden.
Mattias ForsellDepartment of Clinical Microbiology, Umeå University, Umeå, Sweden.
Mona Landin-Olsson *Department of Endocrinology, Skåne University Hospital, Lund, Sweden.
Magnus Rasmussen *Department of Infectious diseases, Skåne University Hospital, Lund, Sweden.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveConvalescent plasma has been tried as therapy for various viral infections. Early observational studies of convalescent plasma treatment for hospitalized COVID-19 patients were promising, but randomized controlled studies were lacking at the time. The objective of this study was to investigate if convalescent plasma is beneficial to hospitalized patients with COVID-19.

resultsHospitalized patients with confirmed COVID-19 and an oxygen saturation below 94% were randomized 1:1 to receive convalescent plasma in addition to standard of care or standard of care only. The primary outcome was number of days of oxygen treatment to keep saturation above 93% within 28 days from inclusion. The study was prematurely terminated when thirty-one of 100 intended patients had been included. The median time of oxygen treatment among survivors was 11 days (IQR 6-15) for the convalescent plasma group and 7 days (IQR 5-9) for the standard of care group (p = 0.4, median difference -4). Two patients in the convalescent plasma group and three patients in the standard of care group died (p = 0.64, OR 0.49, 95% CI 0.08-2.79). Thus no significant differences were observed between the groups. Trial registration ClinicalTrials NCT04600440, retrospectively registered Oct 23, 2020.

Indexed as

COVID-19ConvalescenceCOVID-19 SerotherapyHumansImmunization, PassiveOxygen SaturationSARS-CoV-2SwedenConvalescent plasmaCOVID-19DesaturationOxygen therapySARS-CoV2

Identifiers

PMID34863304
PMCPMC8642769

What OpenQuestion holds

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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.