Evidence map›Paper›PMID 35303377›Full record

ArticleAmerican journal of hematology2022

Early administration of COVID-19 convalescent plasma with high titer antibody content by live viral neutralization assay is associated with modest clinical efficacy.

Artur Belov, Yin Huang, Carlos H Villa, Barbee I Whitaker, Richard Forshee, Steven A Anderson, Anne Eder, Nicole Verdun, Michael J Joyner, Scott R Wright and 7 more

Open access · hybridAbstract read
In one paragraph

Article in American journal of hematology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 1 pooled it
1.9field-weighted citation impact, top 13% 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

13 citing papers in PubMed, 1 synthesis or guideline pooled it, 21 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Review
  4. Evidence for the Efficacy of COVID-19 Convalescent Plasma.Current topics in microbiology and immunology · 2025
    Review
  5. Review
  6. Article
  7. Article
  8. Article
  9. Exercise and Experiments of Nature.Comprehensive Physiology · 2023
    Article
  10. Article
  11. Review
  12. Article
  13. 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

17 authors at 6 institutions in 1 country.

Artur BelovCenter for Biologics Evaluation and Research, US FDA, Silver Spring, Maryland, USA.
Yin HuangCenter for Biologics Evaluation and Research, US FDA, Silver Spring, Maryland, USA.
Carlos H VillaCenter for Biologics Evaluation and Research, US FDA, Silver Spring, Maryland, USA.
Barbee I WhitakerCenter for Biologics Evaluation and Research, US FDA, Silver Spring, Maryland, USA.
Richard ForsheeCenter for Biologics Evaluation and Research, US FDA, Silver Spring, Maryland, USA.
Steven A AndersonCenter for Biologics Evaluation and Research, US FDA, Silver Spring, Maryland, USA.
Anne EderCenter for Biologics Evaluation and Research, US FDA, Silver Spring, Maryland, USA.
Nicole VerdunCenter for Biologics Evaluation and Research, US FDA, Silver Spring, Maryland, USA.
Michael J JoynerDepartment of Anesthesiology and Perioperative Medicine, Mayo Clinic, Rochester, Minnesota, USA.
Scott R WrightDepartment of Cardiology and the Human Research Protection Program, Mayo Clinic, Rochester, Minnesota, USA.
Rickey E CarterDepartment of Quantitative Health Sciences, Mayo Clinic, Jacksonville, Florida, USA.
Deborah T HungInfectious Disease and Microbiome Program, Broad Institute, Cambridge, Massachusetts, USA.
Broad Institute COVID-19 Antibody TeamInfectious Disease and Microbiome Program, Broad Institute, Cambridge, Massachusetts, USA.
Mary HomerBiomedical Advanced Research and Development Authority (BARDA), District of Columbia, Washington, USA.
Corey HoffmanBiomedical Advanced Research and Development Authority (BARDA), District of Columbia, Washington, USA.
Michael LauerOffice of the Director, National Institutes of Health, Bethesda, Maryland, USA.
Peter MarksCenter for Biologics Evaluation and Research, US FDA, Silver Spring, Maryland, USA.ORCID 0000-0001-5619-4404
Center for Biologics Evaluation and Research · USBiomedical Advanced Research and Development Authority · USMayo Clinic · USBroad Institute · USMayo Clinic in Florida · USNational Institutes of Health · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The efficacy of COVID-19 convalescent plasma (CCP) as a treatment for hospitalized patients with COVID-19 remains somewhat controversial; however, many studies have not evaluated CCP documented to have high neutralizing antibody titer by a highly accurate assay. To evaluate the correlation of the administration of CCP with titer determined by a live viral neutralization assay with 7- and 28-day death rates during hospitalization, a total of 23 118 patients receiving a single unit of CCP were stratified into two groups: those receiving high titer CCP (>250 50% inhibitory dilution, ID50; n = 13 636) or low titer CCP (≤250 ID50; n = 9482). Multivariable Cox regression was performed to assess risk factors. Non-intubated patients who were transfused with high titer CCP showed 1.1% and 1.7% absolute reductions in overall 7- and 28-day death rates, respectively, compared to those non-intubated patients receiving low titer CCP. No benefit of CCP was observed in intubated patients. The relative benefit of high titer CCP was confirmed in multivariable Cox regression. Administration of CCP with high titer antibody content determined by live viral neutralization assay to non-intubated patients is associated with modest clinical efficacy. Although shown to be only of modest clinical benefit, CCP may play a role in the future should viral variants develop that are not neutralized by other available therapeutics.

Indexed as

COVID-19SARS-CoV-2Antibodies, NeutralizingAntibodies, ViralCOVID-19 SerotherapyHumansImmunization, PassiveTreatment OutcomeAntibodies, NeutralizingAntibodies, Viral

Identifiers

PMID35303377
PMCPMC9082011
OpenAlexW4220906585

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.