Evidence map›Paper›PMID 36348476›Full record

ArticleTrials2022

Phase II/III trial of hyperimmune anti-COVID-19 intravenous immunoglobulin (C-IVIG) therapy in severe COVID-19 patients: study protocol for a randomized controlled trial.

Shaukat Ali, Elisha Shalim, Farah Farhan, Fatima Anjum, Ayesha Ali, Syed Muneeb Uddin, Faisal Shahab, Mustafa Haider, Iqra Ahmed, Mir Rashid Ali and 11 more

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

Article in Trials, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04891172 (Phase II/III Clinical Trial Study to Evaluate Efficacy and Safety of Anti COVID 19 Intravenous Immunoglobulin), which is not on this 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 48% 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.

NCT04891172 phase2 / phase3unknown statusnot on this map

Phase II/III Clinical Trial Study to Evaluate Efficacy and Safety of Anti COVID 19 Intravenous Immunoglobulin (C-IVIG) Therapy for Severe COVID-19 Patients

TypeinterventionalSponsorDow University of Health SciencesRan2021 to 2022Enrolled310ConditionsCovid19ArmsAnti COVID 19 Intravenous Immunoglobulin (C-IVIG)
3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 3 citations in OpenAlex.

  1. Article
  2. Review
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

21 authors at 2 institutions in 1 country.

Shaukat AliDow College of Biotechnology, Dow University of Health Sciences, Karachi, Pakistan. ali.shaukat@duhs.edu.pk.ORCID http://orcid.org/0000-0002-6513-2560
Elisha ShalimDow College of Biotechnology, Dow University of Health Sciences, Karachi, Pakistan.
Farah FarhanDow College of Biotechnology, Dow University of Health Sciences, Karachi, Pakistan.
Fatima AnjumDow Research Institute Of Bio-Technology And Bio-Sciences (DRIBBS), Dow University of Health Sciences, Karachi, Pakistan.
Ayesha AliDow College of Biotechnology, Dow University of Health Sciences, Karachi, Pakistan.
Syed Muneeb UddinDow College of Biotechnology, Dow University of Health Sciences, Karachi, Pakistan.
Faisal ShahabDow College of Biotechnology, Dow University of Health Sciences, Karachi, Pakistan.
Mustafa HaiderDow College of Biotechnology, Dow University of Health Sciences, Karachi, Pakistan.
Iqra AhmedDow College of Biotechnology, Dow University of Health Sciences, Karachi, Pakistan.
Mir Rashid AliDow College of Biotechnology, Dow University of Health Sciences, Karachi, Pakistan.
Sadaf KhanDow College of Biotechnology, Dow University of Health Sciences, Karachi, Pakistan.
Sadia RaoDow College of Biotechnology, Dow University of Health Sciences, Karachi, Pakistan.
Kabeer GuriroDow College of Biotechnology, Dow University of Health Sciences, Karachi, Pakistan.
Saud ElahiDepartment of Biotechnology, University of Karachi, Karachi, Pakistan.
Muhammad AliDow College of Biotechnology, Dow University of Health Sciences, Karachi, Pakistan.
Tehreem MushtaqDow College of Biotechnology, Dow University of Health Sciences, Karachi, Pakistan.
Muneeba Ahsan SayeedSindh Infectious Disease Hospital and Research Center, Karachi, Pakistan.
Sheikh Muhammad MuhayminDow College of Biotechnology, Dow University of Health Sciences, Karachi, Pakistan.
Shoba LuxmiDow University Hospital, Dow University of Health Sciences, Karachi, Pakistan.
SaifullahDepartment of Biotechnology, University of Karachi, Karachi, Pakistan.
Saeed QureshiDow College of Biotechnology, Dow University of Health Sciences, Karachi, Pakistan.
Dow University of Health Sciences · PKUniversity of Karachi · PK

Funding

Higher Education Commision, Pakistan RRG-134
6 · The paper itself

Abstract

backgroundCOVID-19 poses a global health challenge with more than 325 million cumulative cases and above 5 million cumulative deaths reported till January 17, 2022, by the World Health Organization. Several potential treatments to treat COVID-19 are under clinical trials including antivirals, steroids, immunomodulators, non-specific IVIG, monoclonal antibodies, and passive immunization through convalescent plasma. The need to produce anti-COVID-19 IVIG therapy must be continued, alongside the current treatment modalities, considering the virus is still mutating into variants of concern. In this context, as the present study will exploit pooled diversified convalescent plasma collected from recovered COVID-19 patients, the proposed hyperimmune Anti-COVID-19 intravenous immunoglobulin (C-IVIG) therapy would be able to counter new infectious COVID-19 variants by neutralizing the virus particles. After the successful outcome of the phase I/II clinical trial of C-IVIG, the current study aims to further evaluate the safety and efficacy of single low dose C-IVIG in severe COVID-19 patients for its phase II/III clinical trial.

methodsThis is a phase II/III, adaptive, multi-center, single-blinded, randomized controlled superiority trial of SARS-CoV-2 specific polyclonal IVIG (C-IVIG). Patients fulfilling the eligibility criteria will be block-randomized using a sealed envelope system to receive either 0.15 g/Kg C-IVIG with standard of care (SOC) or standard of care alone in 2:1 ratio. The patients will be followed-up for 28 days to assess the primary and secondary outcomes. DISCUSSION: This is a phase II/III clinical trial evaluating safety and efficacy of hyperimmune anti-COVID-19 intravenous immunoglobulin (C-IVIG) in severe COVID-19 patients. This study will provide clinical evidence to use C-IVIG as one of the first-line therapeutic options for severe COVID-19 patients.

trial registrationRegistered at clinicaltrial.gov with NCT number NCT04891172 on May 18, 2021.

Indexed as

Coronavirus InfectionsCOVID-19 Drug TreatmentPneumonia, ViralBetacoronavirusClinical Trials, Phase II as TopicClinical Trials, Phase III as TopicCOVID-19 SerotherapyEquivalence Trials as TopicHumansImmunoglobulins, IntravenousMulticenter Studies as TopicPandemicsRandomized Controlled Trials as TopicSARS-CoV-2Treatment OutcomeImmunoglobulins, IntravenousAnti-COVID-19 IVIGHyperimmuneIntravenousNovel coronavirusPassive immunizationPneumoniaPolyclonal antibodiesPooled convalescent plasmaRandomized controlled trialSARS CoV-2

Identifiers

PMID36348476
PMCPMC9643954
OpenAlexW4308541738

What OpenQuestion holds

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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.