Evidence map›Paper›PMID 36581734›Full record

Trial reportNature cancer2023

Anti-SARS-CoV-2 antibody-containing plasma improves outcome in patients with hematologic or solid cancer and severe COVID-19: a randomized clinical trial.

Claudia M Denkinger, Maike Janssen, Ulrike Schäkel, Julia Gall, Albrecht Leo, Patrick Stelmach, Stefan F Weber, Johannes Krisam, Lukas Baumann, Jacek Stermann and 44 more

Open access · hybridAbstract readRandomized Controlled TrialMulticenter Study
In one paragraph

Trial report in Nature cancer, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 36 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
36citing papers in PubMed, 4 pooled it
6.2field-weighted citation impact, top 2% 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

36 citing papers in PubMed, 4 syntheses or guidelines pooled it, 62 citations in OpenAlex.

  1. Convalescent plasma for people with COVID-19.The Cochrane database of systematic reviews · 2026
    Pooled it
  2. Guideline
  3. Pooled it
  4. Pooled it
  5. Trial
  6. Article
  7. Review
  8. Article
  9. Review
  10. Article
  11. Convalescent Plasma for Immunocompromised Patients.Current topics in microbiology and immunology · 2025
    Review
  12. Convalescent Plasma for Immunocompromised Patients.Current topics in microbiology and immunology · 2025
    Review
  13. Review
  14. Review
  15. Review
  16. Review
  17. COVID-19 therapeutics.Clinical microbiology reviews · 2024
    Review
  18. Article
  19. Review
  20. Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

54 authors at 13 institutions in 1 country.

Claudia M Denkinger *Division of Infectious Disease and Tropical Medicine, Department of Infectious Diseases, Heidelberg University Hospital, Heidelberg, Germany. Claudia.Denkinger@uni-heidelberg.de.ORCID 0000-0002-7216-7067
Maike Janssen *Department of Internal Medicine V, Heidelberg University Hospital, Heidelberg, Germany.
Ulrike SchäkelDepartment of Internal Medicine V, Heidelberg University Hospital, Heidelberg, Germany.
Julia GallNCT Trial Center, National Center for Tumor Diseases, Heidelberg University Hospital and German Cancer Research Center, Heidelberg, Germany.
Albrecht LeoInstitute for Clinical Transfusion Medicine and Cell Therapy Heidelberg, Heidelberg, Germany.
Patrick StelmachDepartment of Internal Medicine V, Heidelberg University Hospital, Heidelberg, Germany.
Stefan F WeberDivision of Infectious Disease and Tropical Medicine, Department of Infectious Diseases, Heidelberg University Hospital, Heidelberg, Germany.
Johannes KrisamInstitute of Medical Biometry, University of Heidelberg, Heidelberg, Germany.
Lukas BaumannInstitute of Medical Biometry, University of Heidelberg, Heidelberg, Germany.
Jacek StermannInstitute of Medical Biometry, University of Heidelberg, Heidelberg, Germany.
Uta MerleDepartment of Internal Medicine IV, Heidelberg University Hospital, Heidelberg, Germany.ORCID 0000-0003-1386-3350
Markus A WeigandDepartment of Anesthesiology, Heidelberg University Hospital, Heidelberg, Germany.
Christian NusshagDepartment of Nephrology, University of Heidelberg, Heidelberg, Germany.
Lars BullingerDepartment of Hematology, Oncology and Tumor Immunology, Charité - Universitätsmedizin Berlin, Berlin, Germany.
Jens-Florian SchrezenmeierDepartment of Hematology, Oncology and Tumor Immunology, Charité - Universitätsmedizin Berlin, Berlin, Germany.
Martin BornhäuserDepartment of Internal Medicine I, University Hospital Dresden and Faculty of Medicine Carl Gustav Carus of TU Dresden, Dresden, Germany.ORCID 0000-0002-5916-3029
Nael AlakelDepartment of Internal Medicine I, University Hospital Dresden and Faculty of Medicine Carl Gustav Carus of TU Dresden, Dresden, Germany.
Oliver WitzkeDepartment of Infectious Diseases, West German Centre for Infectious Diseases, University Hospital Essen, University of Duisburg-Essen, Essen, Germany.
Timo WolfDepartment of Internal Medicine, Infectious Diseases, University Hospital Frankfurt, Goethe University Frankfurt, Frankfurt, Germany.ORCID 0000-0002-3819-9540
Maria J G T VehreschildDepartment of Internal Medicine, Infectious Diseases, University Hospital Frankfurt, Goethe University Frankfurt, Frankfurt, Germany.
Stefan SchmiedelDepartment of Medicine, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.
Marylyn M AddoDepartment of Medicine, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.ORCID 0000-0003-2836-9224
Felix HerthPneumology and Critical Care Medicine, Thoraxklinik, University of Heidelberg and Translational Lung Research Center, Heidelberg, Germany.
Michael KreuterCenter for Interstitial and Rare Lung Diseases, Pneumology and Critical Care Medicine, Thoraxklinik, University of Heidelberg and German Center for Lung Research, Heidelberg, Germany.
Phil-Robin TepasseDepartment of Medicine B, Gastroenterology and Hepatology, University Hospital Münster, Münster, Germany.
Bernd HertensteinMedical Department I, Klinikum Bremen-Mitte, Bremen, Germany.
Mathias HänelDepartment of Internal Medicine III, Klinikum Chemnitz, Chemnitz, Germany.
Anke MorgnerDepartment of Internal Medicine III, Klinikum Chemnitz, Chemnitz, Germany.
Michael KiehlDepartment of Internal Medicine I, Frankfurt (Oder) General Hospital, Frankfurt (Oder), Germany.
Olaf HopferDepartment of Internal Medicine I, Frankfurt (Oder) General Hospital, Frankfurt (Oder), Germany.
Mohammad-Amen WattadDepartment of Hematology, Oncology, Palliative Care and Stem Cell Transplantation, Klinikum Hochsauerland, Meschede, Germany.
Carl C SchimanskiDepartment of Internal Medicine II, Klinikum Darmstadt, Darmstadt, Germany.
Cihan CelikDepartment of Internal Medicine II, Klinikum Darmstadt, Darmstadt, Germany.
Thorsten PohleDepartment of Internal Medicine I, Klinikum Herford, Herford, Germany.
Matthias RuheDepartment of Internal Medicine I, Klinikum Herford, Herford, Germany.
Winfried V KernDepartment of Medicine II, Division of Infectious Diseases and Travel Medicine, University Medical Centre Freiburg, Freiburg, Germany.
Anita SchmittDepartment of Internal Medicine V, Heidelberg University Hospital, Heidelberg, Germany.
Hanns-Martin LorenzDepartment of Internal Medicine V, Heidelberg University Hospital, Heidelberg, Germany.
Margarida Souto-CarneiroDepartment of Internal Medicine V, Heidelberg University Hospital, Heidelberg, Germany.ORCID 0000-0001-6923-0590
Mary GaeddertDivision of Infectious Disease and Tropical Medicine, Department of Infectious Diseases, Heidelberg University Hospital, Heidelberg, Germany.
Niels HalamaDepartment of Medical Oncology, National Center for Tumor Diseases, Heidelberg University Hospital, Heidelberg, Germany.
Stefan MeuerInstitute for Clinical Transfusion Medicine and Cell Therapy Heidelberg, Heidelberg, Germany.
Hans-Georg KräusslichDepartment of Infectious Diseases, Virology, Heidelberg University Hospital, Heidelberg, Germany.
Barbara MüllerDepartment of Infectious Diseases, Virology, Heidelberg University Hospital, Heidelberg, Germany.
Paul SchnitzlerDepartment of Infectious Diseases, Virology, Heidelberg University Hospital, Heidelberg, Germany.
Sylvia ParthéDepartment of Infectious Diseases, Virology, Heidelberg University Hospital, Heidelberg, Germany.
Ralf BartenschlagerDepartment of Infectious Diseases, Molecular Virology, Heidelberg University Hospital, Heidelberg, Germany.ORCID 0000-0001-5601-9307
Martina GronkowskiDepartment of Internal Medicine V, Heidelberg University Hospital, Heidelberg, Germany.
Jennifer KlemmerDepartment of Internal Medicine V, Heidelberg University Hospital, Heidelberg, Germany.
Michael SchmittDepartment of Internal Medicine V, Heidelberg University Hospital, Heidelberg, Germany.ORCID 0000-0002-1579-1509
Peter DregerDepartment of Internal Medicine V, Heidelberg University Hospital, Heidelberg, Germany.
Katharina KriegsmannDepartment of Internal Medicine V, Heidelberg University Hospital, Heidelberg, Germany.
Richard F Schlenk *Department of Internal Medicine V, Heidelberg University Hospital, Heidelberg, Germany.ORCID 0000-0003-2215-2059
Carsten Müller-Tidow *Department of Internal Medicine V, Heidelberg University Hospital, Heidelberg, Germany. carsten.mueller-tidow@med.uni-heidelberg.de.ORCID 0000-0002-7166-5232
Heidelberg University · DEGoethe University Frankfurt · DEGerman Cancer Research Center · DECharité - Universitätsmedizin Berlin · DEHerford Hospital · DEKlinikum Chemnitz · DEKlinikum Darmstadt · DEUniversität Hamburg · DEUniversity Hospital Carl Gustav Carus · DEKlinikum Bremen-Mitte · DEUniversity Hospital Münster · DEUniversity Medical Center Freiburg · DEUniversity of Duisburg-Essen · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Patients with cancer are at high risk of severe coronavirus disease 2019 (COVID-19), with high morbidity and mortality. Furthermore, impaired humoral response renders severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) vaccines less effective and treatment options are scarce. Randomized trials using convalescent plasma are missing for high-risk patients. Here, we performed a randomized, open-label, multicenter trial ( https://www.clinicaltrialsregister.eu/ctr-search/trial/2020-001632-10/DE ) in hospitalized patients with severe COVID-19 (n = 134) within four risk groups ((1) cancer (n = 56); (2) immunosuppression (n = 16); (3) laboratory-based risk factors (n = 36); and (4) advanced age (n = 26)) randomized to standard of care (control arm) or standard of care plus convalescent/vaccinated anti-SARS-CoV-2 plasma (plasma arm). No serious adverse events were observed related to the plasma treatment. Clinical improvement as the primary outcome was assessed using a seven-point ordinal scale. Secondary outcomes were time to discharge and overall survival. For the four groups combined, those receiving plasma did not improve clinically compared with those in the control arm (hazard ratio (HR) = 1.29; P = 0.205). However, patients with cancer experienced a shortened median time to improvement (HR = 2.50; P = 0.003) and superior survival with plasma treatment versus the control arm (HR = 0.28; P = 0.042). Neutralizing antibody activity increased in the plasma cohort but not in the control cohort of patients with cancer (P = 0.001). Taken together, convalescent/vaccinated plasma may improve COVID-19 outcomes in patients with cancer who are unable to intrinsically generate an adequate immune response.

Indexed as

COVID-19NeoplasmsAntibodies, ViralCOVID-19 SerotherapyHumansImmunization, PassiveSARS-CoV-2Treatment OutcomeAntibodies, Viral

Identifiers

PMID36581734
PMCPMC9886549
OpenAlexW4313312703

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Registered trials

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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.