COVID-19 Convalescent Plasma and Clinical Trials: Understanding Conflicting Outcomes

Author:

Focosi Daniele1ORCID,Franchini Massimo2,Pirofski Liise-anne3,Burnouf Thierry45,Paneth Nigel67,Joyner Michael J.8,Casadevall Arturo9ORCID

Affiliation:

1. North-Western Tuscany Blood Bank, Pisa University Hospital, Pisa, Italy

2. Division of Transfusion Medicine, Carlo Poma Hospital, Mantua, Italy

3. Division of Infectious Diseases, Albert Einstein College of Medicine and Montefiore Medical Center, New York, New York, USA

4. Graduate Institute of Biomedical Materials and Tissue Engineering, College of Biomedical Engineering, Taipei Medical University, Taipei, Taiwan

5. International Ph.D. Program in Biomedical Engineering, College of Biomedical Engineering, Taipei Medical University, Taipei, Taiwan

6. Department of Epidemiology & Biostatistics and Pediatrics & Human Development, College of Human Medicine, Michigan State University, East Lansing, Michigan, USA

7. Department of Pediatrics & Human Development, College of Human Medicine, Michigan State University, East Lansing, Michigan, USA

8. Department of Anesthesiology and Perioperative Medicine, Mayo Clinic, Rochester, Minnesota, USA

9. Department of Medicine, Johns Hopkins School of Public Health and School of Medicine, Baltimore, Maryland, USA

Abstract

Convalescent plasma (CP) recurs as a frontline treatment in epidemics because it is available as soon as there are survivors. The COVID-19 pandemic represented the first large-scale opportunity to shed light on the mechanisms of action, safety, and efficacy of CP using modern evidence-based medicine approaches. Studies ranging from observational case series to randomized controlled trials (RCTs) have reported highly variable efficacy results for COVID-19 CP (CCP), resulting in uncertainty.

Publisher

American Society for Microbiology

Subject

Infectious Diseases,Microbiology (medical),Public Health, Environmental and Occupational Health,General Immunology and Microbiology,Epidemiology

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