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Early high antibody-titre convalescent plasma for hospitalised COVID-19 patients: DAWn-plasma.

Surveillance de la santé et des maladies  
[1]
Téléchargement 4.28 Mo [1]

Public Access

Published

Peer reviewed scientific article

Anglais

DOI : https://erj.ersjournals.com/content/early/2021/07/29/13993003.01724-2021.long [2]

Auteurs

Timothy Devos [3]; Quentin Van Thillo [4]; Veerle Compernolle [5]; Najdovski, Tomé [6]; Marta Romano [7]; Nicolas Dauby [8]; Laurent Jadot [9]; Mathias Leys [10]; Evelyne Maillart [11]; Sarah Loof [12]; Lucie Seyler [13]; Martial Moonen [14]; Moutschen, Michel [15]; Niels Van Regenmortel [16]; Ariën, Kevin K [17]; Cyril Barbezange [18]; Albrecht Betrains [19]; Mutien Garigliany [20]; Matthias M Engelen [21]; Iwein Gyselinck [22]; Piet Maes [23]; Alexander Schauwvlieghe [24]; Laurens Liesenborghs [25]; Ann Belmans [26]; Peter Verhamme [27]; Geert Meyfroidt [28]

Mots-clés

    Résumé:

    BACKGROUND: Several randomised clinical trials have studied convalescent plasma (CP) for COVID-19 using different protocols, with different SARS-CoV-2 neutralising-antibody-titres, at different time-points and severities of illness. METHODS: In the prospective multicentre DAWN-plasma trial, adult patients hospitalised with COVID-19 were randomised to 4 units of open-label convalescent plasma combined with standard of care (intervention group) or standard of care alone (control group). Plasma from donors with neutralising-antibody-titres (NT50) ≥⅓20 was the product of choice for the stu…
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    Résumé

    BACKGROUND: Several randomised clinical trials have studied convalescent plasma (CP) for COVID-19 using different protocols, with different SARS-CoV-2 neutralising-antibody-titres, at different time-points and severities of illness.

    METHODS: In the prospective multicentre DAWN-plasma trial, adult patients hospitalised with COVID-19 were randomised to 4 units of open-label convalescent plasma combined with standard of care (intervention group) or standard of care alone (control group). Plasma from donors with neutralising-antibody-titres (NT50) ≥1/320 was the product of choice for the study.

    RESULTS: Between May 2nd, 2020 and January 26th, 2021, 320 patients were randomised to convalescent plasma and 163 patients to the control group according to a 2:1 allocation scheme. A median volume of 884 mL convalescent plasma (IQR 806-906 mL) was administered, and 80.68% of the units came from donors with neutralising-antibody-titres (NT50) ≥1/320. Median time from onset of symptoms to randomisation was 7 days. The proportion of patients alive and free of mechanical ventilation on Day 15 was not different between both groups (convalescent plasma: 83.74% (n=267) control: 84.05% (n=137) - Odds ratio 0.99 (0.59-1.66) - p-value=0.9772). The intervention did not change the natural course of antibody titres. The number of serious or severe adverse events was similar in both study arms, and transfusion-related side effects were reported in 19/320 patients in the intervention group (5.94%).

    CONCLUSIONS: Transfusion of 4 units of convalescent plasma with high neutralising-antibody-titres early in hospitalised COVID-19 patients did not result in a significant improvement of the clinical status, or a reduced mortality.

    Associated health topics:

    Coronavirus [29]

    Source URL:https://www.sciensano.be/fr/biblio/early-high-antibody-titre-convalescent-plasma-hospitalised-covid-19-patients-dawn-plasma

    Liens
    [1] https://www.sciensano.be/sites/default/files/13993003.01724-2021.full_.pdf [2] https://erj.ersjournals.com/content/early/2021/07/29/13993003.01724-2021.long [3] https://www.sciensano.be/fr/biblio?f%5Bauthor%5D=176989&f%5Bsearch%5D=Timothy%20Devos [4] https://www.sciensano.be/fr/biblio?f%5Bauthor%5D=176990&f%5Bsearch%5D=Quentin%20Van%20Thillo [5] https://www.sciensano.be/fr/biblio?f%5Bauthor%5D=176991&f%5Bsearch%5D=Veerle%20Compernolle [6] https://www.sciensano.be/fr/biblio?f%5Bauthor%5D=176992&f%5Bsearch%5D=Najdovski%2C%20Tom%C3%A9 [7] https://www.sciensano.be/fr/people/marta-romano/biblio [8] https://www.sciensano.be/fr/biblio?f%5Bauthor%5D=88280&f%5Bsearch%5D=Nicolas%20Dauby [9] https://www.sciensano.be/fr/biblio?f%5Bauthor%5D=176993&f%5Bsearch%5D=Laurent%20Jadot [10] https://www.sciensano.be/fr/biblio?f%5Bauthor%5D=176994&f%5Bsearch%5D=Mathias%20Leys [11] https://www.sciensano.be/fr/biblio?f%5Bauthor%5D=176995&f%5Bsearch%5D=Evelyne%20Maillart [12] https://www.sciensano.be/fr/biblio?f%5Bauthor%5D=176996&f%5Bsearch%5D=Sarah%20Loof [13] https://www.sciensano.be/fr/biblio?f%5Bauthor%5D=176997&f%5Bsearch%5D=Lucie%20Seyler [14] https://www.sciensano.be/fr/biblio?f%5Bauthor%5D=176998&f%5Bsearch%5D=Martial%20Moonen [15] https://www.sciensano.be/fr/biblio?f%5Bauthor%5D=50484&f%5Bsearch%5D=Moutschen%2C%20Michel [16] https://www.sciensano.be/fr/biblio?f%5Bauthor%5D=176999&f%5Bsearch%5D=Niels%20Van%20Regenmortel [17] https://www.sciensano.be/fr/biblio?f%5Bauthor%5D=68628&f%5Bsearch%5D=Ari%C3%ABn%2C%20Kevin%20K [18] https://www.sciensano.be/fr/biblio?f%5Bauthor%5D=85377&f%5Bsearch%5D=Cyril%20Barbezange [19] https://www.sciensano.be/fr/biblio?f%5Bauthor%5D=177000&f%5Bsearch%5D=Albrecht%20Betrains [20] https://www.sciensano.be/fr/biblio?f%5Bauthor%5D=87676&f%5Bsearch%5D=Mutien%20Garigliany [21] https://www.sciensano.be/fr/biblio?f%5Bauthor%5D=177001&f%5Bsearch%5D=Matthias%20M%20Engelen [22] https://www.sciensano.be/fr/biblio?f%5Bauthor%5D=177002&f%5Bsearch%5D=Iwein%20Gyselinck [23] https://www.sciensano.be/fr/biblio?f%5Bauthor%5D=177003&f%5Bsearch%5D=Piet%20Maes [24] https://www.sciensano.be/fr/biblio?f%5Bauthor%5D=177004&f%5Bsearch%5D=Alexander%20Schauwvlieghe [25] https://www.sciensano.be/fr/biblio?f%5Bauthor%5D=177005&f%5Bsearch%5D=Laurens%20Liesenborghs [26] https://www.sciensano.be/fr/biblio?f%5Bauthor%5D=177006&f%5Bsearch%5D=Ann%20Belmans [27] https://www.sciensano.be/fr/biblio?f%5Bauthor%5D=177007&f%5Bsearch%5D=Peter%20Verhamme [28] https://www.sciensano.be/fr/biblio?f%5Bauthor%5D=89942&f%5Bsearch%5D=Geert%20Meyfroidt [29] https://www.sciensano.be/fr/sujets-sante/coronavirus