[PDF][PDF] Effect of time and titer in convalescent plasma therapy for COVID-19

P de Candia, F Prattichizzo, S Garavelli, R La Grotta… - IScience, 2021 - cell.com
P de Candia, F Prattichizzo, S Garavelli, R La Grotta, A De Rosa, A Pontarelli, R Parrella…
IScience, 2021cell.com
The clinical benefit of convalescent plasma (CP) for patients with coronavirus disease
(COVID)-19 is still debated. In this systematic review and meta-analysis, we selected 10
randomized clinical trials (RCTs) and 15 non-randomized studies (total number of patients=
22,591) of CP treatment and evaluated two different scenarios:(1) disease stage of plasma
recipients and (2) donated plasma antibody titer, considering all-cause mortality at the latest
follow-up. Our results show that, when provided at early stages of the disease, CP …
Summary
The clinical benefit of convalescent plasma (CP) for patients with coronavirus disease (COVID)-19 is still debated. In this systematic review and meta-analysis, we selected 10 randomized clinical trials (RCTs) and 15 non-randomized studies (total number of patients = 22,591) of CP treatment and evaluated two different scenarios: (1) disease stage of plasma recipients and (2) donated plasma antibody titer, considering all-cause mortality at the latest follow-up. Our results show that, when provided at early stages of the disease, CP significantly reduced mortality: risk ratio (RR) 0.72 (0.68, 0.77), p < 0.00001, while provided in severe or critical conditions, it did not (RR: 0.94 [0.86, 1.04], p = 0.22). On the other hand, the benefit on mortality was not increased by using plasma with a high-antibody titer compared with unselected plasma. This meta-analysis might promote CP usage in patients with early-stage COVID-19 in further RCTs to maximize its benefit in decreasing mortality, especially in less affluent countries.
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