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Association between convalescent plasma treatment and mortality in COVID-19: a collaborative systematic review and meta-analysis of randomized clinical trials

Authors :
Erin Murphy
Franca Danielle
Carlos Cabello-Gutierrez
Jason A. Roberts
Juan-Manuel Anaya
Fabio Saccona
Paula A. Gaviria García
Geert Meyfroidt
Olufemi Erinoso
Joshua S. Davis
Oskar Ljungquist
Rossana Cavallo
Kathryn M Rowan
James S. Molton
Alberto Romero
Gitana Scozzari
Alexander V. Ivanov
Manaf AlQahtani
Eduardo Rego
Luis E. Argumanis
Jeffrey H. Jennings
German Jr J. Castillo
Deonne Thaddeus V. Gauiran
M. Rahman
Anne Françoise Donneau
Josephine Anne C. Lucero
Christian J. Fareli
Fresthel Monica M. Climacosa
Adrián Camacho-Ortiz
Aditya Kotecha
Nadia Birocco
Damon H. Cao
David Price
Joe Sasadeusz
Jose M. Ignacio
Antonella Cingolani
Abdulkarim Abdulrahman
Alisa Higgins
Perrine Janiaud
James Daly
Eduardo Perez-Alba
Henrik Nielsen
Cecile C. Dungog
Paul Klenerman
Fazle Rabbi Chowdhury
Diana M. Monsalve
Claudia M. Denkinger
Andreas M. Schmitt
Lyn Li Lim
Heli Harvala
Mahesh C. Patel
Alexis F. Turgeon
Akin Abayomi
Vladimir P. Baklaushev
Rachelle N. Alfonso
Fiorella Krapp
Juan E. Gallo
Januario D. Veloso
Lynn B. Bonifacio
Bryan J. McVerry
Mehdi Safdarian
Ismael F. Aomar
Yanet Ventura-Enriquez
Alric V. Mondragon
Pedrito Y. Tagayuna
Mona Landin-Olsson
Yhojan Rodríguez
Nina Khanna
André Gothot
David Grimaldi
Forhad Hossain Chowdhury
Paola M. Manzini
Farah Al-Beidh
Vivekanand Jha
Ángel Augusto Pérez-Calatayud
Inmaculada Poyato
Salvador Oyonarte
Anne Kristine H. Quero
Manuel Rojas
Carlo Francisco N. Cortez
Bernardo Camacho
Elvira Garza-González
Susan C. Morpeth
Steve Webb
Anastasia Perkina
Marissa M. Alejandria
Emma Laing
Matthew V. N. O'Sullivan
Naomi Perry
Karin Holm
Alexander Averyanov
John P. A. Ioannidis
Mutien Garigliany
Patricia J. Garcia
Ashraful Hoque
Ivy Mae S. Escasa
Jodor Lim
Paul R. Mouncey
Balasubramanian Venkatesh
Kai Zacharowski
Lise J Estcourt
Concepción López-Robles
Teresita E. Dumagay
Megan Rees
Emily R. Smith
Juan C. Díaz-Coronado
Jorge M. Llaca-Díaz
Julián Olalla
Janneke van 't Hooft
S. Rahman
Michel Moutschen
Pierre-François Laterre
Carlos A. Peña-Perez
Geneva Tatem
Mandana Pouladzadeh
Sandy C. Maganito
Lars G. Hemkens
Benjamin A. Rogers
Ryan Zarychanski
Mark Angelo C. Ang
Amy Evans
Susanna Dunachie
Tom Snelling
Claudia Galassi
Anthony C. Gordon
Ana Cardesa
Jesus A. Garcia
Colin McArthur
Akin Osibogun
Zoe McQuilten
David Moher
Juan Mauricio Pardo-Oviedo
Benoît Misset
Naomi E Hammond
Maria Clariza M. Santos
Maria Lundgren
Yeny Acosta-Ampudia
Steven Y. C. Tong
Ana M. Mata
Gorav Sharma
Sergio D’Antico
Maike Janssen
Alistair Nichol
Christian Wikén
Noah Haber
Alaa AlZamrooni
Alonso Soto
Jens Kjeldsen-Kragh
Salvador López-Cárdenas
Patricia L. Garcia
Manu Shankar-Hari
Rubén D. Manrique
Ileana Lopez-Plaza
Sally Campbell-Lee
Giovannino Ciccone
Jeser Santiago Grass Guaqueta
Miguel Marcos
Francisco M. Heralde
Richard M. Novak
Eric Hoste
Asha C. Bowen
Ignacio Marquez
Abel Costa Neto
David K. Menon
Ma Angelina L. Mirasol
Magnus Rasmussen
David Gómez-Almaguer
Erica M. Wood
Jennifer Hines
Daniel Desmecht
Olga Balionis
Thomas Benfield
Veronica Fernandez-Sanchez
Ruby Anne N King
Jesús Rodríguez-Baño
David L. Paterson
Jose M. Carnate
Carolina Ramírez-Santana
Lothar Wiese
Luciana Labanca
Cameron Green
Jose Antonio Giron-Gonzalez
Abbie Bown
Scott Berry
Agnes L.M. Evasan
Juan A. Díaz Ponce-Medrano
Manal Abduljalil
Anna Flor G. Malundo
Justin T Denholm
Amy Tang
Juan Macías
Luciana Teofili
Veerle Compernolle
Steven N. Goodman
Manuela Aguilar-Guisado
Thomas Hills
Cathrine Axfors
Tome Najdovski
Jesica A. Herrick
Bodunrin Osikomaiya
David J. Roberts
Mayur Ramesh
Francesco Giuseppe De Rosa
Francisco Javier Martínez-Marcos
Mohammed K. Ali
Gaukhar M. Yusubalieva
Carsten Müller-Tidow
Parastoo Moradi Choghakabodi
AlQahtani, Manaf [0000-0002-1523-0429]
Hills, Thomas E [0000-0003-0322-5822]
Hoste, Eric [0000-0001-9301-8055]
Price, David J [0000-0003-0076-3123]
Yusubalieva, Gaukhar M [0000-0003-3056-4889]
Apollo - University of Cambridge Repository
University of Manitoba
NIHR
National Institute for Health Research
UCL - SSS/IREC/MEDA - Pôle de médecine aiguë
UCL - (SLuc) Service de soins intensifs
Source :
BMC Infectious Diseases, Vol 21, Iss 1, Pp 1-23 (2021), BMC INFECTIOUS DISEASES, Axfors, C, Janiaud, P, Schmitt, A M, van’t Hooft, J, Smith, E R, Haber, N A, Abayomi, A, Abduljalil, M, Abdulrahman, A, Acosta-Ampudia, Y, Aguilar-Guisado, M, Al-Beidh, F, Alejandria, M M, Alfonso, R N, Ali, M, AlQahtani, M, AlZamrooni, A, Anaya, J M, Ang, M A C, Aomar, I F, Argumanis, L E, Averyanov, A, Baklaushev, V P, Balionis, O, Benfield, T, Berry, S, Birocco, N, Bonifacio, L B, Bowen, A C, Bown, A, Cabello-Gutierrez, C, Camacho, B, Camacho-Ortiz, A, Campbell-Lee, S, Cao, D H, Cardesa, A, Carnate, J M, Castillo, G J J, Cavallo, R, Chowdhury, F R, Chowdhury, F U H, Ciccone, G, Cingolani, A, Climacosa, F M M, Compernolle, V, Cortez, C F N, Costa Neto, A, D’Antico, S, Daly, J, Danielle, F, Davis, J S, De Rosa, F G, Denholm, J T, Denkinger, C M, Desmecht, D, Díaz-Coronado, J C, Díaz Ponce-Medrano, J A, Donneau, A F, Dumagay, T E, Dunachie, S, Dungog, C C, Erinoso, O, Escasa, I M S, Estcourt, L J, Evans, A, Evasan, A L M, Fareli, C J, Fernandez-Sanchez, V, Galassi, C, Gallo, J E, Garcia, P J, Garcia, P L, Garcia, J A, Garigliany, M, Garza-Gonzalez, E, Gauiran, D T V, Gaviria García, P A, Giron-Gonzalez, J A, Gómez-Almaguer, D, Gordon, A C, Gothot, A, Grass Guaqueta, J S, Green, C, Grimaldi, D, Hammond, N E, Harvala, H, Heralde, F M, Herrick, J, Higgins, A M, Hills, T E, Hines, J, Holm, K, Hoque, A, Hoste, E, Ignacio, J M, Ivanov, A V, Janssen, M, Jennings, J H, Jha, V, King, R A N, Kjeldsen-Kragh, J, Klenerman, P, Kotecha, A, Krapp, F, Labanca, L, Laing, E, Landin-Olsson, M, Laterre, P F, Lim, L L, Lim, J, Ljungquist, O, Llaca-Díaz, J M, López-Robles, C, López-Cárdenas, S, Lopez-Plaza, I, Lucero, J A C, Lundgren, M, Macías, J, Maganito, S C, Malundo, A F G, Manrique, R D, Manzini, P M, Marcos, M, Marquez, I, Martínez-Marcos, F J, Mata, A M, McArthur, C J, McQuilten, Z K, McVerry, B J, Menon, D K, Meyfroidt, G, Mirasol, M A L, Misset, B, Molton, J S, Mondragon, A V, Monsalve, D M, Moradi Choghakabodi, P, Morpeth, S C, Mouncey, P R, Moutschen, M, Müller-Tidow, C, Murphy, E, Najdovski, T, Nichol, A D, Nielsen, H, Novak, R M, O’Sullivan, M V N, Olalla, J, Osibogun, A, Osikomaiya, B, Oyonarte, S, Pardo-Oviedo, J M, Patel, M C, Paterson, D L, Peña-Perez, C A, Perez-Calatayud, A A, Pérez-Alba, E, Perkina, A, Perry, N, Pouladzadeh, M, Poyato, I, Price, D J, Quero, A K H, Rahman, M M, Rahman, M S, Ramesh, M, Ramírez-Santana, C, Rasmussen, M, Rees, M A, Rego, E, Roberts, J A, Roberts, D J, Rodríguez, Y, Rodríguez-Baño, J, Rogers, B A, Rojas, M, Romero, A, Rowan, K M, Saccona, F, Safdarian, M, Santos, M C M, Sasadeusz, J, Scozzari, G, Shankar-Hari, M, Sharma, G, Snelling, T, Soto, A, Tagayuna, P Y, Tang, A, Tatem, G, Teofili, L, Tong, S Y C, Turgeon, A F, Veloso, J D, Venkatesh, B, Ventura-Enriquez, Y, Webb, S A, Wiese, L, Wikén, C, Wood, E M, Yusubalieva, G M, Zacharowski, K, Zarychanski, R, Khanna, N, Moher, D, Goodman, S N, Ioannidis, J P A & Hemkens, L G 2021, ' Association between convalescent plasma treatment and mortality in COVID-19 : a collaborative systematic review and meta-analysis of randomized clinical trials ', BMC Infectious Diseases, vol. 21, no. 1, 1170 . https://doi.org/10.1186/s12879-021-06829-7, Axfors, C, Janiaud, P, Schmitt, A M, Van't Hooft, J, Smith, E R, Haber, N A, Abayomi, A, Abduljalil, M, Abdulrahman, A, Acosta-Ampudia, Y, Aguilar-Guisado, M, Al-Beidh, F, Alejandria, M M, Alfonso, R N, Ali, M, AlQahtani, M, AlZamrooni, A, Anaya, J-M, Ang, M A C, Aomar, I F, Argumanis, L E, Averyanov, A, Baklaushev, V P, Balionis, O, Benfield, T, Berry, S, Birocco, N, Bonifacio, L B, Bowen, A C, Bown, A, Cabello-Gutierrez, C, Camacho, B, Camacho-Ortiz, A, Campbell-Lee, S, Cao, D H, Cardesa, A, Carnate, J M, Castillo, G J J, Cavallo, R, Chowdhury, F R, Chowdhury, F U H, Ciccone, G, Cingolani, A, Climacosa, F M M, Compernolle, V, Cortez, C F N, Costa Neto, A, D'Antico, S, Daly, J, Danielle, F, Davis, J S, De Rosa, F G, Denholm, J T, Denkinger, C M, Desmecht, D, Díaz-Coronado, J C, Díaz Ponce-Medrano, J A, Donneau, A-F, Dumagay, T E, Dunachie, S, Dungog, C C, Erinoso, O, Escasa, I M S, Estcourt, L J, Evans, A, Evasan, A L M, Fareli, C J, Fernandez-Sanchez, V, Galassi, C, Gallo, J E, Garcia, P J, Garcia, P L, Garcia, J A, Garigliany, M, Garza-Gonzalez, E, Gauiran, D T V, Gaviria García, P A, Giron-Gonzalez, J-A, Gómez-Almaguer, D, Gordon, A C, Gothot, A, Grass Guaqueta, J S, Green, C, Grimaldi, D, Hammond, N E, Harvala, H, Heralde, F M, Herrick, J, Higgins, A M, Hills, T E, Hines, J, Holm, K, Hoque, A, Hoste, E, Ignacio, J M, Ivanov, A V, Janssen, M, Jennings, J H, Jha, V, King, R A N, Kjeldsen-Kragh, J, Klenerman, P, Kotecha, A, Krapp, F, Labanca, L, Laing, E, Landin-Olsson, M, Laterre, P-F, Lim, L-L, Lim, J, Ljungquist, O, Llaca-Díaz, J M, López-Robles, C, López-Cárdenas, S, Lopez-Plaza, I, Lucero, J A C, Lundgren, M, Macías, J, Maganito, S C, Malundo, A F G, Manrique, R D, Manzini, P M, Marcos, M, Marquez, I, Martínez-Marcos, F J, Mata, A M, McArthur, C J, McQuilten, Z K, McVerry, B J, Menon, D K, Meyfroidt, G, Mirasol, M A L, Misset, B, Molton, J S, Mondragon, A V, Monsalve, D M, Moradi Choghakabodi, P, Morpeth, S C, Mouncey, P R, Moutschen, M, Müller-Tidow, C, Murphy, E, Najdovski, T, Nichol, A D, Nielsen, H, Novak, R M, O'Sullivan, M V N, Olalla, J, Osibogun, A, Osikomaiya, B, Oyonarte, S, Pardo-Oviedo, J M, Patel, M C, Paterson, D L, Peña-Perez, C A, Perez-Calatayud, A A, Pérez-Alba, E, Perkina, A, Perry, N, Pouladzadeh, M, Poyato, I, Price, D J, Quero, A K H, Rahman, M M, Rahman, M S, Ramesh, M, Ramírez-Santana, C, Rasmussen, M, Rees, M A, Rego, E, Roberts, J A, Roberts, D J, Rodríguez, Y, Rodríguez-Baño, J, Rogers, B A, Rojas, M, Romero, A, Rowan, K M, Saccona, F, Safdarian, M, Santos, M C M, Sasadeusz, J, Scozzari, G, Shankar-Hari, M, Sharma, G, Snelling, T, Soto, A, Tagayuna, P Y, Tang, A, Tatem, G, Teofili, L, Tong, S Y C, Turgeon, A F, Veloso, J D, Venkatesh, B, Ventura-Enriquez, Y, Webb, S A, Wiese, L, Wikén, C, Wood, E M, Yusubalieva, G M, Zacharowski, K, Zarychanski, R, Khanna, N, Moher, D, Goodman, S N, Ioannidis, J P A & Hemkens, L G 2021, ' Association between convalescent plasma treatment and mortality in COVID-19: a collaborative systematic review and meta-analysis of randomized clinical trials ', BMC Infectious Diseases, vol. 21, no. 1 . https://doi.org/10.1186/s12879-021-06829-7, Digibug. Repositorio Institucional de la Universidad de Granada, instname, BMC infectious diseases, Vol. 21, no.1, p. 1170 [1-23] (2021), BMC Infectious Diseases
Publication Year :
2021
Publisher :
BioMed Central, 2021.

Abstract

This collaborative meta-analysis was supported by the Swiss National Science Foundation and the Laura and John Arnold Foundation (grant supporting the post-doctoral fellowship at the Meta-Research Innovation Center at Stanford (METRICS), Stanford University). The funders had no role in the design of this collaborative meta-analysis; in the collection, analysis, and interpretation of data; or in the report writing.<br />We would like to express our warm gratitude to all participating patients and convalescent plasma donors. We thank Katja Suter and Sina Ullrich, University of Basel, for their administrative assistance. For their helpful contribution to individual trials, we thank Erica Wood, Iain Gosbell, Richard Charlewood, Thomas Hills, Veronica Hoad, Kristina Kairaitis, Aikaj Jindal, John Gerrard, Hong Foo, Adam Stewart, and Nanette Trask (ASCOT trial); Amalia Bravo-Lindoro, Ral Carrillo-Esper, Karla Maldonado-Silva, Catalina Casillas-Suárez, Orlando Carrillo-Torres, Sandra Murrieta, Elizabeth Diaz-Padilla, Eli Omar Zavaleta, Yadira Bejar-Ramirez, and Evelyn Cortina-de la Rosa (CPC-SARS trial); Sheri Renaud, Roel Rolando-Almario, and Jacqueline Day (NCT04385199 trial); Sandra Tingsgrd, MD, Karen Brorup Heje Pedersen, MD, Michaela Tinggaard, MD, Louise Thorlacius-Ussing, MD, Clara Lundetoft Clausen, MD, Nichlas Hovmand, MD, Simone Bastrup Israelsen, MD, Cecilie Leding, MD, Katrine Iversen, MD, Maria Engel Miller, MD, Hkon Sandholdt, MSc biostatistician (CCAP-2 trial). On behalf of the IRCT20200310046736N1 trial, we thank the Khuzestan Blood Transfusion Organization for specialized assistance in the preparation and maintenance of plasma samples. On behalf of the NCT04332835 trial, we thank all the members of the "PC-COVID-19 Group" at the Clinica del Occidente and Hospital Universitario Mayor Mederi in Bogota, and Clinica CES in Medellin. On behalf of the NCT04403477 trial, we thank Miles Carroll for his support regarding the antibody testing in Bangladesh. The Co-CLARITY team would like to extend their gratitude to the Department of Science and Technology Philippine Council for Health Research and Development and the UP-Philippine General Hospital for all their support in the setting up and conduct of the trial. For helpfully communicating details of their trial, we thank members of the PlasmAr trial, NCT04359810 trial (Max O´Donnell), NCT04468009 trial, and CTRI/2020/05/025299 trial. Support for title page creation and format was provided by AuthorArranger, a tool developed at the National Cancer Institute (https://www.cancer.gov/).<br />During the conduct of the study, the following is reported: Dr. Berry reports being employee with ownership role at Berry Consultants (receives payments for statistical modeling and design of REMAP-CAP). Dr. Castillo reports grants from DOST PCHRD. Dr. Daly reports grants from Medical Research Future Fund (Australian Govt) and RBWH. Dr. Denkinger reports grants from German Ministry for Education and Research. Dr. Dumagay reports grants from Philippine Council for Health Research and Development. Dr. Dunachie reports grants from UK Department of Health and Social Care, grants from UK National Institute of Health Research. Dr. Gauiran reports grants from Department of Science and Technology—Philippine Council for Health Research and Development. Dr. Gordon reports grants from NIHR, grants from NIHR Research Professorship (RP-2015-06-18), and non-financial support from NIHR Clinical Research Network. Dr. Higgins reports grants from NHMRC and from the Minderoo Foundation. Dr. Hills reports grants from Health Research Council of New Zealand. Dr. Holm reports grants from Swedish Government Funds for Clinical Research (ALF). Dr. Janssen and Dr. Müller-Tidow report grants from the Federal Ministry of Education and Research in Germany (BMBF) to the RECOVER clinical trial. Dr. Krapp reports grants from Department of Foreign Affairs, Trade, and Development of Canada, grants from Fundación Telefónica del Perú. Dr. J. Lim reports grants from the Department of Science and Technology, Philippine Council for Health Research and Development. Dr. Lucero reports grants from Philippine Council for Health Research and Development. Dr Manrique reports economic support from Grupo ISA Intercolombia for the project development of trial NCT04332835. Drs. McQuilten and Wood report grants from Medical Research Future Fund. Dr. McVerry reports grants from The Pittsburgh Foundation, Translational Breast Cancer Research Consortium, and from UPMC Learning While Doing Program. Mr. Mouncey reports grants from National Institute for Health Research and from the European Union FP7: PREPARE. Dr. Najdovski reports payment from KUL Leuven to Belgian Red Cross for supply of convalescent plasma. Dr. Nichol reports grants from Health Research Board of Ireland. Dr. D. Roberts reports grants from the National Institute for Health (UKRIDHSC COVID-19 Rapid Response Rolling Call—Grant Reference Number COV19-RECPLAS) and the European Commission (SUPPORT-E #101015756). Dr. Rowan reports grants from the European Commission and from the UK National Institute for Health Research. Dr. Shankar-Hari reports grants from National Institute for Health Research UK, grants from UKRI-National Institute for Health Research UK. Dr. Turgeon reports grants from Canadian Institutes of Health Research. Dr. Venkatesh reports grants from Baxter. Dr. Webb reports grants from National Health and Medical Research Council, grants from Minderoo Foundation. Dr. Zacharowski reports grants from EU Horizon 2020. The ASCOT trial team (Drs Bowen, Daly, Davis, Denholm, Hammond, Jha, L. Lim, McQuilten, Molton, Morpeth, O’Sullivan, Paterson, Perry, Price, Rees, Roberts, Rogers, Sasadeusz, Snelling, Tong, Venkatesh, Wood) is funded by grants from from Royal Brisbane and Women’s Hospital Foundation, Pratt Foundation, Minderoo Foundation, BHP Foundation, Hospital Research Foundation, Macquarie Group Foundation, Health Research Council of New Zealand, Australian Partnership for Preparedness Research on Infectious Disease Emergencies (APPRISE), and the collection and supply of convalescent plasma was conducted within Lifeblood’s funding arrangements. The CONFIDENT trial is funded by the Belgian KCE (blood establishments received payment for the convalescent plasma supplied in the clinical trial). REMAP-CAP was supported in part by funding from UKRIDHSC COVID-19 Rapid Response Rolling Call (Grant Reference Number COV19-RECPLAS). Collection of convalescent plasma for REMAP-CAP was funded by the Department of Health and Social Care, UK. The IRCT20200310046736N1 trial was supported by the Ahvaz Jundishapur University of Medical Sciences (Grant No. R.AJUMS.REC.1399.003, Dr. Pouladzadeh). The PC-COVID-19 Group is supported by the Universidad del Rosario, IDCBIS, ISA Group and Suramericana (Colombia). Outside the submitted work, the following is reported: Dr. Axfors reports postdoctoral grants from the Knut and Alice Wallenberg Foundation, Uppsala University, the Swedish Society of Medicine, the Blanceflor Foundation, and the Sweden-America Foundation. Dr. Aomar reports personal fees from SOBI, GEDEON RICHTER, and GSK. Dr. Benfield reports grants from Novo Nordisk Foundation, Simonsen Foundation, Lundbeck Foundation, Kai Hansen Foundation, Erik and Susanna Olesen’s Charitable Fund; grants and personal fees from GSK, Pfizer, Gilead; and personal fees from Boehringer Ingelheim, MSD, and Pentabase ApS. Dr. Estcourt reports being an investigator on the RECOVERY trial. Dr. Gordon reports personal fees from GlaxoSmithKline, Bristol Myers Squibb, and 30 Respiratory. Dr. Jha reports grants and personal fees from Baxter Healthcare, personal fees from Astra Zeneca, grants from NephroPlus. Dr. Laterre reports personal fees from Adrenomed. Dr. McVerry reports grants from NIH/NHLBI and Bayer Pharmaceuticals, Inc. Dr. Mondragon reports financial activities outside the submitted work (employment at Johnson & Johnson). Dr. Perry reports partner being employed at CSL and owning shares in CSL. Dr. Paterson reports involvement with ALLIANCE trial of COVID-19 treatments. Dr. J. Roberts reports other COVID-19 related trials (in different patient groups): tocilizumab in ICU patients; hydroxychloroquine dosing in ICU patients; planned study of remdesivir pharmacokinetics in patients during expanded access program; and in silico evaluation of ivermectin dosing. Dr Sasadeusz reports grants from various Pharma companies including Gilead Sciences, Abvvie, Merck, and Takeda. Dr. Zacharowski reports personal fees from Biotest AG, CSL Behring, GE Heathcare, and is President of the ESAIC.<br />Background: Convalescent plasma has been widely used to treat COVID-19 and is under investigation in numerous randomized clinical trials, but results are publicly available only for a small number of trials. The objective of this study was to assess the benefits of convalescent plasma treatment compared to placebo or no treatment and all-cause mortality in patients with COVID-19, using data from all available randomized clinical trials, including unpublished and ongoing trials (Open Science Framework, https://doi.org/10.17605/OSF.IO/GEHFX). Methods: In this collaborative systematic review and meta-analysis, clinical trial registries (ClinicalTrials.gov, WHO International Clinical Trials Registry Platform), the Cochrane COVID-19 register, the LOVE database, and PubMed were searched until April 8, 2021. Investigators of trials registered by March 1, 2021, without published results were contacted via email. Eligible were ongoing, discontinued and completed randomized clinical trials that compared convalescent plasma with placebo or no treatment in COVID-19 patients, regardless of setting or treatment schedule. Aggregated mortality data were extracted from publications or provided by investigators of unpublished trials and combined using the Hartung–Knapp–Sidik–Jonkman random effects model. We investigated the contribution of unpublished trials to the overall evidence. Results: A total of 16,477 patients were included in 33 trials (20 unpublished with 3190 patients, 13 published with 13,287 patients). 32 trials enrolled only hospitalized patients (including 3 with only intensive care unit patients). Risk of bias was low for 29/33 trials. Of 8495 patients who received convalescent plasma, 1997 died (23%), and of 7982 control patients, 1952 died (24%). The combined risk ratio for all-cause mortality was 0.97 (95% confidence interval: 0.92; 1.02) with between-study heterogeneity not beyond chance (I2 = 0%). The RECOVERY trial had 69.8% and the unpublished evidence 25.3% of the weight in the meta-analysis. Conclusions: Convalescent plasma treatment of patients with COVID-19 did not reduce all-cause mortality. These results provide strong evidence that convalescent plasma treatment for patients with COVID-19 should not be used outside of randomized trials. Evidence synthesis from collaborations among trial investigators can inform both evidence generation and evidence application in patient care.<br />Amalia Bravo-Lindoro<br />BHP Foundation<br />Blanceflor Foundation<br />Department of Foreign Affairs, Trade, and Development of Canada<br />Eli Omar Zavaleta<br />Erik and Susanna Olesen’s Charitable Fund<br />Federal Ministry of Education and Research in Germany<br />Fundación Telefónica del Perú<br />IDCBIS<br />ISA Group and Suramericana<br />Kai Hansen Foundation<br />Katja Suter and Sina Ullrich<br />Khuzestan Blood Transfusion Organization<br />Macquarie Group Foundation<br />Medical Research Future Fund<br />NephroPlus<br />RBWH<br />Roel Rolando-Almario NCT04385199<br />Royal Brisbane<br />Sheri Renaud<br />Simonsen Foundation<br />UKRI-National Institute for Health Research UK<br />UKRIDHSC COV19-RECPLAS<br />UP-Philippine General Hospital CTRI/2020/05/025299, NCT04359810, NCT04468009<br />Women’s Hospital Foundation<br />National Institutes of Health<br />National Heart, Lung, and Blood Institute<br />Pittsburgh Foundation<br />Pfizer<br />Baxter International<br />Stanford University<br />Gilead Sciences<br />National Institute on Handicapped Research RP-2015-06-18<br />Meso Scale Diagnostics<br />Universität Basel<br />Laura and John Arnold Foundation<br />Health Research Board<br />Pratt Foundation<br />Canadian Institutes of Health Research<br />National Institute for Health Research<br />Department of Health and Social Care<br />European Commission 101015756<br />National Health and Medical Research Council<br />Department of Science and Technology, Ministry of Science and Technology, India<br />Health Research Council of New Zealand<br />Schweizerischer Nationalfonds zur Förderung der Wissenschaftlichen Forschung<br />Sweden-America Foundation<br />Bundesministerium für Bildung und Forschung<br />Lundbeckfonden<br />Knut och Alice Wallenbergs Stiftelse<br />Seventh Framework Programme<br />Ahvaz Jundishapur University of Medical Sciences<br />Université Pierre et Marie Curie<br />Uppsala Universitet<br />Horizon 2020<br />Svenska Läkaresällskapet<br />Universidad del Rosario<br />Pharmaceuticals Bayer<br />Novo Nordisk Fonden<br />Department of Science and Technology, Philippines<br />Philippine Council for Health Research and Development<br />Minderoo Foundation

Details

Language :
English
ISSN :
14712334
Database :
OpenAIRE
Journal :
BMC Infectious Diseases, Vol 21, Iss 1, Pp 1-23 (2021), BMC INFECTIOUS DISEASES, Axfors, C, Janiaud, P, Schmitt, A M, van’t Hooft, J, Smith, E R, Haber, N A, Abayomi, A, Abduljalil, M, Abdulrahman, A, Acosta-Ampudia, Y, Aguilar-Guisado, M, Al-Beidh, F, Alejandria, M M, Alfonso, R N, Ali, M, AlQahtani, M, AlZamrooni, A, Anaya, J M, Ang, M A C, Aomar, I F, Argumanis, L E, Averyanov, A, Baklaushev, V P, Balionis, O, Benfield, T, Berry, S, Birocco, N, Bonifacio, L B, Bowen, A C, Bown, A, Cabello-Gutierrez, C, Camacho, B, Camacho-Ortiz, A, Campbell-Lee, S, Cao, D H, Cardesa, A, Carnate, J M, Castillo, G J J, Cavallo, R, Chowdhury, F R, Chowdhury, F U H, Ciccone, G, Cingolani, A, Climacosa, F M M, Compernolle, V, Cortez, C F N, Costa Neto, A, D’Antico, S, Daly, J, Danielle, F, Davis, J S, De Rosa, F G, Denholm, J T, Denkinger, C M, Desmecht, D, Díaz-Coronado, J C, Díaz Ponce-Medrano, J A, Donneau, A F, Dumagay, T E, Dunachie, S, Dungog, C C, Erinoso, O, Escasa, I M S, Estcourt, L J, Evans, A, Evasan, A L M, Fareli, C J, Fernandez-Sanchez, V, Galassi, C, Gallo, J E, Garcia, P J, Garcia, P L, Garcia, J A, Garigliany, M, Garza-Gonzalez, E, Gauiran, D T V, Gaviria García, P A, Giron-Gonzalez, J A, Gómez-Almaguer, D, Gordon, A C, Gothot, A, Grass Guaqueta, J S, Green, C, Grimaldi, D, Hammond, N E, Harvala, H, Heralde, F M, Herrick, J, Higgins, A M, Hills, T E, Hines, J, Holm, K, Hoque, A, Hoste, E, Ignacio, J M, Ivanov, A V, Janssen, M, Jennings, J H, Jha, V, King, R A N, Kjeldsen-Kragh, J, Klenerman, P, Kotecha, A, Krapp, F, Labanca, L, Laing, E, Landin-Olsson, M, Laterre, P F, Lim, L L, Lim, J, Ljungquist, O, Llaca-Díaz, J M, López-Robles, C, López-Cárdenas, S, Lopez-Plaza, I, Lucero, J A C, Lundgren, M, Macías, J, Maganito, S C, Malundo, A F G, Manrique, R D, Manzini, P M, Marcos, M, Marquez, I, Martínez-Marcos, F J, Mata, A M, McArthur, C J, McQuilten, Z K, McVerry, B J, Menon, D K, Meyfroidt, G, Mirasol, M A L, Misset, B, Molton, J S, Mondragon, A V, Monsalve, D M, Moradi Choghakabodi, P, Morpeth, S C, Mouncey, P R, Moutschen, M, Müller-Tidow, C, Murphy, E, Najdovski, T, Nichol, A D, Nielsen, H, Novak, R M, O’Sullivan, M V N, Olalla, J, Osibogun, A, Osikomaiya, B, Oyonarte, S, Pardo-Oviedo, J M, Patel, M C, Paterson, D L, Peña-Perez, C A, Perez-Calatayud, A A, Pérez-Alba, E, Perkina, A, Perry, N, Pouladzadeh, M, Poyato, I, Price, D J, Quero, A K H, Rahman, M M, Rahman, M S, Ramesh, M, Ramírez-Santana, C, Rasmussen, M, Rees, M A, Rego, E, Roberts, J A, Roberts, D J, Rodríguez, Y, Rodríguez-Baño, J, Rogers, B A, Rojas, M, Romero, A, Rowan, K M, Saccona, F, Safdarian, M, Santos, M C M, Sasadeusz, J, Scozzari, G, Shankar-Hari, M, Sharma, G, Snelling, T, Soto, A, Tagayuna, P Y, Tang, A, Tatem, G, Teofili, L, Tong, S Y C, Turgeon, A F, Veloso, J D, Venkatesh, B, Ventura-Enriquez, Y, Webb, S A, Wiese, L, Wikén, C, Wood, E M, Yusubalieva, G M, Zacharowski, K, Zarychanski, R, Khanna, N, Moher, D, Goodman, S N, Ioannidis, J P A & Hemkens, L G 2021, ' Association between convalescent plasma treatment and mortality in COVID-19 : a collaborative systematic review and meta-analysis of randomized clinical trials ', BMC Infectious Diseases, vol. 21, no. 1, 1170 . https://doi.org/10.1186/s12879-021-06829-7, Axfors, C, Janiaud, P, Schmitt, A M, Van't Hooft, J, Smith, E R, Haber, N A, Abayomi, A, Abduljalil, M, Abdulrahman, A, Acosta-Ampudia, Y, Aguilar-Guisado, M, Al-Beidh, F, Alejandria, M M, Alfonso, R N, Ali, M, AlQahtani, M, AlZamrooni, A, Anaya, J-M, Ang, M A C, Aomar, I F, Argumanis, L E, Averyanov, A, Baklaushev, V P, Balionis, O, Benfield, T, Berry, S, Birocco, N, Bonifacio, L B, Bowen, A C, Bown, A, Cabello-Gutierrez, C, Camacho, B, Camacho-Ortiz, A, Campbell-Lee, S, Cao, D H, Cardesa, A, Carnate, J M, Castillo, G J J, Cavallo, R, Chowdhury, F R, Chowdhury, F U H, Ciccone, G, Cingolani, A, Climacosa, F M M, Compernolle, V, Cortez, C F N, Costa Neto, A, D'Antico, S, Daly, J, Danielle, F, Davis, J S, De Rosa, F G, Denholm, J T, Denkinger, C M, Desmecht, D, Díaz-Coronado, J C, Díaz Ponce-Medrano, J A, Donneau, A-F, Dumagay, T E, Dunachie, S, Dungog, C C, Erinoso, O, Escasa, I M S, Estcourt, L J, Evans, A, Evasan, A L M, Fareli, C J, Fernandez-Sanchez, V, Galassi, C, Gallo, J E, Garcia, P J, Garcia, P L, Garcia, J A, Garigliany, M, Garza-Gonzalez, E, Gauiran, D T V, Gaviria García, P A, Giron-Gonzalez, J-A, Gómez-Almaguer, D, Gordon, A C, Gothot, A, Grass Guaqueta, J S, Green, C, Grimaldi, D, Hammond, N E, Harvala, H, Heralde, F M, Herrick, J, Higgins, A M, Hills, T E, Hines, J, Holm, K, Hoque, A, Hoste, E, Ignacio, J M, Ivanov, A V, Janssen, M, Jennings, J H, Jha, V, King, R A N, Kjeldsen-Kragh, J, Klenerman, P, Kotecha, A, Krapp, F, Labanca, L, Laing, E, Landin-Olsson, M, Laterre, P-F, Lim, L-L, Lim, J, Ljungquist, O, Llaca-Díaz, J M, López-Robles, C, López-Cárdenas, S, Lopez-Plaza, I, Lucero, J A C, Lundgren, M, Macías, J, Maganito, S C, Malundo, A F G, Manrique, R D, Manzini, P M, Marcos, M, Marquez, I, Martínez-Marcos, F J, Mata, A M, McArthur, C J, McQuilten, Z K, McVerry, B J, Menon, D K, Meyfroidt, G, Mirasol, M A L, Misset, B, Molton, J S, Mondragon, A V, Monsalve, D M, Moradi Choghakabodi, P, Morpeth, S C, Mouncey, P R, Moutschen, M, Müller-Tidow, C, Murphy, E, Najdovski, T, Nichol, A D, Nielsen, H, Novak, R M, O'Sullivan, M V N, Olalla, J, Osibogun, A, Osikomaiya, B, Oyonarte, S, Pardo-Oviedo, J M, Patel, M C, Paterson, D L, Peña-Perez, C A, Perez-Calatayud, A A, Pérez-Alba, E, Perkina, A, Perry, N, Pouladzadeh, M, Poyato, I, Price, D J, Quero, A K H, Rahman, M M, Rahman, M S, Ramesh, M, Ramírez-Santana, C, Rasmussen, M, Rees, M A, Rego, E, Roberts, J A, Roberts, D J, Rodríguez, Y, Rodríguez-Baño, J, Rogers, B A, Rojas, M, Romero, A, Rowan, K M, Saccona, F, Safdarian, M, Santos, M C M, Sasadeusz, J, Scozzari, G, Shankar-Hari, M, Sharma, G, Snelling, T, Soto, A, Tagayuna, P Y, Tang, A, Tatem, G, Teofili, L, Tong, S Y C, Turgeon, A F, Veloso, J D, Venkatesh, B, Ventura-Enriquez, Y, Webb, S A, Wiese, L, Wikén, C, Wood, E M, Yusubalieva, G M, Zacharowski, K, Zarychanski, R, Khanna, N, Moher, D, Goodman, S N, Ioannidis, J P A & Hemkens, L G 2021, ' Association between convalescent plasma treatment and mortality in COVID-19: a collaborative systematic review and meta-analysis of randomized clinical trials ', BMC Infectious Diseases, vol. 21, no. 1 . https://doi.org/10.1186/s12879-021-06829-7, Digibug. Repositorio Institucional de la Universidad de Granada, instname, BMC infectious diseases, Vol. 21, no.1, p. 1170 [1-23] (2021), BMC Infectious Diseases
Accession number :
edsair.doi.dedup.....b776d5c0a91e0cfb5f5c321feff9e1f8