2020
DOI: 10.1001/jama.2020.4783
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Treatment of 5 Critically Ill Patients With COVID-19 With Convalescent Plasma

Abstract: Key PointsQuestionCould administration of convalescent plasma transfusion be beneficial in the treatment of critically ill patients with coronavirus disease 2019 (COVID-19)?FindingsIn this uncontrolled case series of 5 critically ill patients with COVID-19 and acute respiratory distress syndrome (ARDS), administration of convalescent plasma containing neutralizing antibody was followed by an improvement in clinical status.MeaningThese preliminary findings raise the possibility that convalescent plasma transfus… Show more

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Cited by 2,218 publications
(2,481 citation statements)
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“…patients with ARDS, all had clinical improvement with 3/5 patients weaning from the ventilator (142). Additional trials are ongoing to better define the safety and efficacy of this strategy.…”
Section: Neutralizing Antibodies and Decoy Proteinsmentioning
confidence: 99%
“…patients with ARDS, all had clinical improvement with 3/5 patients weaning from the ventilator (142). Additional trials are ongoing to better define the safety and efficacy of this strategy.…”
Section: Neutralizing Antibodies and Decoy Proteinsmentioning
confidence: 99%
“…8,9 In addition, many patients have received off-label or compassionate-use therapies, including antiretrovirals, antiparasitic agents, antiinflammatory compounds, and convalescent plasma. [10][11][12][13] Remdesivir is a prodrug of a nucleotide analogue that is intracellularly metabolized to an analogue of adenosine triphosphate that inhibits viral RNA polymerases. Remdesivir has broadspectrum activity against members of several virus families, including filoviruses (e.g., Ebola) and coronaviruses (e.g., SARS-CoV and Middle East respiratory syndrome coronavirus [MERS-CoV]) and has shown prophylactic and therapeutic efficacy in nonclinical models of these coronaviruses.…”
mentioning
confidence: 99%
“…After getting approval from the ethical committee, Shenzhen, Third People's Hospital, they administrated convalescent plasma containing neutralizing antibodies to 5 critically ill patients with SARS-CoV-2. Among those 3 patients discharged from the hospital and 2 patients under an incubation period of 37 days [23]. Casadevall and Pirofski highlighted the risks of passive administration of convalescent sera, which falls into two categories, serum disease and antibody-dependent enhancement of infection.…”
Section: Convalescent Plasma Therapymentioning
confidence: 99%