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CompletedNCT04458363Updated Nov 22, 2021

Convalescent Plasma in Pediatric COVID-19

An Early Phase 1 interventional study of Convalescent Plasma (CP) and Standard COVID-19 therapies in COVID, sponsored by Emory University. Completed at 1 site in United States. Open to participants aged 0 Years to 22 Years. Per ClinicalTrials.gov, last updated 2021-11-22.

Sponsored by Emory University · Early Phase 1, Interventional, and Treatment

From the registry’s dates

  • Primary completion was Sep 2020, 6 years 1 month ago, and no results have been posted to the registry.
Phase
Early Phase 1
Study type
Interventional
Enrollment
3
Allocation
Not applicable
Ages
0 Years to 22 Years
Sex
All
01

Study summary

COVID-19 is increasingly affecting children but convalescent plasma (CP) has not been adequately studied in children to date. The study will determine safety of convalescent plasma for pediatric patients with severe, or at high risk for severe, COVID-19 disease.

Read the detailed description

COVID19 is an emerging infection with no current approved treatment or prevention. COVID-19 is increasingly affecting children but convalescent plasma (CP) has not been adequately studied in children to date. The study will determine safety of convalescent plasma for pediatric patients with severe, or at high risk for severe, COVID-19 disease.

02

Conditions studied

  • COVID

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Keywords

  • COVID-19
  • Pediatric
  • Convalescent Plasma
  • Safety
03

In context

COVID-19

7,638 studies on the registry are indexed under COVID-19; 488 are open to participants now.

This study's enrollment of 3 is below the median of 100 across 4,098 interventional studies indexed under COVID-19.

Browse COVID-19 studies →

Lead sponsor

Emory University is the lead sponsor of 1,386 studies on the registry; 236 are open to participants now.

Of its 229 completed or terminated interventional studies of FDA-regulated products, 174 (76%) have results posted.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
0 Years to 22 Years
Sexes eligible
All
Accepts healthy volunteers
No

Eligibility criteria

Inclusion Criteria:

  • Aged 0 to 22 years of age
  • SARS-CoV-2 infection documented by RNA RT-PCR detection
  • Admitted to an acute care facility
  • Ability of patient or guardian to provide consent and assent (if applicable); if patient is intubated assent may be waived

Exclusion Criteria:

  • Pregnancy/ breast feeding
  • Medical condition that increases the risk of plasma infusion
  • Contraindication to transfusion (severe volume overload, history of anaphylaxis to blood products).

Inclusion criteria for infusion:

  • Severe COVID-19 disease, OR
  • Moderate disease with a risk of progression to severe or life threatening disease, OR
  • Severely immunocompromised patient with any illness attributed to COVID-19 disease requiring inpatient care.

Exclusion to infusion:

  • Pregnancy/ breast feeding
  • Medical condition that increases the risk of plasma infusion
  • Contraindication to transfusion (severe volume overload, history of anaphylaxis to blood products).
05

Study design

Phase
Early Phase 1
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
3 participants (actual)

Study arms

  • Experimental
    Convalescent Plasma (CP)

    Once the patient meets criteria for CP infusion (severity of disease and risk factor determination and absence of exclusion criteria) convalescent plasma will be administered

    Biological: Convalescent Plasma (CP) · Drug: Standard COVID-19 therapies

Interventions

  • BiologicalConvalescent Plasma (CP)

    Once the patient meets criteria for CP infusion (severity of disease and risk factor determination and absence of exclusion criteria), an ABO compatible product will be identified. The CP dose administered will be 10mL/kg/dose (up to 2 units per dose) times two doses per patient for a total dose of 20 mL/kg. Patients will be followed for adverse events and clinical response. Research blood testing will be obtained prior to infusion (baseline) and serially weekly afterwards until clinical resolution. Patients will receive 2 doses equaling 20 mL/kg (if available) of ABO compatible CP over 24-48 hours if they do not experience grade 3-5 adverse events that are possible, probably, or definitely attributed to CP after the first dose. Patients will be followed for adverse events for a minimum of 28 days after the last infusion of CP.

  • DrugStandard COVID-19 therapies

    If clinical status permits, administration of additional COVID-19 therapies should be delayed 48 hours or more from CP infusion completion. Supportive care will be administered by best clinical practice.

06

What researchers measure

Primary outcomes

  1. Number of grade 3-5 adverse events that are possible, probably or definitely related to the convalescent plasma (CP) infusion

    Safety of convalescent plasma for pediatric patients will be determined by capturing the grade 3-5 adverse events that are possible, probably or definitely related to the CP infusion, defined using the NCI Common Terminology Criteria for Adverse Events (CTCAE)

    Time frame: 28 days

Secondary outcomes

  1. Change in percent of supplemental oxygen

    Change in percent of supplemental oxygen within 72 hours after infusion

    Time frame: Baseline, 72 hours after infusion

  2. Number of patients that required change in level of respiratory support

    Number of patients that required change in level of respiratory support such as nasal canula, non-invasive ventilation, mechanical ventilation, high frequency oscillator ventilation, and extracorporeal membrane oxygenation (ECMO)

    Time frame: Baseline, 72 hours after infusion

  3. Mortality

    Number of deaths

    Time frame: up to 1 year

  4. Mean length of ICU stay (days)

    Length of ICU stay (days) will be recorded

    Time frame: Up to 28 days

  5. Mean length of hospital stay (days)

    Length of hospital stay (days) will be recorded

    Time frame: Up to 28 days

  6. Mean length of ventilation (days)

    Length of ventilation (days) will be recorded

    Time frame: Up to 28 days

  7. Number of patients with progression to renal dysfunction and/or multisystem organ failure

    Number of patients with progression to renal dysfunction and/or multisystem organ failure will be recorded

    Time frame: up to 1 year

  8. IL-6 level

    Cytokine milieu will be assayed by Luminex

    Time frame: up to 28 days

  9. Number of anti-SARS CoV 2 specific T cells

    Cellular studies will be used for evaluation of anti-SARS CoV 2 specific T cells

    Time frame: up to 28 days

  10. Diversity of circulating T cells

    Cellular studies will be used for evaluation of diversity of circulating T cells

    Time frame: up to 28 days

  11. ARS-CoV-2 Antibody Titer

    Antibody titers to SARS-CoV-2 evaluation will be performed in vivo

    Time frame: up to 28 days

  12. SARS-CoV-2 Neutralizing Titer

    Neutralizing antibodies are a type of virus specific antibody that not only bind virus but bind in a manner that prevents viral infection. Test will be will be performed in vivo.

    Time frame: up to 28 days

07

Study locations

1 site
  • Children's Healthcare of Atlanta
    Atlanta, Georgia 30322, United States
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Nov 22, 2021, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT04458363
Lead sponsor
Emory University
Responsible party
Preeti Jaggi (Principal Investigator, Emory University) — Principal investigator
First posted
Jul 7, 2020
Start date
Jul 4, 2020
Primary completion
Sep 1, 2020
Completion
Sep 1, 2020
Last update
Nov 22, 2021

Study contacts

Preeti Jaggi, MD
principal investigator · Emory University

Oversight

Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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This study is completed, as verified in Nov 2021. You cannot join it, but the record below documents what was studied.

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