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Convalescent plasma transfusion a promising therapy for coronavirus diseases 2019 (COVID-19): current updates
Henu Kumar Verma1, Batoul Farran2, Lakkakula V K S Bhaskar3
1Stem Cell Lab Institute of Endocrinology and Oncology, Naples, 80131, Italy.
Insights
Convalescent plasma (CP) offers potential relief for COVID-19 patients when treatments are limited. Further high-quality clinical trials are needed to confirm the efficacy and effectiveness of CP therapy for severe cases.
Area of Science:
- Infectious Diseases
- Immunology
- Critical Care Medicine
Background:
- The COVID-19 pandemic created an urgent need for effective treatments due to a lack of proven therapies.
- The escalating global case numbers highlighted the potential of convalescent plasma (CP) as an empirical treatment option.
- Existing treatments like vaccines and specific drugs were not yet available during the early stages of the COVID-19 outbreak.
Purpose of the Study:
- To review historical clinical trials involving COVID-19 patients treated with convalescent plasma.
- To provide precise evidence regarding the efficacy and effectiveness of CP therapy in severe COVID-19 cases.
- To identify gaps in high-quality clinical evidence for CP treatment in COVID-19.
Main Methods:
- Systematic review of historical clinical trials.
- Analysis of data from COVID-19 patients treated with convalescent plasma.
- Evaluation of the efficacy and effectiveness of CP therapy.
Main Results:
- While numerous clinical trials are underway, high-quality evidence supporting CP therapy for COVID-19 remains limited.
- Existing data suggests potential therapeutic benefits, but formal proof of efficacy is still required.
- Analysis of current trials is necessary to address existing problems and limitations in CP research.
Conclusions:
- Convalescent plasma (CP) shows promise as a potential treatment for severe COVID-19, particularly when other options are scarce.
- Healthcare systems should consider using CP therapy cautiously in critically ill COVID-19 patients, based on available evidence.
- Further rigorous clinical trials are essential to establish definitive proof of efficacy and guide optimal use of CP in COVID-19 management.
Abstract:
While there is no proven treatment available for coronavirus disease 2019 (COVID-19), convalescent plasma (CP) may provide therapeutic relief as the number of cases escalate steeply world-wide. At the time of writing this review, vaccines, monoclonal antibodies or drugs are still lacking for the recent large COVID-19 outbreak, which restores the interest in CP as an empirical life-saving treatment. However, formal proof of efficacy is needed. The purpose of this review is to summarize all historical clinical trials on COVID-19 infected patients treated with CP to provide precise evidence for the efficacy and effectiveness of CP therapy in severe COVID-19 patients. Although there are many clinical trials in progress, high-quality clinical evidence is still lacking to analyze the existing problems. Meanwhile, based on the previous successful outcomes, we recommend healthcare systems to use CP therapy cautiously in critically ill COVID-19 patients.
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