For the centers used CCP, I appreciate if you share your experience for this modality of treatment and how it was beneficial vs higher mortality among infused patients.
CCP is helpful in reducing the viral load during and only side effect of plasma transfusion is allergic reaction due to foreign protein which is manageable
Dear Dr Dharmesh Chandra Sharma , totally agree with what you mentioned, but as you know the results of its effectiveness on the outcome showed contradictory (no consensus) results. However, most reports noticed effective signals if it is used early in the course of the disease with a high antibody titer (the later concurs with the FDA authorization).
Dear Dr Aref Wazwaz , thank you for the valuable articles, especially of ASH's journal (Hematology). However, I can't find the date of European Blood Alliance publication and the Uganda trial lacks the neutralizing antibody titration.
COVID-19 Convalescent Plasma was used widely in my country, Iraq. This is the 1st study conducted to assess its effectiveness among patients with comorbid conditions.
Article Association of chronic diseases with mortality among hospita...
Long term studies and even clinical trials conducted in multiple countries have not been able to reliably increase the mortality and morbidity of patients with COVID-19 treated with CCP.
Convalescent plasma therapy may be given to people with COVID-19 who are in the hospital and are early in their illness or have a weakened immune system. Convalescent plasma therapy may help people recover from COVID-19 . It may lessen the severity or shorten the length of the disease Abdulsalam Al-Ani
The following study conclude that among patients hospitalized with COVID-19 who are not receiving mechanical ventilation, transfusion of plasma with higher anti–SARS-CoV-2 IgG antibody levels is associated with a lower risk of death than transfusion of plasma with lower antibody levels. In addition, patients who received plasma within 3 days after the diagnosis of COVID-19 have a lower risk of death than those who received a transfusion later in the disease course.
Article Convalescent Plasma Antibody Levels and the Risk of Death fr...
The full-text of above article is available online
Among patients hospitalized with moderate-to-severe COVID-19, administration of convalescent plasma within 6 days of hospitalization in conjunction with standard of care treatment is associated with improved in-hospital mortality compared to standard of care treatment alone.
Article Early but not late convalescent plasma is associated with be...
Dear syed jaffar abbas Zaidi , if you read the article you can find the possible explanation for such high mortality and the reply of your kind comment; (Long term studies and even clinical trials conducted in multiple countries have not been able to reliably increase the mortality and morbidity of patients with COVID-19 treated with CCP.)
No benefit of methylene blue-treated convalescent plasma on viral load or the prevention of progression from mild to severe illness in outpatients with COVID-19.
For details, please have a look at this article link in The Lancet:
Assessed 909 patients with confirmed COVID-19 for inclusion in the trial, 376 of whom were eligible and were randomly assigned to treatment;
Methylene blue-treated convalescent plasma did not prevent progression from mild to severe illness and did not reduce viral load in outpatients with COVID-19. Therefore, formal recommendations to support the use of convalescent plasma in outpatients with COVID-19 cannot be concluded.
Early treatment of newly diagnosed COVID-19 patients with plasma extracted from individuals who have recovered from the disease may reduce the risk of hospitalization.