Severe ill Patients will be enrolled in the study (n=310) after duly filled consent forms. Recipients will be divided into 2 group, each group contain 155 patients to compare Safety and efficacy of patients in Clinical Trial phase II/III. One Group will receive 0.15g/kg single dose of anti COVID 19 intravenously immunoglobulin (C-IVIG) develop from convalescent plasma of recovered patients from COVID 19, along with Standard of care. The Comparator group will only receive standard of Care
The research team at Dow University of Health Sciences has purified immunoglobulin (both SARS-CoV 2 antibodies and existing antibodies) from convalescent plasma of COVID19 individuals and pooled it to prepare IVIG formulation to treat severe and critically ill COVID-19 patients. Phase I/II trial was completed and showed potential safety and efficacy of the drug Anti COVID-19 intravenous immunoglobulin (C-IVIG) in severe and critical patients with COVID-19. This trial's aim is to investigate the safety and efficacy of passive immunization in severe COVID-19 patients in phase II/III. The trial will be a randomized, single-blinded, superiority trial, through parallel-group design. The participant will either receive C-IVIG with Standard of care or receive only Standard of care. The study will consist of 310 participants of which 155 will receive a single dose of C-IVIG (0.15g/kg) with the standard of care and 155 will receive only the standard of care. Standard of care is standard hospital care which includes airway support, anti-viral medication, antibiotics, fluid resuscitation, hemodynamic support, steroids, painkillers, and antipyretics. Randomized test patients will receive a single dose of C-IVIG in the following two dosage groups: Group 1 (Test): Severe COVID-19 patients: Single dose of 0.15g/Kg with standard hospital care Group 2 (Comparator): Severe COVID-19 patients: only standard hospital care only
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
SINGLE
Enrollment
Intervention arm will receive single dose of 0.15g/kg C-IVIG. This will be infused within period of 16 hours intravenously. Additionally, all participants will receive same standard care. Standard Care as per hospital protocol, which may include: Airway support, Anti-Viral medication, Antibiotics, Fluid Resuscitation, Hemodynamic Support, Steroids, Painkillers, Anti-Pyretics, anti coagulant
Dow University of Health Sciences
Karachi, Sindh, Pakistan
RECRUITING28 day Mortality
All cause mortality of participants will be monitored for 28 days to asses the safety and efficacy of C-IVIG
Time frame: 28 days
Immediate and serious adverse event during hospital Stay
Immediate adverse event (within 24 hours) and serious adverse event (throughout the hospital stay) which will be observed
Time frame: 28 days
Clinical Status of follow-up days according to 7-Catergory Ordinal Scale
Clinical Status of follow-up days according to 7-Catergory Ordinal Scale 1. Not hospitalized and no limitations of activities 2. Not hospitalized, with limitation of activities, home oxygen requirement, or both 3. Hospitalized, not requiring supplemental oxygen 4. Hospitalized, requiring any supplemental oxygen 5. Hospitalized, requiring noninvasive ventilation or use of high-flow oxygen devices 6. Hospitalized, receiving invasive mechanical ventilation 7. Death
Time frame: 28 days
change in C-Reactive Protein (CRP) levels
Change in C-Reactive protein (CRP) levels form enrollment (baseline) till 3 days followup to monitor inflammation
Time frame: 5 Days
change in interleukin 6 (IL-6)
Change in IL-6 levels form enrollment (baseline) till 3 days followup
Time frame: 5 days
change in anti-SARS-CoV-2 antibody levels
Change in IL-6 levels form enrollment (baseline) till 3 days followup by quantitive method
Time frame: 5 days
change in Horowitz idex
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310
The Horowitz index is a ratio used to assess lung function in patients during Hospital stay
Time frame: 28 days
change in radiological findings
Change in any radiological after receive single Dose of C-IVIG
Time frame: 5 days