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10.1172/jci.insight.143196

http://scihub22266oqcxt.onion/10.1172/jci.insight.143196
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33571168!8026191!33571168
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suck abstract from ncbi


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pmid33571168      JCI+Insight 2021 ; 6 (6): ä
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  • Clinical and laboratory evaluation of patients with SARS-CoV-2 pneumonia treated with high-titer convalescent plasma #MMPMID33571168
  • Donato ML; Park S; Baker M; Korngold R; Morawski A; Geng X; Tan M; Ip A; Goldberg S; Rowley S; Chow K; Brown E; Zenreich J; McKiernan P; Buttner K; Ullrich A; Long L; Feinman R; Ricourt A; Kemp M; Vendivil M; Suh H; Balani B; Cicogna C; Sebti R; Al-Khan A; Sperber S; Desai S; Fanning S; Arad D; Go R; Tam E; Rose K; Sadikot S; Siegel D; Gutierrez M; Feldman T; Goy A; Pecora A; Biran N; Leslie L; Gillio A; Timmapuri S; Boonstra M; Singer S; Kaur S; Richards E; Perlin DS
  • JCI Insight 2021[Mar]; 6 (6): ä PMID33571168show ga
  • Here, we report on a phase IIa study to determine the intubation rate, survival, viral clearance, and development of endogenous Abs in patients with COVID-19 pneumonia treated with convalescent plasma (CCP) containing high levels of neutralizing anti-SARS-CoV-2 Abs. Radiographic and laboratory evaluation confirmed all 51 treated patients had COVID-19 pneumonia. Fresh or frozen CCP from donors with high titers of neutralizing Abs was administered. The nonmechanically ventilated patients (n = 36) had an intubation rate of 13.9% and a 30-day survival rate of 88.9%, and the overall survival rate for a comparative group based on network data was 72.5% (1625/2241). Patients had negative nasopharyngeal swab rates of 43.8% and 73.0% on days 10 and 30, respectively. Patients mechanically ventilated had a day-30 mortality rate of 46.7%; the mortality rate for a comparative group based on network data was 71.0% (369/520). All evaluable patients were found to have neutralizing Abs on day 3 (n = 47), and all but 1 patient had Abs on days 30 and 60. The only adverse event was a mild rash. In this study on patients with COVID-19 disease, we show therapeutic use of CCP was safe and conferred transfer of Abs, while preserving endogenous immune response.
  • |*Plasma[MESH]
  • |*Severity of Illness Index[MESH]
  • |Aged[MESH]
  • |Antibodies, Neutralizing/blood/*therapeutic use[MESH]
  • |Antibodies, Viral/blood/*therapeutic use[MESH]
  • |COVID-19 Serotherapy[MESH]
  • |COVID-19/immunology/mortality/*therapy/virology[MESH]
  • |Convalescence[MESH]
  • |Female[MESH]
  • |Humans[MESH]
  • |Immunization, Passive[MESH]
  • |Immunocompromised Host[MESH]
  • |Immunoglobulin G/blood/*therapeutic use[MESH]
  • |Male[MESH]
  • |Middle Aged[MESH]
  • |Pneumonia[MESH]
  • |Respiration, Artificial[MESH]


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