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Backseat Driver

(4,635 posts)
Wed Sep 1, 2021, 05:46 PM Sep 2021

NIH study at Stanford says convalescent therapy doesn't work

for CoVid illnesses: https://www.labroots.com/trending/immunology/21171/convalescent-plasma-therapy-covid-19-doesn-t

AUG 31, 2021 7:00 AM PDT
Convalescent Plasma Therapy for COVID-19 Doesn't Work

After encountering an infectious agent, the immune system begins churning out antibodies—Y-shaped warriors that neutralize pathogens—into the blood circulation. In theory, donor blood from patients who have recovered from an infection could be used therapeutically, helping those experiencing severe symptoms recover.

In the case of COVID-19, the U.S. Food and Drug Administration (FDA) granted emergency authorization for convalescent plasma therapy earlier on in the pandemic. This therapy was targeted towards patients in hospitals suffering from COVID-19, particularly those who were immunocompromised. Since its authorization, tens of thousands of patients in the U.S. have been administered convalescent plasma therapy, despite the lack of clinical trial data to support the efficacy of the treatment.

Now, a recent study by Stanford researchers has revealed the harsh reality of convalescent plasma therapy for COVID-19: it doesn’t work.After encountering an infectious agent, the immune system begins churning out antibodies—Y-shaped warriors that neutralize pathogens—into the blood circulation. In theory, donor blood from patients who have recovered from an infection could be used therapeutically, helping those experiencing severe symptoms recover.

In the case of COVID-19, the U.S. Food and Drug Administration (FDA) granted emergency authorization for convalescent plasma therapy earlier on in the pandemic. This therapy was targeted towards patients in hospitals suffering from COVID-19, particularly those who were immunocompromised. Since its authorization, tens of thousands of patients in the U.S. have been administered convalescent plasma therapy, despite the lack of clinical trial data to support the efficacy of the treatment.

Now, a recent study by Stanford researchers has revealed the harsh reality of convalescent plasma therapy for COVID-19: it doesn’t work.

A clinical trial called C3P0 was initiated by researchers at the National Institutes of Health around a year ago. The study aimed to understand how high-risk patients (such as those with underlying medical conditions such as asthma and Type 2 diabetes) would benefit from convalescent plasma therapy at the early stages of COVID-19 infection. This subset of patients is especially prone to progressing on to more severe, life-threatening symptoms of the disease, and early on during the pandemic, there were very few clinical options to support their recovery.

In February—despite only enrolling around 500 of the targeted 900 study participants—the C3PO study was terminated after researchers found no benefit of convalescent plasma at resisting severe COVID-19 symptoms compared to the placebo.

Initially, researchers involved in the study estimated that plasma therapy might slash the risk of COVID-19 progression by around 10 percent. However, the clinical data collected from C3PO revealed that this number was under two percent.

“While this trial was negative, we need to continue this research to understand when passive immunotherapy such as convalescent plasma can be effective in treating emerging infectious diseases,” commented Kevin Schulman, one of the lead investigators involved in this work.

A clinical trial called C3P0 was initiated by researchers at the National Institutes of Health around a year ago. The study aimed to understand how high-risk patients (such as those with underlying medical conditions such as asthma and Type 2 diabetes) would benefit from convalescent plasma therapy at the early stages of COVID-19 infection. This subset of patients is especially prone to progressing on to more severe, life-threatening symptoms of the disease, and early on during the pandemic, there were very few clinical options to support their recovery.

In February—despite only enrolling around 500 of the targeted 900 study participants—the C3PO study was terminated after researchers found no benefit of convalescent plasma at resisting severe COVID-19 symptoms compared to the placebo.

Initially, researchers involved in the study estimated that plasma therapy might slash the risk of COVID-19 progression by around 10 percent. However, the clinical data collected from C3PO revealed that this number was under two percent.

“While this trial was negative, we need to continue this research to understand when passive immunotherapy such as convalescent plasma can be effective in treating emerging infectious diseases,” commented Kevin Schulman, one of the lead investigators involved in this work.
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This study last year - now they should have a lot more data. I was pleased to be that "guinea pig" as an early fully vaxxed w/the 2 Pfizer shots, masking, and distancing. Now bring on that 3rd booster! Sooner than later! Delta is running rampant and now there's a Mu variant also being identified - October is also my month for flu shot, and I'd like not to confuse or overstimulate the old 70+ year old immune system. I have pre-existing conditions; apparently still not sick enough for added protection against the SARS-CoV2?

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NIH study at Stanford says convalescent therapy doesn't work (Original Post) Backseat Driver Sep 2021 OP
It is not clear that they were able to "standardize" the antibodies available via the convalescent hlthe2b Sep 2021 #1
Soooo... more Snake Oil ??? alittlelark Sep 2021 #2

hlthe2b

(106,315 posts)
1. It is not clear that they were able to "standardize" the antibodies available via the convalescent
Wed Sep 1, 2021, 05:55 PM
Sep 2021

plasma. Given we still "lump" all neutralizing antibodies (without identifying the one or more most important to combatting COVID-19 and especially the delta variant currently at different phases of infection--monoclonal antibody products, notwithstanding) and have likewise NOT identified the threshold levels of antibody necessary for effective combatting of COVID-19 and especially the delta variant at different phases of infection, this brings up a lot of questions.

Bottom line, I think in future years as we acquire more knowledge of the immunology evolution in natural infection versus those receiving passive antibody (plasma or monoclonal antibody treatments) and active antibody (vaccines), we will look on this study as very limited and perhaps even invalid.

That said, I would have loved to see a third arm of this study with a monoclonal antibody product administered in comparison.

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