Abstract

Perrine Janiaud, PhD; Cathrine Axfors, MD, PhD; Andreas M. Schmitt, MD; Viktoria Gloy, PhD; Fahim Ebrahimi, MD, MSc; Matthias Hepprich, MD; Emily R. Smith, ScD, MPH; Noah A. Haber, ScD; Nina Khanna, MD; David Moher, PhD; Steven N. Goodman, MD, PhD; John P. A. Ioannidis, MD, DSc; Lars G. Hemkens, MD, MPH

Highlights

  • Related article page 1185 from 6 randomized clinical trials (RCTs) (5 published as preprints and 1 as a press release), the authors found that treatment with convalescent plasma vs placebo or standard of care was not associated with a significant decrease in all-cause mortality

  • [95% CI, 0.92-1.12] for all 10 RCTs) or with benefit for other clinical outcomes, including length of hospital stay, mechanical ventilation use, and clinical improvement or deterioration

  • In August 2020, the US Food and Drug Administration (FDA) granted an Emergency Use Authorization for convalescent plasma based on observational data

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Summary

Introduction

In this issue of JAMA, Janiaud et al[1] present a meta-analysis of randomized clinical trials (RCTs) of convalescent plasma for the treatment of patients with COVID-19. Challenges for COVID-19 Research in the US The great scientific achievement of 2020 was the development, testing, and approval of numerous vaccines in less than 1 year.[2] The US had a major role in this effort, both regarding the basic science discoveries and the conduct of clinical trials.

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