Convalescent Plasma for the Treatment of Severe COVID-19 Infection in Cancer Patients

The Mount Sinai Health System Convalescent Plasma Team

Research output: Contribution to journalArticlepeer-review

18 Scopus citations

Abstract

Background: Patients with malignancy are particularly vulnerable to infection with Severe Acute Respiratory Disease-Coronavirus-2 (SARS-CoV-2) given their immunodeficiency secondary to their underlying disease and cancer-directed therapy. We report a case series of patients with cancer who received convalescent plasma, an investigational therapy for severe Coronavirus Disease 2019 (COVID-19). Methods: Patients with cancer were identified who received convalescent plasma. Enrolled patients had confirmed COVID-19 with severe or life-threatening disease and were transfused with convalescent plasma from donors with a SARS-CoV-2 anti-spike antibody titer of ≥ 1:320 dilution. Oxygen requirements and clinical outcomes of interests were captured as well as laboratory parameters at baseline and 3 days after treatment. Results: We identified 24 patients with cancer, 14 of whom had a hematological malignancy, who were treated with convalescent plasma. Fifteen patients (62.5%) were on cancer-directed treatment at the time of COVID-19 infection. After a median of hospital duration of 9 days, 13 patients (54.2%) had been discharged home, 1 patient (4.2%) was still hospitalized, and 10 patients had died (41.7%). Non-intubated patients, particularly those on nasal cannula alone, had favorable outcomes. Three mild febrile non-hemolytic transfusion reactions were observed. C-reactive protein significantly decreased after 3 days of treatment, while other laboratory parameters including ferritin and D-dimer remained unchanged. Conclusions: Convalescent plasma may be a promising therapy in cancer patients with COVID-19.

Original languageEnglish (US)
Pages (from-to)8571-8578
Number of pages8
JournalCancer Medicine
Volume9
Issue number22
DOIs
StatePublished - Nov 2020
Externally publishedYes

Keywords

  • cancer
  • convalescent plasma
  • COVID-19
  • malignancy
  • SARS-CoV-2

ASJC Scopus subject areas

  • Oncology
  • Radiology Nuclear Medicine and imaging
  • Cancer Research

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