Could a single infusion of COVID-Fighting antibodies keep High-Risk patients out of the hospital?
NCT ID NCT04910269
First seen Jun 27, 2026 · Last updated Aug 14, 2026 · Updated 5 times
Summary
This study tests whether a single infusion of hyperimmune immunoglobulin (hIVIG) — concentrated antibodies from recovered COVID-19 patients — can help adults at high risk (age 55+ or with weakened immune systems) who have early COVID-19. Participants receive either the antibody infusion or a placebo (salt water) and are followed for 28 days to see if they recover faster or avoid hospitalization. The trial was suspended, so results are not yet available.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- Anti-COVID-19 hyperimmune intravenous immunoglobulin (hIVIG)
- What this could lead to
- If it works, this could provide a new treatment option for early COVID-19 in high-risk outpatients, reducing severe illness and hospital stays.
- What could go wrong
- This trial is suspended, so results are unknown. The treatment may not improve outcomes over placebo, and risks like infusion reactions or lack of benefit are possible.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
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Phase 3
Large-scale testing in a bigger group. Usually the last step before a treatment can be approved.
- Participants
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741 people
The number who actually took part.
- Started
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Aug 2021
- Finished
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Jun 2026
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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18 years and older
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * Clinical risk based on age ≥ 55 years or an adult (age ≥ 18 years) with an immunosuppressed condition. * Positive test for SARS-CoV-2 within ≤5 days (if \>1 test, the first positive is within ≤5 days). Tests may include an institutional-based nucleic acid amplification test (NAAT), or any protocol-approved rapid test. * Within ≤5 days from symptom onset, if symptomatic from current SARS-CoV-2 infection. * Agrees to not participate in another clinical trial for the treatment or management of SARS-CoV-2 infection through Day 7, or until hospitalized or significant disease progression if prior to Day 7 (defined by ordinal category 4 or 5). * Participant provides written informed consent prior to study procedures, and understands and agrees to adhere to planned study procedures through Day 28. Ongoing immunosuppressive condition or immunosuppressive treatment, includes: 1. Steroids equivalent to prednisone \> 10 mg/day for at least the last 28 days 2. Rheumatologic or autoimmune disorder treated with a biologic or non-biologic immunosuppressive therapy 3. Antirejection medicine after solid organ or stem cell transplantation 4. Cancer treatment with systemic chemotherapy, biologic and/or cell-based therapy in the last 12 months 5. Primary or acquired severe B- or T-lymphocyte immune dysfunction 6. HIV infection 7. Splenectomy or functional asplenia Exclusion Criteria: * Asymptomatic and had prior symptoms from the current infection that have now resolved (for \>24 hours). * Asymptomatic and has received a vaccination for COVID-19 (≥1 dose). * Undergoing evaluation for possible admission to hospital for medical management (this does not include evaluation of possible hospitalization for public health purposes). * Evidence of pneumonia and/or hypoxia due to COVID-19 (NOTE: chest imaging is not required, but if available it should not show new infiltrates suggestive of pneumonia; hypoxia is defined by new oxygen supplementation or increase above pre-illness level). * Prior receipt of immunoglobulin product or passive immune therapy for SARS-CoV-2 in the past 90 days (i.e., convalescent plasma, SARS-CoV-2 monoclonal antibodies, or any IVIG). * Any of the following thrombotic or procoagulant conditions or disorders: 1. acute coronary syndrome, cerebrovascular syndrome, pulmonary embolism, or deep venous thrombosis within 28 days of randomization. 2. prothrombin gene mutation 20210, homozygous Factor V Leiden mutations, antiphospholipid syndrome, or a deficiency in antithrombin III, protein C, or protein S. * History of hypersensitivity to blood, plasma or IVIG excipients. * Known immunoglobulin A (IgA) deficiency or anti-IgA antibodies. * In the opinion of the investigator, any condition for which participation would not be in the best interest of the participant or that could prevent or confound protocol assessments.
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
Contacts and locations
Locations
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3rd Dept of Medicine, Medical School
Athens, Attica, 11527, Greece
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4th Department of Internal Medicine
Athens, Attica, 12462, Greece
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Aarhus Universitetshospital, Skejby
Aarhus, N, 8200, Denmark
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Bamrasnaradura Infections Diseases Institute (613-007)
Nonthaburi, 11000, Thailand
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Bispebjerg Hospital
Copenhagen, 2400, Denmark
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CAP Can Bou
Castelldefels, Barcelona, 08860, Spain
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CAP Corbera
Barcelona, 08757, Spain
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CAP El Maresme
Mataró, Barcelona, 08303, Spain
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CHRISTUS Spohn Shoreline Hospital
Corpus Christi, Texas, 78404, United States
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Carilion Medical Center (Site 080-018)
Roanoke, Virginia, 24015, United States
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Central City Clinical Hospital of Ivano-Frankivsk City Council
Ivano-Frankivsk, 76018, Ukraine
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Centro de Investigaciones Medicas de Mar del Plata (Site 611-031)
Mar del Plata, Buenos Aires, B7600FYK, Argentina
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Chulalongkorn University and The HIV-NAT
Pathum Wan, Bangkok, 10330, Thailand
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Cleveland Clinic Foundation (Site 207-001)
Cleveland, Ohio, 44195, United States
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Clínica Central S.A. (611-028)
Villa Regina, Río Negro Province, R8336, Argentina
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Department of Clinical Therapeutics of Alexandra Hospital
Athens, Attica, 11528, Greece
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Department of Infectious Diseases
Aalborg, 9000, Denmark
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Dept of Critical Care and Pulmonary Medicine, Evangelismos General Hospital
Athens, Attica, 10676, Greece
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Henry Ford Health System Site (014-001)
Detroit, Michigan, 48202, United States
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Herlev/Gentofte Hospital
Hellerup, 2900, Denmark
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Hospital General Dr. Aurelio Valdivieso
Oaxaca City, OA, 68050, Mexico
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Hospital General Dr. Manuel Gea Gonzáles
Mexico City, Mexico City, 14080, Mexico
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Hospital General de Agudos JM Ramos Mejia
Buenos Aires, C1221ADC, Argentina
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Hospital Universitari Germans Trias i Pujol
Badalona, Barcelona, 08916, Spain
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Hvidovre University Hospital, Department of Infectious Diseases
Hvidovre, 2650, Denmark
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Icahn School of Medicine at Mount Sinai
New York, New York, 10029, United States
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Instituto Medico Platense
La Plata, Buenos Aires, B1900AVG, Argentina
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Instituto Nacional de Ciencias Medicas y Nutricion Salvador Zubiran
Mexico City, Mexico City, 14080, Mexico
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Instituto Nacional de Enfermedades Respiratorias Ismael Cosió Villegas
Mexico City, Mexico City, 14080, Mexico
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Intermountain Medical Center (211-001)
Murray, Utah, 84107, United States
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Joint Clinical Research Center (JCRC)
Kampala, Uganda
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Khon Kaen University, Srinagarind Hospital (Site 613-003)
Khon Kaen, 40002, Thailand
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Kolding Sygehus
Kolding, 6000, Denmark
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Laiko Athens General Hospital
Athens, Attica, 11527, Greece
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Lira Regional Referral Hospital
Lira, Uganda
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MRC/UVRI & LSHTM Uganda Research Unit
Entebbe, Uganda
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Makerere University Lung Institute (Site 634-604)
Kampala, Uganda
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Masaka Regional Referral Hospital
Masaka, Uganda
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Odense University Hospital
Odense, C, 5000, Denmark
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Penn State Health Milton S. Hershey Medical Center (209-002)
Hershey, Pennsylvania, 17033, United States
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Rigshospitalet, CHIP
Copenhagen, 2100, Denmark
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Rocky Mountain Regional VA Medical Center (074-010)
Aurora, Colorado, 80045, United States
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Royal Victoria Infirmary
Newcastle upon Tyne, NE1 4LP, United Kingdom
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Salem VA Medical Center (074-014)
Salem, Virginia, 24153, United States
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San Francisco VAMC (Site 074-002)
San Francisco, California, 94121, United States
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Siriraj Hospital (Site 613-002)
Bangkok Noi, Bangkok, 10700, Thailand
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Southern Arizona VA Healthcare System (074-009)
Tucson, Arizona, 85723, United States
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St. Francis Hospital, Nsambya
Kampala, Uganda
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St. Vincent's Hospital
Sydney, New South Wales, 2010, Australia
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Stanford University Hospital & Clinics (Site 203-003)
Palo Alto, California, 94305, United States
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Swedish Hospital First Hill
Seattle, Washington, 98122, United States
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UT Southwestern Medical Center
Dallas, Texas, 75390, United States
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UVA Health System, University Hospital (Site 210-003)
Charlottesville, Virginia, 22908, United States
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Unidad de Ensayos Clinicos Socios En Salud Sucursal Perú (651-009)
Lima, 15012, Peru
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University College London Hospitals
London, WC1E 6JB, United Kingdom
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University Malaya Medical Centre (Site 612-501)
Kuala Lumpur, Kuala Lumpur, 59100, Malaysia
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VA Northern California Health Care System (074-023)
Mather, California, 95655, United States
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Other studies related to the condition(s) this trial covers.
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