Covid-19 Convalescent Plasma Guidance

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FDA has published a guidance, Recommendations for Investigational and Licensed Covid-19 Convalescent Plasma, with recommendations to blood establishments for submitting a BLA for the manufacture of Covid-19 convalescent plasma for transfusion intended to treat patients with immunosuppressive disease or receiving either outpatient or inpatient immunosuppressive treatment. The document also has recommendations for INDs for investigational Covid-19 convalescent plasma for transfusion.

The guidance is being implemented without prior public comment, FDA says, because the agency recognizes SARS-CoV-2 continues to circulate and Covid-19 remains a serious health risk, especially for patients with immunosuppressive disease or receiving immunosuppressive therapy.

FDA says the recommendations for INDs supersede the recommendations on that issue in a 10/2023 guidance. All the other recommendations in that guidance remain in effect. The agency says it intends to withdraw the 10/2023 guidance when Covid-19 convalescent plasma is no longer authorized for emergency use.

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