NIH Covid-19 Panel Refutes FDA Plasma EUA

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An NIH Covid-19 treatment guideline panel has refuted FDA’s recent decision to grant an Emergency Use Authorization (EUA) for convalescent plasma for treating of hospitalized patients with Covid-19. The panel 9/1 reviewed available evidence from published and unpublished data on convalescent plasma, including the FDA analyses that supported the EUA.

 

“There are currently no data from well-controlled, adequately powered randomized clinical trials that demonstrate the efficacy and safety of convalescent plasma for the treatment of COVID-19,” finds the panel. FDA’s data analysis on a subset of hospitalized patients from the Mayo Clinic’s Expanded Access Program compared outcomes in patients who received convalescent plasma with high titers to those who received plasma with low titers and found no difference in seven-day survival overall, it says.

 

The panel determined that there are “insufficient data to recommend either for or against the use of convalescent plasma.... Convalescent plasma should not be considered standard of care for the treatment of patients with Covid-19.” It also recommended that randomized trials are needed to determine whether convalescent plasma is effective and safe.

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