{"id":1277,"date":"2021-04-05T08:39:23","date_gmt":"2021-04-05T12:39:23","guid":{"rendered":"https:\/\/covidqanda.org\/?p=1277"},"modified":"2021-04-05T08:39:23","modified_gmt":"2021-04-05T12:39:23","slug":"can-plasma-from-never-infected-vaccinated-people-be-used-for-treatment","status":"publish","type":"post","link":"https:\/\/covidqanda.org\/?p=1277","title":{"rendered":"Can plasma from never-infected vaccinated people be used for treatment?"},"content":{"rendered":"\n<p class=\"wp-block-paragraph\"><strong><span style=\"text-decoration: underline;\">Question:<\/span><\/strong>\u00a0I know that convalescent\u00a0plasma\u00a0can be beneficial treatment\u00a0for some COVID cases.\u00a0 With far more of us vaccinated, can plasma from vaccinated people serve the same purpose?<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong><span style=\"text-decoration: underline;\">Answer:<\/span><\/strong>\u00a0When it comes to using plasma for treatment, the <a href=\"https:\/\/www.fda.gov\/media\/136798\/download\">FDA&#8217;s Guidelines on Investigational COVID-19 Convalescent Plasma<\/a>\u00a0preclude use of plasma from vaccinated individuals who never contracted COVID.\u00a0 The FDA has several other eligibility criteria, including that the donor&#8217;s symptoms must be completely resolved for at least 14 days before donation and the plasma must have high concentration of SARS-specific antibodies. An estimate from one US-based donation center suggests that only 19.5% of plasma donations meet the FDA&#8217;s high antibody concentration criteria (see editorial\u00a0<a href=\"https:\/\/www.nejm.org\/doi\/10.1056\/NEJMe2035678?url_ver=Z39.88-2003&amp;rfr_id=ori:rid:crossref.org&amp;rfr_dat=cr_pub%20%200pubmed\">published in <em>NEJM<\/em><\/a>). The reason for the focus on previous infection rather than vaccination is that plasma from previously infected\u00a0individuals contains antibodies directly related to their immune response to SARS-CoV-2 infection; these types of antibodies are preferable for treatment purposes.\u00a0<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Regardless, evidence on the effectiveness\u00a0of blood plasma for treatment is mixed.\u00a0The largest meta-analysis to data concluded that &#8220;Among patients with COVID-19, treatment with convalescent plasma compared with control was not associated with improved survival or other positive clinical outcomes.&#8221; (see study <a href=\"https:\/\/jamanetwork.com\/journals\/jama\/fullarticle\/2777060\">published in <em>JAMA<\/em><\/a>).\u00a0A more recent study suggested that the benefit was greatest when plasma transfusions had high levels of antibodies and were given at early stages of disease (see study from\u00a0<em><a href=\"https:\/\/www.nejm.org\/doi\/10.1056\/NEJMoa2033700?url_ver=Z39.88-2003&amp;rfr_id=ori:rid:crossref.org&amp;rfr_dat=cr_pub%20%200pubmed\">NEJM<\/a>)<\/em>.\u00a0 Several researchers suggest that &#8220;antibody-rich convalescent plasma from previously infected patients vaccinated with at least one dose of the BNT162b2 vaccine might be more effective than the convalescent plasma from non-vaccinated patients&#8221;\u00a0(see recent\u00a0<a href=\"https:\/\/www.thelancet.com\/journals\/lanmic\/article\/PIIS2666-5247(21)00060-4\/fulltext\">comment from\u00a0<em>Lancet<\/em><\/a>), and the <a href=\"https:\/\/www.fda.gov\/media\/136798\/download\">FDA suggests<\/a> that such a hypothesis be tested in the context of a clinical trial.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Question:\u00a0I know that convalescent\u00a0plasma\u00a0can be beneficial treatment\u00a0for some COVID cases.\u00a0 With far more of us vaccinated, can plasma from vaccinated people serve the same purpose? Answer:\u00a0When it comes to using plasma for treatment, the FDA&#8217;s Guidelines on Investigational COVID-19 Convalescent Plasma\u00a0preclude use of plasma from vaccinated individuals who never contracted COVID.\u00a0 The FDA has several [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":1278,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"nf_dc_page":"","om_disable_all_campaigns":false,"_monsterinsights_skip_tracking":false,"_jetpack_newsletter_access":"","_jetpack_dont_email_post_to_subs":false,"_jetpack_newsletter_tier_id":0,"_jetpack_memberships_contains_paywalled_content":false,"_jetpack_feature_clip_id":0,"_jetpack_memberships_contains_paid_content":false,"footnotes":"","jetpack_post_was_ever_published":false},"categories":[67,64],"tags":[63],"class_list":["post-1277","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-treatment","category-vaccines","tag-blood-type","fallback-thumbnail"],"jetpack_sharing_enabled":true,"jetpack_featured_media_url":"https:\/\/i0.wp.com\/covidqanda.org\/wp-content\/uploads\/2021\/04\/pexels-photo-1350560.jpeg?fit=1880%2C1253&ssl=1","_links":{"self":[{"href":"https:\/\/covidqanda.org\/index.php?rest_route=\/wp\/v2\/posts\/1277","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/covidqanda.org\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/covidqanda.org\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/covidqanda.org\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/covidqanda.org\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=1277"}],"version-history":[{"count":1,"href":"https:\/\/covidqanda.org\/index.php?rest_route=\/wp\/v2\/posts\/1277\/revisions"}],"predecessor-version":[{"id":1279,"href":"https:\/\/covidqanda.org\/index.php?rest_route=\/wp\/v2\/posts\/1277\/revisions\/1279"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/covidqanda.org\/index.php?rest_route=\/wp\/v2\/media\/1278"}],"wp:attachment":[{"href":"https:\/\/covidqanda.org\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=1277"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/covidqanda.org\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=1277"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/covidqanda.org\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=1277"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}