Respiratory failure & ventilation

Immunological sub-phenotypes and response to convalescent plasma in COVID-19 induced ARDS: a secondary analysis of the CONFIDENT trial

Ann Intensive CarePublished Secondary analysis of the CONFIDENT randomised trial

Authors' conclusion

The response to CP was similar across the 4 sub-phenotypes.

Study context

Population
Patients with COVID-19 induced ARDS (C-ARDS) in the CONFIDENT trialsampled of 475 in CONFIDENT
Participants
391 patients
Comparison
Convalescent plasma vs standard care across immunological sub-phenotypes
  • Sub-phenotype-1n = 89
  • Sub-phenotype-2n = 178
  • Sub-phenotype-3n = 38
  • Sub-phenotype-4n = 86
Primary endpoint
Association between sub-phenotypes and CP effect on mortality
Follow-up
Day 28
Methodological detailsunsupervised hierarchical cluster analysis, biomarker sub-phenotyping, 196/391 (50.1%) assigned to convalescent plasma (CP)
  • Unsupervised hierarchical cluster analysis
  • Biomarker sub-phenotyping
  • 196/391 (50.1%) assigned to CP

Primary result

As reported in the abstract

CP effect on day-28 mortality by sub-phenotype (subgroup)
Effect of CP on mortality appeared higher than standard care in each sub-phenotype, without heterogeneity between sub-phenotypes
p = 0.97

Further findings

Sub-phenotype-2 and sub-phenotype-4 had higher severity at inclusion

Original publication

Immunological sub-phenotypes and response to convalescent plasma in COVID-19 induced ARDS: a secondary analysis of the CONFIDENT trial. Ann Intensive Care. Published 21 October 2024. doi:10.1186/s13613-024-01392-1

Composed by AI from the published abstract and checked against it. How Briefs are made →

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