Clinical trial
Cytomegalovirus Specific Cytotoxic T Lymphocyte for the Treatment of Cytomegalovirus Infection After Allogeneic Hematopoietic Stem Cell Transplantation
Name
CMV-CTL-201609
Description
Human cytomegalovirus (CMV) infection is a major cause of morbidity and mortality for recipients of allogeneic hematopoietic stem cell transplantation(HSCT). we propose to study the immunologic and virologic effects of donor derived CMV specific cytotoxic T lymphocyte (CMV-CTL) given to transplant recipients
CMV antigen peptides will be used to induce the CMV antigen specific T lymphocytes derived from donor peripheral blood mononuclear cells for a period of 18\~21 days.The patients will receive CMV-CTL cells when they are sero-positive for CMV-DNA 30 days after transplant. The CMV-DNA level will be monitored weekly after transfusion.
Trial arms
Trial start
2016-11-01
Estimated PCD
2021-12-31
Trial end
2021-12-31
Status
Completed
Phase
Early phase I
Treatment
donor derived cytomegalovirus specific T lymphocytes
donor derived cytomegalovirus specific T lymphocytes will be transfused to recipients of hematopoietic stem cell transplant when they are sero-positive for CMV-DNA.
Arms:
CMV-CTL
Other names:
cytomegalovirus specific T lymphocytes
Foscarnet
Foscarnet may be used for the treatment of CMV infection before and after the CMV-CTL infusion.
Arms:
CMV-CTL
Ganciclovir
Ganciclovir may be used for the treatment of CMV infection before and after CMV-CTL infusion.
Arms:
CMV-CTL
Size
5
Primary endpoint
30-day response rate
from the date of CMV-CTL infusion to 30 days after the infusion
Eligibility criteria
Inclusion Criteria:
* Any allogeneic stem cell transplant recipient ≥ 14 years of age and ≤ 60 years of age
* Bilirubin/ SGOT/SGPT \< 5 × upper normal limits.
* Creatinine \< 2 × upper normal limits.
* Ejection fraction ≥ 50%, no severe arrhythmia.
* Estimated life expectancy ≥ 6 months.
* Patients' CMV-DNA ≥ 1000cp/ml in treatment group and being negative in prophylactic group.
Exclusion Criteria:
* Patients receiving prednisone ≥ 1mg/kg/d for the treatment of acute GVHD or mild, severe chronic GVHD.
* Recipient \< 14years of age
* Donor is sero-positive in HBV/HCV/HIV or RPR.
Protocol
{'studyType': 'INTERVENTIONAL', 'phases': ['PHASE4'], 'designInfo': {'allocation': 'NA', 'interventionModel': 'SINGLE_GROUP', 'primaryPurpose': 'TREATMENT', 'maskingInfo': {'masking': 'NONE'}}, 'enrollmentInfo': {'count': 5, 'type': 'ACTUAL'}}
Updated at
2023-04-25
1 organization
3 products
2 indications
Indication
Cytomegalovirus InfectionsIndication
Hematological DisorderProduct
FoscarnetProduct
Ganciclovir