Clinical trial

An Exploratory Clinical Study of Multivirus-specific T Cells in the Treatment of Refractory Cytomegalovirus and/or Epstein-Barr Virus Infection After Allogeneic Hematopoietic Stem Cell Transplantation

Name
2023PHD006-001
Description
To evaluate the safety and tolerability of partial HLA-matched VSTs against both CMV and EBV viruses in recipients of allogeneic hematopoietic stem cells with refractory viral infections (CMV and/or EBV). Preliminary evaluation of the efficacy of partial HLA-matched VSTs against both CMV and EBV viruses in recipients of allogeneic hematopoietic stem cells with refractory viral infections (CMV and/or EBV); To monitor the duration and expansion of multi-virus VSTs cells after infusion.
Trial arms
Trial start
2023-11-01
Estimated PCD
2025-07-30
Trial end
2025-10-30
Status
Not yet recruiting
Phase
Early phase I
Treatment
Virus specific T cells
Subjects will receive partial HLA-matched viral-specific T cells (VSTs) against both CMV and EBV on one of the following dose levels: Level One: 1 x 10\^7 cells/m2 Level Two: 2 x 10\^7cells/m2 Level Three: 5x 10\^7 cellss/m2
Arms:
VSTs infusion
Size
29
Primary endpoint
Assessment of safety and toxicity outcomes in subjects receiving VSTs infusion
within 56 days after the first VSTs infusion
Assessment of antiviral efficacy of VSTs infusion
within 56 days after the first VSTs infusion
Eligibility criteria
Inclusion Criteria: * Age ≥18 years old, and less than or equal to 70 years old, gender is not limited. * Prior myeloablative or non-myeloablative allogeneic hematopoietic stem cell transplantation. * Persistent infection with CMV and/or EBV persists despite standard treatment . * Prednisone or its equivalent hormone is less than or equal to 0.5 mg/kg/ day when enrolled. * ECOG score ≤3, expected survival greater than 3 months. * End blood oxygen saturation ≥90% on room air. * Available multi-virus-specific cytotoxic T lymphocytes. * Negative pregnancy test in female patients if applicable. * Written informed consent and/or signed assent line from patient, parent or guardian. Exclusion Criteria: * Within 28 days after allogeneic hematopoietic stem cell transplantation. * Active III-IV acute GVHD, and/or moderate and above chronic GVHD. * Severe organ dysfunction: Heart: New York Heart Association (NYHA) levels III and IV; Liver: Total bilirubin\>34umol/l; ALT, AST\>2 times the normal upper limit; Kidney: Blood creatinine \>130umol/L; Lung: Type I or II respiratory failure; Brain: unconsciousness, intracranial hypertension. * Received DLI, other CTL, CAR-T, NK and other cell therapies, T cell monoclonal antibody immunosuppressants, or participated in any other clinical research related to drugs and medical devices within 28 days before enrollment. * Poor compliance, and subjects deemed unsuitable for study participation by the investigator.
Protocol
{'studyType': 'INTERVENTIONAL', 'phases': ['PHASE1', 'PHASE2'], 'designInfo': {'allocation': 'NA', 'interventionModel': 'SINGLE_GROUP', 'primaryPurpose': 'TREATMENT', 'maskingInfo': {'masking': 'NONE'}}, 'enrollmentInfo': {'count': 29, 'type': 'ESTIMATED'}}
Updated at
2023-10-10

1 organization

1 product

3 indications