Virus Specific Cytotoxic T-Lymphocytes (CTLs) for Refractory Cytomegalovirus (CMV)

NCT ID: NCT03266640

Last Updated: 2025-08-08

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

RECRUITING

Clinical Phase

PHASE2

Total Enrollment

20 participants

Study Classification

INTERVENTIONAL

Study Start Date

2018-11-01

Study Completion Date

2027-12-31

Brief Summary

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CMV cytotoxic T cells (CTLs) manufactured with the Miltenyi CliniMACS Prodigy Cytokine Capture System will be administered in children, adolescents and young adults (CAYA) with refractory cytomegalovirus (CMV) infection post Allogeneic Hematopoietic Stem Cell Transplantation (AlloHSCT), with primary immunodeficiencies (PID) or post solid organ transplant.

Funding Source: FDA OOPD

Detailed Description

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Conditions

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Cytomegalovirus Infections Primary Immune Deficiency Disorder

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

All eligible patients will be given CMV specific CTLs and dose is based on donor source: HLA matched and HLA mismatced
Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Refractory CMV

Patients with refractory CMV will be given one dose of CMV specific CTLs. HLA matched donors will get Dose 2.5 × 10(4) CD3/kg recipient weight; HLA mismatched will get 0.5x10(4) CD3/kg recipient weight. Additional doses may be given for a total of 5 doses if patients do not have a response to the first dose with a reduction in viral load to normal limits.

Group Type EXPERIMENTAL

viral specific cytotoxic t-lymphocytes

Intervention Type DRUG

CMV specific CTLs will be collected from HLA matched or mismatched donors and manufactured in a GMP facility and administered to patients with refractory CMV infection.

Interventions

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viral specific cytotoxic t-lymphocytes

CMV specific CTLs will be collected from HLA matched or mismatched donors and manufactured in a GMP facility and administered to patients with refractory CMV infection.

Intervention Type DRUG

Other Intervention Names

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CMV CTLs

Eligibility Criteria

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Exclusion Criteria

A patient meeting any of the following criteria is not eligible for the present study:

Patient with acute GVHD \> grade 2 or extensive chronic GVHD at the time of CMV CTL infusion Patient receiving steroids (\>0.5 mg/kg prednisone equivalent) at the time of CMV CTL infusion Patient treated with donor lymphocyte infusion (DLI) within 4 weeks prior to CMV CTL infusion Thymoglobulin (ATG), Alemtuzumab or T cell immunosuppressive monoclonal antibodies within 30 days Patient with poor performance status determined by Karnofsky (patients \>16 years) or Lansky (patients ≤16 years) score ≤30% CMV retinitis Concomitant enrollment in another experimental clinical trial investigating the treatment of refractory CMV infection.

Any medical condition which could compromise participation in the study according to the investigator's assessment Known HIV infection Female patient of childbearing age who is pregnant or breast-feeding or not willing to use an effective method of birth control during study treatment.

Known hypersensitivity to iron dextran Patients unwilling or unable to comply with the protocol or unable to give informed consent.

Known human anti-mouse antibodies CMV retinitis, meningitis, encephalitis, and/or cerebritis
Minimum Eligible Age

1 Month

Maximum Eligible Age

79 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Children's Hospital of Philadelphia

OTHER

Sponsor Role collaborator

Medical College of Wisconsin

OTHER

Sponsor Role collaborator

Nationwide Children's Hospital

OTHER

Sponsor Role collaborator

Johns Hopkins University

OTHER

Sponsor Role collaborator

University of California, San Francisco

OTHER

Sponsor Role collaborator

Washington University School of Medicine

OTHER

Sponsor Role collaborator

Indiana University

OTHER

Sponsor Role collaborator

Children's Hospital Los Angeles

OTHER

Sponsor Role collaborator

New York Medical College

OTHER

Sponsor Role lead

Responsible Party

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Mitchell Cairo

Principal Investigator

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Mitchell S Cairo, MD

Role: PRINCIPAL_INVESTIGATOR

New York Medical College

Locations

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Children's Hospital Los Angeles

Los Angeles, California, United States

Site Status RECRUITING

University of California San Francisco

San Francisco, California, United States

Site Status RECRUITING

Indiana University

Indianapolis, Indiana, United States

Site Status RECRUITING

Johns Hopkins

Baltimore, Maryland, United States

Site Status RECRUITING

Washington University

St Louis, Missouri, United States

Site Status RECRUITING

New York Medical College

Valhalla, New York, United States

Site Status RECRUITING

Nationwide Children's Hosptial

Columbus, Ohio, United States

Site Status RECRUITING

Children's Hospital of Pennsylvania

Philadelphia, Pennsylvania, United States

Site Status RECRUITING

Medical College of Wisconsin/Children's Hospital of Wisconsin

Milwaukee, Wisconsin, United States

Site Status RECRUITING

Countries

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United States

Central Contacts

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Mitchell S Cairo, MD

Role: CONTACT

914-594-2150

Lauren Harrison, RN

Role: CONTACT

6172857844

Facility Contacts

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Neena Kapoor, MD

Role: primary

Julia Chu, MD

Role: primary

Emily Hopewell, MD

Role: primary

Kenneth Cooke, MD

Role: primary

Shalini Shenoy, MD

Role: primary

Mitchell S Cairo, MD

Role: primary

914-594-2150

Dean Lee, MD, PhD

Role: primary

614-722-3550

Nancy Bunin, MD

Role: primary

215-590-2255

Julie A Talano, MD

Role: primary

414-955-4185

Meredith Beversdorf, RN

Role: backup

(414) 266-5891

Other Identifiers

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FD006363

Identifier Type: OTHER_GRANT

Identifier Source: secondary_id

NYMC 580

Identifier Type: -

Identifier Source: org_study_id

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