Donor-Derived EBV-Specific T Cells for Life Threatening EBV-lymphoma (OLIP-EBV-TCL-01-HMR01)

NCT ID: NCT06391814

Last Updated: 2024-04-30

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

NA

Total Enrollment

1 participants

Study Classification

INTERVENTIONAL

Study Start Date

2024-01-16

Study Completion Date

2025-04-05

Brief Summary

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Single-patient trial aiming to provide immunological consolidation following allogeneic stem cell transplantation to a young adult patient suffering from a systemic EBV-positive lymphoma of childhood.

Detailed Description

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Following a presumed primary EBV infection, a 19 year old female patient rapidly suffered systemic inflammatory response, hemophagocytosis, multi-organ failure and evidence of EBV+ T-cell lymphoma.

The patient was aggressively treated and responded to SMILE-based chemotherapy. Once complete response was ascertained by PET imaging, the patient underwent myeloablative HLA-matched unrelated allogeneic stem cell transplantation (cyclophosphamide 60mg/Kg, total body irradiation - 12Gy with anti-thymocyte globulin). The stem cell donor had a positive serology for EBV (IgG).

The patient's EBV titer was weakly positive at the time of transplantation. A decision was made to offer consolidative treatment consisting of donor-derived ex vivo expanded EBV-reactive T cells following transplantation.

A EBV-specific T-cell line was manufactured from a portion of the cryopreserved G-CSF mobilized peripheral graft after appropriate authorizations were obtained.

The patient suffered a severe episode of intestinal graft-versus-host disease early following transplantation but received a first dose of EBV-reactive T cells (20x10e6 T cells/meter square of body surface area 5 months post-transplantation

Conditions

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EBV Associated Lymphoma

Keywords

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Adoptive immunotherapy EBV Systemic EBV-positive T-cell lymphoma of childhood

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

single patient
Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Interventions

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EBV-specific T cells

Consolidative cellular immunotherapy consisting of one (or up to 4) infusion of ex vivo expanded T cells

Intervention Type BIOLOGICAL

Eligibility Criteria

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Inclusion Criteria

1. Capacity to provide informed consent
2. Age ≥ 18
3. Negative serum pregnancy test and use of effective contraception method.

Exclusion Criteria

1. Administration within less than 28 days of T-cell depleting antibodies (ATG, OKT3, Campath)
2. Pregnancy
3. Any abnormal condition or laboratory result that is considered by the Principal Investigator capable of altering patient or study outcome.
4. Active uncontrolled GVHD (acute GVHD grade II-IV or progressive extensive chronic GVHD) at time of enrolment or infusion.
Eligible Sex

FEMALE

Accepts Healthy Volunteers

No

Sponsors

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Ciusss de L'Est de l'Île de Montréal

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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Ciusss-Emtl

Montreal, Quebec, Canada

Site Status RECRUITING

Countries

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Canada

Central Contacts

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Jean-Sébastien Delisle, MD, PhD

Role: CONTACT

Phone: 514-252-3400

Email: [email protected]

Facility Contacts

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Jean-Sébastien Delisle, MD, PhD

Role: primary

Other Identifiers

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2024-3579

Identifier Type: -

Identifier Source: org_study_id