RecruitingPhase 3NCT04832607

Multivirus-specific T-cell Transfer Post SCT vs AdV, CMV and EBV Infections

Treatment of Chemo-refractory Viral Infections After Allogeneic Stem Cell Transplantation With Multispecific T Cells Against CMV, EBV and AdV: A Phase III, Prospective, Multicentre Clinical Trial


Sponsor

Tobias Feuchtinger

Enrollment

149 participants

Start Date

Aug 27, 2019

Study Type

INTERVENTIONAL

Conditions

Summary

Haematopoietic stem cell transplantation (HSCT) can expose patients to a transient but marked immunosuppression, during which viral infections are an important cause of morbidity and mortality. Adoptive transfer of virus-specific T cells is an attractive approach to restore protective T-cell immunity in patients with refractory viral infections after allogeneic HSCT. The aim of this Phase III trial is to confirm efficacy of this treatment in children and adults.


Eligibility

Min Age: 2 Months

Inclusion Criteria3

  • Adult or paediatric patients (\> 2 months of age) after allogeneic stem cell transplantation (SCT) (no time restrictions apply) suffering from new or reactivated CMV or EBV or AdV infection refractory to standard antiviral treatment for two weeks (defined as no decrease or insignificant decrease of less than 1log in viral load over two weeks) as confirmed by quantitative blood PCR analysis.
  • Original HSCT-donor available with an immune response at least to the virus causing the therapy-refractory (=underlying) infection.
  • Written informed consent given (patient or legal representative) prior to any study-related procedures.

Exclusion Criteria13

  • Patient with acute GvHD \> grade II or extensive chronic GvHD at the time of IMP transfer
  • Patient receiving steroids (\>1 mg/kg BW Prednisone equivalent) at Screening.
  • Therapeutic donor lymphocyte infusion (DLI) from 4 weeks prior to IMP infusion until 8 weeks post IMP infusion. Prescheduled prophylactic DLI ≤3x105 T cells/kg BW in case of T-cell depleted HSCT is not considered an exclusion criterion.
  • Patient with organ dysfunction or failure as determined by Karnofsky (patients \>16 years) or Lansky (patients ≤16 years) score ≤30%
  • Concomitant enrolment in another clinical trial interfering with the endpoints of this study
  • Any medical condition which could compromise participation in the study according to the investigator's assessment
  • Progression of underlying disease (disease that has led to the indication of HSCT, e.g. leukaemia) that will limit the life expectance below the duration of the study
  • Second line or experimental antiviral treatment other than Ganciclovir/Valganciclovir, Foscarnet, Cidofovir and Rituximab until 8 weeks after IMP Infusion or prophylactic Treatment other than Aciclovir or Letermovir throughout the study except approved by sponsor
  • Known HIV infection. In case patients do not have a negative HIV test performed within 6 months before enrolment in the study, HIV negativity has to be confirmed by a negative laboratory test.
  • Female patient who is pregnant or breast-feeding. Female patient of child-bearing potential (i.e. post menarche and not surgically sterilized) or male patient of reproductive potential not willing to use an effective method of birth control from Screening until the last follow-up visit (FU6, Visit 8).
  • Note: Women of childbearing potential must have a negative serum pregnancy test at study entry ≤7 days before IMP administration on Day 0. Acceptable birth control methods are hormonal oral contraceptive ('pill'), contraceptive injection or patch, intrauterine pessar or the combination of two barrier methods. The combination of female and male condomes is NOT acceptable. If the male partner is sterilized, no further contraceptive is required. Women of post-menopausal status (no menses for 12 months without an alternative medical cause) are also not required to use contraceptives during the study.
  • Known hypersensitivity to iron dextran
  • Patients unwilling or unable to comply with the protocol or unable to give informed consent.

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Interventions

OTHERMultivirus (CMV, EBV, AdV)-specific T cells

Cell therapy product which is individually produced for each patient and administered via IV bolus injection.


Locations(33)

Institut Jules Bordet (JBI)

Brussels, Belgium

UZ Brussel

Brussels, Belgium

Ghent Universal Hospital (UZG)

Ghent, Belgium

UZ Leuven

Leuven, Belgium

Université de Liège (ULG)

Liège, Belgium

Hôpital Jeanne de Flandre, CHU Lille

Lille, France

Institut d'Hématologie et Oncologie Pédiatrique (IHOPe)

Lyon, France

Centre Hospitalier Régional Universitaire de Nancy (CHRU)

Nancy, France

Hôpital de la Pitie-Salpêtrière

Paris, France

Hôpital Necker - Enfants Malades

Paris, France

Hôpital Robert Debré

Paris, France

Charité Berlin (Campus Virchow-Klinikum) - Klinik für Pädiatrie mit Schwerpunkt Onkologie und Hämatologie

Berlin, Germany

Universitätsklinikum Dresden

Dresden, Germany

Universitätsklinikum Düsseldorf - Klinik für Kinder-Onkologie, -Hämatologie und klinische Immunologie

Düsseldorf, Germany

Universitätsklinikum Essen - Pädiatrische Hämatologie-Onkologie

Essen, Germany

Universitätsklinikum Freiburg - Klinik für Pädiatrische Hämatologie und Onkologie

Freiburg im Breisgau, Germany

Medizinische Hochschule Hannover - Zentrum für Kinderheilkunde und Jugendmedizin

Hanover, Germany

Universitäsklinikum Leipzig - Medizinische Klinik und Poliklinik I

Leipzig, Germany

LMU Klinikum - Dr. v. Haunersches Kinderspital

Munich, Germany

Klinikum rechts der Isar der Technischen Universität - Kinderklinik Schwabing

Munich, Germany

LMU Klinikum - Medizinische Klinik und Poliklinik III

München, Germany

Klinikum rechts der Isar der Technischen Universität - Klinik und Poliklinik für Innere Medizin III

München, Germany

Universitätsklinikum Regensburg - Pädiatrische Hämatologie, Onkologie und Stammzelltransplantation

Regensburg, Germany

Universitätsklinikum Tübingen, Center for Pediatric Clinical Studies (CPCS)

Tübingen, Germany

Universitätsklinikum Würzburg - Medizinische Klinik und Poliklinik II & Zentrum Innere Medizin (ZIM)

Würzburg, Germany

Universitätsklinikum Würzburg - Pädiatrische Hämatologie, Onkologie und Stammzelltransplantation

Würzburg, Germany

Ospedale Pediatrico Bambino Gesù (OPBG)

Rome, Italy

Ospedale Infantile Regina Margherita - Oncoematologie Pediatrica

Turin, Italy

Leiden University Medical Centre (LUMC) - Department of Hematology

Leiden, Netherlands

Vall d'Hebron Institute of Oncology (VHIO)

Barcelona, Spain

Hospital Universitario La Paz

Madrid, Spain

Hospital Virgen del Rocío

Seville, Spain

Hospital Universitario Politécnico La Fe

Valencia, Spain

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NCT04832607


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