ClinicalTrials.gg
RecruitingNCT03665675Updated Sep 24, 2026

Donor Virus-Specific CMV or AdV CTL to Treat CMV or AdV Reactivation or Disease After Solid Organ or HCT

An Early Phase 1 interventional study of Allogeneic Cytomegalovirus-Specific Cytotoxic T lymphocytes and Allogeneic Adenovirus-specific Cytotoxic T Lymphocytes in Allogeneic Hematopoietic Stem Cell Transplantation Recipient, Cytomegalovirus and Donor, sponsored by Sumithira Vasu. Recruiting at 2 sites in United States. Open to participants aged 1 Year to 85 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2026-09-24.

Sponsored by Sumithira Vasu · Early Phase 1, Interventional, and Treatment

From the registry’s dates

  • Started Nov 2020; still recruiting 6 years later.

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Phase
Early Phase 1
Study type
Interventional
Enrollment
20
Allocation
Non-randomized
Ages
1 Year to 85 Years
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-14

Among 78 studies in Adenoviridae Infections with a site in United States — 17 open to participants now, 21 under way, 2 of them phase 3. Adenoviridae Infections · United States.

Planned enrollment
44th of 68
20 · median 27
Started
2020
with 1 other
Phase 1
29 of 78
6 open now
Primary completion
2027-03
later than 5 of 18 live
Registered
56th of 78
by date

Among the 78 studies in Adenoviridae Infections with a site in United States, this one is the 44th largest by planned enrollment of the 68 interventional ones that give a count, is one of 2 that started in 2020, is one of 29 in phase 1, reaches primary completion later than 5 of the 18 other live ones, and was the 56th registered.

Adenoviridae Infections

136 studies on the registry are indexed under Adenoviridae Infections; 34 are open to participants now.

Browse Adenoviridae Infections studies →

Open to participants now

17 of the 78 studies in Adenoviridae Infections with a site in United States are open now. Recruiting first, the newest first:

11 more — sign in →

All 17 open studies →

A study can be open while its sites in United States have not opened yet or have stopped. Only those recruiting at a site in United States →

Who these studies take

Of the 25 Adenoviridae Infections studies recruiting now, 9 (36%) set no upper age limit and 12 (48%) stop at 75 or younger; 17 take children under 18; 4 take healthy volunteers.

This study: 1 Year to 85 Years · all sexes · healthy volunteers too.

The full table on the hub →

This tab as a report to print or save as PDF → With an account.

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Watch this landscapeDownload CSVNarrow it in search →With an account: a weekly mail of what changed among 78 studies in Adenoviridae Infections with a site in United States, or all of them as a file.
02

Study summary

This trial studies the side effects and how well allogeneic cytomegalovirus-specific cytotoxic T lymphocytes (donor cytomegalovirus [CMV] specific cytotoxic T-lymphocytes [CTLs]) or allogeneic adenovirus-specific cytotoxic T lymphocytes (donor adenovirus-specific [AdV] specific CTLs) work in treating CMV or AdV reactivation or infection in participants who have undergone stem cell transplant or solid organ transplant. White blood cells from donors may be able to kill cancer cells in patients with cytomegalovirus or adenovirus that has come back after a stem cell or solid organ transplant.

Read the detailed description

PRIMARY OBJECTIVE I. Assess the safety and feasibility of administering virus specific-CTLs from haploidentical donors in transplant patients both solid organ transplantation (SOT) and hematopoietic cell transplantation (HCT) with CMV/AdV infection despite standard therapy.

OUTLINE:Patients are assigned to 1 of 2 Cohorts.

COHORT A: Patients receive allogeneic cytomegalovirus-specific cytotoxic T lymphocytes intravenously (IV). Patients undergo blood, urine, saliva, cerebrospinal fluid (CSF), and bronchoalveolar fluid sample collection on the trial.

COHORT B: Patients receive allogeneic adenovirus-specific cytotoxic T Lymphocytes IV. Patients undergo blood, urine, saliva, CSF, and bronchoalveolar fluid sample collection on the trial.

After completion of study treatment, participants are followed up at 1 year.

03

Conditions studied

  • Allogeneic Hematopoietic Stem Cell Transplantation Recipient
  • Cytomegalovirus
  • Donor
  • Solid Organ Transplantation Recipient
  • Adenovirus
04

Who can participate

Ages eligible
1 Year to 85 Years
Sexes eligible
All
Accepts healthy volunteers
Yes

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Patients must have solid organ transplant or have received hematopoietic stem cell transplant.
    • Cohort A (CMV): Must have documented CMV disease or reactivation, as by:

      • Viremia as detected by quantitative polymerase chain reaction (PCR) (> 500 IU/ml) in the peripheral blood requiring treatment OR
      • High risk for antiviral failure due to history of recurrent CMV reactivations or evidence of antiviral drug resistance, OR
      • Unable to tolerate antiviral drugs due to renal toxicity, bone marrow suppression, transfusion dependent anemia and thrombocytopenia or neutropenia requiring growth factor support or other related organ injury

        • Cohort B (AdV): Must have documented AdV infection or reactivation, as by:
      • Symptomatic subject with any detectable viral load in blood, OR
      • Symptomatic subject with qualitative AdV detection in compartment of current symptomatology, including stool, urine, and/or other specimens (bronchoalveolar lavage (BAL), nasal swab, CSF, etc.), irrespective of blood viral load, OR
      • New, persistent, and/or worsening AdV-related symptoms, signs, and/or markers of end organ compromise while receiving antiviral therapy (ie cidofovir), OR
      • Asymptomatic with a viral load > 1000 copies/ml in peripheral blood, OR
      • Unable to tolerate antiviral treatment due to renal toxicity, bone marrow suppression, transfusion dependent anemia and thrombocytopenia or neutropenia requiring growth factor support or other related organ injury

        • (age > 16 years) or Lansky performance score > 70 (age \< 16)
        • Available seropositive haploidentical or matched donor who is without evidence of infection that would otherwise preclude donation
        • Negative pregnancy test in female patients if applicable (, has not received a full-intensity conditioning regimen
        • Written and/or signed assent line from patient, parent or guardian
        • DONOR
        • Human leukocyte antigen (HLA)-haploidentical or full-match to the patient as determined by institutional standards
        • Cohort A: CMV seropositive, defined as detection of serum CMV immunoglobulin G (IgG)
        • Cohort B: AdV seropositive, defined as detection of serum AdV IgG
        • Age 18 or over
        • Meet donor eligibility or suitability according to institutional standards. If the donor is deemed ineligible according to Foundation for the Accreditation of Cellular Therapy (FACT) standards, but is suitable for donation per institutional standards, the donor will be eligible for the protocol

Exclusion criteria

Exclusion Criteria:

  • Receipt of anti-thymocyte globulin (ATG), alemtuzumab, or other T-cell depleting agents within 21 days of screening for enrollment.
  • Receipt of > 0.5mg/kg/day of prednisone or equivalent at the time of enrollment. Stable is permitted as long as patients are on stable dose steroids of less than or equal to 0.5 mg/kg/day of prednisone or steroid equivalent.
  • Evidence of uncontrolled infection as follows:

    • Bacterial infections - patients must be receiving definitive therapy and have no signs of progressing infection for 72 hours prior to enrollment.
    • Fungal infections - patients must be receiving definitive systemic anti-fungal therapy and have no signs of progressing infection for 1 week prior to enrollment.
    • Patients with hemodynamic instability attributable to bacterial sepsis or new symptoms, worsening physical signs or radiographic findings attributable to concomitant bacterial or fungal infection are excluded. Patients who require ventilator support for CMV pneumonitis are not excluded. Persisting fever without other signs or symptoms will not be interpreted as progressing infection.
  • Receipt of donor lymphocyte infusion (DLI) within 28 days.
  • Patients with active acute graft versus host disease (GvHD) grades II-IV requiring > 0.5 mg/kg/day of prednisone or steroid equivalent or T-cell depleting .
  • Acute graft rejection in solid organ transplantation requiring augmented immunosuppression with T-cell depleting agents or steroids as mentioned above.
  • Active and uncontrolled relapse of .
Terms in these criteria, in plain language(8)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Allogeneic and autologous transplant

Stem cell (bone marrow) transplants. Allogeneic uses cells from a donor; autologous uses your own cells, collected earlier and given back.

Karnofsky performance status (KPS)

A 0–100 scale of how well someone can carry out everyday activities. 100 is no complaints and no signs of illness; 70 is able to look after yourself but not to work or keep up normal activity; 50 is needing considerable help and frequent medical care.

Studies often ask for 60 or 70 and above. Your doctor gives the score.

Childbearing potential

Able to become pregnant: from the first period until menopause, unless permanently unable to through surgery (removal of the womb, or of both ovaries or both fallopian tubes).

Criteria for people of childbearing potential usually ask for a negative pregnancy test and for contraception during the study and for a time after it.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

Corticosteroids (steroids)

Anti-inflammatory medicines such as prednisone, prednisolone and dexamethasone — not the anabolic steroids used for muscle.

Studies differ in what they allow: check which steroid medicines, routes (tablets, injections, creams, inhalers, eye drops) and doses this study accepts.

GVHD (graft-versus-host disease)

After a transplant from a donor, the donor’s immune cells attack the recipient’s body, often the skin, gut or liver.

Immunosuppression

A weakened immune system. It can come from an illness, such as HIV or some blood cancers, or from medicines that turn the immune system down, for example after an organ transplant or for an autoimmune disease; steroids at higher doses count.

Read whether the line is about a condition or about medicines, and which medicines and doses it means.

Cancer (malignancy)

Malignancy means cancer. Criteria about another or earlier malignancy ask whether you have had a different cancer, usually within a set number of years.

Some are commonly allowed, such as treated skin cancers other than melanoma and early cancers removed completely — check the exceptions this study lists.

05

Study design

Phase
Early Phase 1
Primary purpose
Treatment
Allocation
Non-randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
20 participants (estimated)

Study arms

  • Experimental
    Treatment (CMV-specific CTLs)

    Participants receive allogeneic cytomegalovirus-specific cytotoxic T lymphocytes IV. Participants with persistent infection are eligible for second infusion after 28 days.

    Biological: Allogeneic Cytomegalovirus-Specific Cytotoxic T lymphocytes

  • Experimental
    Treatment (AdV-specific CTLs)

    Patients receive allogeneic adenovirus-specific cytotoxic T Lymphocytes IV. Participants with persistent infection are eligible for second infusion after 28 days.

    Biological: Allogeneic Adenovirus-specific Cytotoxic T Lymphocytes

Interventions

06

What researchers measure

Primary outcomes

  1. Incidence of adverse events defined by the National Cancer Institute Common Terminology Criteria for Adverse Events 4.0

    Measured as the proportion of patients with acute (a) graft versus host disease (GvHD) grades III-IV or graft rejection/failure within 30 days of the last dose of cytotoxic T-lymphocytes (CTLs) or grades 3-5 infusion-related adverse events within 7 days of the last does of CTLs or grades 4-5 non-hematological adverse events within 30 days of the last dose of CTLs and that are not due to the pre-existing infection or the original malignancy or pre-existing co-morbidities. Will be calculated by dividing by all evaluable patients and the corresponding 95% confidence intervals will be calculated.

    Time frame: Up to 30 days post infusion

  2. Feasibility defined as identifying a suitable donor within 4 weeks and meeting minimum T cell doses in the final product

    Time frame: Up to 1 year

Secondary outcomes

  1. Antiviral activity defined as response to viral load

    Complete response, partial response, stable disease or progression will be defined and proportion of each outcome will be calculated.

    Time frame: At day 28

  2. Persistence of infused CTLs as measured by T cell gene rearrangement and effects on clinical signs of viral infection

    Time frame: Up to 1 year

  3. Overall survival

    Kaplan-Meier survival function will be used to estimate the survival probability.

    Time frame: From last CTL infusion till death, assessed at 6 and 12 months

  4. Risk for chronic GVHD

    Survival analysis method will be applied. Time to chronic GVHD will be defined from time of the last CTL infusion to the onset of chronic GVHD, or the last clinical assessment date if no chronic GVHD. Cumulative incidence of chronic GVHD at 6 and 12 months will be estimated.

    Time frame: At 6 and 12 months post CTL infusion

  5. Systemic infections

    Will be reported by etiologic agent, site of disease, date of onset, and severity.

    Time frame: Within 6 months of CTL infusion

  6. Secondary graft failure

    Proportion of secondary graft failure for both populations will be assessed at 30 days post CTL infusion will be calculated and 95% confidence intervals will be estimated accordingly.

    Time frame: 30 days post-CTL infusion

  7. Effects of cytomegalovirus (CMV) specific-CTL on viral loads assessed by weekly reverse transcriptase-polymerase chain reaction

    Time frame: Up to 1 year

  8. Viral reactivations

    Proportion of viral reactivations within 6 months will be calculated and 95% confidence intervals will be estimated accordingly.

    Time frame: Up to 6 months

  9. Clinical response to CTL infusions

    Time frame: At 6 weeks and 3 months

  10. Number of participants with treatment-related adverse events as assessed by CTCAE v4.0".

    Time frame: Up to 1 year

07

Study locations

1 of 2 sites recruiting
08

References and documents

Related links

Individual participant data

Plan to share: No

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Started Nov 2020 (actual). Primary completion is estimated for Mar 2027, 76 months after the start.

Of 23 phase 1 interventional studies under Adenoviridae Infections, half reached primary completion within 48 months of starting (the median), counting those still running; a quarter within 42 and three quarters within 101. This study's planned 76 months is above that.

How these figures are worked out, and which studies are left out of them.

Registered
Aug 13, 2018
First posted
Sep 11, 2018
StartActual
Nov 7, 2020
Primary completionEst.
Mar 20, 2027
CompletionEst.
Jun 20, 2027
Last update
Sep 24, 2026
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Sep 24, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT03665675
Lead sponsor
Sumithira Vasu
Responsible party
Sumithira Vasu (Principal Investigator, Ohio State University Comprehensive Cancer Center) — Sponsor-investigator
First posted
Sep 11, 2018
Start date
Nov 7, 2020
Primary completion
Mar 20, 2027 (estimated)
Completion
Jun 20, 2027 (estimated)
Last update
Sep 24, 2026

Study contacts

The Ohio State University Comprehensive Cancer Center
Contact
OSUCCCClinicaltrials@osumc.edu
800-293-5066
Nicole Szuminski
Contact
Nicole.Szuminski@osumc.edu
614-688-9796
Sumithira Vasu, MBBS
principal investigator · Ohio State University Comprehensive Cancer Center

Oversight

Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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