ClinicalTrials.gg
TerminatedNCT03798301Updated Oct 31, 2024

Treatment of Cytomegalovirus (CMV) Infections With Viral-Specific T Cells

A Phase 1 interventional study of CMV-specific T-cells in CMV Infection, Cytomegalovirus Infections and CMV Viremia, sponsored by University of Wisconsin, Madison. Terminated at 1 site in United States. Open to participants aged 1 Month and older. Per ClinicalTrials.gov, last updated 2024-10-31.

Sponsored by University of Wisconsin, Madison · Phase 1, Interventional, and Treatment

Why this study was terminated
Slow accrual

From the registry’s dates

  • Primary completion was May 2023, 3 years 5 months ago, and no results have been posted to the registry.
Phase
Phase 1
Study type
Interventional
Enrollment
3
Allocation
Not applicable
Ages
1 Month and older
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-13

Among 178 studies in Cytomegalovirus Infections with a site in United States — 15 open to participants now, 21 under way, 2 of them phase 3. Cytomegalovirus Infections · United States.

Enrollment
135th of 139
3 · median 61
Started
2020
with 5 others
Phase 1
41 of 178
3 open now
Registered
137th of 178
by date

Among the 178 studies in Cytomegalovirus Infections with a site in United States, this one is the 135th largest by enrollment of the 139 interventional ones that give a count, is one of 6 that started in 2020, is one of 41 in phase 1, and was the 137th registered.

Cytomegalovirus Infections

370 studies on the registry are indexed under Cytomegalovirus Infections; 57 are open to participants now.

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Open to participants now

15 of the 178 studies in Cytomegalovirus Infections with a site in United States are open now. Recruiting first, the newest first:

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All 15 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 35 Cytomegalovirus Infections studies recruiting now, 20 (57%) set no upper age limit and 13 (37%) stop at 75 or younger; 19 take children under 18; 2 take healthy volunteers.

This study: 1 Month and older · all sexes · no healthy volunteers.

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02

Study summary

The present trial will consist of the treatment of 20 pediatric and adult Hematopoietic Stem Cell Transplantation (HSCT) recipients or immunocompromised participants diagnosed with opportunistic Cytomegalovirus (CMV) infections with virus-specific, antigen-selected T-cells. CMV-specific T-cells will be isolated from donor leukapheresis products using the CliniMACS® Prodigy. Prior studies on transfer of CMV specific T-cells have been shown to be safe and efficacious in the treatment of CMV infections.

The main trial objective is to evaluate the feasibility and safety of CMV-specific T-cell transfer in adult and pediatric participants suffering from CMV infections or reactivation following HSCT or due to other immunocompromised states (e.g.; primary immunodeficiency, cytotoxic therapy).

Participants will be followed for one year.

03

Conditions studied

  • CMV Infection
  • Cytomegalovirus Infections
  • CMV Viremia
  • Opportunistic Infections

Keywords

  • Immunocompromised
  • Allogeneic Stem Cell Transplantation
  • Hematopoietic stem cell transplantation (HSCT)
  • T-cell
04

Who can participate

Ages eligible
1 Month and older
Sexes eligible
All
Accepts healthy volunteers
No

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

  1. Adult or pediatric patient suffering from CMV reactivation/infections following or due to other states (e.g.; primary immunodeficiency, cytotoxic therapy).

    • CMV reactivation/viremia defined as positive (>500 copies/ml) CMV qPCR and/or
    • Presence of symptoms secondary to CMV infection or evidence of invasive CMV infection (e.g. pneumonitis, colitis) AND
    • Patients must have ONE OF THE FOLLOWING CRITERIA:

      • Absence of an improvement of viral load after ≥ 14 days of antiviral therapy with ganciclovir, valganciclovir or foscarnet (decrease by at least 1 log, i.e. 10-fold), or
      • New, persistent and/or worsening CMV-related symptoms, signs and/or markers of end organ compromise while on antiviral therapy with ganciclovir, valganciclovir or foscarnet, or
      • Have or experience adverse effects of antiviral therapy with ganciclovir, valganciclovir or foscarnet, or
      • Known resistance to ganciclovir and/or foscarnet based on molecular testing.
  2. Recipients of an allogeneic HSCT must be 28 days after stem cell infusion at the time of T-cell transfer.
  3. Written given by patient or legal representative.
  4. Minimum patient age 1 month.
  5. Minimum weight 7 lbs.
  6. Female patients of childbearing age with negative pregnancy tests.
  7. Patient /Lansky Performance Status >30%.
  8. Donor eligible based on FACT infectious screening requirements.

Exclusion criteria

Exclusion Criteria:

  1. Patient with acute > grade 2 or active moderate or severe chronic GVHD at time of T-cell transfer
  2. Patient receiving (>1.0 mg/kg body weight (BW) prednisone equivalent) at the time of T-cell transfer
  3. Patient received HSCT less than 28 days prior to T-cell transfer
  4. Patient treated with donor lymphocyte infusion (DLI) within 28 days prior to T-cell transfer
  5. Patient treated with Thymoglobulin (ATG), Alemtuzumab or T-cell monoclonal antibodies within 28 days.
  6. Patient with organ dysfunction or failure as determined by (patients >16 years) or Lansky (patients ≤16 years) score ≤30% (Appendix 5)
  7. Patients with CMV retinitis
  8. Concomitant enrollment in another clinical trial with endpoints interfering with this study
  9. Any medical condition which could compromise participation in the study according to the investigator's assessment
  10. Known infection
  11. Female patient who is pregnant or breast-feeding, or adult of not willing to use an effective method of during study treatment. Note: Women of must have a negative serum pregnancy test at study entry.
  12. Patients unwilling or unable to comply with the protocol or unable to give .

Donor Eligibility:

The original donor will be the first choice as source of T cells. If the original donor is not available for donation (such as NMDP donor, cord blood unit, or related donor not available) of peripheral mononuclear cells or does not meet all donor eligibility criteria (including donor selection criteria based on University of Wisconsin - Madison Standard Operating Procedures for the selection of allogeneic donors), alternative related donors will be selected, with preference for those who have full HLA matching in 6/6 loci over those with partial HLA matching (≥ 3/6 HLA loci).

  1. All donors must be ≥ 18 years old, available, CMV IgG positive, eligible and capable of undergoing a single standard 2 blood volume leukapheresis. If original HSCT donor is not available, CMV IgG negative or ineligible, a CMV IgG positive fully matched or haploidentical family donor will be used.
  2. Related donors must be at least partially HLA compatible, matching with recipient in at least 3/6 HLA loci (HLA-A, HLA-B and HLA-DRB1 will be considered for this).
  3. Donors must be CMV IgG seropositive.
  4. Donors must show CMV T-cell activation after incubation with MACS GMP PepTivator Peptide Pools of CMV pp65 before undergoing leukapheresis.
  5. Donor must meet the criteria for donor selection defined in the Standard Operating Procedures of the University of Wisconsin Hospitals and Clinics Stem Cell Transplant Program and in FACT standards.
Terms in these criteria, in plain language(11)

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.

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.

Contraindication

A reason a treatment, test or procedure should not be given to a particular person, such as an allergy, another illness or a medicine they take.

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.

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.

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.

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.

HIV

The human immunodeficiency virus, which weakens the immune system.

Many studies now accept people whose HIV is controlled on treatment, judged by the viral load and the CD4 count. Check the limits this study sets.

Reproductive potential

Able to have children. For women this usually means from the first period until menopause, unless permanently unable to through surgery; for men, unless permanently sterile. Read who the line is about — participants, women, men, or their partners.

Criteria about it usually ask for contraception during the study and for a time after it.

Contraception

Ways of preventing pregnancy. “Highly effective” methods fail less than 1% of the time a year when used correctly — for example an IUD or an implant.

Criteria usually say which methods count and how long to keep using them after the last dose, sometimes for male participants too. Some studies accept a partner’s vasectomy if it was confirmed successful and that person is the participant’s only sexual partner.

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.

05

Study design

Phase
Phase 1
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
3 participants (actual)

Study arms

  • Experimental
    Treatment Arm

    Suspension of CMV-specific T-cells in 10 mL of 0.9% NaCl with 2% HSA. Single dose max. 25,000 T cells/kg body weight (BW) of the recipient delivered via IV bolus injection.

    Biological: CMV-specific T-cells

Interventions

  • BiologicalCMV-specific T-cells

    Naturally occurring, allogeneic donor lymphocytes derived from a leukapheresis or a whole blood product, enriched for CMVspecific CD4+ and CD8+ T-cells

06

What researchers measure

Primary outcomes

  1. Feasibility: Number of Participants Who Drop-Out Before T-Cell Transfer

    The feasibility of this intervention will in part be accomplished by measuring the number of dropped out participants before T-Cell Transfer.

    Time frame: up to 21 days from enrollement

  2. Feasibility: Number of Days from Participant Enrollment to Administration of CMV-VST

    The feasibility of this intervention will in part be accomplished by measuring the amount of time from participant enrollment to administration of Cytomegalovirus-Viral Specific T-Cells (CMV-VST).

    Time frame: up to 21 days from enrollment

  3. Feasibility: Successful production of CMV-VST from donors

    The feasibility of this intervention will be assessed by quantifying the number of successful productions of Cytomegalovirus-Viral Specific T-Cells (CMV-VST) on an intent to treat basis.

    Time frame: up to 21 weeks from enrollment

  4. Safety: Number of Subjects who experience infusion-related adverse events following CMV-VST infusion

    Incidence assessed by monitoring vital signs and specific adverse events

    Time frame: up to 4 hours after CMV-VST infusion

  5. Safety: Number of Subjects who experience newly occurring acute GVHD grade 1

    Incidence of subjects who experience newly occurring acute GVHD grade 1

    Time frame: up to 12 weeks from CMV-VST infusion

  6. Safety: Number of subjects experiencing newly occurring acute GVHD grade ≥ 2 or experience aggravation of pre-existing acute GVHD

    Incidence of newly occurring acute GVHD grade ≥ 2 or increase in grade of pre-existing acute GVHD

    Time frame: up to 12 weeks from CMV-VST infusion

  7. Safety: Number of subjects experiencing chronic GVHD

    Incidence of chronic GVHD

    Time frame: up to 12 weeks from CMV-VST infusion

  8. The number of severe infusion-related adverse events or severe non-hematological adverse events

    Incidence of infusion-related adverse events ≥ grade 3 and non-hematological adverse events ≥ grade 4 after CMV-VST, which are not due to pre-existing infection or original malignancy or pre-existing condition

    Time frame: up to 28 days from CMV-VST infusion

  9. Safety: Time to Occurrence of GVHD

    Time to occurrence of acute GVHD of any grade or to occurrence of chronic GVHD will be evaluated using the Kaplan-Meier method to assess incidence and severity of acute or chronic GVHD from day of T-cell transfer. The first day of GVHD onset at a certain grade will be used to calculate a cumulative incidence curve for that GVHD grade, acute or chronic. Overall cumulative incidence curves will be computed along with the 95% confidence intervals until Week 12 after T-cell transfer with death considered as a competing risk.

    Time frame: up to 12 weeks from CMV-VST infusion

Secondary outcomes

  1. Efficacy: Percentage of Participants with a ≥1 log decrease in CMV viral load

    Evaluation of efficacy will in part be measured by percentage of participants with a ≥1 log decrease in CMV viral load at Week 12.

    Time frame: up to 12 weeks from CMV-VST infusion

  2. Efficacy: Time to ≥1 log change in viral load

    Evaluation of efficacy will in part be measured by time to ≥1 log change in viral load in days.

    Time frame: up to 12 weeks from CMV-VST infusion

  3. Efficacy: Number of Participants with CMV Clearance

    Evaluation of efficacy will in part be measured by the number of patients with CMV clearance, defined as negative Polymerase Chain Reaction (PCR) from Day 7 to Week 12 after T-cell transfer.

    Time frame: up to 12 weeks from CMV-VST infusion

  4. Efficacy: Time to CMV Clearance

    Evaluation of efficacy will in part be measured by the time to CMV clearance (defined as negative PCR) from Day 0 to first day of two subsequent negative CMV PCR studies.

    Time frame: up to 12 weeks from CMV-VST infusion

  5. Efficacy: Number of Participants with Reduction or Clearance of Clinical Symptoms

    Evaluation of efficacy will in part be measured by the number of participants with reduction or clearance of clinical symptoms of underlying CMV infection from Day 7 to Week 12 after T-cell transfer as compared to Day 0.

    Time frame: up to 12 weeks from CMV-VST infusion

  6. Efficacy: Number of CMV Reactivations Following Initial Viral Clearance

    Evaluation of efficacy will in part be measured by the number of CMV reactivations following initial viral clearance until Week 52.

    Time frame: up to 52 weeks from CMV-VST infusion

  7. Efficacy: Overall Survival

    Evaluation of efficacy will in part be measured by the overall survival. Overall survival rate (OS): time from T-cell transfer (Day 0) to death or last follow-up throughout the study from Day 1 to Week 52.

    Time frame: up to 52 weeks

07

Study locations

1 site
  • University of Wisconsin Carbone Cancer Center
    Madison, Wisconsin 53705, United States
08

References and documents

Individual participant data

Plan to share: No

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reached

Ran from Feb 2020 to primary completion in May 2023, 39 months.

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

Registered
Jan 7, 2019
First posted
Jan 9, 2019
StartActual
Feb 6, 2020
Primary completionActual
May 31, 2023
CompletionActual
May 31, 2023
Last update
Oct 31, 2024
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 Oct 31, 2024, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT03798301
Responsible party
Sponsor
First posted
Jan 9, 2019
Start date
Feb 6, 2020
Primary completion
May 31, 2023
Completion
May 31, 2023
Last update
Oct 31, 2024

Study contacts

Christain Capitini, MD
principal investigator · University of Wisconsin, Madison
Jacques Galipeau, MD
study director · University of Wisconsin, Madison

Oversight

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

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This study is terminated, as verified in Oct 2024. You cannot join it, but the record below documents what was studied.

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