ClinicalTrials.gg
CompletedNCT04605484Updated May 16, 2024Results posted

Study of Posoleucel (Formerly Known as ALVR105; Viralym-M) in Kidney Transplant Patients With BK Viremia

A Phase 2 interventional study of Posoleucel (formerly known as ALVR105) cells and Placebo (visually identical to Posoleucel) in BK Virus Nephropathy and BK Virus Infection, sponsored by AlloVir. Completed at 33 sites in United States. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2024-05-16.

Sponsored by AlloVir · Phase 2, Interventional, and Treatment

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Phase
Phase 2
Study type
Interventional
Enrollment
61
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

The purpose of this study is to compare Posoleucel (formerly known as ALVR105; Viralym-M) to placebo in kidney transplant recipients who have high or low levels of BK virus in their blood.

02

Conditions studied

  • BK Virus Nephropathy
  • BK Virus Infection
03

In context

Lead sponsor

AlloVir is the lead sponsor of 11 studies on the registry; none are open to participants now.

Of its 6 completed or terminated interventional studies of FDA-regulated products, 6 (100%) have results posted.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years 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

  • Patients who had a kidney transplant performed greater than or equal to 28 days prior to enrollment
  • At least 1 identified, suitably matched Posoleucel (ALVR105) cell line for infusion is available.
  • Capable of giving signed which includes compliance with the requirements and restrictions listed in the informed consent form (ICF) and in the protocol.
  • use by men and women should be consistent with local regulations regarding the methods of contraception for those participating in clinical studies.

Exclusion criteria

Exclusion Criteria:

  • Undergone hematopoietic cell transplantation
  • Evidence or history of (GVHD) or cytokine release syndrome (CRS).
  • Uncontrolled or progressive bacterial or fungal infections
  • Known or presumed pneumonia
  • Ongoing therapy with high-dose systemic (ie, prednisone dose >0.5 mg/kg/day or equivalent).
  • Pregnant or lactating or planning to become pregnant.
  • Weight \<40 kg.
  • Patients who received, or planned to receive abatacept or belatacept, within 3 months of screening
Terms in these criteria, in plain language(5)

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.

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.

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.

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.

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.

05

Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Quadruple (Participant, Care provider, Investigator, Outcomes assessor)
Enrollment
61 participants (actual)

Study arms

  • Experimental
    Posoleucel

    Arm 1: Regimen A

    Biological: Posoleucel (formerly known as ALVR105) cells

  • Experimental
    Posoleucel and Placebo

    Arm 2: Regimen B

    Biological: Posoleucel (formerly known as ALVR105) cells · Biological: Placebo (visually identical to Posoleucel)

  • Placebo comparator
    Placebo

    Arm 3: Regimen A

    Biological: Placebo (visually identical to Posoleucel)

Interventions

  • BiologicalPosoleucel (formerly known as ALVR105) cells

    Infusion

  • BiologicalPlacebo (visually identical to Posoleucel)

    Infusion

06

What researchers measure

Primary outcomes

  1. Number of Participants Who Experienced a Treatment-emergent Adverse Event (TEAE)

    An adverse event (AE) was defined as any untoward medical occurrence in a clinical study participant, temporally associated with the use of study treatment, whether or not considered related to the study treatment. TEAEs are defined as AEs with a start date and time on or after the first dose of study treatment through the end of study. Clinically significant changes in vital signs, physical exams, laboratory assessments and electrocardiograms were also reported as TEAEs.

    Time frame: Day 1 to Week 24

Secondary outcomes

  1. Change From Baseline in BK Viral Load

    BK viral load was quantitated using polymerase chain reaction assays at the central laboratory. A negative change from baseline represents a reduction in BK viral load.

    Time frame: Baseline and Week 24

07

Results

Posted May 16, 2024

Participant flow

Participants were enrolled at 26 sites in the United States between March 2021 and October 2022.

Participant flow — Overall Study
MilestonePosoleucel (PSL) Group 1PSL Group 2Placebo
Started202219
Completed202018
Not completed021
Withdrew: Lost to follow-up011
Withdrew: Other010

Outcome measures

PrimaryNumber of Participants Who Experienced a Treatment-emergent Adverse Event (TEAE)

An adverse event (AE) was defined as any untoward medical occurrence in a clinical study participant, temporally associated with the use of study treatment, whether or not considered related to the study treatment. TEAEs are defined as AEs with a start date and time on or after the first dose of study treatment through the end of study. Clinically significant changes in vital signs, physical exams, laboratory assessments and electrocardiograms were also reported as TEAEs.

Time frame:
Day 1 to Week 24
Reported as:
Count of participants · Participants
Number of Participants Who Experienced a Treatment-emergent Adverse Event (TEAE)
ParticipantsPSL Group 1PSL Group 2Placebo
Number of Participants Who Experienced a Treatment-emergent Adverse Event (TEAE)171716
SecondaryChange From Baseline in BK Viral Load

BK viral load was quantitated using polymerase chain reaction assays at the central laboratory. A negative change from baseline represents a reduction in BK viral load.

Time frame:
Baseline and Week 24
Reported as:
Median · log10 copies/mL
Change From Baseline in BK Viral Load
log10 copies/mLPSL Group 1PSL Group 2Placebo
Change From Baseline in BK Viral Load-0.830 (-2.08 to 0.11)-0.520 (-3.55 to 0.52)-0.330 (-2.08 to 0.27)

Adverse events

Collected over Day 1 to Week 24. Non-serious events are listed at a 0% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
PSL Group 10/20 (0%)2/20 (10%)16/20 (80%)
PSL Group 20/22 (0%)2/22 (9.1%)16/22 (72.7%)
Placebo0/19 (0%)0/19 (0%)16/19 (84.2%)
Most frequent serious events
Most frequent serious events
EventPSL Group 1PSL Group 2Placebo
PyelonephritisInfections and infestations1/200/220/19
Renal tuberculosisInfections and infestations1/200/220/19
UrosepsisInfections and infestations1/200/220/19
Acute respiratory failureRespiratory, thoracic and mediastinal disorders1/200/220/19
Transplant rejectionImmune system disorders0/201/220/19
Enterococcal bacteraemiaInfections and infestations0/201/220/19
ProteinuriaRenal and urinary disorders0/201/220/19
Most frequent other events
Showing 10 of 111
Most frequent other events
EventPSL Group 1PSL Group 2Placebo
HeadacheNervous system disorders1/204/224/19
COVID-19Infections and infestations3/202/223/19
Blood creatinine increasedInvestigations3/201/221/19
RashSkin and subcutaneous tissue disorders0/203/220/19
NauseaGastrointestinal disorders1/200/222/19
Oedema peripheralGeneral disorders0/201/222/19
NasopharyngitisInfections and infestations0/200/222/19
AnaemiaBlood and lymphatic system disorders2/200/220/19
TachycardiaCardiac disorders2/200/220/19
Transplant rejectionImmune system disorders2/200/220/19

Baseline characteristics

Intent-to-Treat (ITT) Population: Included all randomized participants.

Age, Continuous
Age, Continuous(years)PSL Group 1PSL Group 2PlaceboTotal
Median59.0 (21 to 75)54.0 (28 to 72)59.0 (47 to 75)58.0 (21 to 75)
Sex: Female, Male
Sex: Female, Male(Participants)PSL Group 1PSL Group 2PlaceboTotal
Female35412
Male17171549
Ethnicity (NIH/OMB)
Ethnicity (NIH/OMB)(Participants)PSL Group 1PSL Group 2PlaceboTotal
Hispanic or Latino2529
Not Hispanic or Latino18171752
Unknown or Not Reported0000
Race/Ethnicity, Customized
Race/Ethnicity, Customized(Participants)PSL Group 1PSL Group 2PlaceboTotal
Asian1359
Black or African American49417
White1271029
Other3205
Missing0101
Region of Enrollment
Region of Enrollment(participants)PSL Group 1PSL Group 2PlaceboTotal
United States20221961
08

Study locations

33 sites
  • Keck Medical Center of USC
    Los Angeles, California 90033, United States
  • Stanford University
    Palo Alto, California 94306, United States
  • University of California Davis Medical Center
    Sacramento, California 95817, United States
  • University of California, San Francisco Medical Center
    San Francisco, California 94143, United States
  • Piedmont Hospital
    Atlanta, Georgia 30309, United States
  • Northwestern University Transplant Center
    Chicago, Illinois 60611, United States
  • Loyola University Medical Center
    Maywood, Illinois 60153, United States
  • Indiana University Hospital
    Indianapolis, Indiana 46202, United States
  • University of Kansas Hospital
    Kansas City, Kansas 66160, United States
  • Tulane University School of Medicine
    New Orleans, Louisiana 70112, United States
  • University of Maryland Medical Center
    Baltimore, Maryland 21201, United States
  • John Hopkins Hospital
    Baltimore, Maryland 21287, United States
  • Harvard Medical School - Brigham & Women's Hospital
    Boston, Massachusetts 02115, United States
  • University of Michigan Medical Center
    Ann Arbor, Michigan 48109, United States
  • University of Minnesota
    Minneapolis, Minnesota 55455, United States
  • Washington University School of Medicine
    Saint Louis, Missouri 63110, United States
  • University of Nebraska Medical Center
    Omaha, Nebraska 68198, United States
  • Erie County Medical Center
    Buffalo, New York 14215, United States
  • North Shore University Hospital
    Manhasset, New York 11030, United States
  • NYU Langone Medical Center
    New York, New York 10016, United States
  • Weil Medical College - NY Presbyterian Hospital
    New York, New York 10021, United States
  • Duke University
    Durham, North Carolina 27708, United States
  • University of Cincinnati Hospital
    Cincinnati, Ohio 45229, United States
  • Cleveland Clinic Foundation
    Cleveland, Ohio 44195, United States
  • UPMC Pinnacle-Harrisburg Hospital
    Harrisburg, Pennsylvania 17101, United States
  • UPMC Montefiore Hospital
    Pittsburgh, Pennsylvania 15213, United States
  • Rhode Island Hospital
    Providence, Rhode Island 02905, United States
  • Medical University of South Carolina
    Charleston, South Carolina 29425, United States
  • Baylor University Medical Center
    Dallas, Texas 75204, United States
  • UT Southwestern Medical Center
    Dallas, Texas 75390, United States
  • University of Virginia
    Charlottesville, Virginia 22908, United States
  • Inova Fairfax Medical Center
    Falls Church, Virginia 22042, United States
  • Virginia Commonwealth University
    Richmond, Virginia 23298, United States
09

References and documents

Publications

  • Tzannou I, Papadopoulou A, Naik S, Leung K, Martinez CA, Ramos CA, Carrum G, Sasa G, Lulla P, Watanabe A, Kuvalekar M, Gee AP, Wu MF, Liu H, Grilley BJ, Krance RA, Gottschalk S, Brenner MK, Rooney CM, Heslop HE, Leen AM, Omer B. Off-the-Shelf Virus-Specific T Cells to Treat BK Virus, Human Herpesvirus 6, Cytomegalovirus, Epstein-Barr Virus, and Adenovirus Infections After Allogeneic Hematopoietic Stem-Cell Transplantation. J Clin Oncol. 2017 Nov 1;35(31):3547-3557. doi: 10.1200/JCO.2017.73.0655. Epub 2017 Aug 7. PubMed 28783452 ↗
  • Chandraker A, Regmi A, Gohh R, Sharma A, Woodle ES, Ansari MJ, Nair V, Chen LX, Alhamad T, Norman S, Cibrik D, Singh M, Alper A, Jain D, Zaky Z, Knechtle S, Sharfuddin A, Gupta G, Lonze BE, Young JH, Adey D, Faravardeh A, Dadhania DM, Rossi AP, Florescu D, Cardarelli F, Ma J, Gilmore S, Vasileiou S, Jindra PT, Wojciechowski D. Posoleucel in Kidney Transplant Recipients with BK Viremia: Multicenter, Randomized, Double-Blind, Placebo-Controlled Phase 2 Trial. J Am Soc Nephrol. 2024 May 1;35(5):618-629. doi: 10.1681/ASN.0000000000000329. Epub 2024 Mar 12. PubMed 38470444 ↗

Study documents

PDFs hosted by the registry, ClinicalTrials.gov.

Individual participant data

Plan to share: No

10

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reached

Ran from Mar 2021 to primary completion in Oct 2022, 18 months.

Results were first posted in May 2024, 1 year 6 months after primary completion.

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

Registered
Oct 15, 2020
First posted
Oct 28, 2020
StartActual
Mar 22, 2021
Primary completionActual
Oct 20, 2022
CompletionActual
Oct 20, 2022
Results first posted
May 16, 2024
Last update
May 16, 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 May 16, 2024, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT04605484
Lead sponsor
AlloVir
Responsible party
Sponsor
First posted
Oct 28, 2020
Start date
Mar 22, 2021
Primary completion
Oct 20, 2022
Completion
Oct 20, 2022
Results posted
May 16, 2024
Last update
May 16, 2024

Oversight

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

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