ClinicalTrials.gg
CompletedNCT04693637PreventUpdated May 9, 2024Results posted

Posoleucel (ALVR105, Formerly Viralym-M) for Multi-Virus Prevention in Patients Post-Allogeneic Hematopoietic Cell Transplant

A Phase 2/3 interventional study of Posoleucel (ALVR105) in Adenovirus Infection, BK Virus Infection and Cytomegalovirus Infections, sponsored by AlloVir. Completed at 16 sites in United States. Open to participants aged 1 Year and older. Per ClinicalTrials.gov, last updated 2024-05-09.

Sponsored by AlloVir · Phase 2/3, Interventional, and Prevention

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Phase
Phase 2/3
Study type
Interventional
Enrollment
26
Allocation
Not applicable
Ages
1 Year and older
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.

Enrollment
35th of 68
26 · median 27
Started
2021
with 4 others
Phase 2/3
3 of 78
none open now
Registered
62nd of 78
by date
Lead sponsor
6 of 78
AlloVir

Among the 78 studies in Adenoviridae Infections with a site in United States, this one is the 35th largest by enrollment of the 68 interventional ones that give a count, is one of 5 that started in 2021, is one of 3 in phase 2/3, and was the 62nd 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:

12 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 and older · all sexes · no healthy volunteers.

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02

Study summary

This is a Phase 2 study to evaluate posoleucel (ALVR105, formerly Viralym-M); an allogeneic, off-the-shelf multi-virus specific T cell therapy that targets six viral pathogens: BK virus, cytomegalovirus, adenovirus, Epstein-Barr virus, human herpesvirus 6 and JC virus.

Read the detailed description

This is a Phase 2/3, multicenter, randomized, double-blind, placebo controlled trial comparing posoleucel to placebo for the prevention of infection or disease due to AdV, BKV, CMV, EBV, HHV-6, or JCV in high-risk adult and pediatric patients after allogeneic HCT.

There are 2 parts to the study, an open label Phase 2 cohort described in this posting, and a randomized, placebo controlled Phase 3 cohort described in NCT05305040. In the Phase 2 part, 25 to 35 eligible allogeneic HCT recipients will be enrolled and will receive 7 doses of posoleucel over 12 weeks, followed by a 14 week follow-up period.

03

Conditions studied

  • Adenovirus Infection
  • BK Virus Infection
  • Cytomegalovirus Infections
  • Epstein-Barr Virus Infections
  • Human Herpes Virus-6 Infection
  • JC Virus Infection

Keywords

  • Allogeneic Hematopoietic Cell Transplant
  • Posoleucel
  • ALVR105
  • Viralym-M
04

Who can participate

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

Eligibility criteria

Key Inclusion Criteria

  • ≥1 year of age at the day of screening visit.
  • Either no evidence of viral infection or viremia, or asymptomatic, viral infection with 3 or fewer viruses of interest at time of screening
  • Within 15 and 42 days of receiving a first HCT and have demonstrated clinical engraftment
  • Meet one or more of the following criteria at the time of randomization:

    • Related (sibling) donor with at least one mismatch at one of these HLA-gene loci: HLA-A, -B or -DR
    • Haploidentical donor
    • Unrelated donor with at least one mismatch at one of these HLA-gene loci: HLA-A, -B, -C, or -DR
    • Use of umbilical cord blood as stem cell source
    • Ex vivo graft manipulation resulting in T cell depletion
    • Lymphocyte Count \<180/mm3 and/or cluster of differentiation 4 (CD4) Count \<50/mm3

Key Exclusion Criteria:

  • History of AdV, BKV, CMV, EBV, HHV-6, and/or JCV end-organ disease within 6 months prior to randomization
  • Evidence of active Grade >2 acute
  • Presence of non-minor uncontrolled or progressive bacterial, viral or fungal infections
  • Known history or current (suspected) diagnosis of CRS requiring treatment associated with the administration of peptides, proteins, and/or antibodies
  • Ongoing therapy with high-dose systemic (ie, prednisone equivalent dose >0.5 mg/kg/day) within 24 hours prior to dosing
  • Relapse of primary other than minimal residual disease

Note: Other protocol defined Inclusion/Exclusion criteria may apply.

Terms in these criteria, in plain language(4)

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.

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.

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
Phase 2 / Phase 3
Primary purpose
Prevention
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
26 participants (actual)

Study arms

  • Experimental
    Posoleucel (ALVR105)

    Administered as 2-4 milliliter infusion

    Biological: Posoleucel (ALVR105)

Interventions

06

What researchers measure

Primary outcomes

  1. Number of Participants Experiencing Clinically Significant Infections or Episodes of End-organ Disease

    The number of participants experiencing clinically significant infections or episodes of end-organ disease due to AdV, BKV, CMV, EBV, HHV-6, or JCV through Week 14

    Time frame: Through Week 14

Secondary outcomes

  1. Number of Participants Experiencing Clinically Significant Infections or Episodes of End-organ Disease

    The number of participants experiencing clinically significant infections or episodes of end-organ disease due to AdV, BKV, CMV, EBV, HHV-6, or JCV through Week 26.

    Time frame: Through Week 26

  2. Number of Participants Experiencing Clinically Significant Infections or Episodes of End-organ Disease Due to Adenovirus (AdV)

    The number of participants experiencing clinically significant infections or episodes of end-organ disease due to AdV, BKV, CMV, EBV, HHV-6, or JCV from each individual virus through Week 26 (6 endpoints each at Week 26).

    Time frame: Through Week 26

  3. Number of Participants Experiencing Clinically Significant Infections or Episodes of End-organ Disease Due to BKV

    The number of participants experiencing clinically significant infections or episodes of end-organ disease due to AdV, BKV, CMV, EBV, HHV-6, or JCV from each individual virus through Week 14 and Week 26 (6 endpoints each at Week 14 and Week 26).

    Time frame: Through Week 26

  4. Number of Participants Experiencing Clinically Significant Infections or Episodes of End-organ Disease Due to Cytomegalovirus (CMV)

    The number of participants experiencing clinically significant infections or episodes of end-organ disease due to AdV, BKV, CMV, EBV, HHV-6, or JCV from each individual virus through Week 26 (6 endpoints each at Week 26).

    Time frame: Through Week 26

  5. Number of Participants Experiencing Clinically Significant Infections or Episodes of End-organ Disease Due to Epstein-Barr Virus (EBV)

    The number of participants experiencing clinically significant infections or episodes of end-organ disease due to AdV, BKV, CMV, EBV, HHV-6, or JCV from each individual virus through Week 26 (6 endpoints each at Week 26).

    Time frame: through Week 26

  6. Number of Participants Experiencing Clinically Significant Infections or Episodes of End-organ Disease Due to Human Herpes Virus 6 (HHV-6)

    The number of participants experiencing clinically significant infections or episodes of end-organ disease due to AdV, BKV, CMV, EBV, HHV-6, or JCV from each individual virus through Week 26 (6 endpoints each at Week 26).

    Time frame: Through Week 26

  7. Number of Participants Experiencing Clinically Significant Infections or Episodes of End-organ Disease Due to John Cunningham Virus (JCV)

    The number of participants experiencing clinically significant infections or episodes of end-organ disease due to AdV, BKV, CMV, EBV, HHV-6, or JCV from each individual virus through Week 26 (6 endpoints each at Week 26).

    Time frame: Through Week 26

  8. Rates of Overall and Non-Relapse Mortality

    The number of mortality events due to non-relapse causes through Week 52.

    Time frame: Through Week 52

07

Results

Posted May 7, 2024

Participant flow

Participant flow — Overall Study
MilestonePosoleucel (ALVR105)
Started26
Completed16
Not completed10
Withdrew: Death4
Withdrew: Withdrawal by subject3
Withdrew: Physician decision2
Withdrew: Lost to follow-up1

Outcome measures

PrimaryNumber of Participants Experiencing Clinically Significant Infections or Episodes of End-organ Disease

The number of participants experiencing clinically significant infections or episodes of end-organ disease due to AdV, BKV, CMV, EBV, HHV-6, or JCV through Week 14

Time frame:
Through Week 14
Reported as:
Count of participants · Participants
Number of Participants Experiencing Clinically Significant Infections or Episodes of End-organ Disease
ParticipantsPosoleucel (ALVR105)
Number of Participants Experiencing Clinically Significant Infections or Episodes of End-organ Disease3
SecondaryNumber of Participants Experiencing Clinically Significant Infections or Episodes of End-organ Disease

The number of participants experiencing clinically significant infections or episodes of end-organ disease due to AdV, BKV, CMV, EBV, HHV-6, or JCV through Week 26.

Time frame:
Through Week 26
Reported as:
Count of participants · Participants
Number of Participants Experiencing Clinically Significant Infections or Episodes of End-organ Disease
ParticipantsPosoleucel (ALVR105)
Number of Participants Experiencing Clinically Significant Infections or Episodes of End-organ Disease7
SecondaryNumber of Participants Experiencing Clinically Significant Infections or Episodes of End-organ Disease Due to Adenovirus (AdV)

The number of participants experiencing clinically significant infections or episodes of end-organ disease due to AdV, BKV, CMV, EBV, HHV-6, or JCV from each individual virus through Week 26 (6 endpoints each at Week 26).

Time frame:
Through Week 26
Reported as:
Count of participants · Participants
Number of Participants Experiencing Clinically Significant Infections or Episodes of End-organ Disease Due to Adenovirus (AdV)
ParticipantsPosoleucel (ALVR105)
Number of Participants Experiencing Clinically Significant Infections or Episodes of End-organ Disease Due to Adenovirus (AdV)1
SecondaryNumber of Participants Experiencing Clinically Significant Infections or Episodes of End-organ Disease Due to BKV

The number of participants experiencing clinically significant infections or episodes of end-organ disease due to AdV, BKV, CMV, EBV, HHV-6, or JCV from each individual virus through Week 14 and Week 26 (6 endpoints each at Week 14 and Week 26).

Time frame:
Through Week 26
Reported as:
Count of participants · Participants
Number of Participants Experiencing Clinically Significant Infections or Episodes of End-organ Disease Due to BKV
ParticipantsPosoleucel (ALVR105)
Number of Participants Experiencing Clinically Significant Infections or Episodes of End-organ Disease Due to BKV0
SecondaryNumber of Participants Experiencing Clinically Significant Infections or Episodes of End-organ Disease Due to Cytomegalovirus (CMV)

The number of participants experiencing clinically significant infections or episodes of end-organ disease due to AdV, BKV, CMV, EBV, HHV-6, or JCV from each individual virus through Week 26 (6 endpoints each at Week 26).

Time frame:
Through Week 26
Reported as:
Count of participants · Participants
Number of Participants Experiencing Clinically Significant Infections or Episodes of End-organ Disease Due to Cytomegalovirus (CMV)
ParticipantsPosoleucel (ALVR105)
Number of Participants Experiencing Clinically Significant Infections or Episodes of End-organ Disease Due to Cytomegalovirus (CMV)5
SecondaryNumber of Participants Experiencing Clinically Significant Infections or Episodes of End-organ Disease Due to Epstein-Barr Virus (EBV)

The number of participants experiencing clinically significant infections or episodes of end-organ disease due to AdV, BKV, CMV, EBV, HHV-6, or JCV from each individual virus through Week 26 (6 endpoints each at Week 26).

Time frame:
through Week 26
Reported as:
Count of participants · Participants
Number of Participants Experiencing Clinically Significant Infections or Episodes of End-organ Disease Due to Epstein-Barr Virus (EBV)
ParticipantsPosoleucel (ALVR105)
Number of Participants Experiencing Clinically Significant Infections or Episodes of End-organ Disease Due to Epstein-Barr Virus (EBV)1
SecondaryNumber of Participants Experiencing Clinically Significant Infections or Episodes of End-organ Disease Due to Human Herpes Virus 6 (HHV-6)

The number of participants experiencing clinically significant infections or episodes of end-organ disease due to AdV, BKV, CMV, EBV, HHV-6, or JCV from each individual virus through Week 26 (6 endpoints each at Week 26).

Time frame:
Through Week 26
Reported as:
Count of participants · Participants
Number of Participants Experiencing Clinically Significant Infections or Episodes of End-organ Disease Due to Human Herpes Virus 6 (HHV-6)
ParticipantsPosoleucel (ALVR105)
Number of Participants Experiencing Clinically Significant Infections or Episodes of End-organ Disease Due to Human Herpes Virus 6 (HHV-6)0
SecondaryNumber of Participants Experiencing Clinically Significant Infections or Episodes of End-organ Disease Due to John Cunningham Virus (JCV)

The number of participants experiencing clinically significant infections or episodes of end-organ disease due to AdV, BKV, CMV, EBV, HHV-6, or JCV from each individual virus through Week 26 (6 endpoints each at Week 26).

Time frame:
Through Week 26
Reported as:
Count of participants · Participants
Number of Participants Experiencing Clinically Significant Infections or Episodes of End-organ Disease Due to John Cunningham Virus (JCV)
ParticipantsPosoleucel (ALVR105)
Number of Participants Experiencing Clinically Significant Infections or Episodes of End-organ Disease Due to John Cunningham Virus (JCV)0
SecondaryRates of Overall and Non-Relapse Mortality

The number of mortality events due to non-relapse causes through Week 52.

Time frame:
Through Week 52
Reported as:
Count of participants · Participants
Rates of Overall and Non-Relapse Mortality
ParticipantsPosoleucel (ALVR105)
Overall Mortality4
Non-Relapse Mortality0

Adverse events

Collected over All-cause mortality was assessed up to week 52; serious and other (not including serious) adverse events were assessed for up to week 26. Non-serious events are listed at a 5% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Posoleucel (ALVR105)4/26 (15.4%)19/26 (73.1%)26/26 (100%)
Most frequent serious events
Showing 10 of 33
Most frequent serious events
EventPosoleucel (ALVR105)
SepsisInfections and infestations3/26
Abdominal PainGastrointestinal disorders2/26
PyrexiaGeneral disorders2/26
Graft versus host disease in gastrointestinal tractImmune system disorders2/26
Cytomegalovirus infection reactivationInfections and infestations2/26
AdrenoleukodystrophyCongenital, familial and genetic disorders1/26
DiarrhoeaGastrointestinal disorders1/26
Pancreatitis AcuteGastrointestinal disorders1/26
Pancreatitis NecrotisingGastrointestinal disorders1/26
Acute graft versus host disease in skinImmune system disorders1/26
Most frequent other events
Showing 10 of 63
Most frequent other events
EventPosoleucel (ALVR105)
DiarrhoeaGastrointestinal disorders16/26
Acute graft versus host disease in skinImmune system disorders10/26
Abdominal PainGastrointestinal disorders6/26
Weight decreasedInvestigations6/26
Pain in extremityMusculoskeletal and connective tissue disorders6/26
TremorNervous system disorders6/26
DyspnoeaRespiratory, thoracic and mediastinal disorders6/26
AnaemiaBlood and lymphatic system disorders5/26
ConstipationGastrointestinal disorders5/26
NauseaGastrointestinal disorders5/26

Baseline characteristics

Analysis Population will include all patients who received posoleucel.

Age, Categorical
Age, Categorical(Participants)Posoleucel (ALVR105)
<=18 years1
Between 18 and 65 years17
>=65 years8
Age, Continuous
Age, Continuous(years)Posoleucel (ALVR105)
Median59.5 (14 to 76)
Sex: Female, Male
Sex: Female, Male(Participants)Posoleucel (ALVR105)
Female12
Male14
Ethnicity (NIH/OMB)
Ethnicity (NIH/OMB)(Participants)Posoleucel (ALVR105)
Hispanic or Latino7
Not Hispanic or Latino19
Unknown or Not Reported0
Race (NIH/OMB)
Race (NIH/OMB)(Participants)Posoleucel (ALVR105)
American Indian or Alaska Native0
Asian0
Native Hawaiian or Other Pacific Islander1
Black or African American3
White18
More than one race3
Unknown or Not Reported1
Region of Enrollment
Region of Enrollment(Participants)Posoleucel (ALVR105)
United States26
Underlying Disease
Underlying Disease(Participants)Posoleucel (ALVR105)
Leukemia17
Myelodysplasia/Myeloproliferative3
Lymphoma2
Sickle Cell Anemia2
Other2
Type of Transplant
Type of Transplant(Participants)Posoleucel (ALVR105)
Haploidentical12
Mismatched Unrelated9
Matched Unrelated4
Umbilical Cord Blood1
08

Study locations

16 sites
  • University of Alabama at Birmingham
    Birmingham, Alabama 35233, United States
  • City of Hope National Medical Center
    Duarte, California 91010, United States
  • University of California, San Francisco Medical Center
    San Francisco, California 94143, United States
  • Childrens National Medical Center
    Northwest Rectangle, District of Columbia 20010, United States
  • Indiana University Melvin and Bren Simon Cancer Center
    Indianapolis, Indiana 46202, United States
  • University of Kansas Hospital
    Westwood, Kansas 66205, United States
  • University of Maryland Medical Center
    Baltimore, Maryland 21201, United States
  • The Johns Hopkins Hospital
    Baltimore, Maryland 21287, United States
  • University of Minnesota
    Minneapolis, Minnesota 55455, United States
  • Children's Mercy Kansas City
    Kansas City, Missouri 64108, United States
  • Weill Cornell Medical College
    New York, New York 10065, United States
  • Stony Brook University Hospital Cancer Center
    Stony Brook, New York 11794, United States
  • Nationwide Children's Hospital
    Columbus, Ohio 43205, United States
  • Children's Medical Center Dallas
    Dallas, Texas 75235, United States
  • University of Virginia
    Charlottesville, Virginia 22908, United States
  • Fred Hutchinson Cancer Research Center
    Seattle, Washington 98109, United States
09

References and documents

Publications

  • Posoleucel (ALVR105), an Off-the-Shelf, Multivirus-Specific T-Cell Therapy, for the Prevention of Viral Infections Post-HCT: Results from an Open-Label Cohort of a Phase 2 Trial Sanjeet S Dadwal, Michael Shuster, Gary Douglas Myers, Keith Boundy, Marshelle Warren, Elizabeth Stoner, Thuy Truong, Joshua A. Hill Blood (2021) 138 (Supplement 1): 1760.
  • 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 Jan 2021 to primary completion in Jan 2023, 24 months.

Results were first posted in May 2024, 1 year 3 months after primary completion.

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

Registered
Dec 9, 2020
First posted
Jan 5, 2021
StartActual
Jan 15, 2021
Primary completionActual
Jan 19, 2023
CompletionActual
Jan 19, 2023
Results first posted
May 7, 2024
Last update
May 9, 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 9, 2024, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT04693637
Lead sponsor
AlloVir
Responsible party
Sponsor
First posted
Jan 5, 2021
Start date
Jan 15, 2021
Primary completion
Jan 19, 2023
Completion
Jan 19, 2023
Results posted
May 7, 2024
Last update
May 9, 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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This study is completed, as verified in May 2024. You cannot join it, but the record below documents what was studied.

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Studies of the drug tested here: Posoleucel

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