ClinicalTrials.gg
TerminatedNCT05179057Updated May 8, 2024Results posted

Posoleucel (ALVR105) for the Treatment of Adenovirus Infection in Pediatric and Adult Participants Receiving Standard of Care Following Allogeneic Hematopoietic Cell Transplantation

A Phase 3 interventional study of Posoleucel and Placebo in Adenovirus Infection, sponsored by AlloVir. Terminated at 47 sites in 6 countries. Per ClinicalTrials.gov, last updated 2024-05-08.

Sponsored by AlloVir · Phase 3, Interventional, and Treatment

Why this study was terminated
Study discontinued as DSMB determined it was futile. No safety concerns were noted.

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Phase
Phase 3
Study type
Interventional
Enrollment
57
Allocation
Randomized
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
20th of 68
57 · median 27
Started
2022
with 3 others
Phase 3
6 of 78
2 open now
Registered
66th 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 20th largest by enrollment of the 68 interventional ones that give a count, is one of 4 that started in 2022, is one of 6 in phase 3, and was the 66th 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: all sexes · no healthy volunteers.

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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 study will assess the safety and efficacy of Posoleucel for the treatment of adenovirus (AdV) infection in pediatric and adult allo-HCT recipients receiving standard of care (SoC).

Read the detailed description

During the period of immune recovery after allogeneic hematopoietic cell transplant (allo-HCT), viral infections and reactivations, including those with AdV, are an important cause of morbidity and mortality. Progression to AdV disease is associated with significant morbidity and mortality rates. This Phase 3, multicenter, randomized, double-blind, placebo-controlled study will assess the safety and efficacy of Posoleucel for the treatment of AdV infection in pediatric and adult allo-HCT recipients receiving SoC.

03

Conditions studied

  • Adenovirus Infection

Keywords

  • Allogeneic Hematopoietic Cell Transplant
  • Adenoviremia
  • Adenovirus
  • Stem Cell Transplant
  • Posoleucel
  • ALVR105
  • Bone Marrow Transplant
04

Who can participate

Ages eligible
Child (0–17), Adult (18–64), Older adult (65+)
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

  • Undergone cell transplantation ≥21 days prior to dosing
  • Meet one of the below criteria:

    1. AdV viremia DNA ≥10,000 copies/mL, OR
    2. AdV viremia DNA results of ≥1,000 copies/mL, AND

      1. has absolute lymphocyte count \<180/mm3, OR
      2. has received T cell depletion OR
      3. had a cord blood transplant.

Exclusion criteria

Exclusion Criteria:

  • Grade 3 or higher acute
  • Ongoing therapy with high-dose systemic
  • Uncontrolled viral (other than AdV), bacterial, or fungal infection(s)
  • Pregnant or lactating female unwilling to discontinue nursing prior to randomization
  • History of severe prior reactions to blood product transfusions

NOTE: Other protocol-defined inclusion/exclusion criterion may apply.

Terms in these criteria, in plain language(3)

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.

05

Study design

Phase
Phase 3
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Quadruple (Participant, Care provider, Investigator, Outcomes assessor)
Enrollment
57 participants (actual)

Study arms

  • Experimental
    Posoleucel + SoC

    Posoleucel + SOC; then placebo + SOC for patients who meet optional protocol-defined crossover criteria

    Drug: Posoleucel

  • Placebo comparator
    Placebo + SoC

    Placebo + SOC; then Posoleucel + SOC for patients who meet optional protocol-defined crossover criteria

    Drug: Placebo

Interventions

  • Administered as 2-4 milliliter infusion, visually identical to placebo

  • DrugPlacebo

    Administered as 2-4 milliliter infusion, visually identical to Posoleucel

06

What researchers measure

Primary outcomes

  1. Number of Participants With Undetectable Adenovirus Infection

    Viral load of adenovirus was measured at the central laboratory using quantitative polymerase chain reaction (qPCR) from blood and stool samples at each study visit and on Day 29 from a nasopharyngeal swab. There was a 14-day window for participants who crossed over from posoleucel to placebo; and for participants who crossed over from placebo to posoleucel, the pre-dose cross-over Day 1 viral load was used. Participants missing the primary endpoint but having undetectable viremia before Day 29 and after Day 43 were imputed as successes. Undetectable adenovirus viremia was less than the lower limit of quantification (LLOQ).

    Time frame: Day 29 through Day 43 (Day 29 + 14 days; up to 43 days post-first infusion)

  2. Number of Participants Who Experienced Treatment-emergent Adverse Events (TEAEs)

    A TEAE was defined as an adverse event (AE) with a start date and time on or after the first dose of study treatment. A serious AE (SAE) was an AE that met at least one of the following serious criteria: fatal, life-threatening, required inpatient hospitalization or prolongation of existing hospitalization; resulted in persistent or significant disability/incapacity; was a congenital anomaly/birth defect; or other important medical event. TEAEs of special interest (AESI) included acute or chronic graft versus host disease, cytokine release syndrome, infusion-related reactions, and graft failure or rejection. Treatment-related refers to the assessment of a relationship between study treatment and the event by the investigator.

    Time frame: Up to 34 weeks

Secondary outcomes

  1. Number of Participants With Overall Disease Progression

    Time frame: From Day 29 up to Week 10

  2. Area Under the Curve (AUC) Adenovirus Viral Load

    Time frame: Pre-dose and Day 29

  3. Number of Participants Who Achieved Adenovirus Viremia <400 Copies/mL at Day 29

    Time frame: Day 29

  4. Time to Undetectable Adenovirus Viremia (Less Than LLOQ)

    Time frame: Pre-dose to 34 weeks

  5. Number of Participants With Adenovirus Disease Recurrence

    Time frame: 34 weeks

07

Results

Posted May 8, 2024
Limitations and caveats
The study was discontinued following a pre-planned DSMB futility analysis concluding that the study was unlikely to meet its primary endpoint, no safety concerns were identified.

Participant flow

Participants were enrolled at 47 study centers in the United States, Canada, Italy, Spain, Sweden, and the United Kingdom, and participated from April 2022 to January 2024.

Participant flow — Overall Study
MilestonePosoleucel, Then PlaceboPlacebo, Then Posoleucel
Started3027
Received primary study treatment2823
Met cross-over eligibility criteria45
Received cross-over treatment45
Completed1013
Not completed2014
Withdrew: Adverse event32
Withdrew: Non-compliance with protocol requirements or study-related procedures10
Withdrew: Study terminated137
Withdrew: Discontinuation or withdrawal by participants/parent/legal guardian22
Withdrew: Never received primary or cross-over study treatment13

Outcome measures

PrimaryNumber of Participants With Undetectable Adenovirus Infection

Viral load of adenovirus was measured at the central laboratory using quantitative polymerase chain reaction (qPCR) from blood and stool samples at each study visit and on Day 29 from a nasopharyngeal swab. There was a 14-day window for participants who crossed over from posoleucel to placebo; and for participants who crossed over from placebo to posoleucel, the pre-dose cross-over Day 1 viral load was used. Participants missing the primary endpoint but having undetectable viremia before Day 29 and after Day 43 were imputed as successes. Undetectable adenovirus viremia was less than the lower limit of quantification (LLOQ).

Time frame:
Day 29 through Day 43 (Day 29 + 14 days; up to 43 days post-first infusion)
Reported as:
Count of participants · Participants
Number of Participants With Undetectable Adenovirus Infection
ParticipantsPosoleucel, Then PlaceboPlacebo, Then Posoleucel
Number of Participants With Undetectable Adenovirus Infection119
Statistical analysis
  • Posoleucel, Then Placebo vs Placebo, Then Posoleucel · Odds ratio (or): 0.98 · 95% CI 0.26 to 3.69Posoleucel versus Placebo
PrimaryNumber of Participants Who Experienced Treatment-emergent Adverse Events (TEAEs)

A TEAE was defined as an adverse event (AE) with a start date and time on or after the first dose of study treatment. A serious AE (SAE) was an AE that met at least one of the following serious criteria: fatal, life-threatening, required inpatient hospitalization or prolongation of existing hospitalization; resulted in persistent or significant disability/incapacity; was a congenital anomaly/birth defect; or other important medical event. TEAEs of special interest (AESI) included acute or chronic graft versus host disease, cytokine release syndrome, infusion-related reactions, and graft failure or rejection. Treatment-related refers to the assessment of a relationship between study treatment and the event by the investigator.

Time frame:
Up to 34 weeks
Reported as:
Count of participants · Participants
Number of Participants Who Experienced Treatment-emergent Adverse Events (TEAEs)
ParticipantsPosoleucel (Primary Study Period)Placebo (Primary Study Period)Posoleucel (Cross-over Period)Placebo (Cross-over Period)
Any TEAE272353
Any TEAE related to study treatment7911
Any AESI6912
Any SAE161631
Any SAE related to study treatment1111
Any TEAE leading to study treatment discontinuation2102
Any TEAE leading to study discontinuation1201
Any TEAE leading to death2101
SecondaryNumber of Participants With Overall Disease Progression
Time frame:
From Day 29 up to Week 10

No measurements were reported for this outcome.

SecondaryArea Under the Curve (AUC) Adenovirus Viral Load
Time frame:
Pre-dose and Day 29

No measurements were reported for this outcome.

SecondaryNumber of Participants Who Achieved Adenovirus Viremia <400 Copies/mL at Day 29
Time frame:
Day 29

No measurements were reported for this outcome.

SecondaryTime to Undetectable Adenovirus Viremia (Less Than LLOQ)
Time frame:
Pre-dose to 34 weeks

No measurements were reported for this outcome.

SecondaryNumber of Participants With Adenovirus Disease Recurrence
Time frame:
34 weeks

No measurements were reported for this outcome.

Adverse events

Collected over Up to 34 weeks. Non-serious events are listed at a 5% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Posoleucel (Primary Study Period)2/28 (7.1%)16/28 (57.1%)27/28 (96.4%)
Placebo (Primary Study Period)1/23 (4.3%)16/23 (69.6%)23/23 (100%)
Posoleucel (Cross-over Period)0/5 (0%)3/5 (60%)5/5 (100%)
Placebo (Cross-over Period)1/4 (25%)1/4 (25%)3/4 (75%)
Most frequent serious events
Showing 10 of 69
Most frequent serious events
EventPosoleucel (Primary Study Period)Placebo (Primary Study Period)Posoleucel (Cross-over Period)Placebo (Cross-over Period)
Acute graft versus host diseaseImmune system disorders0/280/230/51/4
Hepatic failureHepatobiliary disorders0/280/230/51/4
Cerebral haemorrhageNervous system disorders0/280/230/51/4
SepsisInfections and infestations0/281/231/50/4
BacteraemiaInfections and infestations0/280/231/50/4
SinusitisInfections and infestations0/280/231/50/4
Gastrointestinal haemorrhageGastrointestinal disorders0/280/231/50/4
Graft versus host diseaseImmune system disorders0/280/231/50/4
HaematuriaRenal and urinary disorders0/280/231/50/4
Autoimmune haemolytic anaemiaBlood and lymphatic system disorders0/280/231/50/4
Most frequent other events
Showing 10 of 89
Most frequent other events
EventPosoleucel (Primary Study Period)Placebo (Primary Study Period)Posoleucel (Cross-over Period)Placebo (Cross-over Period)
AnaemiaBlood and lymphatic system disorders6/285/232/51/4
PyrexiaGeneral disorders10/288/231/50/4
HypokalaemiaMetabolism and nutrition disorders9/286/231/51/4
VomitingGastrointestinal disorders8/284/230/50/4
COVID-19Infections and infestations3/281/230/51/4
Epstein-Barr virus infection reactivationInfections and infestations1/281/230/51/4
DiarrhoeaGastrointestinal disorders5/284/231/51/4
Blood bicarbonate decreasedInvestigations1/282/230/51/4
Activated partial thromboplastin time prolongedInvestigations1/280/230/51/4
HypermagnesaemiaMetabolism and nutrition disorders2/280/231/51/4

Baseline characteristics

Age, Continuous
Age, Continuous(years)Posoleucel, Then PlaceboPlacebo, Then PosoleucelTotal
Mean16.2 ± 17.1014.9 ± 15.8015.6 ± 16.36
Sex: Female, Male
Sex: Female, Male(Participants)Posoleucel, Then PlaceboPlacebo, Then PosoleucelTotal
Female91120
Male211637
Ethnicity (NIH/OMB)
Ethnicity (NIH/OMB)(Participants)Posoleucel, Then PlaceboPlacebo, Then PosoleucelTotal
Hispanic or Latino527
Not Hispanic or Latino222345
Unknown or Not Reported325
Race/Ethnicity, Customized
Race/Ethnicity, Customized(Participants)Posoleucel, Then PlaceboPlacebo, Then PosoleucelTotal
Asian325
Black or African American314
White192039
Not Reported314
Other235
08

Study locations

47 sites
  • MD Anderson Cancer Center
    Gilbert, Arizona 85234, United States
  • Phoenix Children's Hospital
    Phoenix, Arizona 85016, United States
  • City of Hope
    Duarte, California 91010, United States
  • University of California, Los Angeles (UCLA)
    Los Angeles, California 90095, United States
  • Lucile Packard Children's Hospital - Stanford University
    Palo Alto, California 94303, United States
  • University of California, San Diego - Rady Children's Hospital
    San Diego, California 92123, United States
  • Children's Hospital Colorado - Center for Cancer and Blood Disorders
    Aurora, Colorado 80045, United States
  • Children's National Medical Center
    Washington, District of Columbia 20010, United States
  • University of Florida (UF) - Gainesville
    Gainesville, Florida 32611, United States
  • Ann and Robert H. Lurie Children's Hospital of Chicago
    Chicago, Illinois 60611, United States
  • Dana-Farber Cancer Institute
    Boston, Massachusetts 02215, United States
  • University of Minnesota
    Minneapolis, Minnesota 55455, United States
  • Washington University School of Medicine in St. Louis
    Saint Louis, Missouri 63110, United States
  • Hackensack University Medical Center
    Hackensack, New Jersey 07601, United States
  • New York Presbyterian Hospital
    New York, New York 10032, United States
  • Memorial Sloan Kettering Cancer Center
    New York, New York 10065, United States
  • Duke University Medical Center
    Durham, North Carolina 27710, United States
  • Cleveland Clinic
    Cleveland, Ohio 44195, United States
  • University of Oklahoma
    Oklahoma City, Oklahoma 73104, United States
  • University of Texas Southwestern
    Dallas, Texas 75390, United States
  • Cook Children's Medical Center
    Fort Worth, Texas 76104, United States
  • Intermountain HealthCare - Primary Children's Hospital
    Salt Lake City, Utah 81432, United States
  • Seattle Children's Hospital
    Seattle, Washington 98101, United States
  • The Hospital for Sick Children (SickKids)
    Toronto, Ontario M5G 1X8, Canada
  • CHU Sainte-Justine
    Montreal, Quebec H3T 1C5, Canada
  • IRCCS Ospedale San Raffaele
    Milano, 20132, Italy
  • Fondazione IRCCS San Gerardo dei Tintori
    Monza, 20900, Italy
  • A.O.R.N. Santobono-Pausilipon
    Napoli, 80123, Italy
  • Azienda Ospedaliera di Padova
    Padova, 35128, Italy
  • Fondazione IRCCS Policlinico San Matteo
    Pavia, 27100, Italy
  • Ospedale Pediatrico Bambino Gesù
    Roma, 165, Italy
  • Ospedale Regina Margherita
    Torino, 10126, Italy
  • Azienda Ospedaliera Universitaria Integrata Verona-Ospedale Borgo Trento
    Verona, 1-37126, Italy
  • Hospital Universitario Vall d'Hebron
    Barcelona, 08035, Spain
  • Hospital Universitario La Paz
    Madrid, 28046, Spain
  • Hospital Universitari i Politecnic La Fe
    Valencia, 46026, Spain
  • Sahlgrenska University Hospital
    Gothenburg, 41685, Sweden
  • Skane University Hospital Lund
    Lund, 221 85, Sweden
  • Karolinska University Hospital
    Solna, 171 64, Sweden
  • Birmingham Children's Hospital
    Birmingham, B4 6NH, United Kingdom
  • Bristol Royal Hospital for Children
    Bristol, BS2 8BJ, United Kingdom
  • Royal Hospital for Children - Glasgow
    Glasgow, G51 4TF, United Kingdom
  • University College London Hospital
    London, NW1 2PG, United Kingdom
  • St. Mary's Hospital, Paddington
    London, W2 1NY, United Kingdom
  • Great Ormond Street Hospital for Children
    London, WC1n 3JH, United Kingdom
  • Royal Manchester Children's Hospital
    Manchester, M13 9WL, United Kingdom
  • Sheffield Children's NHS Foundation Trust
    Sheffield, S10 2TH, United Kingdom
09

References and documents

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 Apr 2022 to primary completion in Jan 2024, 21 months.

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

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

Registered
Dec 17, 2021
First posted
Jan 5, 2022
StartActual
Apr 26, 2022
Primary completionActual
Jan 31, 2024
CompletionActual
Jan 31, 2024
Results first posted
May 8, 2024
Last update
May 8, 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 8, 2024, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT05179057
Lead sponsor
AlloVir
Responsible party
Sponsor
First posted
Jan 5, 2022
Start date
Apr 26, 2022
Primary completion
Jan 31, 2024
Completion
Jan 31, 2024
Results posted
May 8, 2024
Last update
May 8, 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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Studies of the drug tested here: Posoleucel

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