ClinicalTrials.gg
TerminatedNCT05305040PreventUpdated May 16, 2024Results posted

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

A Phase 2/3 interventional study of Posoleucel (ALVR105) and Placebo in Adenovirus Infection, BK Virus Infection and Cytomegalovirus Infections, sponsored by AlloVir. Terminated at 88 sites in 10 countries. Per ClinicalTrials.gov, last updated 2024-05-16.

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

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

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Phase
Phase 2/3
Study type
Interventional
Enrollment
451
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
7th of 68
451 · median 27
Started
2022
with 3 others
Phase 2/3
3 of 78
none open now
Registered
69th 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 7th largest by enrollment of the 68 interventional ones that give a count, is one of 4 that started in 2022, is one of 3 in phase 2/3, and was the 69th 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 is a Phase 3 study to evaluate posoleucel (ALVR105, 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, a Phase 3 randomized study cohort described in this posting, and an open label Phase 2 cohort described in NCT04693637, which has completed enrollment. In this Phase 3 part, approximately 302 eligible allogeneic HCT recipients will be enrolled and will receive 7 doses of posoleucel or placebo over 12 weeks, followed by a 12 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
  • ALVR105
  • Posoleucel
  • Viralym-M
  • Virus-specific T cells (VSTs)
  • Cytotoxic T Lymphocytes (CTLs)
04

Who can participate

Ages eligible
Child (0–17), Adult (18–64), Older adult (65+)
Sexes eligible
All
Accepts healthy volunteers
No

Eligibility criteria

Key Inclusion Criteria:

  • Any age at the day of screening visit.
  • No known or suspected disease from AdV, BKV, CMV, EBV, HHV-6, and/or JCV
  • Within 25 days of receiving a first HCT and have demonstrated clinical engraftment at time of dosing
  • 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
    • Matched or Mismatched unrelated donor
    • Use of umbilical cord blood as stem cell source
    • Ex vivo graft manipulation resulting in T cell depletion
    • Received anti-thymocyte globulin or alemtuzumab (Campath-1H)

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 Grade ≥3 CRS requiring treatment associated with the administration of peptides, proteins, and/or antibodies
  • Ongoing therapy with high-dose systemic (ie, prednisone equivalent dose >1.0 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(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.

Clinically significant

Judged by the study doctor to matter for your health or for the study. It is a doctor’s decision, so ask the study team if you are unsure whether something counts.

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
Randomized
Intervention model
Parallel assignment
Masking
Quadruple (Participant, Care provider, Investigator, Outcomes assessor)
Enrollment
451 participants (actual)

Study arms

  • Experimental
    Posoleucel (ALVR105)

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

    Biological: Posoleucel (ALVR105)

  • Placebo comparator
    Placebo

    Administered as 2-4 milliliter infusion, visually identical to Posoleucel (ALVR105)

    Biological: Placebo

Interventions

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

    Also known as: Viralym-M

  • BiologicalPlacebo

    Administered as 2-4 milliliter infusion, visually identical to Posoleucel (ALVR105)

06

What researchers measure

Primary outcomes

  1. Average Number of Clinically Significant Infections or Episodes of End-Organ Disease Through Week 14

    The average number of clinically significant infections or episodes of end-organ disease per participant due to Adenovirus (AdV), BK virus (BKV), Cytomegalovirus (CMV), Epstein-Barr virus (EBV), Human herpes virus 6 (HHV-6), or JC virus (JCV).

    Time frame: Through Week 14

Secondary outcomes

  1. Average Number of Clinically Significant Infections or Episodes of End-Organ Disease Through Week 26

    The number of clinically significant infections or episodes of end-organ disease per participant due to AdV, BKV, CMV, EBV, HHV-6, or JCV.

    Time frame: Through Week 26

  2. Number of Participants With Clinically Significant Infections or Episodes of End-Organ Disease Due to Each Virus

    The number of participants with clinically significant infections or episodes of end-organ disease due to each of the following viruses: AdV, BKV, CMV, EBV, HHV-6, or JCV.

    Time frame: Through Week 14

07

Results

Posted May 16, 2024
Limitations and caveats
The Sponsor decided to discontinue the Phase 3 part of the trial on 22 Dec 2023 following a pre-planned DSMB futility analysis concluding the study was unlikely to meet its primary endpoint; no safety concerns were identified. Data was not collected for efficacy analyses at Week 26 as planned. Participants were monitored through Week 26 for safety analyses.

Participant flow

Participants at high risk for viral infection after allogeneic Hematopoietic Cell Transplant were enrolled in the Phase 3 portion of study P-105-202 between Mar 2022 and Jan 2024. The Phase 3 study was discontinued in Dec 2023 after futility analysis of the Primary Outcome Measure. No safety concerns were identified. The Phase 2 portion of study P-105-202 is reported under NCT number NCT04693637.

Participant flow — Overall Study
MilestonePosoleucel (ALVR105)Placebo
Started225226
Participants dosed (safety population)188189
Completed100101
Not completed125125
Withdrew: Not dosed3737
Withdrew: Study closure3446
Withdrew: Death1413
Withdrew: Withdrawal by subject1510
Withdrew: Other1310
Withdrew: Primary malignancy relapse34
Withdrew: Adverse event33
Withdrew: Lost to follow-up21
Withdrew: Graft versus host disease20
Withdrew: Investigator's decision11
Withdrew: Covid-19 reasons10

Outcome measures

PrimaryAverage Number of Clinically Significant Infections or Episodes of End-Organ Disease Through Week 14

The average number of clinically significant infections or episodes of end-organ disease per participant due to Adenovirus (AdV), BK virus (BKV), Cytomegalovirus (CMV), Epstein-Barr virus (EBV), Human herpes virus 6 (HHV-6), or JC virus (JCV).

Time frame:
Through Week 14
Reported as:
Mean · Infections/Episodes per participant
Average Number of Clinically Significant Infections or Episodes of End-Organ Disease Through Week 14
Infections/Episodes per participantPosoleucel (ALVR105)Placebo
Average Number of Clinically Significant Infections or Episodes of End-Organ Disease Through Week 140.2 ± 0.440.2 ± 0.42
Statistical analysis
  • Posoleucel (ALVR105) vs Placebo · ANCOVA · p = 0.5603 (1-sided p-value) · Mean difference (final values): 0.01 · 95% CI -0.09 to 0.10
SecondaryAverage Number of Clinically Significant Infections or Episodes of End-Organ Disease Through Week 26

The number of clinically significant infections or episodes of end-organ disease per participant due to AdV, BKV, CMV, EBV, HHV-6, or JCV.

Time frame:
Through Week 26

No measurements were reported for this outcome.

SecondaryNumber of Participants With Clinically Significant Infections or Episodes of End-Organ Disease Due to Each Virus

The number of participants with clinically significant infections or episodes of end-organ disease due to each of the following viruses: AdV, BKV, CMV, EBV, HHV-6, or JCV.

Time frame:
Through Week 14
Reported as:
Number · participants
Number of Participants With Clinically Significant Infections or Episodes of End-Organ Disease Due to Each Virus
participantsPosoleucel (ALVR105)Placebo
AdV32
BKV22
CMV1619
EBV106
HHV-600
JCV00

Adverse events

Collected over Day 1 through Week 26.. Non-serious events are listed at a 5% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Posoleucel (ALVR105)18/188 (9.6%)88/188 (46.8%)180/188 (95.7%)
Placebo19/189 (10.1%)86/189 (45.5%)184/189 (97.4%)
Most frequent serious events
Showing 10 of 167
Most frequent serious events
EventPosoleucel (ALVR105)Placebo
PyrexiaGeneral disorders4/18812/189
Graft versus host disease in gastrointestinal tractImmune system disorders7/1887/189
DiarrhoeaGastrointestinal disorders6/1884/189
Febrile neutropeniaBlood and lymphatic system disorders4/1886/189
Acute myeloid leukaemia recurrentNeoplasms benign, malignant and unspecified (incl cysts and polyps)1/1886/189
COVID-19Infections and infestations5/1884/189
SepsisInfections and infestations5/1882/189
Acute graft versus host disease in skinImmune system disorders4/1882/189
PneumoniaInfections and infestations4/1884/189
Acute kidney injuryRenal and urinary disorders4/1881/189
Most frequent other events
Showing 10 of 53
Most frequent other events
EventPosoleucel (ALVR105)Placebo
DiarrhoeaGastrointestinal disorders46/18837/189
NauseaGastrointestinal disorders36/18822/189
Acute graft versus host disease in skinImmune system disorders36/18827/189
PyrexiaGeneral disorders33/18836/189
Blood creatinine increasedInvestigations30/18822/189
CoughRespiratory, thoracic and mediastinal disorders30/18820/189
VomitingGastrointestinal disorders29/18821/189
AnaemiaBlood and lymphatic system disorders26/18824/189
Abdominal painGastrointestinal disorders25/18816/189
Graft versus host disease in gastrointestinal tractImmune system disorders24/18816/189

Baseline characteristics

Safety Population: included all participants who received at least one dose of posoleucel or placebo.

Age, Continuous
Age, Continuous(years)Posoleucel (ALVR105)PlaceboTotal
Median55.0 (1 to 77)53.0 (0 to 75)54.0 (0 to 77)
Sex: Female, Male
Sex: Female, Male(Participants)Posoleucel (ALVR105)PlaceboTotal
Female7866144
Male110123233
Ethnicity (NIH/OMB)
Ethnicity (NIH/OMB)(Participants)Posoleucel (ALVR105)PlaceboTotal
Hispanic or Latino132437
Not Hispanic or Latino143144287
Unknown or Not Reported322153
Race/Ethnicity, Customized
Race/Ethnicity, Customized(Participants)Posoleucel (ALVR105)PlaceboTotal
American Indian or Alaskan Native112
Asian252146
Black or African American7512
Native Hawaiian or Other Pacific Islander112
White118131249
Other9817
Unknown272249
08

Study locations

88 sites
  • University of Alabama at Birmingham Children's of Alabama
    Birmingham, Alabama 35233, United States
  • Honor Health Research Institute
    Scottsdale, Arizona 85258, United States
  • City of Hope
    Duarte, California 91010, United States
  • University of California, Los Angeles (UCLA)
    Los Angeles, California 90095, United States
  • Stanford University
    Palo Alto, California 94304, United States
  • University of California San Francisco - Benioff Children's Hospital
    San Francisco, California 94143, United States
  • University of Colorado Hospital
    Aurora, Colorado 80045, United States
  • Yale University School of Medicine - Yale Cancer Center
    New Haven, Connecticut 06520, United States
  • Childrens National Health System
    Washington, District of Columbia 20010, United States
  • University of Florida (UF) - Gainesville
    Gainesville, Florida 32610, United States
  • Moffitt Cancer Center
    Tampa, Florida 33612, United States
  • Northside Hospital
    Atlanta, Georgia 30342, United States
  • Loyola University Medical Center
    Maywood, Illinois 60153, United States
  • Indiana University Hospital Simon Comprehensive Cancer Center
    Indianapolis, Indiana 46202, United States
  • University of Kansas Hospital
    Kansas City, Kansas 66160, United States
  • University of Maryland
    Baltimore, Maryland 21201, United States
  • Dana-Farber Cancer Institute
    Boston, Massachusetts 02215, United States
  • University of Minnesota
    Minneapolis, Minnesota 55455, United States
  • Children's Mercy Hospital
    Kansas City, Missouri 64108, United States
  • Washington University School of Medicine
    Saint Louis, Missouri 63110, United States
  • Hackensack University Medical Center
    Hackensack, New Jersey 07601, United States
  • Roswell Park Cancer Institute
    Buffalo, New York 14263, United States
  • Columbia University
    New York, New York 10032, 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
  • Carolinas Medical Center/Levine
    Charlotte, North Carolina 28203, United States
  • Nationwide Children's Hospital
    Columbus, Ohio 43205, United States
  • Oregon Health & Science University
    Portland, Oregon 97239, United States
  • University of Pennsylvania
    Philadelphia, Pennsylvania 19104, United States
  • Children's Medical Center Dallas
    Dallas, Texas 75235, United States
  • University of Utah/Primary Childrens Hospital
    Salt Lake City, Utah 84113, United States
  • University of Virginia
    Charlottesville, Virginia 22908, United States
  • Virginia Commonwealth University
    Richmond, Virginia 23298, United States
  • Fred Hutchinson Cancer Research Center
    Seattle, Washington 98109, United States
  • Froedtert Hospital and the Medical College of Wisconsin
    Milwaukee, Wisconsin 53226, United States
  • Royal Adelaide Hospital
    Adelaide, Australia
  • Austin Health
    Heidelberg, Australia
  • Royal Brisbane and Women's Hospital
    Herston, Australia
  • Royal Melbourne Hospital
    Parkville, Australia
  • Queensland Children's Hospital
    South Brisbane, Australia
  • Westmead Hospital
    Westmead, Australia
  • A.Z. Sint-Jan Brugge Oostende AV
    Brugge, Belgium
  • Institut Jules Bordet and the Childrens Hospital
    Bruxelles, Belgium
  • University Hospital Gasthuisberg and Leuven
    Leuven, Belgium
  • Alberta Children's Hospital
    Calgary, Canada
  • Cellular Therapy Program - CHU Sainte-Justine (McGill)
    Montréal, Canada
  • Hopital Maisonneve Rosemont
    Montréal, Canada
  • The Hospital for Sick Children Blood & Marrow Transplant / Cellular Therapy Program
    Toronto, Canada
  • UHN Blood and Marrow Transplant (BMT) Program (Princess Margaret) Cancer Center
    Toronto, Canada
  • Leukemia/ BMT Program of British Columbia - Vancouver General Hospital
    Vancouver, Canada
  • Centre Hospitalier Regional Universitaire de Lille
    Lille, France
  • CHU de Nantes
    Nantes, France
  • AP-HP Hopital Saint-Louis
    Paris, France
  • Hopital Saint Antoine
    Paris, France
  • Hopital Universitaire Robert Debre
    Paris, France
  • Centre Hospitalier Lyon Sud
    Pierre-Bénite, France
  • IUCT-Oncopole
    Toulouse, France
  • Azienda Ospedaliero-Universitaria Careggi
    Firenze, Italy
  • Ospedale San Raffaele
    Milan, Italy
  • Fondazione I.R.C.C.S. Policlinico San Matteo
    Pavia, Italy
  • IRCSS Ospedale Pediatrico Bambino Gesu
    Roma, Italy
  • University of Sacred Heart Policlinico A. Gemelli
    Rome, Italy
  • Humanitas Cancer Center
    Rozzano, Italy
  • Azienda Ospedaliera Universitaria Integrata Verona (AOUI)
    Verona, Italy
  • Pusan National University Hospital
    Busan, Korea, Republic of
  • Chonnam National University Hwasun Hospital
    Hwasun, Korea, Republic of
  • Samsung Medical Center
    Seoul, Korea, Republic of
  • Seoul National University Hospital
    Seoul, Korea, Republic of
  • Seoul St. Mary's Hospital
    Seoul, Korea, Republic of
  • Severance Hospital, Yonsei University Health System
    Seoul, Korea, Republic of
  • Institut Catala d'Oncologia
    Barcelona, Spain
  • Hospital General Universitario Gregorio Maranon
    Madrid, Spain
  • Hospital Regional Universitario de Malaga
    Málaga, Spain
  • Hospital Universitari i Politecnic La Fe de Valencia
    Valencia, Spain
  • Acibadem Adana Hospital
    Adana, Turkey
  • Baskent Adana Hospital
    Adana, Turkey
  • Ankara Onkoloji Egitim Ve Arastirma Hastanesi
    Ankara, Turkey
  • Ankara University Hospital
    Ankara, Turkey
  • Gazi University Medical Faculty Hospital
    Ankara, Turkey
  • Medical Park Hospital
    Antalya, Turkey
  • Ege University Medical Faculty
    Izmir, Turkey
  • Anadolu Medical Center Hospital
    Kocaeli, Turkey
  • Inonu University Turgut Özal Medical Centre
    Malatya, Turkey
  • Bristol Haematology and Oncology Centre
    Bristol, United Kingdom
  • University Hospitals Bristol - Bristol Hospital for Children
    Bristol, United Kingdom
  • Addenbrooke's Hospital
    Cambridge, United Kingdom
  • Queen Elizabeth University Hospital - Glasgow
    Glasgow, United Kingdom
  • Great Ormond Street Hospital for Children
    London, United Kingdom
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 ↗

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 2022 to primary completion in Jan 2024, 22 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
Mar 22, 2022
First posted
Mar 31, 2022
StartActual
Mar 24, 2022
Primary completionActual
Jan 30, 2024
CompletionActual
Jan 30, 2024
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
NCT05305040
Lead sponsor
AlloVir
Responsible party
Sponsor
First posted
Mar 31, 2022
Start date
Mar 24, 2022
Primary completion
Jan 30, 2024
Completion
Jan 30, 2024
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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This study is terminated, as verified in Apr 2024. You cannot join it, but the record below documents what was studied.

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Discussion

Questions and observations about this study, from anyone following it. Not medical advice, and not a channel to the study team — their contact details are on the registry record.

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Studies of the drug tested here: Posoleucel

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