ClinicalTrials.gg
RecruitingNCT07020533Updated Oct 23, 2026

A Vaccine (CMV-MVA Triplex Vaccine) for the Enhancement of CMV-Specific Immunity and the Prevention of CMV Viremia in Patients Undergoing Haploidentical Hematopoietic Stem Cell Transplant

A Phase 1 interventional study of Biospecimen Collection and Electronic Health Record Review in Accelerated Phase Chronic Myeloid Leukemia, BCR-ABL1 Positive, Acute Lymphoblastic Leukemia and Acute Myeloid Leukemia, sponsored by City of Hope Medical Center. Recruiting at 3 sites in United States. Open to participants aged 18 Years to 75 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2026-10-23.

Primary conditionPrecursor Cell Lymphoblastic Leukemia-LymphomaRegistry: Leukemia, Myeloid, Accelerated PhaseReclassifiedWhy we changed it
Registry
Leukemia, Myeloid, Accelerated Phase — the first condition term the registry derived for this study.
ClinicalTrials.gg
Precursor Cell Lymphoblastic Leukemia-Lymphoma
Why
  1. Leukemia, Myeloid, Accelerated Phase is a broad heading, used only when no more specific condition is named.
  2. The study's listed conditions name Precursor Cell Lymphoblastic Leukemia-Lymphoma.
Confidence
High: the new condition is named in the study's own listed conditions. Of 351 hand-checked studies reclassified this way, 68% were exactly right and 84% in the right disease family; the registry's first term was right for 5% (measured 2026-10-21). How we classify →
Wrong?
Tell us the study's main condition →

Sponsored by City of Hope Medical Center · Phase 1, Interventional, and Prevention

From the registry’s dates

  • Started Sep 2026; still recruiting 2 months later.
Updated Oct 23, 2026Start date movedPrimary completion moved+1 moreGo to Updates ↓
Phase
Phase 1
Study type
Interventional
Enrollment
46
Allocation
Non-randomized
Ages
18 Years to 75 Years
Sex
All
01

Study summary

This phase Ib trial tests the safety, side effects, and how well cytomegalovirus (CMV)-modified vaccinia Ankara (MVA) Triplex vaccine works in enhancing CMV-specific immunity and preventing CMV viremia in patients undergoing haploidentical hematopoietic stem cell transplant. Haploidentical stem cell transplantation (haploHCT) has advanced to become the predominant procedure for patients lacking a matched donor. Compared to matched related donor transplants, the rate of significant CMV infection is higher in patients undergoing a haploHCT. Significant CMV infection is associated with an increased risk of complications and death. Vaccination is the main preventative approach to limit complications and death in immunocompromised patients at high risk of post-stem cell transplant infections. CMV-MVA Triplex vaccine, is a CMV vaccine based on the attenuated poxvirus, modified vaccinia Ankara (MVA), developed to enhance CMV-specific immunity in both healthy stem cell transplant donors and stem cell transplant patients to prevent significant CMV infection post-stem cell transplant. Giving CMV-MVA triplex vaccine may be safe, tolerable and/or effective in enhancing cytomegalovirus (CMV)-specific immunity and preventing CMV viremia in patients undergoing a haploHCT.

Read the detailed description

PRIMARY OBJECTIVE:

I. To evaluate whether the multi-peptide cytomegalovirus-modified vaccinia Ankara vaccine (CMV-MVA Triplex [Triplex]) vaccination of stem cell donors (D) and recipients (R) alone or in combination with letermovir safely protects against CMV events for day (d)100 in the absence of preemptive therapy (PET) and to determine the recommended duration of letermovir use as phase 2 modality in the haploidentical stem cell transplantation (haploHCT)-R.

SECONDARY OBJECTIVES:

I. To evaluate safety of Triplex in the haploHCT-R. II. To evaluate cumulative incidence of CMV events up to d180 post-hematopoietic stem cell transplant (HCT).

III. To evaluate CMV viremia levels over time in the HCT-R. IV. To evaluate cumulative incidence of CMV disease. V. To evaluate use of PET by the HCT-R.

EXPLORATORY OBJECTIVES:

I. To assess levels and durability of CMV specific T cell immunity. II. To assess polyfunctional T cell responses and cell-surface memory markers until d180 post-HCT.

OUTLINE:

DONORS: Participants receive CMV-MVA Triplex vaccine intramuscularly (IM) once and then receive granulocyte colony stimulating factor (G-CSF) on study. Additionally, participants undergo apheresis on study as well as blood sample collection on study and may optionally undergo blood sample collection during follow up.

RECIPIENTS: Patients are assigned to 1 of 3 modalities.

MODALITY 1: Patients receive myeloablative conditioning during screening and undergo HCT from haploidentical vaccinated donor on day 0. Patients receive CMV-MVA Triplex vaccine IM once daily (QD) on days 28, 56 and 100 and receive letermovir intravenously (IV) over 1 hour or orally (PO) QD on days 7 to 100. Treatment continues in the absence of disease progression or unacceptable toxicity. Additionally, patients undergo blood sample collection throughout the study.

MODALITY 2: Patients receive myeloablative conditioning during screening and undergo HCT from haploidentical vaccinated donor on day 0. Patients receive CMV-MVA Triplex vaccine IM QD on days 28, 56 and 100 and receive letermovir IV over 1 hour or PO QD on days 7 to 28. Treatment continues in the absence of disease progression or unacceptable toxicity. Additionally, patients undergo blood sample collection throughout the study.

MODALITY 3: Patients receive myeloablative conditioning during screening and undergo HCT from haploidentical vaccinated donor on day 0. Patients receive CMV-MVA Triplex vaccine IM QD on days 28, 56 and 100. Treatment continues in the absence of disease progression or unacceptable toxicity. Additionally, patients undergo blood sample collection throughout the study.

After completion of study treatment, patients are followed up every 2 weeks until day 180 and then at day 365.

02

Conditions studied

  • Accelerated Phase Chronic Myeloid Leukemia, BCR-ABL1 Positive
  • Acute Lymphoblastic Leukemia
  • Acute Myeloid Leukemia
  • Chronic Lymphocytic Leukemia
  • Chronic Phase Chronic Myeloid Leukemia, BCR-ABL1 Positive
  • Hematopoietic and Lymphatic System Neoplasm
  • Hodgkin Lymphoma
  • Lymphoblastic Lymphoma
  • Myelodysplastic Syndrome
  • Myelofibrosis
  • Myeloproliferative Neoplasm
  • Non-Hodgkin Lymphoma
03

In context

Precursor Cell Lymphoblastic Leukemia-Lymphoma Reclassified

2,584 studies on the registry are indexed under Precursor Cell Lymphoblastic Leukemia-Lymphoma; 473 are open to participants now.

This study's planned enrollment of 46 is above the median of 40 across 1,952 interventional studies indexed under Precursor Cell Lymphoblastic Leukemia-Lymphoma.

Browse Precursor Cell Lymphoblastic Leukemia-Lymphoma studies →

Lead sponsor

City of Hope Medical Center is the lead sponsor of 677 studies on the registry; 181 are open to participants now.

Of its 31 completed or terminated interventional studies of FDA-regulated products, 12 (39%) have results posted.

Compared within Precursor Cell Lymphoblastic Leukemia-Lymphoma, this study's primary condition as ClinicalTrials.gg classifies it; the registry's first condition term is Leukemia, Myeloid, Accelerated Phase. The counts are of registry records indexed under each term, refreshed daily. How we classify →

04

Who can participate

Ages eligible
18 Years to 75 Years
Sexes eligible
All
Accepts healthy volunteers
Yes

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

  • DONORS: Documented of the participant. This can be done in person or informed consent can be obtained remotely.

    • Remote consent, when appropriate, will be obtained per institutional guidelines.
    • Assent, when appropriate, will be obtained per institutional guidelines.
    • Adult subjects who require a legally authorized representative (LAR) will not be permitted to be enrolled under this protocol.
  • DONORS: Age: 18 - 75.
  • DONORS: Women of (WOCBP): negative urine or serum pregnancy test. If the urine test is positive or cannot be confirmed as negative, a serum pregnancy test will be required.
  • DONORS: Agreement by females and males of childbearing potential* to use an effective method of (hormonal or barrier method) or abstain from heterosexual activity prior to study entry and for up to 90 days post-vaccination.

    • Childbearing potential defined as not being surgically sterilized (men and women) or have not been free from menses for > 1 year (women only).
  • RECIPIENTS: Documented informed consent of the participant and/or legally authorized representative. This can be done in person or informed consent can be obtained remotely.

    • Remote consent, when appropriate, will be obtained per institutional guidelines.
    • Assent, when appropriate, will be obtained per institutional guidelines.
    • Adult subjects who require a legally authorized representative (LAR) will not be permitted to be enrolled under this protocol.
  • RECIPIENTS: Participant must be willing to comply with study and/or follow-up procedures, including willingness to be followed for one year post-HCT.
  • RECIPIENTS: Age: 18 - 75.
  • RECIPIENTS: Planned peripheral blood stem cell (PBSC) or bone marrow (BM) HCT for the treatment of the following hematologic :

    • Lymphoma (Hodgkin and Non-Hodgkin).
    • Myelodysplastic syndrome.
    • Acute lymphoblastic leukemia in first or second remission (for acute lymphoblastic leukemia/lymphoblastic lymphoma, the disease status must be in hematologic remission by bone marrow and peripheral blood. Persistent lymphadenopathy on computed tomography (CT) or CT/positron emission tomography(PET) scan without progression is allowed.)
    • Acute myeloid leukemia in first or second remission.
    • Chronic myelogenous leukemia in first chronic or accelerated phase, or in second chronic phase.
    • Other hematologic malignancies judged appropriate by the clinical principal investigators (PIs), including chronic lymphocytic leukemia, myeloproliferative disorders and myelofibrosis. Patients with multiple myeloma and those with non-malignant disease such as aplastic anemia are excluded**.

      • Adult cases of multiple myeloma (MM) are excluded as HCT is not standard of care for MM and is only performed in very advanced cases with an associated high risk of relapse and non-relapse mortality (NRM). Adults with aplastic anemia are excluded because their standard management includes T cell depletion with agents such as antithymocyte globulin (ATG), which is not permissible on this protocol. Patients undergoing a second haploHCT are not eligible (patients who have undergone a previous HCT are eligible).
  • RECIPIENTS: Patients receiving myeloablative (MA) or reduced intensity conditioning (RIC) are allowed.
  • RECIPIENTS: CMV seropositive.
  • RECIPIENTS: Eligible haploidentical donors will have 2-4 mismatches if human leukocyte antigen (HLA)-A, -B, -C, and -DRB1 typing is used; 2-5 mismatches if HLA-A, -B, -C, -DRB1, and -DQB1 typing is used; and 2-6 mismatches if HLA-A, -B, -C, -DRB1, -DQB1, and -DPB1 typing is used. A unidirectional mismatch in either the graft versus host or host versus graft direction is considered a mismatch. The donor and recipient must demonstrate that they are a full haplotype match by being identical at a minimum of one allele (at high resolution deoxyribonucleic acid [DNA]-based typing) at the following genetic loci: HLA-A, -B, -C, and DRB1 if 8 allele typing is used; HLA-A, -B, -C, -DRB1, and -DQB1 if 10 allele typing is used; and HLA-A, -B, -C, -DRB1-, DQB1, and -DPB1 is 12 allele typing is used.
  • RECIPIENTS: Planned HCT with minimal to no-T cell depletion of graft.
  • RECIPIENTS: Conditioning and regimens according to institutional guidelines are permitted.
  • RECIPIENTS: Total ≤ 1.5 X (ULN) (unless has Gilbert's disease) (to be performed within 45 days prior to day 1 of protocol therapy).
  • RECIPIENTS: (AST) =\< 2.5 x ULN (to be performed within 45 days prior to day 1 of protocol therapy).
  • RECIPIENTS: Alanine aminotransferase (ALT) =\< 2.5 x ULN (to be performed within 45 days prior to day 1 of protocol therapy).
  • RECIPIENTS: Estimated acceptable per institutional guidelines (to be performed within 45 days prior to day 1 of protocol therapy).
  • RECIPIENTS: (LVEF) ≥ 50%.

    • Note: To be performed within 45 days prior to day 1 of protocol therapy.
  • RECIPIENTS: If able to perform pulmonary function tests: (FEV1), forced vital capacity (FVC) and carbon monoxide diffusing capability (DLCO) (diffusion capacity) ≥ 50% of predicted (corrected for ).

    • If unable to perform pulmonary function tests: Oxygen (O2) saturation > 92% on room air.
    • Note to be performed within 45 days prior to day 1 of protocol therapy.
  • RECIPIENTS: Seronegative for antigen (Ag)/antibody (Ab) combination (combo), virus (HCV)*, active virus (HBV) (surface antigen negative) and syphilis (RPR) within 2 months of registration and no history of disseminated cutaneous human papillomavirus (HPV) related disease.

    • If seropositive for HIV, HCV or HBV, nucleic acid quantitation must be performed. Viral load must be undetectable.
  • RECIPIENTS: Meets other institutional and federal requirements for infectious disease titer requirements.

    • Note Infectious disease testing to be performed within 45 days prior to day 1 of protocol therapy.
  • RECIPIENTS: Women of childbearing potential (WOCBP): negative urine or serum pregnancy test. If the urine test is positive or cannot be confirmed as negative, a serum pregnancy test will be required (to be performed within 45 days prior to day 1 of protocol therapy).
  • RECIPIENTS: Agreement by females and males of childbearing potential* to use an effective method of birth control (hormonal or barrier method) or abstain from heterosexual activity prior to study entry and up to 90 days post-HCT.

    • Childbearing potential defined as not being surgically sterilized (men and women) or have not been free from menses for > 1 year (women only).

Exclusion criteria

Exclusion Criteria:

  • DONORS: Any prior transplant to day 1 of protocol therapy (day 1 defined as the day after donors receive the Triplex vaccine).
  • DONORS: Chemotherapy, radiation therapy, biological therapy, immunotherapy within 21 days prior to day 1 of protocol therapy.
  • DONORS: Receipt of any vaccine (licensed or ) within 30 days prior to and after the study vaccine.
  • DONORS: Unfit to undergo standard stem cell mobilization and apheresis e.g. abnormal blood counts, history of stroke, uncontrolled hypertension.
  • DONORS: Sickling hemoglobinopathy including (Hb)SS, HbAS, HbSC.
  • DONORS: Donors with impaired cardiac function are excluded. Electrocardiography is routine for potential HCT donors over 60 years old and those with a history of heart disease. Subjects in whom cardiac function is abnormal (excluding 1st degree branch block, sinus bradycardia, sinus tachycardia or non-specific T wave changes) are ineligible for Triplex vaccination.
  • DONORS: Severe psychiatric illness. Mental deficiency sufficiently severe as to make compliance with the donation procedure unlikely and making impossible.
  • DONORS: Females only: Pregnant or breastfeeding.
  • DONORS: Any other condition that would, in the investigator's judgment, contraindicate the patient's participation in the clinical study due to safety concerns with clinical study procedures.
  • DONORS: Prospective participants who, in the opinion of the investigator, may not be able to comply with all study procedures (including compliance issues related to feasibility/logistics).
  • RECIPIENTS: Any prior investigational CMV vaccine.
  • RECIPIENTS: Experimental anti-CMV chemotherapy in the last 6 months.
  • RECIPIENTS: (planned medications from the time of HCT to day 70 post-HCT).
  • RECIPIENTS: Medically indicated subunit (Engerix-B for ; Gardasil for HPV) or killed vaccines (e.g. influenza, pneumococcal, or allergy treatment with antigen injections) (planned medications from the time of HCT to day 70 post-HCT).
  • RECIPIENTS: Allergy treatment with antigen injections (planned medications from the time of HCT to day 70 post-HCT).
  • RECIPIENTS: Alemtuzumab or any equivalent in vivo T-cell depleting agent (or CD34+ selection) (planned medications from the time of HCT to day 70 post-HCT).
  • RECIPIENTS: Antiviral medications with known therapeutic effects on CMV such as ganciclovir (GCV)/valganciclovir (VAL), foscarnet (FOS), cidofovir, CMX-001, maribavir. Acyclovir has no known therapeutic efficacy against CMV and is allowable as standard of care to prevent herpes simplex virus (HSV) (planned medications from the time of HCT to day 70 post-HCT).
  • RECIPIENTS: Prophylactic therapy with CMV immunoglobulin or prophylactic antiviral CMV treatment EXCEPT letermovir prophylaxis (prior to day 100) (planned medications from the time of HCT to day 70 post-HCT).
  • RECIPIENTS: Disease-based radiation therapy (not total body irradiation) (planned medications from the time of HCT to day 70 post-HCT).
  • RECIPIENTS: Other investigational product(s) - concurrent enrollment in other clinical trials using any investigational new drug (IND) drugs with unknown effects on CMV or with unknown toxicity profiles is prohibited (planned medications from the time of HCT to day 70 post-HCT).
  • RECIPIENTS: Other medications that might interfere with the evaluation of the investigational product (planned medications from the time of HCT to day 70 post-HCT).
  • RECIPIENTS: Patients with active conditions requiring systemic therapy within the previous 5 years.
  • RECIPIENTS: Patients considered by PI/consenting physicians to have a complicated prior therapy or HCT regimen, or who have a low survival probability (e.g., leukemia and/or undergoing 2nd HCT).
  • RECIPIENTS: Poor risk disease/disease status including: Chronic myelogenous leukemia (CML) in blast crisis, acute myeloid leukemia (AML)/acute lymphoblastic leukemia (ALL) beyond 2nd remission, multiple myeloma, and aplastic anemia.
  • RECIPIENTS: Females only: Pregnant or breastfeeding.
  • RECIPIENTS: Any other condition that would, in the investigator's judgment, contraindicate the patient's participation in the clinical study due to safety concerns with clinical study procedures.
  • RECIPIENTS: Prospective participants who, in the opinion of the investigator, may not be able to comply with all study procedures (including compliance issues related to feasibility/logistics).
Terms in these criteria, in plain language(20)

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.

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.

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.

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.

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.

Bilirubin

A yellow substance made when red blood cells are broken down, which the liver clears. A high level can mean a problem with the liver or the bile ducts.

Criteria often allow more for people with Gilbert’s syndrome, a harmless inherited condition that raises bilirubin.

ULN (upper limit of normal)

The top of the normal range for a blood test, as set by the laboratory that runs it. Each lab prints its own range next to your result.

“≤ 2.5 × ULN” means the result can be up to two and a half times that top value.

ALT and AST (liver enzymes)

Two enzymes measured in a routine blood test of the liver. Higher levels can mean the liver is under strain or damaged. SGPT and SGOT are older names for ALT and AST.

Criteria usually give a limit as a multiple of the upper limit of normal (ULN), often higher when cancer has spread to the liver.

Creatinine clearance (CrCl)

How quickly the kidneys clear creatinine, a waste product, from the blood. A study may estimate it from a blood test with age, weight and sex (often by the Cockcroft–Gault formula), or measure it using blood and urine collected over a set time. Given in mL/min; higher is better.

LVEF (left ventricular ejection fraction)

The share of blood the heart’s main pumping chamber (the left ventricle) pushes out with each beat, measured by an echocardiogram (heart ultrasound) or a MUGA scan. About 50–70% is normal.

FEV1

From a breathing test (spirometry): how much air you can blow out in the first second. Often given as a percentage of what is expected for your age, height and sex.

Hemoglobin (Hb)

The protein in red blood cells that carries oxygen. A low level is anaemia, which can cause tiredness and breathlessness. Measured in g/dL or g/L (9 g/dL is 90 g/L).

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.

Hepatitis C tests

Hepatitis C is a virus that infects the liver. An HCV antibody test can stay positive after an infection has cleared (and is occasionally positive without one); an HCV RNA test shows whether the virus is there now.

After treatment, hepatitis C counts as cured when HCV RNA is still undetectable 12 weeks or more after the treatment ended. Studies often accept people cured this way.

Hepatitis B tests

Hepatitis B is a virus that infects the liver. These are separate tests: HBsAg positive usually means a current infection (a recent vaccination can briefly cause it too); total anti-HBc (HBcAb) positive means an infection now or in the past; HBV DNA measures how much virus is in the blood.

Some studies accept a past infection if HBV DNA is undetectable, sometimes with antiviral medicine during the study. Check what this study allows.

Investigational drug or device

A drug or device being studied in a clinical trial.

It may be new, or already approved and being studied for another use, dose or form. Criteria often leave out people who took part in another study of one within a recent period, commonly 30 days or five half-lives.

Live vaccines

Vaccines made with a weakened form of the germ, such as measles–mumps–rubella (MMR), chickenpox and yellow fever. They can be risky when the immune system is weakened. Flu injections are not live; the nasal flu spray is.

Autoimmune disease

A condition in which the immune system attacks the body’s own tissues, such as rheumatoid arthritis, lupus, psoriasis, type 1 diabetes or inflammatory bowel disease.

Immunotherapy studies often leave out active autoimmune disease, and some name exceptions, such as thyroid disease on replacement hormone. Check the exceptions this study lists.

Relapsed and refractory

Relapsed: the illness came back after treatment had worked. Refractory: it did not respond to treatment, or stopped responding while still on it.

05

Study design

Phase
Phase 1
Primary purpose
Prevention
Allocation
Non-randomized
Intervention model
Sequential assignment
Masking
None (open label)
Enrollment
46 participants (estimated)

Study arms

  • Experimental
    Donors (CMV-MVA Triplex vaccine, G-CSF)

    Participants receive CMV-MVA Triplex vaccine IM once and then receive G-CSF on study. Additionally, participants undergo apheresis on study as well as blood sample collection on study and may optionally undergo blood sample collection during follow up.

    Procedure: Biospecimen Collection · Biological: Multi-peptide CMV-Modified Vaccinia Ankara Vaccine · Procedure: Pheresis · Biological: Recombinant Granulocyte Colony-Stimulating Factor

  • Experimental
    Recipients, Modality 1 (CMV-MVA Triplex vaccine, letermovir)

    Patients receive myeloablative conditioning during screening and undergo HCT from haploidentical vaccinated donor on day 0. Patients receive CMV-MVA Triplex vaccine IM QD on days 28, 56 and 100 and receive letermovir IV over 1 hour or PO QD on days 7 to 100. Treatment continues in the absence of disease progression or unacceptable toxicity. Additionally, patients undergo blood sample collection throughout the study.

    Procedure: Biospecimen Collection · Other: Electronic Health Record Review · Procedure: Haploidentical Hematopoietic Cell Transplantation · Drug: Letermovir · Biological: Multi-peptide CMV-Modified Vaccinia Ankara Vaccine · Procedure: Myeloablative Conditioning

  • Experimental
    Recipients, Modality 2 (CMV-MVA Triplex vaccine, letermovir)

    Patients receive myeloablative conditioning during screening and undergo HCT from haploidentical vaccinated donor on day 0. Patients receive CMV-MVA Triplex vaccine IM QD on days 28, 56 and 100 and receive letermovir IV over 1 hour or PO QD on days 7 to 28. Treatment continues in the absence of disease progression or unacceptable toxicity. Additionally, patients undergo blood sample collection throughout the study.

    Procedure: Biospecimen Collection · Other: Electronic Health Record Review · Procedure: Haploidentical Hematopoietic Cell Transplantation · Drug: Letermovir · Biological: Multi-peptide CMV-Modified Vaccinia Ankara Vaccine · Procedure: Myeloablative Conditioning

  • Experimental
    Recipients, Modality 3 (CMV-MVA Triplex vaccine)

    Patients receive myeloablative conditioning during screening and undergo HCT from haploidentical vaccinated donor on day 0. Patients receive CMV-MVA Triplex vaccine IM QD on days 28, 56 and 100. Treatment continues in the absence of disease progression or unacceptable toxicity. Additionally, patients undergo blood sample collection throughout the study.

    Procedure: Biospecimen Collection · Other: Electronic Health Record Review · Procedure: Haploidentical Hematopoietic Cell Transplantation · Biological: Multi-peptide CMV-Modified Vaccinia Ankara Vaccine · Procedure: Myeloablative Conditioning

Interventions

  • ProcedureBiospecimen Collection

    Undergo blood sample collection

    Also known as: Biological Sample Collection, Biospecimen Collected, Specimen Collection

  • OtherElectronic Health Record Review

    Ancillary studies

  • ProcedureHaploidentical Hematopoietic Cell Transplantation

    Undergo HCT

    Also known as: Haploidentical Stem Cell Transplantation, HLA-Haploidentical Hematopoietic Cell Transplantation, Stem Cell Transplantation, Haploidentical

  • Given IV or PO

    Also known as: 2-((4S)-8-Fluoro-2-(4-(3-methoxyphenyl)piperazin-1-yl)-3-(2-methoxy-5-(trifluoromethyl)phenyl)-4H-quinazolin-4-yl)acetic Acid, AIC246, MK-8228, Prevymis

  • Given IM

    Also known as: CMV-MVA Triplex Vaccine, Multi-antigen CMV-Modified Vaccinia Ankara Vaccine

  • ProcedureMyeloablative Conditioning

    Receive myeloablative conditioning

    Also known as: Myeloablation, Myeloablative, Myeloablative Cytoreduction

  • ProcedurePheresis

    Undergo apheresis

    Also known as: Apheresed, Apheresis, Blood Component Removal, Collection, Apheresis/Leukapheresis, Hemapheresis

  • Given G-CSF

    Also known as: Recombinant Colony-Stimulating Factor 3, rhG-CSF

06

What researchers measure

Primary outcomes

  1. Cytomegalovirus (CMV) reactivation prompting antiviral therapy

    Will evaluate for CMV reactivation prompting antiviral therapy. Will be evaluated in patients that received a stem cell infusion from a Triplex vaccinated haploidentical donor and received the first Triplex vaccination.

    Time frame: From day 0 to day 100 post-hematopoietic stem cell transplant (HCT)

  2. CMV disease

    Will evaluate for CMV disease based on histology. Will be evaluated in patients that received a stem cell infusion from a Triplex vaccinated haploidentical donor and received the first Triplex vaccination.

    Time frame: From day 0 to day 100 post-HCT

Secondary outcomes

  1. Unacceptable toxicity

    Will evaluate for grade 3-4 adverse events based on Common Terminology Criteria for Adverse Events version 5.0 probably or definitely attributable to vaccination in both recipients and donors. Descriptive statistics will be used to summarize recipients and donor adverse events.

    Time frame: Up to 28 days after the last Triplex vaccination

  2. Serious adverse events (SAE)

    Will evaluate for SAEs that are at least possibly related to Triplex vaccination in donors.

    Time frame: Up to 365 days after Triplex vaccination

  3. Incidence of acute graft-versus-host disease (GVHD)

    Will evaluate for grade 3-4 acute GVHD. Documented/biopsy proven acute GVHD is graded according to Mount Sinai Acute GVHD International Consortium (MAGIC) grading. Cumulative incidence curves will be used to estimate acute GVHD.

    Time frame: Up to day 180 post-HCT

  4. Non-relapse mortality (NRM)

    Will evaluate occurrence of NRM. Cumulative incidence curves will be used to estimate NRM.

    Time frame: From HCT to death from other causes than disease relapse or progression, assessed up to day 180 post-HCT

  5. CMV events

    Will evaluate for CMV events. Death or relapse/progression prior to day 180 post-HCT will be counted as competing risk events. Patients who are alive and free of CMV events and relapse/progression at the last follow-up or day 180 post-HCT, whichever comes first, will be censored. Cumulative incidence curves will be used to estimate CMV events.

    Time frame: Up to day 180 post-HCT

  6. CMV viremia

    Will evaluate for CMV viremia. Cumulative incidence curves will be used to estimate CMV viremia.

    Time frame: From HCT to the date of two consecutive CMV quantitative polymerase chain reaction (qPCR) > 500 gc/mL/465 IU/mL, single event of CMV qPCR > 1500 CMV gc/mL/1,395 IU/mL, or CMV disease, whichever occurs first, assessed up to day 180 post-HCT

  7. Incidence of late CMV viremia

    Will evaluate for incidence of late CMV viremia. Cumulative incidence curves will be used to estimate CMV viremia.

    Time frame: From HCT to the date of two consecutive CMV qPCR > 500 gc/mL/465 IU/mL, single event of CMV qPCR > 1500 CMV gc/mL/1,395 IU/mL, or CMV disease, whichever occurs first, assessed from day 100 to day 365 post-HCT

  8. Neutrophil engraftment

    Will evaluate time to neutrophil engraftment.

    Time frame: From HCT to the first of 3 consecutive days with neutrophil count ≥ 0.5 X 10^3/uL

  9. Platelet engraftment

    Will evaluate time to platelet engraftment.

    Time frame: From HCT to the first day of platelet count ≥ 20 X 10^3/uL independent of platelet transfusion support (date should reflect no transfusions in previous 7 days, and the first of 3 consecutive lab values on different days)

  10. Incidence of severe acute GVHD

    Will evaluate for grade 2-4 acute GVHD. Documented/biopsy proven acute GVHD is graded according to MAGIC grading. Cumulative incidence curves will be used to estimate acute GVHD.

    Time frame: Up to day 180 post-HCT

  11. Incidence of severe chronic GVHD

    Will evaluate sever chronic GVHD. Documented/biopsy proven chronic GVHD is scored according to National Institutes of Health consensus staging. Cumulative incidence curves will be used to estimate chronic GVHD.

    Time frame: Up to day 180 post-HCT

  12. NRM

    Will evaluate occurrence of NRM. Cumulative incidence curves will be used to estimate NRM.

    Time frame: From HCT to death from other causes than disease relapse or progression, assessed up to day 365 post-HCT

  13. Relapse

    Will evaluate time to relapse. NRM is the competing risks event. Cumulative incidence curves will be used to estimate relapse.

    Time frame: From HCT to the first observation of disease relapse or progression, assessed up to day 365 post-HCT

  14. Overall survival (OS)

    Will evaluate OS. OS is censored at the last follow-up if the last known status is alive. Kaplan-Meier curves will be used to estimate OS.

    Time frame: From HCT to the date of death regardless of cause, assessed up to day 365 post-HCT

  15. CMV-specific T cell immunity

    Will evaluate levels and kinetics of CMV-specific T cell immunity, combined with immunophenotyping and functional studies. Repeated measures analysis of variance analyses will be used for immunological functions over time.

    Time frame: Up to day 365 post-HCT

07

Study locations

3 of 3 sites recruiting
08

Timeline

1 registry update since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedDate before it movedWhere the date was before it movedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Started Sep 2026 (actual). Primary completion is estimated for Feb 2030, 41 months after the start.

Of 158 non-industry phase 1 interventional studies under Precursor Cell Lymphoblastic Leukemia-Lymphoma, half reached primary completion within 57 months of starting (the median), counting those still running; a quarter within 38 and three quarters within 92. This study's planned 41 months is below that.

Counting every sponsor, half of 208 studies reached it within 55 months; a quarter within 34 and three quarters within 90.

Since we started tracking on Sep 25, 2026, the dates moved once, on Oct 23, 2026: start May 2026 → Sep 2026, primary completion May 2028 → Feb 2030 and completion May 2029 → Feb 2030.

Earlier changes are on the record history on ClinicalTrials.gov ↗

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

Registered
Jun 6, 2025
First posted
Jun 13, 2025
StartActual
Sep 9, 2026was May 2026
Primary completionEst.
Feb 14, 2030was May 2028
CompletionEst.
Feb 14, 2030was May 2029
Last update
Oct 23, 2026
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.
Start date
May 8, 2026→Sep 9, 2026
Oct 23, 2026
Primary completion
May 30, 2028→Feb 14, 2030
Oct 23, 2026
Study completion
May 30, 2029→Feb 14, 2030
Oct 23, 2026
Show all 1 update
  1. Oct 23, 2026
    Start date May 8, 2026→Sep 9, 2026
    Primary completion May 30, 2028→Feb 14, 2030
    Study completion May 30, 2029→Feb 14, 2030
    + 1 other change: verification date

From the registry record's own update history. This site started tracking changes on Sep 25, 2026; for anything earlier, see the record history on ClinicalTrials.gov ↗

09

Registry details

Key details

Study ID
NCT07020533
Responsible party
Sponsor
First posted
Jun 13, 2025
Start date
Sep 9, 2026
Primary completion
Feb 14, 2030 (estimated)
Completion
Feb 14, 2030 (estimated)
Last update
Oct 23, 2026

Study contacts

Ryotaro Nakamura
principal investigator · City of Hope Medical Center

Oversight

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

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No contact was published for this record. The registry link below has the sponsor’s details.

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