ClinicalTrials.gg
RecruitingNCT07225972Updated Sep 11, 2026

Phase 3 Randomized Trial for Refractory ADV or CMV Infection With Family Matched CTLs and Standard of Care (SOC) vs SOC Alone

A Phase 3 interventional study of Standard of Care Antiviral medications and Viral CTLs in CMV, AdV Infection and AdV Reactivation, sponsored by New York Medical College. Recruiting at 2 sites in United States. Open to participants aged 1 Day to 30 Years. Per ClinicalTrials.gov, last updated 2026-09-11.

Sponsored by New York Medical College · Phase 3, Interventional, and Treatment

From the registry’s dates

  • Started Sep 2026; still recruiting 2 months later.
Phase
Phase 3
Study type
Interventional
Enrollment
138
Allocation
Randomized
Ages
1 Day to 30 Years
Sex
All
01

Study summary

Patients with refractory ADV or CMV infection post allogeneic stem cell transplant will be randomized to either Family donor-derived viral specific cytotoxic T lymphocytes (CTLs) plus standard of care (SOC) vs SOC alone.

Read the detailed description

We hypothesize that Family donor-derived viral specific cytotoxic T lymphocytes (CTLs) manufactured by direct selection utilizing the CliniMACS Prodigy® and Cytokine Capture System® plus standard of care (SOC) vs SOC alone in children, adolescents and young adults (CAYA) following allogeneic hematopoietic stem cell transplantation (HSCT) with medically refractory viral infection/viremia and/or intolerant or resistant to anti-viral antibiotic therapy will be associated with a significantly improved probability of Day +100 (time of onset on study) viral progression free survival (VPFS).

02

Conditions studied

  • CMV
  • AdV Infection
  • AdV Reactivation
  • Adenovirus
  • Cytomegalovirus Infections

Keywords

  • CMV infection
  • ADV Infection
  • cytomegalovirus
  • adenovirus
03

In context

Adenoviridae Infections

136 studies on the registry are indexed under Adenoviridae Infections; 34 are open to participants now.

This study's planned enrollment of 138 is above the median of 30 across 109 interventional studies indexed under Adenoviridae Infections.

Browse Adenoviridae Infections studies →

Lead sponsor

New York Medical College is the lead sponsor of 71 studies on the registry; 24 are open to participants now.

Of its 6 completed or terminated interventional studies of FDA-regulated products, 0 (0%) have results posted.

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

04

Who can participate

Ages eligible
1 Day to 30 Years
Sexes eligible
All
Accepts healthy volunteers
No

Eligibility criteria

Patient Eligibility Cohort 1 (ADV) -Patients with ADV viremia (Cohort 1) post AlloHSCT with one or more of the following: Increasing or persistent ADV RT-PCR DNA (> 1000 ADV PCR copies) after 7 days of appropriate anti-viral therapy AND/OR Medical intolerance to anti-viral therapies including one or more of the following: > grade 2 renal insufficiency secondary to cidofovir and/or other > grade 2 toxicities secondary to cidofovir AND/OR Known resistance to cidofovir

Patient Eligibility (Cohort 2) (CMV)

-Patients with CMV viremia with one or more of the following: Increasing or persistent CMV RT-PCR DNA (>1000 copies) after 7 days of appropriate anti-viral therapy AND/OR Medical intolerance to anti-CMV antibiotic therapies: ANC \< 500/mm3 secondary to ganciclovir AND/OR > grade 2 renal toxicity secondary to either foscarnet or cidofovir AND/OR Known resistance to ganciclovir and/or foscarnet

  • Consent: written given (by patient or legal representative) prior to any study related procedures
  • Performance Status >30% (Lansky \< 16 yrs and > 16 years (BOTH COHORTS)
  • Age: 0.01 to 30.00 years (BOTH COHORTS)
  • Females of with a negative urine pregnancy test at study entry only (BOTH COHORTS)
  • Family related donor (> 3 HLA match) that screens positive for ADV5 MACS Peptivator (Cohort 1) or PP65CMV MACS Peptivator (Cohort 2)

Donor Eligibility

  • Related donor available with a T-cell response to the ADV MACS PepTivators (Cohort 1) or CMV MACS PepTivator (Cohort 2). As defined in Appendix II, B, 8.2, the donor is considered suitable if the percentage of IFN+ T-cells is >0.01% after stimulation with ADV PepTivators (Cohort 1) or CMV PepTivators (Cohort 2).
  • Third-party related allogeneic donor: If original donor is not available or does not have a T-cell response to ADV MCAS PepTivator (Cohort 1) or CMV PepTivator (Cohort 2), third party allogeneic donor (family donor > 3 HLA A, B, DR match to recipient) with a T-cell response at least to the ADV MCAS PepTivator (Cohort 1) or CMV PepTivator (Cohort 2) AND
  • Allogeneic donor disease screening is complete similar to hematopoietic stem cell donors (Appendix 1) AND
  • Obtained informed consents by donor or donor legally authorized representative prior to donor collection

Patient Exclusion Criteria (Both Cohorts)

  • Patient with acute > grade 2 or moderate or extensive chronic GVHD at the time of CTL infusion.
  • Patient receiving (>0.5 mg/kg prednisone equivalent) at the time of CTL infusion.
  • Patient treated with donor lymphocyte infusion (DLI) within 4 weeks prior to CTL infusion.
  • Patient with poor performance status determined by Karnofksy (patients > 16 yrs) or Lansky (patients \< 16 years) score \< 30%.
  • Concomitant enrollment in another experimental clinical trial investigating the treatment of ADV or CMV infections.
  • Any known medical condition which cold compromise participation in the study according to investigators assessment.
  • Known AIDS or uncontrolled infection
  • Known to iron dextran
  • Encephalitis and/or retinitis
Terms in these criteria, in plain language(8)

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.

Karnofsky performance status (KPS)

A 0–100 scale of how well someone can carry out everyday activities. 100 is no complaints and no signs of illness; 70 is able to look after yourself but not to work or keep up normal activity; 50 is needing considerable help and frequent medical care.

Studies often ask for 60 or 70 and above. Your doctor gives the score.

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.

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.

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.

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.

Hypersensitivity

An allergy, or another reaction of the immune system, to a substance. “Hypersensitivity to the study drug” means a known allergic reaction to it — not every side effect a medicine can have.

05

Study design

Phase
Phase 3
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Crossover assignment
Masking
None (open label)
Enrollment
138 participants (estimated)

Study arms

  • Active comparator
    Standard of Care Medication

    Patients will receive standard of care antiviral therapy for CMV or ADV at the discretion of the physician.

    Drug: Standard of Care Antiviral medications

  • Experimental
    Standard of Care Medication plus Cytotoxic T-Lymphocytes (CTLs)

    Patients will be randomized to receiving standard of care antiviral therapy plus family matched donor derived CTLs.

    Drug: Standard of Care Antiviral medications · Biological: Viral CTLs

Interventions

  • DrugStandard of Care Antiviral medications

    Standard of Care medications will be selected by the treating physician for either ADV (Cohort 1) or CMV (cohort 2)

  • BiologicalViral CTLs

    ADV or CMV family matched CTLs will be administered with SOC medications one every 2 weeks as needed up to 5 infusions

06

What researchers measure

Primary outcomes

  1. Viral PCR to determine resolution of disease

    Patients will be monitored weekly by peripheral blood qtPCR values to monitor viral levels for resolution confirmation.

    Time frame: Day 100

07

Study locations

1 of 2 sites recruiting
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reached

Started Sep 2026 (actual). Primary completion is estimated for Dec 2031, 63 months after the start.

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

Registered
Nov 4, 2025
First posted
Nov 10, 2025
StartActual
Sep 1, 2026
Primary completionEst.
Dec 1, 2031
CompletionEst.
Dec 1, 2032
Last update
Sep 11, 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.
No changes since tracking began. The registry record was last updated on Sep 11, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT07225972
Lead sponsor
New York Medical College
Responsible party
Sponsor
First posted
Nov 10, 2025
Start date
Sep 1, 2026
Primary completion
Dec 1, 2031 (estimated)
Completion
Dec 1, 2032 (estimated)
Last update
Sep 11, 2026

Study contacts

Mitchell Cairo, MD
Contact
mitchell_cairo@nymc.edu
914-594-2150
Lauren Harrison, RN
Contact
lauren_harrison@nymc.edu
617-285-7844
Mitchell Cairo, MD
principal investigator · New York Medical College

Oversight

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

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