Cytomegalovirus - Immunoprophylactic Adoptive Cellular Therapy Study
CMV-IMPACT
A Phase III Randomised Study to Investigate the Use of Adoptive Cellular Therapy (ACT) in Combination With Conventional Antiviral Drug Therapy for the Treatment of CMV Reactivation Episodes in Patients Following Allogeneic Haematopoietic Stem Cell Transplant
3 other identifiers
interventional
89
1 country
14
Brief Summary
The purpose of this study is to evaluate the potential clinical benefit of prophylactic cytomegalovirus (CMV)-specific adoptive cellular therapy following T cell depleted allogeneic hematopoietic stem cell transplantation (HSCT) for reducing recurrent CMV reactivation.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at below P25 for phase_3
Started Jul 2008
Longer than P75 for phase_3
14 active sites
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
Study Start
First participant enrolled
July 1, 2008
CompletedFirst Submitted
Initial submission to the registry
February 26, 2010
CompletedFirst Posted
Study publicly available on registry
March 1, 2010
CompletedPrimary Completion
Last participant's last visit for primary outcome
September 1, 2014
CompletedStudy Completion
Last participant's last visit for all outcomes
October 1, 2014
CompletedJanuary 25, 2018
January 1, 2018
6.2 years
February 26, 2010
January 23, 2018
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
CMV reactivations
Six months
Study Arms (2)
ACT plus standard therapy
EXPERIMENTALAdoptive Cellular Therapy (ACT) prepared using Multimer or Gamma Catch Selection in combination with standard best available antiviral drug therapy
Best available antiviral drug therapy
ACTIVE COMPARATORInterventions
CMV-specific T-cells, single infusion at 27 days post-HSCT
1. Intravenous ganciclovir 5mg/kg twice daily 2. Oral valganciclovir 900mg twice daily 3. Intravenous foscarnet 90 mg/kg twice daily
Eligibility Criteria
You may qualify if:
- Suitable participants will be selected from patients already scheduled to undergo a T cell depleted sibling donor HSCT. The criteria will include:
- Age 18 years or older
- Negative markers of Infectious Disease screen
- Recipient of allogeneic HSCT (that incorporates T cell depletion with alemtuzumab) who is CMV seropositive with a CMV seropositive sibling donor
- Informed consent from both donor and patient and to be assessed prior to CMV-specific T cell infusion (confirmed prior to product release):
- Donor engraftment (neutrophils \> 0.5x109/l)
You may not qualify if:
- Pregnant or lactating women
- Co-existing medical problems that would place the patient at significant risk of death due to GVHD or its sequelae
- HIV infection and to be assessed prior to CMV-specific T cell infusion (confirmed prior to product release):
- Active acute GVHD \> Grade I
- Concurrent use of systemic corticosteroids
- Organ dysfunction as measured by
- creatinine \> 200 uM/l
- bilirubin \> 50 uM/l
- ALT \> 3x upper limit of normal
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- Cell Medica Ltdlead
- Wellcome Trustcollaborator
- EMAS Pharmacollaborator
- Commitum ABcollaborator
- BioAnaLabcollaborator
Study Sites (14)
Birmingham Heartlands Hospital
Birmingham, West Midlands, United Kingdom
St James's University Hospital
Leeds, West Yorkshire, LS9 7TF, United Kingdom
Queen Elizabeth Hospital
Birmingham, United Kingdom
Bristol Royal Hospital for Children
Bristol, BS2 8BJ, United Kingdom
Addenbrookes Hospital
Cambridge, CB2 0QQ, United Kingdom
Beatson West of Scotland Cancer Centre
Glasgow, United Kingdom
Royal Liverpool Hospital
Liverpool, United Kingdom
University College Hospital
London, WC1E 6BT, United Kingdom
Kings College Hospital
London, United Kingdom
Royal Free Hospital
London, United Kingdom
Christie Hospital
Manchester, United Kingdom
Manchester Royal Infirmary
Manchester, United Kingdom
City Hospital
Nottingham, United Kingdom
Southampton General Hospital
Southampton, United Kingdom
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Intervention Hierarchy (Ancestors)
Study Officials
- STUDY CHAIR
Karl S Peggs
University College London Hospitals
Study Design
- Study Type
- interventional
- Phase
- phase 3
- Allocation
- RANDOMIZED
- Masking
- NONE
- Purpose
- PREVENTION
- Intervention Model
- PARALLEL
- Sponsor Type
- INDUSTRY
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
February 26, 2010
First Posted
March 1, 2010
Study Start
July 1, 2008
Primary Completion
September 1, 2014
Study Completion
October 1, 2014
Last Updated
January 25, 2018
Record last verified: 2018-01