Safety Study of ADV-specific T-cells in Paediatric Patients Post Allo-HSCT
ASPIRE
Phase I/II Study Investigating the Safety of ADV Specific T Cells in High-risk Paediatric Patients Post Allo-HSCT to Treat ADV Reactivation
1 other identifier
interventional
8
1 country
3
Brief Summary
Human Adenovirus-specific T-cells can persist and augment impaired adenovirus immune response post allogeneic haematopoietic stem cell transplant, and reduce the requirement for antiviral therapy without toxicity or increasing the occurrence of Graft Versus Host Disease. This is a Phase I/IIa open-label safety study, assessing the effects of administering adenovirus-specific T-cells (Cytovir ADV) to paediatric patients post haematopoietic stem cell transplant.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at below P25 for phase_1
Started Dec 2012
Longer than P75 for phase_1
3 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
December 1, 2012
CompletedFirst Submitted
Initial submission to the registry
February 11, 2013
CompletedFirst Posted
Study publicly available on registry
April 2, 2013
CompletedPrimary Completion
Last participant's last visit for primary outcome
December 31, 2016
CompletedStudy Completion
Last participant's last visit for all outcomes
December 31, 2016
CompletedJanuary 25, 2018
January 1, 2018
4.1 years
February 11, 2013
January 23, 2018
Conditions
Outcome Measures
Primary Outcomes (2)
Number of subjects with new onset GVHD
180 days
number of subjects developing NCI Grade 3-4 adverse events
180 days
Secondary Outcomes (6)
Number of reported Serious Adverse Events (SAEs), Suspected Unexpected Serious Adverse Reactions (SUSARs) and Suspected Expected Serious Adverse Reactions (SESARs)
180 days
Number of detectable HAdV-specific T-cells in vivo at each time point
180 days
Requirement for second infusion of HAdV-specific T-cells
180 days
Number of treatment days with antiviral drugs
180 days
Number of treatment days with other anti-infective drugs
180 days
- +1 more secondary outcomes
Study Arms (1)
Cytovir-ADV
EXPERIMENTALAdenovirus-specific T-cells
Interventions
A single dose 1x10e4 CD3+ T cells/kg patient weight of Cytovir ADV is prescribed to patients on exhibiting two consecutive PCR positive Adenovirus viraemia results \> 1000 copies/ml. Patients are followed up by continued monitoring of Adenovirus viraemia results. If patients exhibit uncontrolled ADV viraemia at ≥ 4 weeks following the first cell dose, they will be prescribed a second cell dose of 10e5 CD3+ T cell/kg. Patients will be monitored for 6 months following infusion of Cytovir ADV. This is a feasibility/pilot study and has no control group
Eligibility Criteria
You may qualify if:
- Patients:
- Age 16 years or younger
- Scheduled to undergo an allogeneic HSCT with an unrelated donor, mismatched unrelated donor, mismatched family donor or haplo identical donor
- The subject (or legally acceptable representative) must give informed consent (and assent for subjects ≥ 12 years). All subjects will have a parent or guardian provide informed consent and the subject will provide witnessed verbal assent
- Negative serology for HIV 1 + 2, HepB, HepC, Syphilis, hCG.
- Donors
- Meets requirements of Directive 2004/23/EC as amended and the UK statutory instruments pursuant therein
- Negative serology for HIV 1 + 2, HepB, HepC, Syphilis, hCG
- Passed medical assessment for stem cell donation
- HdADV seropositive
- Signed informed consent
- Age 16 years or older
You may not qualify if:
- Patients
- Pregnant or lactating females
- Co-existing medical problems that would place the patient at significant risk of death due to GVHD or its sequelae
- Human Immunodeficiency Virus (HIV) infection
- Donors
- Pregnant or lactating females
- (assessed prior to apheresis) Platelets \< 50x109/L
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- Cell Medica Ltdlead
- Technology Strategy Board, United Kingdomcollaborator
Study Sites (3)
Great Ormond Street Hospital
London, United Kingdom
Royal Manchester Children's Hospital
Manchester, United Kingdom
Royal Victoria Infirmary
Newcastle, United Kingdom
Study Officials
- PRINCIPAL INVESTIGATOR
Waseem Qasim
Institute of Child Health, London
Study Design
- Study Type
- interventional
- Phase
- phase 1
- Allocation
- NA
- Masking
- NONE
- Purpose
- TREATMENT
- Intervention Model
- SINGLE GROUP
- Sponsor Type
- INDUSTRY
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
February 11, 2013
First Posted
April 2, 2013
Study Start
December 1, 2012
Primary Completion
December 31, 2016
Study Completion
December 31, 2016
Last Updated
January 25, 2018
Record last verified: 2018-01