Combined Infusion of Cytotoxic T-Lymphocytes and Vaccination
CYNTAX
1 other identifier
interventional
12
1 country
1
Brief Summary
To assess the safety and biological efficacy of prophylactically administered donor-derived multi-infection specific cytotoxic T lymphocytes (CTLs) (targeting cytomegalovirus (CMV), Adenovirus (Adv), Epstein Barr virus (EBV), Varicella-Zoster virus (VZV), Influenza (Flu), BK virus (BKV), and Aspergillus (Asp)) combined with early immunisation with Influenza and VZV vaccines for the prevention of viral and fungal infection following allogeneic blood or marrow stem cell transplantation.
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 Aug 2012
Longer than P75 for phase_1
1 active site
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
August 1, 2012
CompletedFirst Submitted
Initial submission to the registry
May 18, 2016
CompletedFirst Posted
Study publicly available on registry
July 25, 2016
CompletedPrimary Completion
Last participant's last visit for primary outcome
December 1, 2017
CompletedStudy Completion
Last participant's last visit for all outcomes
December 1, 2017
CompletedNovember 22, 2016
November 1, 2016
5.3 years
May 18, 2016
November 21, 2016
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Safety of infection-specific T-cell infusion and vaccination
Presence of acute infusion related toxicities
1 week
Secondary Outcomes (6)
Change in infection specific immune reconstitution
1 week, 2 weeks, 3 weeks, 4 weeks, 3 months, 6 months, 9 months, 12 months (post T-cell infusion)
Change in CMV, EBV and BKV load based on quantitive PCR
1 week, 2 weeks, 3 weeks, 4 weeks, 3 months, 6 months, 9 months, 12 months (post T-cell infusion)
Use of specific anti-viral pharmacotherapy
12 months (post T-cell infusion)
Use of systemic anti-fungal drugs including amphotericin and azoles
12 months (post T-cell infusion)
Incidences of GVHD
12 months (post T-cell infusion)
- +1 more secondary outcomes
Study Arms (1)
T-cell infusion
EXPERIMENTALInfusion of donor-derived T cells. Non randomised, prevention study arm
Interventions
Donor derived infection-specific T-cells (with activity against CMV,adenovirus, EBV, VZV, Influenza, BKV and Aspergillus) and vaccination (with Fluvax)
Eligibility Criteria
You may qualify if:
- Patients undergoing myeloablative or non-myeloablative allogeneic transplantation from an HLA (A, B and DR) identical or 1-3 antigen mismatched family or unrelated donor.
- Transplant performed for any type of non-malignant condition or haematological malignancy including but not limited to acute and chronic leukaemia, myelodysplasia, non Hodkgins and Hodgkin lymphoma or myeloma.
- Recipients of peripheral blood or bone marrow stem cells.
- Adequate hepatic and renal function (\< 3 x upper limit of normal for AST (SGOT), ALT (SGPT), \< 2 x upper limit of normal for total bilirubin, serum creatinine).
- Estimated life expectancy of at least 6 months.
- Patient (or legal representative) has given informed consent
You may not qualify if:
- Use of anti-lymphocyte globulin (ALG, ATG, Campath or other broad spectrum lymphocyte antibody) given in the 4 weeks immediately prior to infusion or planned within 4 weeks after infusion.
- Grade II or greater graft versus host disease within 1 week prior to infusion.
- Prednisone or methylprednisone at a dose of \> 1 mg/kg (or equivalent in other steroid preparations) administered within 72 hours prior to cell infusion.
- Allergies to eggs or components of the Fluvax or Varivax vaccines.
- Privately insured in or outpatients
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
Westmead Hospital Department of Haematology
Westmead, Sydney, New South Wales, 2145, Australia
MeSH Terms
Conditions
Interventions
Intervention Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
David Gottlieb, Professor
Westmead Hospital
Study Design
- Study Type
- interventional
- Phase
- phase 1
- Allocation
- NA
- Masking
- NONE
- Purpose
- TREATMENT
- Intervention Model
- SINGLE GROUP
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- Professor
Study Record Dates
First Submitted
May 18, 2016
First Posted
July 25, 2016
Study Start
August 1, 2012
Primary Completion
December 1, 2017
Study Completion
December 1, 2017
Last Updated
November 22, 2016
Record last verified: 2016-11
Data Sharing
- IPD Sharing
- Will not share