Immune deficiency after allogeneic stem cell transplantation MedDRA version: 19.0 Level: PT Classification code 10007877 Term: Cell-mediated immune deficiency System Organ Class: 10021428 - Immune system disorders
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: • Male or female person of 18 to 75 years of age • Unlimited ability to provide informed consent • Written informed consent • Indication for allogeneic stem cell transplantation • HLA-identical donor, related or unrelated, HLA match: 10/10 • Stem cell source: G-CSF mobilised peripheral blood stem cells • Positive EBV serology of the donor • Positive CMV serology of the donor • Effective contraception for females of child-bearing potential Are the trial subjects under 18? no Number of subjects for this age range: F.1.2 Adults (18-64 years) yes F.1.2.1 Number of subjects for this age range 30 F.1.3 Elderly (>=65 years) yes F.1.3.1 Number of subjects for this age range 20
Exclusion criteria
Exclusion criteria: • Donor seronegative for EBV • Donor seronegative for CMV • Bone marrow or umbilical blood as stem cell source • Alemtuzumab (Campath®) for conditioning • Sorror score >3 • Known hypersensitivity to one of the ingredients of the IMP • Pregnant or breast-feeding female
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Main Objective: Evaluation of the safety and tolerability of an adoptive immunotherapy with CMV-/EBV-specific peptide-stimulated T-cells (CD3+) for prevention or treatment of the reactivation of CMV or EBV infection in patients after allogeneic HLA-identical stem cell transplantation.;Secondary Objective: • Impact of a preventive/preemptive adoptive immunotherapy with CMV-/EBV-specific T-cells on the occurrence of CMV and/or EBV reactivation in patients after allogeneic stem cell transplantation. • Impact of a preventive/preemptive adoptive immunotherapy with CMV-/EBV-specific T-cells on the utilisation of anti-CMV medication (ganciclovir, valganciclovir, foscavir, cidofovir). • Impact of a preventive/preemptive adoptive immunotherapy with CMV-/EBV-specific T-cells on the utilisation of rituximab after EBV reactivation. • Impact of a preventive/preemptive adoptive immunotherapy with CMV-/EBV-specific T-cells on the reconstitution of the T-cell compartment.;Primary end point(s): Primary safety endpoints: Occurrence of acute toxicity, such as an allergic or anaphylactic reaction ( CTCAE Grade =2 ) , within 72 hours after administration of the IMP • De novo onset of acute GVHD within 14 days after administration of the IMP. Criteria : Staging and grading according to Glucksberg • occurrence of an aggravation of pre-existing acute GvHD (persistent acute GvHD ) within 14 days after administration of the IMP. Criteria: Staging and grading according to Glucksberg;Timepoint(s) of evaluation of this end point: At all visits during the observation period | — |
Secondary
| Measure | Time frame |
|---|---|
| Secondary end point(s): Occurrence of at least one CMV reactivation during the observation period • Occurrence of at least one EBV reactivation during the observation period • Occurrence of CMV viral load requiring treatment within the observation period • Occurence of EBV viral load requiring treatment within the observation period • Quantitative detection of EBV-specific T- cells at the time 204 ± 7 days after SZT • Quantitative detection of CMV-specific T cells at the time of 204 ± 7 days after SZT • Consumption of Antivirals ganciclovir / valganciclovir / foscavir / cidofovir within the observation period • Consumption of rituximab in EBV reactivation within the observation period;Timepoint(s) of evaluation of this end point: All during the observation period | — |
Countries
Germany
Contacts
Charité Campus Virchow-Klinikum