Infections from EBV, CMV and BK virus post allogeneic Stem Cell Transplant
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. Prior myeoloablative or non-myeloablative allogeneic hematopoietic stem cell transplant using either bone marrow or peripheral blood stem cells from unrelated or haploidentical donors 2. Treatment of one or multiple infections/reactivations of at least one of the targeted viruses: CMV, EBV, BK virus 3. Karnofsky/Lansky score of = 50 4. ANC > 500/µl 5. Bilirubin = 2x*, AST 8.0 g/dl 6. Pulse oximetry of > 90% on room air 7.Available virus-specific T cells 8. Negative pregnancy test in female patients if applicable 9.Written informed consent and/or signed assent line from patient, or guardian 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 20 F.1.3 Elderly (>=65 years) no F.1.3.1 Number of subjects for this age range
Exclusion criteria
Exclusion criteria: • Patients receiving ATG, or Campath or other immunosuppressive T cell monoclonal antibodies within 28 days of screening for enrollment. • Patients with other uncontrolled infections (see protocol chapter 2.3.2) • Patients receiving steroids: >0.5mg/kg/daily prednisone • Patients who received donor lymphocyte infusion (DLI) within 28 days. •Patients with active acute GVHD grades II-IV. •Active and uncontrolled relapse of malignancy
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Main Objective: To evaluate the safety and efficacy of administering virus-specific T cells (VSTs) as treatment for viral infections at Greece and the feasibility of the approach in Greece;Secondary Objective: To determine i) the frequency of reactivations by the targeted virus for which the VSTs were infused, ii) the frequency of reactivations by the rest of targeted viruses post VST infusion and iii) the probability of disease relapse throughout the follow up period ;Primary end point(s): 1) Feasibility and safety of cell therapy with VSTs. The safety end point will be assessed based on: i) development of de novo GvH or progression to acute GvHD grades III-IV, ii) development of grades 3-5 infusion-related adverse events and iii) grades 4-5 nonhematological adverse events that are not due to the pre-existing infection or the original malignancy or pre-existing co-morbidities 2) Efficacy of VSTs will be assesed based on: • viral load • anti-viral immune reconstitution • viral reactivations;Timepoint(s) of evaluation of this end point: 1)Safety: •development of de novo GvH or progression to acute GvHD of grade III-IV within 42 days post last infusion of VSTs, •development of grade 3-5 infusion-related adverse events and grade 4-5 nonhematological adverse events that are not due to the pre-existing infection or the original malignancy or pre-existing co-morbiditieswithin 30 days post last infusion of VSTs 2)Efficacy: weeks 1,2,4,6 and 8, and month 3. Additional timepoints if clinically relevant | — |
Secondary
| Measure | Time frame |
|---|---|
| Secondary end point(s): non applicable;Timepoint(s) of evaluation of this end point: non applicable | — |
Countries
Greece
Contacts
??µat??????? ???????, ????da ?etaµ?s?e?s?? ??µ?p???t???? ??tt????, ??s???µe?? G. ?apa????????, Tessa??????