Cytomegalovirus immune reconstitution in recipients of allogeneic haematopoietic stem cell transplant Infections and Infestations
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. Age 18 years and over 2. Male or female 3. CMV IgG positive HSCT recipients, irrespective of the donor’s CMV IgG status 4. CMV IgG negative HSCT recipients with a CMV IgG positive donor
Exclusion criteria
Exclusion criteria: 1. CMV IgG negative HSCT recipient with a CMV IgG negative donor 2. Absence/withdrawal of consent
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| 1. Risk of CMV disease is measured using the QuantiFERON-CMV assay on the DiaSorin Liaison XL platform at baseline (hospital admission before conditioning), and monthly until day 180 post-allogeneic-HSCT 2. IFN-gamma production in IU/mL is measured using the QuantiFERON-CMV assay at baseline and monthly until day 180 post-allogeneic-HSCT 3. Presence of CMV-specific CD8+ cells is measured using flow cytometry for CD3, CD4, CD8, CX3CR1, CCR7, and CD45RA at baseline and monthly until day 180 post-allogeneic-HSCT | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. CMV immune reactivity is measured using the QuantiFERON-CMV assay at baseline and monthly until day 180 post-allogeneic-HSCT 2. CMV viral load is measured using weekly CMV DNA PCR testing from blood samples as part of standard of care from baseline until day 180 post-allogeneic-HSCT 3. CMV-specific CD8+ cell immunity is measured using the QuantiFERON-CMV assay at baseline and monthly until day 180 post-allogeneic-HSCT 4. Change in CMV viral load following reactivation is measured using CMV DNA PCR testing at the time of reactivation and in a follow-up blood sample collected 48–72 hours later | — |
Countries
England, United Kingdom