Cytomegalovirus (CMV) infection in patients receiving allogeneic haematopoietic stem cell transplants (allo-HSCT) Infections and Infestations Cytomegalovirus (CMV)
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. Sibling T cell depleted allogeneic HSCT recipients where donor and recipient are both CMV seropositive 2. Aged 18 years or over
Exclusion criteria
Exclusion criteria: 1. Pregnant or lactating women 2. Co-existing medical problems that would place the patient at significant risk of death due to graft-versus-host disease (GVHD) or its sequelae 3. Human immunodeficiency virus (HIV) infection To be assessed prior to CMV-specific T cell infusion (confirmed prior to product release): 4. Active acute GVHD greater than grade I 5. Concurrent use of systemic corticosteroids 6. Organ dysfunction as measured by: 6.1. Creatinine greater than 200 uM/l 6.2. Bilirubin greater than 50 uM/l 6.3. Alanine aminotransferase (ALT) greater than three times normal
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Number of patients experiencing a recurrent episode of CMV reactivation after primary reactivation, measured for six months post-ACT infusion. | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. Incidence and severity of GVHD, measured at baseline, on a weekly basis for 100 days post infusion and then on a monthly basis up to six months post infusion 2. Duration of antiviral drug therapy (total days) and of viraemia (total days), measured at baseline, on a weekly basis for 100 days post infusion and then on a monthly basis up to six months post infusion 3. Incidence of CMV disease, measured at baseline, on a weekly basis for 100 days post infusion and then on a monthly basis up to six months post infusion 4. Laboratory evidence of reconstitution and persistence of CMV-specific immunity, measured at baseline, on a weekly basis for 100 days post infusion and then on a monthly basis up to six months post infusion | — |
Countries
United Kingdom