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Adoptive Immunotherapy for CMV Disease

Prevention and Treatment of CMV Disease by Adoptive Immunotherapy With Immune Donor Lymphocytes in Conjunction With Non-myeloablative Stem Cell Transplantation (NST)

Status
Withdrawn
Phases
Phase 1Phase 2
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT00159055
Enrollment
20
Registered
2005-09-12
Start date
2004-02-29
Completion date
Unknown
Last updated
2011-04-08

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

CMV Disease

Brief summary

Treatment strategy of patients: Stem cell engraftment (myeloablative or NST) for induction of host vs graft myeloablative transplantation tolerance. Whenever indicated, additional post NST DLI given in graded increment, to optimize control of GVHD. Preparation of immune donor lymphocytes, either by donor immunization in-vitro with a CMV-specific peptide followed by administration of immunized donor lymphocytes, or by injection of donor lymphocytes and in-vivo sensitization of donor lymphocytes in the patient following DLI. Pre-emptive treatment of seronegative patients at risk or patients with documented viremia or CMV disease with CMV-specific donor lymphocytes generated in-vivo in the donor or in the host by peptide immunization. Consenting donors will be immunized with CMV-specific peptides, for induction of CTLs in-vivo following subcutaneous inoculation of peptides with adjuvant or donor APC pulsed with relevant peptides.

Interventions

BIOLOGICALCMV vaccine

Sponsors

Hadassah Medical Organization
Lead SponsorOTHER

Study design

Allocation
NON_RANDOMIZED
Intervention model
SINGLE_GROUP
Primary purpose
TREATMENT
Masking
NONE

Eligibility

Sex/Gender
ALL
Healthy volunteers
No

Inclusion criteria

* For Patient: * Consenting patients with indication for myeloablative BMT or NST with an HLA matching sibling available, for transplant. * Patients at risk of CMV disease including seronegative patients; patients with seronegative donors, and seronegative donor for sero positive patients. * Patients with resistant CMV viremia or CMV disease not responding to conventional treatment with ganciclovir, or Foscarnet. * Patients with HLA phenotype for which a relevant peptide for CMV exists. * For Donor: * Consenting sibling \>18 years old. * HLA phenotype for which a relevant peptide for CMV exists.

Exclusion criteria

* For Patient: * Patients with severe resistant GVHD where there may be a risk to administer DLI or immunized donor lymphocytes. * For Donor: * Consenting sibling \>18 years old. * HLA phenotype for which a relevant peptide for CMV exists. * Donor with an infectious disease (e.g. HIV-1; HBV, etc.)

Design outcomes

Primary

MeasureTime frame
Induce and amplify T cell-mediated immunotherapy against cytomegalovirus (CMV) infection in stem cell allograft recipients.

Secondary

MeasureTime frame
Evaluate toxicity of the procedure.

Countries

Israel

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026