CMV-TCR-T Cells for Refractory CMV Infection After HSCT

Last updated: October 11, 2021
Sponsor: Xiao-Jun Huang
Overall Status: Active - Recruiting

Phase

1

Condition

Allogeneic Hematopoietic Stem Cell Transplant

Cytomegalovirus Infections

Allo-hematopoietic Stem Cell Transplant

Treatment

N/A

Clinical Study ID

NCT05089838
2020PHD014-001
  • Ages 18-60
  • All Genders

Study Summary

This is a single centre, single arm, open-label, phase I study to evaluate the safety and effectiveness of CMV-TCR-T cell immunotherapy in treating refractory CMV infection after HSCT.

Eligibility Criteria

Inclusion

Inclusion Criteria:

  1. Patients with acute leukemia (AL) or myelodysplastic syndrome (MDS) who receivehaploid allogeneic hematopoietic stem cell transplantation, pre-transplantationassessment ≤CR2;
  2. Age 18-60, including boundary value, gender unlimited;
  3. Refractory CMV infection occurred in the early stage of transplantation : After 2weeks of standard antiviral treatment, the CMV DNA copy number continued to be ≥1000copies/mL, and the CMV DNA copy number at the beginning of the treatment decreased by <log10 ;
  4. The transplant donor's HLA-A matching is one of 2402, 0201 or 1101, and the physicalexamination is qualified;
  5. ECOG ≤ 3, estimated life expectancy> 3 months;
  6. Patients who voluntarily sign informed consent and are willing to comply withtreatment plans, visit arrangements, laboratory tests and other research procedures.

Exclusion

Exclusion Criteria:

  1. Patients with active aGVHD III-IV and / or mild and severe cGVHD;
  2. Have received cell therapy such as DLI, CTL, CAR-T, NK or participated in any otherclinical research on drugs and medical devices;
  3. Patients who have developed CMV disease;
  4. patients with organ failure:
  • Heart: NYHA heart function grade IV;
  • Liver: Grade C that achieves Child-Turcotte liver function grading;
  • Kidney: kidney failure and uremia;
  • Lung: symptoms of respiratory failure;
  • Brain: a person with a disability;
  1. Pregnant or lactating women;
  2. The researchers found that it was unsuitable for the recipients to be enrolled.

Study Design

Total Participants: 12
Study Start date:
January 06, 2021
Estimated Completion Date:
October 31, 2023

Study Description

CMV infection is a major and potentially life-threatening complication after allogenic hematopoietic stem cell transplantation (allo-SCT). Pharmacotherapy with ganciclovir and foscarnet remains the mainstay of treatment and has significantly improve clinical results, however, it is unsatisfactory owing to toxicity, limited efficacy and risk of developing resistance.

In recent years, adoptive T cell therapy has been proposed as an alternative option for CMV infection after allo-SCT. However, patients with transplants from CMV-negative donors are at highest risk, and an adoptive therapy is missing because CMV-specific T cells are not available.

CMV TCR-transduced donor-derived T Cells (CMV-TCR-T cells) is an attractive strategy to specifically redirect T-cell immunity toward CMV. In this prospective clinical phase I trial, we propose to evaluate the safety and efficacy of stem cell donor-derived CMV-TCR-T cells for patients with refractory CMV infection after allo-SCT. Donor derived CMV-TCR-T(HLA-A*1101\0201\2402) cells will be intravenously infused with a escalated dose of 0.3-1×10E7CMV-TCR-T cells. The CMV DNA copies and CMV-TCR-T cell proliferation will be monitored in the scheduled time (day 0, day 4, day 7, day 10, day 14, day 28).

Connect with a study center

  • Peking University Institute of Hematology,People's hospital Peking University

    Beijing, Beijing 100044
    China

    Active - Recruiting

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