Actively Recruiting

Phase 1
Phase 2
Age: 4Weeks +
All Genders
ID02048332

Donor-Derived Viral Specific T-cells (VSTs) for Treatment of Viral Infections After Allogeneic Stem Cell Transplant

Led by Children's Hospital Medical Center, Cincinnati · Updated on 2025-12-16

750

Participants Needed

3

Research Sites

N/A

Total Duration

On this page

Sponsors

C

Children's Hospital Medical Center, Cincinnati

Lead Sponsor

H

Hoxworth Blood Center

Collaborating Sponsor

AI-Summary

What this Trial Is About

This research investigates the use of donor-derived viral specific T-cells (VSTs) to treat viral infections occurring after allogeneic stem cell transplant. Viral infections such as cytomegalovirus, Epstein-Barr virus, adenovirus, BK virus, and JC virus are common complications following transplant and can cause serious health issues. The study aims to find an easier and potentially safer way to manage these infections, which currently require prolonged and sometimes toxic antiviral treatments. The donor who matches the stem cell transplant recipient will provide a blood sample to create the VSTs in the lab. These cells are grown and stored in a freezer until needed. If the patient shows signs of viral infection after transplant, they may receive up to five infusions of these virus-fighting cells spaced 14 to 21 days apart. The cells are given to help the patient's immune system fight the virus, and more infusions may be given based on the patient's response. During the study, patients will be closely monitored with physical exams and blood tests both in the hospital and outpatient settings. Blood and urine samples will be collected before each infusion and regularly for up to a year after the final infusion. Researchers will assess how well the VSTs are produced, any infusion-related side effects, and the presence of viral infections. The goal is to evaluate the safety and viral response to this treatment over time.

CONDITIONS

Brief Title

Donor-Derived Viral Specific T-cells (VSTs)

Who Can Participate

Age: 4Weeks +
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • Recipient must be at least 21 days after stem cell infusion
  • Clinical status must allow tapering of steroids to 0.5mg/kg prednisone or other steroid equivalent
  • Recipient must have achieved engraftment with ANC 6 500
Not Eligible

You will not qualify if you...

  • Active acute GVHD grades II-IV
  • Uncontrolled bacterial or fungal infection
  • Uncontrolled relapse of malignancy requiring treatment with chemotherapy
  • Infusion of ATG or alemtuzumab within 2 weeks of VST infusion

AI-Screening

AI-Powered Screening

Complete this quick 3-step screening to check your eligibility

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Your Study Journey

Screening

Duration - 2 to 4 weeks

Participants are screened for eligibility to participate in the trial.

Participants must be at least 21 days post stem cell transplant and meet clinical criteria before enrollment.

Treatment

Duration - Up to 5 infusions with 14 to 21 days between each

Participants receive viral specific T-cell infusions if they have evidence of viral infection after their transplant. They may receive up to 5 infusions spaced 14 to 21 days apart depending on viral response.

1 infusion visit plus blood and urine collection before each infusion

Follow-up

Duration - Weekly for 4 weeks, then monthly for up to 1 year after last infusion

Participants are monitored after their last infusion with physical exams and blood tests to assess viral response and safety.

Weekly visits for 4 weeks then monthly visits for up to 1 year

Trial Site Locations

Total: 3 locations

1

Akron Children's Hospital

Akron, Ohio, United States, 44308

Actively Recruiting

2

University of Cincinnati Medical Center

Cincinnati, Ohio, United States, 45219

Completed

3

Cincinnati Children's Hospital Medical Center

Cincinnati, Ohio, United States, 45229

Actively Recruiting

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Research Team

J

Jamie Wilhelm, BS

How is the study designed?

Study Type

INTERVENTIONAL

Masking

NONE

Allocation

NA

Model

SINGLE_GROUP

Primary Purpose

TREATMENT

Number of Arms

1

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Published Research Related To This Trial

Third-Party and Patient-Specific Donor-Derived Virus-Specific T Cells Demonstrate Similar Efficacy and Safety for Management of Viral Infections after Hematopoietic Stem Cell Transplantation in Children and Young Adults.

Thomas J Galletta, Adam Lane, Carolyn Lutzko...

https://pubmed.ncbi.nlm.nih.gov/36736781

Virus-specific T cells for adenovirus infection after stem cell transplantation are highly effective and class II HLA restricted.

Jeremy D Rubinstein, Xiang Zhu, Thomas Leemhuis...

https://pubmed.ncbi.nlm.nih.gov/34473237