Actively Recruiting

Phase 1
Age: 3Months - 26Years
All Genders
NCT06926894

R-MVST Cells for Treatment of Viral Infections in Children and Young Adults

Led by Columbia University · Updated on 2025-07-31

18

Participants Needed

1

Research Sites

293 weeks

Total Duration

On this page

AI-Summary

What this Trial Is About

The primary objective is to determine the safety and feasibility of administering R-MVST cells to patients with refractory viral reactivation and/or symptomatic disease caused by Epstein Barr Virus (EBV), cytomegalovirus (CMV), adenovirus (ADV) or BK virus. R-MVST cells will be generated on-demand from the closest partially human leukocyte antigen (HLA)-matched (minimum haploidentical) healthy donors or from the original allo-transplant donor if available. The investigator will closely monitor the recipients for potential toxicities including graft-versus-host disease (GVHD) post-infusion. Secondary objectives are to determine the effect of R-MVST infusion on viral load, possible recovery of antiviral immunity post-infusion and for evidence of clinical responses and overall survival. Recipients will be monitored for secondary graft failure at day 28 post R-MVST infusion.

CONDITIONS

Official Title

R-MVST Cells for Treatment of Viral Infections in Children and Young Adults

Who Can Participate

Age: 3Months - 26Years
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • Children and young adults aged 3 months to less than 26 years of any ethnic group
  • Patients with a history of hematopoietic cell transplant (HCT) or solid organ transplant (SOT) who have viral reactivation or infection from EBV, CMV, adenovirus, or BK virus causing end-organ or systemic disease
  • Patients showing suboptimal response to standard antiviral therapies
  • Patients with recurrent or multiple viral infections involving one or more of the listed viruses, with at least one infection requiring standard treatment
Not Eligible

You will not qualify if you...

  • Patients with other uncontrolled infections apart from CMV, EBV, adenovirus, or BK virus
  • Patients with progressing bacterial or fungal infections despite treatment
  • Patients receiving corticosteroids at doses of 0.5 mg/kg prednisone or higher
  • Patients treated with anti-thymocyte globulin, Alemtuzumab, or other T-cell immunosuppressive antibodies within 28 days
  • Patients treated with methotrexate or other toxic antimetabolite immunosuppressants within 7 days
  • Patients who had extracorporeal photopheresis within 28 days
  • Patients treated with checkpoint inhibitors within three drug half-lives before infusion
  • Patients who received donor lymphocyte infusion within 28 days
  • Patients with grade 2 or higher graft-versus-host disease (GVHD)
  • Patients with biopsy-proven acute rejection in solid organ transplant recipients
  • Patients with active, uncontrolled cancer relapse
  • Pregnant or breastfeeding patients
  • Patients unwilling to use effective contraception if of childbearing potential
  • Patients with unstable illnesses such as heart failure, unstable angina, arrhythmias, or psychiatric/social issues limiting study compliance
  • Patients who received other investigational products within 14 days before R-MVST infusion
  • Patients unable or unwilling to receive infusions at the study site (Morgan Stanley Children's Hospital)

AI-Screening

AI-Powered Screening

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Trial Site Locations

Total: 1 location

1

Columbia University Medical Center / New-York Presbyterian

New York, New York, United States, 10032

Actively Recruiting

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Research Team

P

Prakash Satwani, MD

CONTACT

How is the study designed?

Study Type

INTERVENTIONAL

Masking

NONE

Allocation

NON_RANDOMIZED

Model

SEQUENTIAL

Primary Purpose

TREATMENT

Number of Arms

3

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