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To evaluate the safety and tolerability of partial HLA-matched VSTs against both CMV and EBV viruses in recipients of allogeneic hematopoietic stem cells with refractory viral infections (CMV and/or EBV).
Preliminary evaluation of the efficacy of partial HLA-matched VSTs against both CMV and EBV viruses in recipients of allogeneic hematopoietic stem cells with refractory viral infections (CMV and/or EBV); To monitor the duration and expansion of multi-virus VSTs cells after infusion.
This study consists of two parts: (1) The first stage is the safety evaluation of multi-virus VSTs and the exploration of DLT and MTD; (2) The second phase is to evaluate the safety and efficacy of multi-viral VSTs in selecting appropriate doses in the first phase.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| VSTs infusion | Experimental | Phase I (dose escalation) : An open, single-arm, dose-escalation clinical study to explore the safety, tolerability, and cytodynamic characteristics of CMV and EBV-specific T cells (VSTs), with initial efficacy observations. Subjects enrolled with refractory CMV and/or EBV infection after allogeneic hematopoietic stem cell transplantation were subjected to a 3+3 dose-climb test. Exploring the safety, dose-limiting toxicities (DLT) and maximum tolerated dose (MTD) of intravenous infusion of multi-virus VSTs. (2) Phase II (dose expansion) : According to the clinically recommended or safe and effective dose determined by the phase I climb test, the extended study of 1-2 dose groups with 20 cases per dose was performed after joint review by the investigators and project collaborators. |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Virus specific T cells | Biological | Subjects will receive partial HLA-matched viral-specific T cells (VSTs) against both CMV and EBV on one of the following dose levels: Level One: 1 x 10^7 cells/m2 Level Two: 2 x 10^7cells/m2 Level Three: 5x 10^7 cellss/m2 |
| Measure | Description | Time Frame |
|---|---|---|
| Assessment of safety and toxicity outcomes in subjects receiving VSTs infusion | Number of participants with treatment-related adverse events as assessed by CTCAE v5.0, and graft-versus-host-disease will be summarized using descriptive statistics for each dose level | within 56 days after the first VSTs infusion |
| Assessment of antiviral efficacy of VSTs infusion | Antiviral efficacy including clinical signs of viral infections, virus reinfection, and laboratory measurement of viral load after VSTs infusion will be determined | within 56 days after the first VSTs infusion |
| Measure | Description | Time Frame |
|---|---|---|
| Virus-specific immune reconstitution | Laboratory measurement of virus-specific immune reconstitution before and after VSTs infusion will be tested | within 56 days after the first VSTs infusion |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Yuanjie Ding | Contact | 010-88325948 | rmkyc@163.com | |
| Xuying Pei | Contact | 86-13521893860 | peixuying08@126.com |
| Name | Affiliation | Role |
|---|---|---|
| Xiangyu Zhao | Peking University People's Hospital | Study Chair |
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| ID | Term |
|---|---|
| D003586 | Cytomegalovirus Infections |
| D020031 | Epstein-Barr Virus Infections |
| ID | Term |
|---|---|
| D006566 | Herpesviridae Infections |
| D004266 | DNA Virus Infections |
| D014777 | Virus Diseases |
| D007239 | Infections |
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| D014412 |
| Tumor Virus Infections |