Observational Trial to Evaluate Hematopoietic Stem Cell Transplantation CMV Reactivation (REACT)
A Prospective Observational Trial to Evaluate Hematopoietic Stem Cell Transplantation CMV Reactivation Events - Assessed by a CMV-Specific T-SPOT Assay: The REACT Study
The purpose of this study is to evaluate the ability of the T-SPOT.CMV assay to determine immune competence against CMV infection in stem cell transplantation.
To determine the utility of the T-SPOT.CMV assay used before transplantation to determine immune competence against subsequent CMV reactivation and to determine the utility of the T-SPOT.CMV assay used after transplantation to determine immune competence against subsequent CMV reactivation.
Study Overview
Status
Status
Conditions
Conditions
Detailed Description
In this prospective, non-randomized, observer-blind observational study, up to 200 patients who meet the study's eligibility criteria will be enrolled at up to 20 study centers. Enrollment will be actively managed by the sponsor.
Blood samples will be collected up to 14 days before transplantation, and then at 2-week intervals for the 6 months after the transplant procedure.
Study duration: 15 months: 9 months to enroll all patients, with 6 months (182 days) of participation for each patient.
Study Type
Study Type
Enrollment (Actual)
Enrollment
Contacts and Locations
Study Locations
-
-
Ontario
-
Toronto, Ontario, Canada, M5G 2N2
- University Health Network
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-
-
-
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Stockholm, Sweden, 14186
- Karolinska Univeristy Hostpital
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-
-
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California
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Duarte, California, United States, 91010
- City of Hope
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Los Angeles, California, United States, 90095
- UCLA Medical Center
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Illinois
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Chicago, Illinois, United States, 60637
- The University of Chicago Medicine
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Maryland
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Baltimore, Maryland, United States, 21287
- Johns Hopkins Hospital
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Massachusetts
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Worcester, Massachusetts, United States, 01655
- UMass Memorial Medical Center
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Michigan
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Detroit, Michigan, United States, 48201
- Wayne State University - School of Medicine
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New Jersey
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Hackensack, New Jersey, United States, 07601
- Hackensack University Medical Center
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Ohio
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Cleveland, Ohio, United States, 44195
- Cleveland Clinic
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Texas
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Houston, Texas, United States, 77030
- The University of Texas MD Anderson Cancer Center
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Wisconsin
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Milwaukee, Wisconsin, United States, 53226
- Medical College of Wisconsin
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Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Sampling Method
Study Population
Patients enrolled in this study will be men or women aged 18 years or older with positive CMV serostatus (R+) who are candidates for allogeneic HSCT.
The patients enrolled are intended to be representative of those who would be anticipated to have T SPOT.CMV testing when it is used in routine clinical practice. Enrollment will be actively managed by the sponsor.
Description
Inclusion Criteria:
- Age ≥18 years.
- Patients who will undergo one of the following types of allogeneic transplantation: matched related donor, matched or mismatched unrelated donor, haploidentical, or cord blood.
- Patients must be seropositive for CMV prior to transplantation, regardless of donor seropositivity.
- Institutional Review Board (IRB)-approved written Informed Consent and privacy agreement per national regulation (e.g., Health Insurance Portability and Accountability Act [HIPAA] for sites in the USA) must be obtained from the patient or the patient's legally authorized representative prior to any study-specific procedures.
- Patients must be considered suitable for the study by the Investigator.
Exclusion Criteria:
1. Patients with a known active CMV reactivation within 1 month prior to enrollment or during the study's pre-transplant screening period.
2. Patients who have received any antiviral therapy active against CMV other than acyclovir and valacyclovir (i.e., foscarnet, ganciclovir, valganciclovir, or cidofovir) during the month prior to enrollment.
3. Patients who have previously received or are planning to receive a CMV vaccine.
4. Patients who are known to be hepatitis B, hepatitis C, or human immunodeficiency virus (HIV) positive.
5. Patients who are known to have a clinically significant medical or psychiatric condition considered a high risk for participation in an investigational study.
6. Patients who are participating in or plan to participate in CMV-related drug or vaccine studies.
Study Plan
How is the study designed?
Design Details
- Observational Models: Other
- Time Perspectives: Prospective
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
To evaluate the ability of the T SPOT.CMV assay to determine immune competence against CMV infection in stem cell transplantation.
Time Frame: up to day 182
|
change in T-SPOT counts from baseline to 182 days post transplant
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up to day 182
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
To determine the utility of the T SPOT.CMV assay used before transplantation to determine immune competence against subsequent CMV reactivation.
Time Frame: up to day 182
|
change in T-SPOT counts from baseline to 182 days post transplant
|
up to day 182
|
|
To determine the utility of the T SPOT.CMV assay used after transplantation to determine immune competence against subsequent CMV reactivation.
Time Frame: up to day 182
|
up to day 182
|
Collaborators and Investigators
Sponsor
Sponsor
Investigators
Investigators
- Principal Investigator: Roy F Chemaly, MD, The University of Texas MD Anderson Cancer Center
Study record dates
Study Major Dates
Study Start
Study Start
Primary Completion (Actual)
Primary Completion
Study Completion (Actual)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Estimate)
First Posted
Study Record Updates
Last Update Posted (Actual)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Other Study ID Numbers
Other Study ID Numbers
- US OI 125
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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