- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT03910478
Dried Blood Spot Testing of CMV Detection in HCT Recipients
A Multi-Site, Randomized Trial of Subject-Collected Dried Blood Spot CMV Testing With Mobile Technology Support to Optimize Preemptive Therapy Late After Allogeneic HCT
Study Overview
Status
Conditions
Intervention / Treatment
Detailed Description
Study Type
Enrollment (Actual)
Phase
- Not Applicable
Contacts and Locations
Study Contact
- Name: Michael Boeckh
- Phone Number: 12066674898
- Email: mboeckh@fhcrc.org
Study Locations
-
-
Minnesota
-
Minneapolis, Minnesota, United States, 55455-0356
- University of Minnesota Medical Center, Fairview - Infectious Diseases and International Medicine
-
-
New York
-
New York, New York, United States, 10065-6007
- Memorial Sloan Kettering Cancer Center
-
-
Texas
-
Houston, Texas, United States, 77030-4000
- The University of Texas - MD Anderson Cancer Center - Infectious Diseases
-
-
Washington
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Seattle, Washington, United States, 98109-4433
- Fred Hutchinson Cancer Research Center - Vaccine and Infectious Diseases
-
-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Description
Inclusion Criteria:
Randomized Cohort:
- Must be >/= 15 years of age at the time of enrollment
- Must be able to provide written consent and complete the informed consent
- Must have received allogeneic hematopoietic cell transplantation within 60-180 days prior to randomization
- Cytomegalovirus (CMV) seropositive or had a donor who was CMV positive
One or both of the following:
- CMV event* within the first 100 days post-transplant requiring anti-viral treatment
- Receipt of CMV prophylaxis**(for at least 30 days) prior to randomization. Continuation of letermovir prophylaxis after day 100 per institutional standard of care is permitted * CMV event defined as deoxyribonucleic acid (DNA) detection or disease ** Anti-viral treatment or prophylaxis includes ganciclovir, valganciclovir, foscarnet, or letermovir
- Direct availability to the internet either by a computer in the residence or a smart phone
Had at least one or more of these conditions:
- HLA mismatch*
- umbilical cord blood source**
- Graft versus host disease (GVHD)***
T-cell depletion**** * Human leukocyte antigen (HLA)-related (sibling) donor with at least one mismatch at one of the following three HLA-gene loci: HLA-A, -B, or -DR, Haploidentical donor, Unrelated donor with at least one mismatch at one of the following four HLA-gene loci: HLA-A, -B, -C and -DRB1
Use of umbilical cord blood as stem cell source ***Acute or chronic GVHD requiring topical steroid for gastrointestinal (GI) GVHD and/or systemic steroid treatment (>/= 1 mg/kg/day of prednisone or equivalent dose of another corticosteroid) within 6 weeks prior to enrollment
- Subjects who have received partial or full T-cell depletion (with or without GVHD). T-cell depletion can be given as either ex-vivo or in-vivo for GVHD prophylaxis. T-cell depleting agents include, but are not limited to, anti-thymocyte globulin (ATG) and alemtuzumab
Observation Cohort:
- Must be >/= 15 years of age at the time of enrollment
Must have one of the following:
- Consented for retrospective studies at their transplant center, or
- Be included under the auspices of the site's IRB approved waiver of additional consent for retrospective studies
- Must have received allogeneic hematopoietic cell transplantation within 360 days prior to enrollment
- CMV seropositive or had a donor who was CMV positive
One or both of the following:
- CMV event* within the first 100 days post-transplant requiring anti-viral treatment
- Receipt of CMV prophylaxis**(for at least 30 days) prior to registration. Continuation of letermovir prophylaxis after day 100 per institutional standard of care is permitted * CMV event defined as DNA detection or disease ** Anti-viral treatment or prophylaxis includes ganciclovir, valganciclovir, foscarnet, or letermovir
Meet at least one or more of criteria of the following:
- HLA mismatch*
- umbilical cord blood source**
- GVHD***
T-cell depletion****
- Human leukocyte antigen (HLA)-related (sibling) donor with at least one mismatch at one of the following three HLA-gene loci: HLA-A, -B, or -DR, Haploidentical donor, Unrelated donor with at least one mismatch at one of the following four HLA-gene loci: HLA-A, -B, -C and -DRB1 **Use of umbilical cord blood as stem cell source ***Acute or chronic GVHD requiring topical steroid for GI GVHD and/or systemic steroid treatment (>/= 1 mg/kg/day of prednisone or equivalent dose of another corticosteroid) within 6 weeks prior to enrollment ****Subjects who have received partial or full T-cell depletion (with or without GVHD). T-cell depletion can be given as either ex-vivo or in-vivo for GVHD prophylaxis. T-cell depleting agents include, but are not limited to, anti-thymocyte globulin (ATG) and alemtuzumab
Exclusion Criteria:
Randomized Cohort:
- Inability to fully comprehend the study website and study procedures
- Any other condition, which in the opinion of the investigator would interfere with successful completion of this clinical trial
- Morphological relapse (bone marrow or peripheral blood blast) prior to registration
Observational Cohort:
- Did not meet all inclusion criteria
- Morphological relapse (bone marrow or peripheral blood blast) prior to registration
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Diagnostic
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: None (Open Label)
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Experimental: Self-collected Dried Blood Spot (DBS) monitoring
N=100 Subject collected DBS CMV monitoring with mobile technology support
|
Kit for self-collection of Dried Blood Spot (DBS) samples
|
Active Comparator: Standard Monitoring Control
N=50 Standard care with office based testing
|
Standard of care with office-based testing.
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Time Frame |
---|---|
The number of participants who have completed >90% of their recommended Cytomegalovirus (CMV) monitoring tests in the DBS and control arms
Time Frame: At one year after Hematopoietic cell transplantation (HCT)
|
At one year after Hematopoietic cell transplantation (HCT)
|
Secondary Outcome Measures
Outcome Measure |
Time Frame |
---|---|
Number of subjects in DBS and standard of care arms with end-organ Cytomegalovirus (CMV) disease, possible and proven/probable
Time Frame: By 1 year after Hematopoietic cell transplantation (HCT)
|
By 1 year after Hematopoietic cell transplantation (HCT)
|
Number of subjects with finger-stick procedure-related Grade 3 AEs
Time Frame: By 1 year after Hematopoietic cell transplantation (HCT)
|
By 1 year after Hematopoietic cell transplantation (HCT)
|
The total number of recommended Cytomegalovirus (CMV) monitoring tests that were completed per subject
Time Frame: By 1 year after Hematopoietic cell transplantation (HCT)
|
By 1 year after Hematopoietic cell transplantation (HCT)
|
Collaborators and Investigators
Study record dates
Study Major Dates
Study Start (Actual)
Primary Completion (Estimated)
Study Completion (Estimated)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Actual)
Study Record Updates
Last Update Posted (Actual)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
- 16-0098
- HHSN272201600015C
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
product manufactured in and exported from the U.S.
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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