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BK Virus InfectionPhase 3NCT04390113

Study to Evaluate Viralym-M (ALVR105) for the Treatment of Virus-Associated Hemorrhagic Cystitis (HC)

A Phase 3 study testing Posoleucel (ALVR105) in people with BK Virus Infection and Hemorrhagic Cystitis, run by AlloVir at 56 sites in 7 countries.

Terminated

Stopped early. The study ended before it was planned to and will not resume.

Official record
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Trial summary

Study to Evaluate Viralym-M (ALVR105) for the Treatment of Virus-Associated Hemorrhagic Cystitis (HC). Read more about this study

Who is it for?
Ages 1 year and older
Conditions the study is for
BK Virus Infection, Hemorrhagic Cystitis
What is being tested?
Posoleucel (ALVR105)
Type of treatment
Injection or infusion
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
97 participants
Where
56 sitesin 7 countries
Study dates
18 Mar 2021to 30 Jan 2024
Phase
Phase 3
Are there results?
Yes, posted in the registrySummary in the doctors' view

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 1 year and older
  • All sexes
  • No healthy volunteers
  • Child, Adult, Older adult

Who may be able to join

  • Participants must meet all of the following criteria in order to be eligible to participate in the study:
  • Male or female ≥1 year of age.
  • Had an allogeneic hematopoietic cell transplant (HCT) performed ≥21 days and ≤1 year prior to randomization.
  • Myeloid engraftment confirmed, defined as an absolute neutrophil count ≥500/mm³ for 3 consecutive laboratory values obtained on different days, and platelet count >10,000/mm³ at the time of randomization.
  • Diagnosed with HC based on the following criteria (all 3 criteria must be met):
  • Clinical signs and/or symptoms of cystitis.
Show all 9Show fewer
  • Grade ≥3 hematuria, defined as macroscopic hematuria with visible clots.
  • Viruria with ≥1 target virus (ie, BKV, JCV, AdV, CMV, EBV, and/or HHV-6).
  • At least 1 identified, suitably matched posoleucel (ALVR105) cell line for infusion is available.

Who cannot join

  • Participants who meet any of the following criteria will be excluded from participation in the study:
  • Ongoing therapy with high-dose systemic corticosteroids (ie, prednisone dose >0.5 mg/kg/day or equivalent).
  • Therapy with antithymocyte globulin, alemtuzumab (Campath-1H), or other immunosuppressive T cell-targeted monoclonal antibodies ≤28 days before randomization.
  • Evidence of active Grade >2 acute graft versus host disease (GVHD).
  • Uncontrolled or progressive bacterial or fungal infections.
  • Uncontrolled or progressive viral infections not targeted by posoleucel (ALVR105).
Show all 10Show fewer
  • Uncontrolled or progressive EBV-associated post-transplant lymphoproliferative disorder.
  • Known or presumed pneumonia secondary to any organism that is not considered to be well-controlled by antimicrobial therapy.
  • Pregnant or lactating or planning to become pregnant.
  • Note: Other protocol defined Inclusion/Exclusion criteria may apply.

Trial locations and contacts

56 sites in 7 countries.

56 sites in 7 countries

United States25 sites
  • Northside Hospital

    Atlanta, Georgia, 30342

  • Johns Hopkins Medicine

    Baltimore, Maryland, 21287

  • Dana-Farber Cancer Institute

    Boston, Massachusetts, 02215

  • Massachusetts General Hospital

    Boston, Massachusetts, 02215

  • Roswell Park Comprehensive Cancer Center

    Buffalo, New York, 14263

  • Northwestern Memorial Hospital

    Chicago, Illinois, 60611

  • University Hospitals Cleveland Medical Center

    Cleveland, Ohio, 44106

  • Ohio State University Medical Center (OSUMC)

    Columbus, Ohio, 43210

  • The University of Texas Southwestern Medical Center

    Dallas, Texas, 75390

  • City of Hope National Medical Center

    Duarte, California, 91010

  • Hackensack University Medical Center

    Hackensack, New Jersey, 07601

  • University of Kansas Cancer Center

    Kansas City, Kansas, 66160

  • Children's Mercy Hospital - Kansas City

    Kansas City, Missouri, 64108

  • Children's Hospital of Los Angeles

    Los Angeles, California, 90027

  • University of Miami

    Miami, Florida, 33136

  • Froedtert Hospital and the Medical College of Wisconsin

    Milwaukee, Wisconsin, 53226

  • University of Minnesota

    Minneapolis, Minnesota, 55455

  • Yale University School of Medicine - Yale Cancer Center

    New Haven, Connecticut, 06520

  • University of Nebraska Medical Center

    Omaha, Nebraska, 68198

  • Children's Hospital of Philadelphia (CHOP)

    Philadelphia, Pennsylvania, 19104

  • Oregon Health & Science University

    Portland, Oregon, 97239

  • Virginia Commonwealth University

    Richmond, Virginia, 23284

  • Fred Hutchinson Cancer Research Center

    Seattle, Washington, 98109

  • Moffitt

    Tampa, Florida, 33612

  • Children's National Medical Center

    Washington D.C., District of Columbia, 20010

Other trials in United States

Italy7 sites
  • Azienda Ospedaliero-Universitaria Careggi

    Florence

  • Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico di Milano

    Milan

  • IRCCS Ospedale San Raffaele

    Milan

  • Ospedale Pediatrico Bambino Gesù

    Roma

  • Fondazione Policlinico Universitario A. Gemelli IRCCS - Universita Cattolica del Sacro Cuore

    Rome

  • Istituto Clinico Humanitas

    Rozzano

  • Azienda Ospedaliera Universitaria Integrata Verona-Ospedale Borgo Trento

    Verona

Other trials in Italy

South Korea7 sites
  • Chonnam National University Hwasun Hospital

    Jeongnam

  • Asan Medical Center

    Seoul

  • Pusan National University Hospital

    Seoul

  • Samsung Medical Center

    Seoul

  • Seoul National University Hospital

    Seoul

  • Seoul St. Mary's Hospital, The Catholic University of Korea

    Seoul

  • Severance Hospital, Yonsei University Health System

    Seoul

Other trials in South Korea

United Kingdom7 sites
  • University Hospitals Bristol NHS Foundation Trust

    Bristol

  • Queen Elizabeth University Hospital - Glasgow

    Glasgow

  • Great Ormond Street Hospital for Children

    London

  • Hammersmith Hospital

    London

  • The Royal Marsden NHS Foundation Trust

    London

  • University College London Hospital

    London

  • Nottingham University Hospitals

    Nottingham

Other trials in United Kingdom

France5 sites
  • CHU de Lille - Hopital Claude Huriez

    Lille

  • CHU de Nantes - Hôtel-Dieu

    Nantes

  • AP-HP Hopital Saint-Louis

    Paris

  • HCL Centre Hospitalier Lyon Sud

    Pierre-Bénite

  • IUCT-Oncopole

    Toulouse

Other trials in France

Spain4 sites
  • Hospital Clinic Barcelona

    Barcelona

  • Hospital Universitario La Paz

    Madrid

  • Hospital Regional Universitario de Malaga

    Málaga

  • Hospital Universitari i Politecnic La Fe

    Valencia

Other trials in Spain

Sweden1 site
  • Karolinska University Hospital

    Stockholm

Other trials in Sweden

About this study

Official title: Phase 3 Multicenter, Double-Blind, Placebo-Controlled Trial of Viralym-M (ALVR105) for the Treatment of Patients With Virus-Associated Hemorrhagic Cystitis After Allogeneic Hematopoietic Cell Transplant (HCT)

Study to Evaluate Viralym-M (ALVR105) for the Treatment of Virus-Associated Hemorrhagic Cystitis (HC).

Read the detailed description

The study hypothesis is that the administration of posoleucel (ALVR105) to patients with virus-associated HC will demonstrate superiority for the time to resolution of HC (as measured by resolution of macroscopic hematuria) compared to patients treated with placebo. The primary hypothesis will be tested in patients with BK virus (BKV) viruria to demonstrate superiority over placebo in this population (BK Intent-to-Treat [ITT] Population). A supplementary analysis will be conducted in all patients with any virus-associated HC (cytomegalovirus [CMV], human herpesvirus 6 [HHV-6], Epstein-Barr virus [EBV], JC virus [JCV], and/or adenovirus [AdV]) in order to evaluate efficacy in this broader population (ITT Population).

Being tested
Posoleucel (ALVR105), Placebo
Keywords
Allogeneic Hematopoietic Cell Transplant, ALVR105, Posoleucel
Medical subject headings
Cystitis, Hemorrhagic

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Posoleucel (ALVR105)Biological

    Administered as 2-4 milliliter infusion, visually identical to placebo

  • PlaceboBiological

    Administered as 2-4 milliliter infusion, visually identical to Posoleucel (ALVR105)

Study groups in NCT04390113
Study groupRoleWhat they receive
PlaceboPlacebo comparatorAdministered as 2-4 milliliter infusion, visually identical to Posoleucel (ALVR105)
Receives: Biological: Placebo
Posoleucel (ALVR105)ExperimentalAdministered as 2-4 milliliter infusion, visually identical to placebo
Receives: Biological: Posoleucel (ALVR105)

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Time to Resolution of Macroscopic Hematuria

    Time to macroscopic hematuria resolution is calculated from time of randomization to the first date of observed macroscopic hematuria resolution. Kaplan-Meier estimates reported as median number of days to resolution. Participants were censored at the last follow-up time of any participant in the ITT population if they took definitive therapies to stop bladder bleeding or received treatment for hemorrhagic cystitis with non-PSL VSTs before achieving resolution or deceased. Participants were also censored at last follow up if they failed to achieve resolution by end of study.

    Measured: Up to 24 weeks

Secondary outcomes (6)
  1. Time Until Bladder Pain is Resolved

    Measured: Until event occurrence through Week 24

  2. Days in the Hospital for Any Reason

    Measured: Until event occurrence through Week 24

  3. Number of Participants With Treatment Emergent Acute Graft Versus Host Disease (GVHD)

    Grading of acute GVHD is reported according to CTCAE version 5.0 which ranges from Grade 0 (best/no disease) to Grade IV (worst). Participants with Grade I-IV are included.

    Measured: Up to 24 weeks

  4. Number of Participants With Treatment Emergent Cytokine Release Syndrome (CRS)

    CRS is defined as a supraphysiologic response following any immune therapy that results in the activation or engagement of endogenous or infused T cells and/or other immune effector cells. Symptoms can be progressive, must include fever at the onset, and may include hypotension, capillary leak (hypoxia), and end organ dysfunction.

    Measured: Up to 24 weeks

  5. Time to Resolution for All Target Viruses

    Measured: Until event occurrence through Week 24

  6. Average Daily Bladder Pain

    Measured: Until event occurrence through Week 6

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted15 May 2020
  2. Study start18 Mar 2021
  3. Primary completion30 Jan 2024
  4. Study completion30 Jan 2024

Why it stopped: Study discontinued as DSMB determined it was futile. No safety concerns were noted.

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 3
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Quadruple blind
Who is masked
Participant, Care provider, Investigator, Outcomes assessor
Enrolment
97 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT04390113
Sponsor's protocol ID
AVM-003-HC
Status last verified
Apr 2024
First submitted
12 May 2020
Last updated
14 May 2024
Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
No

Publications

  • Tzannou I, Papadopoulou A, Naik S, Leung K, Martinez CA, Ramos CA, Carrum G, Sasa G, Lulla P, Watanabe A, Kuvalekar M, Gee AP, Wu MF, Liu H, Grilley BJ, Krance RA, Gottschalk S, Brenner MK, Rooney CM, Heslop HE, Leen AM, Omer B. Off-the-Shelf Virus-Specific T Cells to Treat BK Virus, Human Herpesvirus 6, Cytomegalovirus, Epstein-Barr Virus, and Adenovirus Infections After Allogeneic Hematopoietic Stem-Cell Transplantation. J Clin Oncol. 2017 Nov 1;35(31):3547-3557. doi: 10.1200/JCO.2017.73.0655. Epub 2017 Aug 7.

    PubMed 28783452
  • Vasileiou S, Kuvalekar M, Velazquez Y, Watanabe A, Leen AM, Gilmore SA. Phenotypic and functional characterization of posoleucel, a multivirus-specific T cell therapy for the treatment and prevention of viral infections in immunocompromised patients. Cytotherapy. 2024 Aug;26(8):869-877. doi: 10.1016/j.jcyt.2024.03.012. Epub 2024 Mar 19.

    PubMed 38597860

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing Posoleucel (ALVR105) in people with BK Virus Infection and Hemorrhagic Cystitis, run by AlloVir at 56 sites in 7 countries.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 9 inclusion and 10 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: stopped early, as of the sponsor's last update on 14 May 2024. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 56 sites in United States, Italy, South Korea, United Kingdom, France and 2 more countries. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. Some participants in this study may receive a placebo. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

Yes. Results are posted in the registry (first posted 14 May 2024). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Time to Resolution of Macroscopic Hematuria (time frame: Up to 24 weeks). It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT04390113, which also lists 2 linked publications.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 14 May 2024.

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