Hematopoietic Cell TransplantNCT05550298
Multi-Center Molecular Diagnosis and Host Response of Respiratory Viral Infections in Pediatric Transplant Recipients
An observational study of Hematopoietic Cell Transplant and Solid Organ Transplant, run by Arkansas Children's Hospital Research Institute at 27 sites in United States.
Trial summary
The participants are being asked to take part in this clinical trial, a type of research study, because the participants are scheduled to receive or have recently received a hematopoietic cell transplant (HCT) or a solid organ transplant (SOT). Read more about this study
- Who is it for?
- Ages Up to 18 years
- Conditions the study is for
- Hematopoietic Cell Transplant, Solid Organ Transplant, Respiratory Viral Infection
- How many people
- 2,000 participants
- Where
- 27 sitesUnited States
- Study dates
- 13 Dec 2022to Aug 2029
- Phase
- Observational
- Are there results?
- Not yet: the study is under way
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 Up to 18 years
- All sexes
- No healthy volunteers
- Child, Adult
Study population: All participants who meet eligibility criteria and consent to enrollment on the study.
Who may be able to join
None listed.
Who cannot join
- Recipient Exclusion Criteria
- None
- Donor Exclusion Criteria
- Is not an HCT donor for a participant enrolled on the VIPER study.
- Not available to provide pre-transplant research blood sample.
Trial locations and contacts
27 sites in 1 country. Contact the study team or a site near you to ask about taking part.
27 sites in 1 country
United States27 sites, 27 recruiting
- Recruiting
C.S. Mott Children's Hospital
Ann Arbor, Michigan, 48109
Jason Weinberg,, MD, 734-764-6265, jbwein@med.umich.edu
Jason Weinberg,, MD
- Recruiting
Emory and Children's Healthcare of Atlanta
Atlanta, Georgia, 30322
Kathryn Goggin, MD, 404-785-5437, kathryn.pearl.goggin@emory.edu
Kathryn Goggin, MD
- Recruiting
University of Alabama at Birmingham's (UAB)
Birmingham, Alabama, 35294
Maria Rueda Altez, MD, 205-638-2599, mruedaaltez@uabmc.edu
Maria Rueda Altez, MD
- Recruiting
Boston Children's Hospital
Boston, Massachusetts, 02115
Tanvi Sharma, MD, 617-919-2900, Tanvi.Sharma@childrens.harvard.edu
- Recruiting
Medical University of South Carolina
Charleston, South Carolina, 29425
Lauren Powell, DO, 843-792-9909, powellau@musc.edu
- Recruiting
University of Chicago Medicine Comer Children's Hospital
Chicago, Illinois, 60637
Madan Kumar, MD, 773-702-7087, mkumar@peds.bsd.uchicago.edu
Madan Kumar
- Recruiting
Cincinnati Children's Hospital Medical Center
Cincinnati, Ohio, 45229
Lara Danziger-Isakov, MD, 513-636-7499, Lara.Danziger-Isakov@cchmc.org
- Recruiting
Nationwide Children's Hospital
Columbus, Ohio, 43205
Masako Shimamura, MD, 614-722-4452
Masako Shimamura, MD
- Recruiting
Children's Hospital of Michigan
Detroit, Michigan, 48201
Arora Harbir, MD, 313-745-5219, arora1hs@cmich.edu
Arora Harbir, MD
- Recruiting
Cook Children's
Fort Worth, Texas, 76104
marysuzanne.whitworth@cookchildrens.org S. Whitworth, MD, 682-885-1485, marysuzanne.whitworth@cookchildrens.org
- Recruiting
Baylor College of Medicine
Houston, Texas, 77030
Elizabeth Moulton, MD, 832-824-4330, emoulton@bcm.edu
Elizabeth Moulton, MD
- Recruiting
MD Anderson Center Center
Houston, Texas, 77030
Natalie D Garnes, MD, 713-745-0855, njdailey@mdanderson.org
Jennifer Jackson, 346-725-1272, jrjackson1@mdanderson.org
- Recruiting
UTHealth Houston
Houston, Texas, 77225-0036
Ramia Zakhour, MD, 713-500-5714, ramia.g.zakhour@uth.tmc.edu
Ramia Zakhour, MD
- Recruiting
Arkansas Children's Hospital
Little Rock, Arkansas, 72202
William J. Steinbach, MD, 501-364-5262, wsteinbach@uams.edu
- Recruiting
University of Louisville
Louisville, Kentucky, 40202
Victoria Statler, MD
Victoria Statler, MD
- Recruiting
Le Bonheur Children's Hospital
Memphis, Tennessee, 38103
Timothy Minniear, MD, 901-287-5374, tminniea@uthsc.edu
- Recruiting
St. Jude Children's Research Hospital
Memphis, Tennessee, 38105
Gabriela Maron, MD, 866-278-5833, referralinfo@stjude.org
Gabriela Maron, MD
- Recruiting
UT Le Bonheur
Memphis, Tennessee, 38105
Timothy Minniear, MD, 901-287-5374, tminniea@uthsc.edu
- Recruiting
University if Miami
Miami, Florida, 33146
Ivan Gonzalez, MD, i.gonzalez2@med.miami.edu
Ivan Gonzalez, MD
- Recruiting
Children's Hospital of Wisconsin
Milwaukee, Wisconsin, 53226
Anna Huppler, MD, 414-337-7090, ahuppler@mcw.edu
Anna Huppler, MD
- Recruiting
University of Minnesota
Minneapolis, Minnesota, 55455
Beth Thielen, MD., PhD, 612-626-5637, thie0149@umn.edu
Beth Thielen, MD., PhD
- Recruiting
University of Nebraska Medical Center
Omaha, Nebraska, 68198
Kari Neeman, MD, 402-559-4000, kneemann@unmc.edu
Kari Neeman, MD
- Recruiting
UPMC
Pittsburgh, Pennsylvania, 15224
Johnathan Albert, MD, 412-692-3021, albertjd1@upmc.edu
Isaac Cason, 412-692-7351, casoni@upmc.edu
- Recruiting
Seattle Childrens
Seattle, Washington, 98105
Alpana Waghmare, MD, 206-987-6558, awaghmar@fredhutch.org
- Recruiting
Washington University
St Louis, Missouri, 63105
Carol M Kao, MD, 314-273-4687, kaoc@wustl.edu
Carol M Kao, MD
- Recruiting
The Children's Hospital at Montefiore
The Bronx, New York, 10467
Marc Foca, MD, 718-741-2470, mfoca@montefiore.org
Marc Foca, MD
- Recruiting
Children's National Medical
Washington D.C., District of Columbia, 20010
Benjamin Hanisch, MD, 202-476-5051, Bhanisch@childrensnational.org
Benjamin Hanisch, MD
About this study
The participants are being asked to take part in this clinical trial, a type of research study, because the participants are scheduled to receive or have recently received a hematopoietic cell transplant (HCT) or a solid organ transplant (SOT).
Primary Objective
Read more
To determine if pre-transplant screening for respiratory viral load predicts RVI within 1- year post-transplant among survivors.
Secondary Objectives:
- To develop and validate a classifier based on pre-transplant immunological profile predictive of developing an acute respiratory viral infection (aRVI), with RSV/PIV3/HMPV/SARS-CoV-2 through one-year post-transplant among survivors.
- To develop and validate a classifier based on Day +100 post-transplant immunological profiles predictive of developing an acute respiratory viral infection (aRVI),with RSV/PIV3/HMPV/SARS-CoV-2 through one-year post-transplant among survivors .
Read the detailed description
The investigators will collect a nasal swab and blood sample from the participant when the participant is enrolled on the study and if the participant develops a RVI in the first year after transplant. The investigators will collect a blood sample 100 days after the participant's transplant.
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
| Study group | Role | What they receive |
|---|---|---|
| Hematopoietic Cell Transplantation (HCT) | Early and accurate diagnosis of respiratory viral infections (RVIs) in children and adolescents who have undergone HCT is important for improving outcomes. The investigators are doing this study to understand more about how RVIs affect children who receive a transplant. | |
| Solid Organ Transplant (SOT) | Early and accurate diagnosis of respiratory viral infections (RVIs) in children and adolescents who have undergone SOT is important for improving outcomes. The investigators are doing this study to understand more about how RVIs affect children who receive a transplant. |
What is being measured
The primary outcome is the main question the study is designed to answer.
Proportion of participants developing a RVI within one-year post transplant.
Prevalence is estimated as the proportion of HCT or SOT participants with a positive PCR pre-transplant screen who develop any RVI within one year post transplant. A 95% confidence interval will be provided.
Measured: Baseline through 1-year post-transplant
Secondary outcomes (2)
Predicted risk of a post-transplant recipient developing an aRVI within one-year post-transplant
Risk will be predicted by the development of a pre-transplant immunology model utilizing measurements of pre-transplant quantitative immunology (recipient and donor) and RSV/PIV3/HMPV/SARS-CoV-2 RVI from pre-transplant to year one post-transplant
Measured: 1 year
Predicted risk of a post-transplant recipient developing an aRVI from Day 100 to one year post transplant.
Risk will be predicted by the development of a pre-transplant immunology model utilizing measurements of Day 100 quantitative immunology (recipient and donor) and RSV/PIV3/HMPV/SARS-CoV-2 RVI from Day 100 to year one post-transplant
Measured: Day +100 through 1-year post-transplant
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted22 Sep 2022
- Study start13 Dec 2022
- Primary completionAug 2027 (estimated)
- Study completionAug 2029 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Hematopoietic Cell TransplantStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Observational
- Observational model
- Cohort
- Time perspective
- Prospective
- Enrolment
- 2,000 participants (estimated)
Sponsor and investigators
- Lead sponsor
- Arkansas Children's Hospital Research Institute
- Sponsor type
- University, hospital or other
- Collaborators
- St. Jude Children's Research Hospital, Seattle Children's Hospital, Children's Hospital at Montefiore, National Institute of Allergy and Infectious Diseases (NIAID)
- Responsible party
- Sponsor
- Investigators
- Gabriela Maron, MD, Principal investigator, St. Jude Children's Research HospitalWilliam J. Steinbach, MD, Principal investigator, Arkansas Children's Hospital Research Institute
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT05550298
- Sponsor's protocol ID
- VIPER
- Other IDs
- 7R01AI159684-02, NCI-2022-08554
- Status last verified
- Jan 2025
- First submitted
- 19 Sep 2022
- Last updated
- 2 Oct 2025
- Results posted
- No
- Data monitoring committee
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
Study at a glance
From the registry record, last updated by the sponsor on 2 Oct 2025. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Multi-Center Molecular Diagnosis and Host Response of Respiratory Viral Infections in Pediatric Transplant Recipients
- ClinicalTrials.gov ID
- NCT05550298
- Acronym / sponsor ID
- VIPER
- Study type
- Observational
- Recruitment status
- Recruiting
- Enrolment
- 2,000 participants (estimated)
- Lead sponsor
- Arkansas Children's Hospital Research InstituteUniversity, hospital or other
- Collaborators
- St. Jude Children's Research Hospital, Seattle Children's Hospital, Children's Hospital at Montefiore, National Institute of Allergy and Infectious Diseases (NIAID)
- Study start
- 13 Dec 2022 (actual)
- Primary completion
- Aug 2027 (estimated)
- Study completion
- Aug 2029 (estimated)
- First posted
- 22 Sep 2022 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
The participants are being asked to take part in this clinical trial, a type of research study, because the participants are scheduled to receive or have recently received a hematopoietic cell transplant (HCT) or a solid organ transplant (SOT).
Primary Objective
To determine if pre-transplant screening for respiratory viral load predicts RVI within 1- year post-transplant among survivors.
Secondary Objectives:
- To develop and validate a classifier based on pre-transplant immunological profile predictive of developing an acute respiratory viral infection (aRVI), with RSV/PIV3/HMPV/SARS-CoV-2 through one-year post-transplant among survivors.
- To develop and validate a classifier based on Day +100 post-transplant immunological profiles predictive of developing an acute respiratory viral infection (aRVI),with RSV/PIV3/HMPV/SARS-CoV-2 through one-year post-transplant among survivors .
Detailed description
The investigators will collect a nasal swab and blood sample from the participant when the participant is enrolled on the study and if the participant develops a RVI in the first year after transplant. The investigators will collect a blood sample 100 days after the participant's transplant.
Study design
- Observational model
- Cohort
- Time perspective
- Prospective
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| Hematopoietic Cell Transplantation (HCT) | – | –Early and accurate diagnosis of respiratory viral infections (RVIs) in children and adolescents who have undergone HCT is important for improving outcomes. The investigators are doing this study to understand more about how RVIs affect children who receive a transplant. |
| Solid Organ Transplant (SOT) | – | –Early and accurate diagnosis of respiratory viral infections (RVIs) in children and adolescents who have undergone SOT is important for improving outcomes. The investigators are doing this study to understand more about how RVIs affect children who receive a transplant. |
Who may qualify
- Ages
- Up to 18 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Child, Adult
- Study population
- All participants who meet eligibility criteria and consent to enrollment on the study.
Key inclusion criteria (0 listed)
Key exclusion criteria (5 listed)
- Recipient Exclusion Criteria
- None
- Donor Exclusion Criteria
- Is not an HCT donor for a participant enrolled on the VIPER study.
- Not available to provide pre-transplant research blood sample.
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Primary outcome
Proportion of participants developing a RVI within one-year post transplant.
Time frame: Baseline through 1-year post-transplant
Prevalence is estimated as the proportion of HCT or SOT participants with a positive PCR pre-transplant screen who develop any RVI within one year post transplant. A 95% confidence interval will be provided.
2 secondary outcomes
Predicted risk of a post-transplant recipient developing an aRVI within one-year post-transplant
Time frame: 1 year
Predicted risk of a post-transplant recipient developing an aRVI from Day 100 to one year post transplant.
Time frame: Day +100 through 1-year post-transplant
Results and safety
This study is still under way. Results are not available in the source record yet.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 2 Oct 2025.
- St. Jude Children's Research HospitalLink provided by the sponsor.
- Clinical Trials Open at St. JudeLink provided by the sponsor.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part.
Gabriela Maron, MD principal investigator
St. Jude Children's Research Hospital
William J. Steinbach, MD principal investigator
Arkansas Children's Hospital Research Institute
27 sites in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
An observational study of Hematopoietic Cell Transplant and Solid Organ Transplant, run by Arkansas Children's Hospital Research Institute at 27 sites in United States.
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 0 inclusion and 5 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: looking for participants now, as of the sponsor's last update on 2 Oct 2025. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 27 sites in United States. 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. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
Are results available for this study?
This study is still under way. Results are not available in the source record yet.
How can a doctor refer a patient or contact the research team?
Contact Gabriela Maron, MD (866-278-5833, referralinfo@stjude.org), or a site near the patient. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Proportion of participants developing a RVI within one-year post transplant. (time frame: Baseline through 1-year post-transplant). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
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 2 Oct 2025.