AzTrials
AzTrials

AdenovirusPhase 1/2Gamma CaptureNCT06027879

Anti-viral T-cell Therapy by Gamma Capture

A Phase 1/2 study testing Specific T- Lymphocytes in people with Adenovirus and Cytomegalovirus Infections, run by Paul Szabolcs at 1 site in United States.

Enrolling by invitation

Enrolling by invitation. The study team selects and invites participants, usually from an existing group of patients.

Sites and contacts
Official record
Search all trials

Trial summary

The primary purpose of this phase I/II study is to evaluate whether partially matched, ≥1/6 Human Leukocyte Antigens (HLA) -matched, viral specific T cells have efficacy against adenovirus, Cytomegalovirus (CMV), and Epstein Barr Virus (EBV) in subjects who have previously received any type of allogeneic Hematopoietic… Read more about this study

Who is it for?
Ages 1 month to 65 years
What is being tested?
Specific T- Lymphocytes
Could I receive a placebo?
No, everyone receives an active treatment
How many people
25 participants
Where
1 siteUnited States
Study dates
8 Jan 2024to 1 Jun 2029
Phase
Phase 1/2
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 1 month to 65 years
  • All sexes
  • No healthy volunteers
  • Child, Adult, Older adult

Who may be able to join

  • Patient, parent, or legal guardian must have given written informed consent, according to FDA guidelines. For pediatric subject who are developmentally able, assent or affirmation will be obtained, if feasible.
  • Male or female, 1 month through 75 years old, inclusive, at the time of informed consent.
  • Prior allogeneic hematopoietic stem cell transplant (bone marrow, peripheral blood stem cells, single or double cord blood), OR prior solid organ transplant (liver, kidney, lung and/or heart, intestinal, or multivisceral), OR diagnosis of primary immunodeficiency OR current/recent administration of immunosuppressive therapy for cancer or autoimmune disease.
  • Negative pregnancy test for females ≥10 years old or who have reached menarche, unless surgically sterilized. All females of childbearing potential and lactation must agree to use an FDA approved method of birth control for the duration of their participation.
  • Clinical status, at the time of consent, amendable to tapering of steroids to less than 1 mg/kg/day prednisone (or equivalent) prior to cellular infusion.
  • Diagnosis of Adenovirus, CMV, or EBV infection, persistent despite standard therapy.
Show all 20Show fewer
  • Adenovirus Infection or Disease:
  • Active adenovirus infection: (i.e. gastroenteritis, pneumonia, hemorrhagic cystitis, hepatitis, pancreatitis, meningitis) defined as the demonstration of adenovirus by biopsy specimen from affected site(s) (by culture or histology), or the detection of adenovirus by culture, PCR or direct fluorescent antibody stain in fluid in the presence of worsening or persistent clinical or imaging findings despite at least 14 days of appropriate antiviral therapy (i.e. cidofovir, brincidofovir, or other available pharmacological agents) OR
  • Refractory adenoviremia: defined as DNAemia >5000 copies/mL or <1 log decrease after at least 2 weeks of appropriate antiviral therapy (i.e. cidofovir, brincidofovir, or other available pharmacological agents) OR
  • Intolerance of or contraindication to antiviral medications.
  • B.CMV Infection or Disease:
  • Active CMV infection: (i.e. pneumonia, meningitis, retinitis, hepatitis, hemorrhagic cystitis, and/or gastroenteritis) defined as the demonstration of CMV by biopsy specimen from affected site(s) (by culture or histology) or the detection of CMV by culture, PCR or direct fluorescent antibody stain in fluid in the presence of worsening or persistent clinical or imaging findings despite at least 14 days of appropriate antiviral therapy (i.e. Foscarnet, ganciclovir, cidofovir, or other available pharmacological agents) OR
  • Refractory CMV viremia: defined as the continued presence of DNAemia, with ≥2,000 IU/mL or <1 log decrease after at least 14 days of appropriate antiviral therapy (i.e. Foscarnet, ganciclovir, cidofovir, or other available pharmacological agents) OR
  • Intolerance of or contraindication to antiviral medications.
  • EBV Infection or Disease:
  • Biopsy proven lymphoma or posttransplant lymphoproliferative disease with EBV genomes detected in tumor cells by immunocytochemistry (i.e. EBER positive) or in situ PCR, OR
  • Clinical or imaging findings consistent with EBV lymphoma and associated elevated EBV viral load in peripheral blood in a patient where biopsy is deemed too high risk, OR
  • Failure of antiviral therapy, as determined by one of the two bullets below after three weeks of anti-CD20 targeted therapy such as Rituximab.
  • There was an increase or less than 50% response at sites of lymphoma disease or lymphoproliferation.
  • There was a rise or a fall of less than 50% in EBV viral load in peripheral blood of PTLD patients.

Who cannot join

  • Received Antithymocyte Globulin (ATG) or Alemtuzumab within 28 days of viral-specific T cell infusion and a lack of evidence of T cell survival, defined by <10 CD3+ T cells/uL (in unique situations, plasmapheresis may be considered).
  • Active acute GVHD grades II-IV.
  • Received donor lymphocyte infusion, with the exception of a fraction of an umbilical cord blood, within 14 days of viral-specific T cell infusion. Subjects receiving a fraction of an umbilical cord blood within 14 days of the viral-specific T cell infusion will not be excluded.
  • Active and uncontrolled relapse of malignancy (other than EBV+ post-transplant lymphoproliferative disorder or lymphoma).
  • Received an investigational product in the preceding 2 weeks (prior to infusion) that may impact Viral Specific T-cells (VST) survival.
  • Females of child bearing potential must not be lactating.
  • Past or current medical problems or findings from physical examination or laboratory testing that are not listed above, which, in the opinion of the investigator, may pose additional risks to participation in the study, may interfere with the participant's ability to comply with study requirements, or that may impact the quality or interpretation of the data obtained from the study.

Trial locations and contacts

1 site in 1 country. Contact the study team or a site near you to ask about taking part.

United States1 site
  • UPMC Children's Hospital of Pittsburgh

    Pittsburgh, Pennsylvania, 15224

Other trials in United States

About this study

Official title: Anti-viral T-cell Therapy by Gamma Capture for High-risk Patients With Acquired or Inherited Immune Defects

The primary purpose of this phase I/II study is to evaluate whether partially matched, ≥1/6 Human Leukocyte Antigens (HLA) -matched, viral specific T cells have efficacy against adenovirus, Cytomegalovirus (CMV), and Epstein Barr Virus (EBV) in subjects who have previously received any type of allogeneic Hematopoietic Cell transplant (HCT) or solid organ transplant (SOT) or have compromised immunity. Reconstitution of anti-viral immunity by donor-derived cytotoxic T lymphocytes has shown promise in preventing and treating infections with adenovirus, CMV, and EBV. However, the weeks taken to prepare patient-specific products, and cost associated with products that may not be used limits their value. This trial will evaluate viral specific T cells generated by gamma capture technology. Eligible patients will include HCT and/or SOT recipients, and/or patients with compromised immunity who have adenovirus, CMV, or EBV infection or refractory viremia that is persistent despite standard therapy. Infusion of the cellular product will be assessed for safety and efficacy.

Read the detailed description

Enrollment for existing UPMC patients.

Ideally, subjects will receive up to ≤1 x 105 (100,000) viable CD3 cells/kg however actual cell dose of infusion will be based upon available cells and subject's clinical picture. Historically, subjects have received all available cells after the gamma capture procedure.

Two-weeks post initial cellular infusion, subject may be eligible to receive additional cellular infusions. If so, either the same or an alternative donor may be considered however, a subject will not receive more than 3 infusions from one donor or exceed 6 infusions in total from all donors. Infusions will be a minimum of 14-days apart. Subjects will not receive additional infusions if they exhibit Graft Versus Host Disease (GvHD) or Cytokine Release Syndrome (CRS) Grade II or higher, according to CTCAE v5.

If a subject is to receive a second infusion, eligibility and baseline data collection will not be repeated for the recipient or original donor, unless necessary per institutional guidelines. Should an alternative donor be selected for an infusion, eligibility of the new donor will need confirmed. Pregnant donors may be considered if medically suitable.

Two weeks post-initial cellular infusion, the following criteria will be assessed to determine if additional infusions are necessary:

  • Complete response: Return to normal range as defined by specific assay used and clinical signs and symptoms. These subjects are not eligible to receive an additional cellular infusion.
  • Partial response: Decrease in viral load of at least 50% from baseline or significant improvement of clinical signs. The clinical response is further defined as meeting one or more of the following criteria and no worsening in any of the others:
  1. Absence of fever, if fever is present at baseline
  2. No need for pressors, if on pressors at baseline
  3. No need for oxygen and/or mechanical ventilation, if needed at baseline
  4. Decrease in stool output, if is diarrhea present at baseline

These subjects may receive additional cellular infusions as clinically indicated:

  • Stable disease: Changes insufficient to qualify as partial response or progression. These subjects are eligible to receive additional cellular infusions.
  • Progression: Increase in viral load of at least 50% from baseline or dissemination to other sites of disease. These subjects are eligible to receive additional cellular infusions.

Subjects are followed for six months post initial viral-specific T cell infusion. If a subject receives additional infusions, GVHD and adverse events only will be followed for a minimum of three months from last infusion, even if extending beyond the six-month follow-up from the first infusion. Data may be abstracted from subjects' medical charts for an additional 1 year after most recent viral-specific T cell infusion.

Being tested
Specific T- Lymphocytes
Medical subject headings
Adenoviridae Infections, Cytomegalovirus Infections, Epstein-Barr Virus Infections

What participants receive

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

  • Specific T- LymphocytesBiological

    Peripheral blood mononuclear cells will be collected from the donor and loaded onto Miltenyi Biotec CliniMACS Prodigy® or CliniMACS® Plus where they will be stimulated in vitro with Adenovirus viral-specific antigen(s). The cells are then immunomagnetically labeled with interferon gamma via the cytokine capture system, captured and infused.

Study groups in NCT06027879
Study groupRoleWhat they receive
Viral Specific T-LymphocytesExperimentalViral Specific T-Lymphocytes Peripheral blood mononuclear cells will be collected from the donor and loaded onto our Miltenyi Biotec CliniMACS Prodigy® or CliniMACS® Plus where they will be stimulated in vitro with viral-specific antigen(s). The cells are then immunomagnetically labeled with interferon gamma via the cytokine capture system. By this method, viral specific, gamma-secreting T cells, are captured in a closed, sterile system.
Receives: Biological: Specific T- Lymphocytes

What is being measured

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

  1. Grade III-IV Acute GvHD

    The number of patients who develop Grade III-IV acute graft versus host disease (GVHD) attributed to the viral specific T cells.

    Measured: Day 0

  2. Grade III-IV Acute GvHD

    The number of patients who develop Grade III-IV acute graft versus host disease (GVHD) attributed to the viral specific T cells.

    Measured: 1 month from first cellular infusion

  3. Grade III-IV Acute GvHD

    The number of patients who develop Grade III-IV acute graft versus host disease (GVHD) attributed to the viral specific T cells.

    Measured: 3 month from first cellular infusion

  4. Grade III-IV Acute GvHD

    The number of patients who develop Grade III-IV acute graft versus host disease (GVHD) attributed to the viral specific T cells.

    Measured: 6 month from first cellular infusion

  5. Clinical response to treatment of viral infection

    Rate of Elimination or reduction of oxygen dependence identified at baseline

    Measured: 1 month from first cellular infusion

  6. Clinical response to treatment of viral infection

    Rate of Resolution of diarrhea attributable to the viral disease, less than 4 stools daily

    Measured: 1 month from first cellular infusion

  7. Clinical response to treatment of viral infection

    Rate of Resolution of fever, attributable to viral disease

    Measured: 1 month from first cellular infusion

  8. Clinical response to treatment of viral infection

    Rate of Resolution or improvement of radiographic findings attributable to viral disease

    Measured: 1 month from first cellular infusion

  9. Clinical response to treatment of viral infection

    Rate of Resolution or improvement of lymphadenopathy attributable to EBV, and ophthalmic findings attributable to CMV retinitis

    Measured: 1 month from first cellular infusion

  10. Clinical response to treatment of viral infection

    Rate of Elimination or reduction of oxygen dependence identified at baseline

    Measured: 3 month from first cellular infusion

  11. Clinical response to treatment of viral infection

    Rate of Resolution of diarrhea attributable to the viral disease, less than 4 stools daily

    Measured: 3 month from first cellular infusion

  12. Clinical response to treatment of viral infection

    Rate of Resolution of fever, attributable to viral disease

    Measured: 3 month from first cellular infusion

  13. Clinical response to treatment of viral infection

    Rate of Resolution or improvement of radiographic findings attributable to viral disease

    Measured: 3 month from first cellular infusion

  14. Clinical response to treatment of viral infection

    Rate of Resolution or improvement of lymphadenopathy attributable to EBV, and ophthalmic findings attributable to CMV retinitis

    Measured: 3 month from first cellular infusion

  15. Clinical response to treatment of viral infection

    Rate of Elimination or reduction of oxygen dependence identified at baseline

    Measured: 6 months from first cellular infusion

  16. Clinical response to treatment of viral infection

    Rate of Resolution of diarrhea attributable to the viral disease, less than 4 stools daily

    Measured: 6 months from first cellular infusion

  17. Clinical response to treatment of viral infection

    Rate of Resolution of fever, attributable to viral disease

    Measured: 6 months from first cellular infusion

  18. Clinical response to treatment of viral infection

    Rate of Resolution or improvement of radiographic findings attributable to viral disease

    Measured: 6 months from first cellular infusion

  19. Clinical response to treatment of viral infection

    Rate of Resolution or improvement of lymphadenopathy attributable to EBV, and ophthalmic findings attributable to CMV retinitis

    Measured: 6 months from first cellular infusion

Secondary outcomes (9)
  1. 1-year overall survival from first cellular infusion (continuous)

    Number of deaths that occurred from treatment

    Measured: First cellular infusion to 1 year post first cellular infusion

  2. Incidence of Graft rejection

    How frequent, if any, graft rejection occurs

    Measured: 3 months after last cellular infusion

  3. Incidence of Graft rejection

    How frequent, if any, graft rejection occurs

    Measured: 6 months after last cellular infusion

  4. Incidence of Mechanical ventilation exceeding 48 hours

    How long, if any

    Measured: 3 months after last cellular infusion

  5. Incidence of Mechanical ventilation exceeding 48 hours

    How long, if any

    Measured: 6 months after last cellular infusion

  6. Usage of concomitant antiviral agents

    The introduction of concomitant antiviral medication post infusion, if any

    Measured: First cellular infusion to 1 year post first cellular infusion

  7. Immune reconstitution with focus on adaptive T cell immunity and viral-specific responses

    The pace of systemic immune reconstitution, measured by the increased number of CD4+ T lymphocytes.

    Measured: 1 month following first cellular infusion

  8. Immune reconstitution with focus on adaptive T cell immunity and viral-specific responses

    The pace of systemic immune reconstitution, measured by the increased number of CD4+ T lymphocytes.

    Measured: 3 months following first cellular infusion

  9. Incidence of severe or extensive chronic GVHD

    The number of patients who develop chronic graft versus host disease (GVHD) post first infusion based on Clinical Chronic GvHD Assessment

    Measured: 6 months from first cellular infusion

Timeline

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

  1. First posted7 Sep 2023
  2. Study start8 Jan 2024
  3. Primary completion1 Jun 2028 (estimated)
  4. Study completion1 Jun 2029 (estimated)

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 1/2
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrolment
25 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT06027879
Sponsor's protocol ID
STUDY23030062
Acronym
Gamma Capture
Status last verified
Jun 2026
First submitted
5 Jul 2023
Last updated
29 Jun 2026
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
No

Questions about this trial

What is this clinical trial studying?

A Phase 1/2 study testing Specific T- Lymphocytes in people with Adenovirus and Cytomegalovirus Infections, run by Paul Szabolcs at 1 site 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 20 inclusion and 7 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: enrolling by invitation, as of the sponsor's last update on 29 Jun 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site 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.

What does this combined phase mean?

Phase 1 studies test a treatment in a small group of people for the first time or in a new way, mainly to check safety and find the right dose.

Phase 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.

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

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?

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?

Grade III-IV Acute GvHD (time frame: Day 0). The study lists 19 primary outcomes in all. 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 29 Jun 2026.

Free account

Log in to keep searching

You’ve used your 3 free searches. AzTrials is free: log in or create a free account to keep searching clinical trials and save the ones you want to follow.

Create a free accountLog in