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Adenovirus InfectionsPhase 3ENOVIANCT07387367

A Phase 3 Trial to Compare IV BCV Versus IV CDV for Treatment of Adenovirus Infection After Allo-HCT

A Phase 3 study testing cidofovir and Brincidofovir in people with Adenovirus Infections, run by SymBio Pharmaceuticals at 81 sites in 13 countries.

Recruiting

Looking for participants now. Contact the study team or a site below to ask about taking part.

Sites and contacts
Official record
Search all trials

Trial summary

This randomized, open-label, parallel group, two-arm, multi-center assessment will compare IV BCV with IV CDV in adult and pediatric allogeneic HCT recipients with AdV viremia. A virologic response-driven approach to duration of treatment will be evaluated, in which randomized subjects are treated with either BCV or… Read more about this study

Who is it for?
Ages 2 months and older
Conditions the study is for
Adenovirus Infections
What is being tested?
cidofovir and Brincidofovir
Type of treatment
Injection or infusion
Could I receive a placebo?
No, everyone receives an active treatment
How many people
180 participants
Where
81 sitesin 13 countries
Study dates
17 Mar 2026to 30 Jun 2028
Phase
Phase 3
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 2 months and older
  • All sexes
  • No healthy volunteers
  • Child, Adult, Older adult

Who may be able to join

  • Male and female, post-allo HCT within last 180 days, aged 2 months and older at time of signing informed consent form.
  • Subject/Guardian willing and able to understand and provide written informed consent to participate in the study.
  • In the investigator's judgement, the subject's clinical condition justifies treatment with IV BCV or IV CDV for AdV infection.
  • Has adenoviremia, based on any of:
  • AdV viremia DNA ≥10,000 IU/mL, OR
  • Two consecutive and rising AdV viremia DNA results of ≥1,000 IU/mL at screening, OR
  • AdV viremia DNA of ≥1,000 IU/mL, AND
  • 1. Lymphocyte count <180/mm3, OR 2. Received T cell depletion, cord blood, or haploidentical transplant, OR 3. prior alemtuzumab, OR 4. anti-thymocyte globulin (ATG)

Who cannot join

  • Subject received an allo-HCT with a matched sibling donor
  • Subject received more than 5 mg/kg of CDV for any reason in the 21 days prior to first dose of study drug.
  • Subject is allergic or hypersensitive to IV BCV or IV CDV or any of their components.
  • Subject received anti-AdV-specific cell-based therapy within 3 weeks prior to W1D1 or an anti-AdV vaccine at any time.
  • Subject has participated in any other investigational study within 30 days (or within 5.5 half-lives of the investigational product, whichever is longer) before signing the informed consent form (ICF), is currently participating in another interventional treatment trial with an investigational agent or is using an investigational device at the time of Screening.

Trial locations and contacts

81 sites in 13 countries. Contact the study team or a site near you to ask about taking part.

81 sites in 13 countries

United States32 sites, 32 recruiting
  • Children's Healthcare of Atlanta

    Atlanta, Georgia, 30329

    Recruiting
  • Children's Hospital Colorado-Center for Cancer and Blood Disorders

    Aurora, Colorado, 80045

    Recruiting
  • Dana-Farber Cancer Institute-Brighman and Women's

    Boston, Massachusetts, 02115

    Recruiting
  • Dana-Farber/Boston Children's Cancer and Blood Disorders Center

    Boston, Massachusetts, 02139

    Recruiting
  • Ann and Robert H Lurie Children's Hospital

    Chicago, Illinois, 60611

    Recruiting
  • University of Chicago

    Chicago, Illinois, 60637

    Not yet recruiting
  • Cincinnati Children's Hospital

    Cincinnati, Ohio, 45229

    Recruiting
  • Nationwide Children's Hospital

    Columbus, Ohio, 43205

    Not yet recruiting
  • UT Southwestern Medical Center

    Dallas, Texas, 75390

    Not yet recruiting
  • City of Hope

    Duarte, California, 91010

    Recruiting
  • Duke University Medical Center

    Durham, North Carolina, 27710

    Recruiting
  • Helen Devos Children's Hospital / Michigan State University

    Grand Rapids, Michigan, 49503

    Not yet recruiting
  • Joseph M Sanzari Children's Hospital

    Hackensack, New Jersey, 07601

    Recruiting
  • Riley Children's Health (Indiana University)

    Indianapolis, Indiana, 46202

    Recruiting
  • St. Jude Children's Research Hospital

    Memphis, Tennessee, 38105

    Recruiting
  • Medical College of Wisconsin / Children's Wisconsin

    Milwaukee, Wisconsin, 53226

    Recruiting
  • University of Minnesota

    Minneapolis, Minnesota, 55455

    Recruiting
  • Cohen Children's Medical Center

    New Hyde Park, New York, 11042

    Recruiting
  • Columbia University Irving Medical Center

    New York, New York, 10032

    Not yet recruiting
  • Weill Cornell Medicine

    New York, New York, 10065

    Recruiting
  • University of Nebraska

    Omaha, Nebraska, 68182

    Recruiting
  • Stanford Medicine Children's Health

    Palo Alto, California, 94304

    Recruiting
  • Children's Hospital of Philadelphia

    Philadelphia, Pennsylvania, 19104

    Recruiting
  • Phoenix Children's Hospital

    Phoenix, Arizona, 85016

    Recruiting
  • University of Pittsburgh Medical Center Children's Hospital

    Pittsburgh, Pennsylvania, 15213

    Not yet recruiting
  • University of California Davis

    Sacramento, California, 95616

    Recruiting
  • Rady Children's Hospital

    San Diego, California, 92123

    Recruiting
  • Seattle Children's Hospital

    Seattle, Washington, 98105

    Recruiting
  • Fred Hutchinson Cancer Center

    Seattle, Washington, 98109

    Recruiting
  • St Louis Children's Hospital - Barnes Jewish Hospital

    St Louis, Missouri, 63110

    Recruiting
  • Johns Hopkins All Children's Hospital

    St. Petersburg, Florida, 33701

    Not yet recruiting
  • Children's National Hospital

    Washington D.C., District of Columbia, 20010

    Recruiting

Other trials in United States

France9 sites, 9 recruiting
  • Centre Hospitalier Universitaire (CHU) de Bordeaux - Hôpital Pellegrin

    Bordeaux

    Not yet recruiting
  • Hopital Jeanne de Flandre

    Lille

    Recruiting
  • Centre Hospitalier Régional Universitaire de Nancy (CHRU) - Hopitaux de Brabois - Hôpital d'enfants

    Nancy

    Recruiting
  • Centre Hospitalier Universitaire (CHU) de Nantes - Hôpital Mère-Enfants

    Nantes

    Not yet recruiting
  • Hôpital Saint-Louis

    Paris

    Recruiting
  • Necker Hospital

    Paris

    Recruiting
  • Robert-Debré Hospital, APHP Nord Université de Paris Cité.

    Paris

    Recruiting
  • Centre Hospitalier Universitaire (CHU) de Rennes - Hôpital Sud

    Rennes

    Not yet recruiting
  • Hôpitaux Universitaires de Strasbourg - Hôpital de Hautepierre

    Strasbourg

    Not yet recruiting

Other trials in France

Germany8 sites, 8 recruiting
  • Charité University Hospital

    Berlin

    Recruiting
  • Essen University Hospital

    Essen

    Recruiting
  • University Hospital Frankfurt, am Main

    Frankfurt

    Recruiting
  • University Medical Center Freiburg

    Freiburg im Breisgau

    Not yet recruiting
  • University Medical Center Hamburg-Eppendorf (UKE)

    Hamburg

    Recruiting
  • Medizinische Hochschule Hannover

    Hanover

    Recruiting
  • University Children's Hospital

    Münster

    Recruiting
  • Kinderheilkunde I | Universitätsklinikum Tübingen

    Tübingen

    Not yet recruiting

Other trials in Germany

United Kingdom8 sites, 8 recruiting
  • Birmingham Women's and Children's Hospital

    Birmingham

    Not yet recruiting
  • Leeds Teaching Hospitals NHS Trust

    Leeds

    Recruiting
  • Great Ormond Street Hospital for Children

    London

    Recruiting
  • University College London Hospitals NHS Foundation Trust

    London

    Recruiting
  • Royal Manchester Children's Hospital

    Manchester

    Recruiting
  • The Newcastle upon Tyne Hospitals NHS Foundation Trust - Freeman Hospital

    Newcastle upon Tyne

    Recruiting
  • Sheffield Children's Hospital

    Sheffield

    Recruiting
  • Royal Marsden Hospital

    Sutton

    Recruiting

Other trials in United Kingdom

Canada6 sites, 6 recruiting
  • Alberta Children's Hospital University of Calgary

    Calgary

    Recruiting
  • Hopital Maisonneuve-Rosemont - CIUSSS de l Est de L Ile de Montreal

    Montreal, Quebec Province

    Recruiting
  • Montreal Children's Hospital - McGill University Health Centre

    Montreal, Quebec Province

    Not yet recruiting
  • CHU Sainte Justine Hospital

    Montreal

    Recruiting
  • University Health Network- Princess Margaret Cancer Centre

    Toronto, Ontario Province

    Recruiting
  • The Hospital for Sick Children

    Toronto

    Recruiting

Other trials in Canada

Italy5 sites, 5 recruiting
  • Istituto Giannina Gaslini

    Genova

    Recruiting
  • Fondazione IRCCS Policlinico San Matteo

    Pavia

    Recruiting
  • Perugia Hospital

    Perugia

    Recruiting
  • Ospedale Pediatrico Bambino Gesu'

    Rome

    Recruiting
  • IRCCS San Raffaele Hospital

    San Raffaele

    Recruiting

Other trials in Italy

Spain4 sites, 4 recruiting
  • Vall d'Hebron University Hospital

    Barcelona

    Recruiting
  • Hospital Universitario La Paz

    Madrid

    Recruiting
  • Clinica Universidad de Navarra

    Pamplona

    Recruiting
  • Hospital Universitario de Salamanca

    Salamanca

    Recruiting

Other trials in Spain

Belgium2 sites, 2 recruiting
  • Leuven, University Hospital Gasthuisberg

    Leuven

    Not yet recruiting
  • Centre Hospitalier Universitaire (CHU) de Liège

    Liège

    Not yet recruiting

Other trials in Belgium

Netherlands2 sites, 2 recruiting
  • Leiden Unviversity Medical Center

    Leiden

    Not yet recruiting
  • Princess Maxima Center & UMC Utrecht

    Utrecht

    Not yet recruiting

Other trials in Netherlands

Portugal2 sites, 2 recruiting
  • Instituto Português de Oncologia de Lisboa (IPO Lisboa) Francisco Gentil, EPE

    Lisbon

    Not yet recruiting
  • Instituto Português de Oncologia do Porto (IPO Porto) Francisco Gentil, EPE

    Porto

    Not yet recruiting

Other trials in Portugal

Austria1 site, 1 recruiting
  • St. Anna Kinderspital- Childrens Hospital

    Vienna

    Not yet recruiting

Other trials in Austria

Denmark1 site, 1 recruiting
  • Rigshospitalet

    Copenhagen

    Not yet recruiting

Other trials in Denmark

Sweden1 site, 1 recruiting
  • Karolinska University Hospital

    Stockholm

    Not yet recruiting

Other trials in Sweden

About this study

Official title: A Phase 3, Multicenter, Prospective, Randomized, Open-label Efficacy and Safety Study of Intravenous Brincidofovir Versus Intravenous Cidofovir for Treatment of Adenovirus Infection in Pediatric and Adult Subjects After Allogeneic Hematopoietic Cell Transplantation (Allo-HCT)

This randomized, open-label, parallel group, two-arm, multi-center assessment will compare IV BCV with IV CDV in adult and pediatric allogeneic HCT recipients with AdV viremia. A virologic response-driven approach to duration of treatment will be evaluated, in which randomized subjects are treated with either BCV or CDV until AdV viremia is confirmed as undetectable or until a maximum of 12 weeks of therapy, whichever occurs first. All subjects will be followed for a total of 24 weeks post-randomization, regardless of treatment assignment. Subjects will be assessed on a weekly basis through the end of treatment visit (EOT). Additional assessments will be performed at the test of cure (TOC) visit, which is 4 weeks after the last dose of study drug and at Weeks 12 and 24 post W1D1.

Read the detailed description

This Phase 3 multi-center, randomized, open-label study will assess efficacy of IV BCV, compared to IV CDV, in allo-HCT subjects with AdV viremia. Randomized subjects will be treated for up to a maximum of 12 weeks of therapy for both arms. Primary efficacy assessment will be performed at W5D1. Consistent with ECIL guidelines for high-risk patients, AdV viremia will be assessed weekly. Subjects randomized to receive BCV or CDV are treated until AdV DNA is confirmed to be undetectable in plasma for two consecutive tests 7 days apart, or until Week 12 post W1D1, whichever occurs first. Subjects will continue BCV or CDV as long as AdV viremia is detectable, contingent on tolerability, until viremia clears, or the subject reaches a maximum duration of 12 weeks of study drug treatment.

Subjects will receive assigned randomized therapy until time of AdV virological success plus 2 weeks, for up to a maximum of 12 weeks. All subjects will be followed through 24 weeks. All study visits and follow-up assessments must be completed regardless of the study drug treatment duration. All subjects are considered on study through the Week 24 follow-up visit.

For subjects who achieve virological success from their initial randomized study drug treatment and experience an AdV viremia recurrence, repeat treatment with their randomized study drug is allowed. There is no cross-over study drug treatment allowed in this study and subjects can only receive retreatment with their randomized study drug.

Subjects who stop study drug therapy due to confirmed undetectable AdV viremia may re-initiate study drug treatment if AdV viremia is subsequently confirmed at ≥ 1000 IU/mL by the designated central virology laboratory (recurrence). For the purposes of re-initiating study drug therapy, "confirmed viremia ≥ 1000 IU/mL" is defined as two consecutive results ≥ 1000 IU/mL from the designated central laboratory, with the second sample drawn at least 48 hours after the first sample.

Subjects who permanently discontinue study drug therapy for toxicity reasons are not eligible to re-initiate study drug dosing. Study procedures are to be followed during these Retreatment visits as applicable for BCV and CDV outlined in the schedule of assessments (SOA).

An independent Data Safety Monitoring Board (DSMB) will review accumulated safety data for this study when total combined enrollment in both arms is approximately 25% (45 subjects) and 50% (90 subjects). They will also review adverse events on an ongoing basis. They will make recommendations to the Sponsor based on review of these safety data. Further details regarding data safety monitoring guidelines will be included in the DSMB Charter. The DSMB will make determinations regarding continued enrolment and/or stopping the study for safety reasons.

An Endpoint Adjudication Committee (EAC) will be convened to evaluate baseline diagnosis and AdV disease clinical response as outlined in the EAC charter.

Being tested
cidofovir, Brincidofovir
Keywords
Brincidofovir, Cidofovir, Adenovirus, allo-HCT, BCV-PA02, ENOVIA
Medical subject headings
Adenoviridae Infections

What participants receive

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

  • cidofovirDrug

    Also called IV CDV

    CDV does not have a labeled indication for treating Adenovirus infection. CDV will be administered according to local guidelines and institutional standard of care practice.

  • BrincidofovirDrug

    Also called SyB V-1901

    Intravenous

Study groups in NCT07387367
Study groupRoleWhat they receive
IV BCVExperimentalNot described
Receives: Drug: Brincidofovir
IV CDVActive comparatorNot described
Receives: Drug: cidofovir

What is being measured

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

  1. To assess efficacy of intravenous (IV) brincidofovir (BCV), compared with IV cidofovir (CDV), in subjects after allo-HCT with adenovirus (AdV) viremia.

    The primary efficacy endpoint is defined as AdV virological success at W5D1.

    -Proportion of subjects with AdV virological success

    Measured: Week (W) 5 Day (D) 1.

Secondary outcomes (4)
  1. To assess the efficacy and safety of IV BCV, and IV CDV, in subjects after allo-HCT with AdV viremia.

    The proportion of subjects with overall success, as adjuducated by the EAC

    Measured: Test Of Cure (Last Dose + 30 days)

  2. To assess the efficacy and safety of IV BCV, and IV CDV, in subjects after allo-HCT with AdV viremia.

    Incidence and severity of treatment-emergent adverse events (TEAEs).

    Measured: Week 1 Day 1 Through End Of Study (Week 24).

  3. To assess the efficacy and safety of IV BCV, and IV CDV, in subjects after allo-HCT with AdV viremia.

    All cause mortality

    Measured: Week 5 Day 1, Last Dose + 4 Days, Last Dose + 30 days, Week 12, and Week 24.

  4. BCV Plasma Concentrations will be collected, measured and reported

    The drug level (BCV) in plasma will be measured and used to examine the variability in drug concentrations among patients within the study population (i.e., population pharmacokinetics analysis).

    Measured: Plasma samples will be collected at Week 1 Day 1, and Week 5 Day 1

Timeline

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

  1. First posted4 Feb 2026
  2. Study start17 Mar 2026
  3. Primary completion31 Jan 2028 (estimated)
  4. Study completion30 Jun 2028 (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 3
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Single blind
Who is masked
Outcomes assessor
Enrolment
180 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT07387367
Sponsor's protocol ID
BCV-PA02
Acronym
ENOVIA
Status last verified
Oct 2026
First submitted
20 Jan 2026
Last updated
19 Oct 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 3 study testing cidofovir and Brincidofovir in people with Adenovirus Infections, run by SymBio Pharmaceuticals at 81 sites in 13 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 8 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 19 Oct 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 81 sites in United States, France, Germany, United Kingdom, Canada and 8 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. 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?

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 Rochelle Maher (+1-917-656-6951, MedInfo@symbiopharma.com), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

To assess efficacy of intravenous (IV) brincidofovir (BCV), compared with IV cidofovir (CDV), in subjects after allo-HCT with adenovirus (AdV) viremia. (time frame: Week (W) 5 Day (D) 1.). 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 19 Oct 2026.

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