Valganciclovir or Ganciclovir for Congenital CMV Disease
CMV CTLs in Neonates With CMV Infection
Recruiting
Phase 2Interventional Study
Congenital Cytomegaloviral (CMV) Disease
No Placebo Group
Every participant receives an active treatment — no one gets a placebo.
Prior Safety Data
This treatment has already been tested in at least one earlier human trial.
Ready to participate?
Review the details below, then apply to join this clinical trial.
At a Glance
Age
0 Days – 21 Days
Sex
Any
Trial phase
Phase 2
Study type
Interventional
Purpose
Treatment
Participants needed
23 (estimated)
Sponsor
New York Medical College · Other
Who this trial is looking for
This trial is looking for newborns with moderate or severe congenital CMV disease who are less than 21 days old. Participants will receive treatment with antiviral medications and may also receive an additional treatment with CMV CTLs if found safe.
Are You a Good Fit for This Trial?
Must be takingValganciclovirGanciclovir
You may be able to join if
I am less than 21 days old
I weigh at least 2500 grams at birth
I was born at 34 weeks or later
I have been diagnosed with CMV infection
I have moderate or severe CMV disease
My mother is a suitable donor with a specific immune response
You may not be able to join if
I am receiving steroids on the same day of treatment
I am part of another clinical trial for CMV treatment
I have a medical condition that affects my participation
My mother has a known history of HIV infection
My representative cannot give informed consent
Summarized in plain language from this trial's official eligibility criteria.
The full criteria are further down this page — only the research team can
confirm whether you qualify.
Think this trial could be right for you?
Answer a few quick questions to see if you may meet the eligibility requirements.
Patients with moderate or severe CMV disease less than 21 days old who have a maternal donor who has a CMV response to the peptivators will be screened.
All patients will receive treatment with valganciclovir or ganciclovir. There is a safety run in with treatment with CMV CTLs in cohort 1 and if found to be safe, will proceed to cohort 2 for randomization to receive antiviral therapy with or wit…
Patients with moderate or severe CMV disease less than 21 days old who have a maternal donor who has a CMV response to the peptivators will be screened.
All patients will receive treatment with valganciclovir or ganciclovir. There is a safety run in with treatment with CMV CTLs in cohort 1 and if found to be safe, will proceed to cohort 2 for randomization to receive antiviral therapy with or without CMV CTLs.
Funding source: FDA OOPD
Trial Locations
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Eligibility Criteria
Inclusion Criteria:
* Age: ≤ 21 days of life
* Birth Weight: ≥ 2500 gms
* Gestational age: ≥ 34 weeks of age
* Diagnosis of CMV viremia, viruria, and/or infection:Either one or more:
Elevated CMV by RT-PCR in urine, saliva, CSF, or plasma; and/or Positive urine culture for CMV
\- Moderate or Seve…
Inclusion Criteria:
* Age: ≤ 21 days of life
* Birth Weight: ≥ 2500 gms
* Gestational age: ≥ 34 weeks of age
* Diagnosis of CMV viremia, viruria, and/or infection:Either one or more:
Elevated CMV by RT-PCR in urine, saliva, CSF, or plasma; and/or Positive urine culture for CMV
\- Moderate or Severe CMV Disease
Any one or more of the following attributable to congenital CMV infection:
* Thrombocytopenia (≤ 50,000 mm3)
* Multiple petechiae
* Hepatomegaly
* Splenomegaly
* Intrauterine growth retardation
* Increased transaminases
* Increased bilirubin
* Microcephaly
* Ventriculomegaly
* Intracerebral calcifications
* Periventricular echogenicity
* Cortical or cerebral malformation
* Chorioretinitis
* Severe neonatal hearing loss
* CMV DNA by PCR in CNS
* Increased WBC for age in CNS
* Minimal Organ Criteria Hematological: ANC ≥ 750/mm3, HgB ≥ 8gm/dl, Platelets ≥ 20,000/kmm3 Renal: Serum creatinine ≤ 1.0 mg/dl Hepatic: ALT/SGOT ≤3x upper normal limits
* Donor Availability: Maternal donor available with a T-cell response CMV MACS® PepTivators. the donor is considered suitable if the percentage of IFN-gamma+ T cells is \> 0.01% after stimulation with PepTivators.
Exclusion Criteria -
* Patient receiving steroids (\> 0.5 mg/kg prednisone equivalent) on the same day of CMV CTL infusion. Antenatal steroids for lung maturation will have been cleared prior to CMV diagnosis.
* Concomitant enrollment in another experimental clinical trial investigating the treatment of neonatal CMV viremia and/or infection.
* Any medical condition that could compromise participation in the study according to the investigator's assessment.
* Known history of HIV infection in the mother.
* Patient's legally authorized representative unwilling or unable to comply with the protocol or unable to give informed consent.
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