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NCT05179057

Posoleucel (ALVR105) for the Treatment of Adenovirus Infection in Pediatric and Adult Participants Receiving Standard of Care Following Allogeneic Hematopoietic Cell Transplantation

Terminated Phase 3 Results posted Last updated 8 May 2024
What this trial tests

Phase 3 trial testing Posoleucel in Adenovirus Infection in 57 participants. Terminated before completion.

Timeline
26 April 2022
Primary endpoint
31 January 2024
31 January 2024

Quick facts

Lead sponsorAlloVir
PhasePhase 3
StatusTerminated
Study typeINTERVENTIONAL
Allocationrandomized
Designparallel
Maskingquadruple
Primary purposetreatment
Enrollment57
Start date26 April 2022
Primary completion31 January 2024
Estimated completion31 January 2024
Sites47 locations across Italy, Sweden, United Kingdom, Canada, United States, Spain

Drugs / interventions tested

Conditions studied

Sponsor

AlloVir — full company profile →

Who can join

Eligibility, any sex, with Adenovirus Infection. Patients with the condition only — healthy volunteers not accepted.

Results — posted to ClinicalTrials.gov

Per-arm endpoint measurements with 95% confidence intervals where reported. Source: trial results section.

Number of Participants With Undetectable Adenovirus Infection Primary · Day 29 through Day 43 (Day 29 + 14 days; up to 43 days post-first infusion)

Viral load of adenovirus was measured at the central laboratory using quantitative polymerase chain reaction (qPCR) from blood and stool samples at each study visit and on Day 29 from a nasopharyngeal swab. There was a 14-day window for participants who crossed over from posoleucel to placebo; and for participants who crossed over from placebo to posoleucel, the pre-dose cross-over Day 1 viral load was used. Participants missing the primary endpoint but having undetectable viremia before Day 29 and after Day 43 were imputed as successes. Undetectable adenovirus viremia was less than the lower

GroupValue95% CI
Posoleucel, Then Placebo11
Placebo, Then Posoleucel9
Number of Participants Who Experienced Treatment-emergent Adverse Events (TEAEs) Primary · Up to 34 weeks

A TEAE was defined as an adverse event (AE) with a start date and time on or after the first dose of study treatment. A serious AE (SAE) was an AE that met at least one of the following serious criteria: fatal, life-threatening, required inpatient hospitalization or prolongation of existing hospitalization; resulted in persistent or significant disability/incapacity; was a congenital anomaly/birth defect; or other important medical event. TEAEs of special interest (AESI) included acute or chronic graft versus host disease, cytokine release syndrome, infusion-related reactions, and graft failur

Any TEAE
GroupValue95% CI
Posoleucel (Primary Study Period)27
Placebo (Primary Study Period)23
Posoleucel (Cross-over Period)5
Placebo (Cross-over Period)3
Any TEAE related to study treatment
GroupValue95% CI
Posoleucel (Primary Study Period)7
Placebo (Primary Study Period)9
Posoleucel (Cross-over Period)1
Placebo (Cross-over Period)1
Any AESI
GroupValue95% CI
Posoleucel (Primary Study Period)6
Placebo (Primary Study Period)9
Posoleucel (Cross-over Period)1
Placebo (Cross-over Period)2
Any SAE
GroupValue95% CI
Posoleucel (Primary Study Period)16
Placebo (Primary Study Period)16
Posoleucel (Cross-over Period)3
Placebo (Cross-over Period)1
Any SAE related to study treatment
GroupValue95% CI
Posoleucel (Primary Study Period)1
Placebo (Primary Study Period)1
Posoleucel (Cross-over Period)1
Placebo (Cross-over Period)1
Any TEAE leading to study treatment discontinuation
GroupValue95% CI
Posoleucel (Primary Study Period)2
Placebo (Primary Study Period)1
Posoleucel (Cross-over Period)0
Placebo (Cross-over Period)2
Any TEAE leading to study discontinuation
GroupValue95% CI
Posoleucel (Primary Study Period)1
Placebo (Primary Study Period)2
Posoleucel (Cross-over Period)0
Placebo (Cross-over Period)1
Any TEAE leading to death
GroupValue95% CI
Posoleucel (Primary Study Period)2
Placebo (Primary Study Period)1
Posoleucel (Cross-over Period)0
Placebo (Cross-over Period)1

Adverse events — posted to ClinicalTrials.gov

Time frame: Up to 34 weeks. Reporting threshold: 5%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

Posoleucel (Primary Study Period)
Serious: 16/28 (57%)
Deaths: 2/28
Placebo (Primary Study Period)
Serious: 16/23 (70%)
Deaths: 1/23
Posoleucel (Cross-over Period)
Serious: 3/5 (60%)
Deaths: 0/5
Placebo (Cross-over Period)
Serious: 1/4 (25%)
Deaths: 1/4

Serious adverse events (69 terms)

ReactionSystemPosoleucel (Primary Study …Placebo (Primary Study Per…Posoleucel (Cross-over Per…Placebo (Cross-over Period)
PyrexiaGeneral disorders
PneumoniaInfections and infestations
COVID-19Infections and infestations
Clostridium difficile infectionInfections and infestations
PancreatitisGastrointestinal disorders
GastroenteritisInfections and infestations
Candida infectionInfections and infestations
Clostridium difficile colitisInfections and infestations
Cryptosporidiosis infectionInfections and infestations
Cytomegalovirus colitisInfections and infestations
Cytomegalovirus infection reactivationInfections and infestations
Device related infectionInfections and infestations
Enterocolitis infectiousInfections and infestations
Escherichia pyelonephritisInfections and infestations
Gastroenteritis rotavirusInfections and infestations
Human herpesvirus 6 infectionInfections and infestations
Localised infectionInfections and infestations
Pancreatitis viralInfections and infestations
Parainfluenzae virus infectionInfections and infestations
ParotitisInfections and infestations
Phlebitis infectiveInfections and infestations
Pneumococcal bacteraemiaInfections and infestations
Respiratory syncytial virus infectionInfections and infestations
SepsisInfections and infestations
BacteraemiaInfections and infestations
Other adverse events (89 terms — click to expand)

ReactionSystemPosoleucel (Primary Study …Placebo (Primary Study Per…Posoleucel (Cross-over Per…Placebo (Cross-over Period)
PyrexiaGeneral disorders
HypokalaemiaMetabolism and nutrition disorders
VomitingGastrointestinal disorders
Abdominal painGastrointestinal disorders
NauseaGastrointestinal disorders
AnaemiaBlood and lymphatic system disorders
DiarrhoeaGastrointestinal disorders
HypomagnesaemiaMetabolism and nutrition disorders
HypertensionVascular disorders
PhimosisCongenital, familial and genetic disorders
COVID-19Infections and infestations
Rhinovirus infectionInfections and infestations
BK virus infectionInfections and infestations
Adenovirus infectionInfections and infestations
Cytomegalovirus infection reactivationInfections and infestations
Cytomegalovirus viraemiaInfections and infestations
Upper respiratory tract infectionInfections and infestations
ConstipationGastrointestinal disorders
StomatitisGastrointestinal disorders
Platelet count decreasedInvestigations
HypophosphataemiaMetabolism and nutrition disorders
ThrombocytopeniaBlood and lymphatic system disorders
RashSkin and subcutaneous tissue disorders
Rash maculo-papularSkin and subcutaneous tissue disorders
CoughRespiratory, thoracic and mediastinal disorders
DyspnoeaRespiratory, thoracic and mediastinal disorders
Acute graft versus host disease in intestineImmune system disorders
Cytokine release syndromeImmune system disorders
HypogammaglobulinaemiaImmune system disorders
ProteinuriaRenal and urinary disorders
Candida infectionInfections and infestations
PneumoniaInfections and infestations
Gastroenteritis adenovirusInfections and infestations
SepsisInfections and infestations
Adenoviral hepatitisInfections and infestations
BacteraemiaInfections and infestations
Enterovirus infectionInfections and infestations
Klebsiella bacteraemiaInfections and infestations
AscitesGastrointestinal disorders
Abdominal distensionGastrointestinal disorders

Most-reported serious reactions: Pyrexia, Pneumonia, COVID-19, Clostridium difficile infection, Pancreatitis, Gastroenteritis, Candida infection, Clostridium difficile colitis.

Data from ClinicalTrials.gov NCT05179057 adverse events section.

Sponsor's own description

This study will assess the safety and efficacy of Posoleucel for the treatment of adenovirus (AdV) infection in pediatric and adult allo-HCT recipients receiving standard of care (SoC).

Publications & conference data

7 peer-reviewed publications reference this trial (live from Europe PMC):

  1. How I prevent viral reactivation in high-risk patients.
    Dadwal SS, Papanicolaou GA, Boeckh M. · · 2023 · cited 28× · PMID 36493341 · DOI 10.1182/blood.2021014676
  2. Adoptive Immunotherapy for Prophylaxis and Treatment of Cytomegalovirus Infection.
    Ouellette CP. · · 2022 · cited 17× · PMID 36366468 · DOI 10.3390/v14112370
  3. Pathogen-specific T Cells: Targeting Old Enemies and New Invaders in Transplantation and Beyond.
    Papadopoulou A, Alvanou M, Karavalakis G, Tzannou I, et al · · 2023 · cited 11× · PMID 36698615 · DOI 10.1097/hs9.0000000000000809
  4. Assessment of the cytolytic potential of a multivirus-targeted T cell therapy using a vital dye-based, flow cytometric assay.
    Koukoulias K, Papayanni PG, Jones J, Kuvalekar M, et al · · 2023 · cited 8× · PMID 38187380 · DOI 10.3389/fimmu.2023.1299512
  5. Phenotypic and functional characterization of posoleucel, a multivirus-specific T cell therapy for the treatment and prevention of viral infections in immunocompromised patients.
    Vasileiou S, Kuvalekar M, Velazquez Y, Watanabe A, et al · · 2024 · cited 4× · PMID 38597860 · DOI 10.1016/j.jcyt.2024.03.012
  6. Innovation in active and passive immunisation of people who are immunocompromised: a call to action.
    Hill JA, Boonyaratanakornkit J, Mikulska M, Teh BW, et al · · 2026 · cited 3× · PMID 40812340 · DOI 10.1016/s1473-3099(25)00345-7
  7. Treating Adenovirus Infection in Transplant Populations: Therapeutic Options Beyond Cidofovir?
    Narsana N, Ha D, Ho DY. · · 2025 · cited 2× · PMID 40431613 · DOI 10.3390/v17050599

Verify or expand the search:

Other recruiting trials for Adenovirus Infection

Currently open trials in the same condition.

Other AlloVir trials

Trials by the same sponsor.

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Data sources for this page

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Primary sources · FDA · ClinicalTrials.gov · EMA · SEC EDGAR · ChEMBL · Wikidata · full sourcing