CMV-specific immunoglobulin to prevent CMV problems in children getting allogeneic stem cell transplants
Official title: Immunoglobulin-specific Prophylaxis Against Citomegalovirus Infections in Immunocompromised Children Undergoing Allogeneic Hematopoietic Stem Cell Transplantation
Run by University of Pisa · NCT07013370 · Data updated 2026-11-12
Doctors will try giving CMV-specific immunoglobulin to children having allogeneic stem cell transplants to prevent CMV reactivation and related transplant complications.
Quick facts
| Study type | Observational |
|---|---|
| Ages | 1 Month to 18 Years |
| Sex | All |
| Enrollment | 150 (estimated) |
| Sponsor | University of Pisa Academic / other |
| Drugs / interventions | immunotherapy, cyclophosphamide |
| Locations | 1 site (Trieste) |
| Status | Recruiting |
| Started | June 2, 2025 |
| Main results expected | December 31, 2025 |
| Study ends | June 2, 2026 |
| Registry record updated | June 10, 2025 |
| Trial ID | NCT07013370 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Children who undergo myeloablative allogeneic HSCT, have not had CMV reactivation before prophylaxis starts, and have no history of immunoglobulin-related adverse reactions or post-HSCT adoptive cellular therapy.
✕Probably not a fit
Patients with CMV reactivation before prophylaxis, known immunoglobulin hypersensitivity, or who receive adoptive cellular immunotherapy after transplant are unlikely to benefit from this approach.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
Children who receive myeloablative allogeneic HSCT at IRCCS Burlo Garofolo are given biweekly CMV-specific immunoglobulin (Cytomegatect/Megalotect) starting on day 3 of conditioning and continuing during hospitalization and at admissions until CD4+ recovery. CMV DNAemia is monitored by real-time PCR twice weekly in hospital and weekly after discharge, with short 3–5 day "boost" doses if DNAemia appears based on risk. Key outcomes include overall survival, relapse-related mortality, graft-versus-host disease, immune reconstitution by CD4+ counts, and CMV reactivation rates, with follow-up for at least 12 months. The observational protocol enrolls children without prior CMV reactivation before prophylaxis and excludes those with immunoglobulin hypersensitivity or who receive adoptive cellular post-HSCT therapy.
Why it matters
Potential benefit: If successful, this prophylaxis could lower CMV reactivation rates, reduce transplant-related complications, and improve survival after pediatric allo-HSCT.
How similar studies have gone: Some prior studies and observational reports suggest high CMV-neutralizing antibody levels may be protective, but evidence specifically in pediatric allo-HSCT is mixed and not definitive.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: * Children who underwent allogeneic HSCT due to any condition Exclusion Criteria: * Positive personal records of immunoglobulin-related adverse reactions * CMV reactivation before the CMV-specific immunoglobulin prophylaxis onset * adoptive cellular post-HSCT immunotherapy for any indication
Where it's running
-
IRCCS Burlo Garofolo
Trieste, Italy Recruiting
Study contacts
- Principal investigator: Natalia Maximova, MD — IRCCS Burlo Garofolo - Trieste - ITALY
- Study coordinator: Natalia Maximova, MD
- Email: natalia.maximova@burlo.trieste.it
- Phone: +39-040.3785.111
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How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.