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Trial details imported from ClinicalTrials.gov
For full trial details, please see the original record at
https://clinicaltrials.gov/study/NCT03806764
Registration number
NCT03806764
Ethics application status
Date submitted
7/01/2019
Date registered
16/01/2019
Date last updated
1/06/2023
Titles & IDs
Public title
Cytomegalovirus (CMV) Reactivation in Allogeneic HSCT Recipient
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Scientific title
Assessing the Impact and Complications of Cytomegalovirus (CMV) Reactivation in a Multi-site Study of Allogeneic Haematopoietic Stem Cell Transplant Recipient
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Secondary ID [1]
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CReSCT
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Universal Trial Number (UTN)
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Trial acronym
CReSCT
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Cytomegalovirus Infections
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Haematological Malignancy
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Organ or Tissue Transplant; Complications
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Immune Suppression
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Condition category
Condition code
Infection
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Other infectious diseases
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Infection
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Studies of infection and infectious agents
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Cancer
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Leukaemia - Acute leukaemia
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Cancer
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Leukaemia - Chronic leukaemia
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Diagnosis / Prognosis - Blood sampling
No intervention: Retrospective study - Medical records of 250 allo-HSCT recipients will be evaluated retrospectively to determine the incidence and clinical outcomes of CMV viremia post HSCT, including both the direct (CMV disease) and indirect (such as invasive fungal infection, other viral infections, bacterial infection) effects on clinical outcomes.
Other: Prospective study - 120 recipients of allo-HSCT will be recruited into the prospective part of the study. Participants will be reviewed pre-transplant, 6, 12, 24 and 52 weeks following HSCT during routine clinical visits. clinical assessment will be made such as CMV viremia, transplant related complications and current medications.
Participants who are at high risk of CMV will have study blood sampling taken to assess immune functions
Diagnosis / Prognosis: Blood sampling
Blood sampling from prospective study participants will be taken for immune functions measurements
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Intervention code [1]
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Diagnosis / Prognosis
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Comparator / control treatment
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Control group
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Outcomes
Primary outcome [1]
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Incidence and outcome of CMV viremia
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Assessment method [1]
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The incidence and outcome of clinically relevant CMV viremia post HSCT will be assessed
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Timepoint [1]
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250 retrospective cases of HSCTduring 2012 to 2017, inclusive, will be reviewed from the day of transplant to 6 months post transplant.
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Primary outcome [2]
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Host CMV-specific T cell immunity and related clinical outcomes
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Assessment method [2]
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Host CMV-specific T cell immunity status of 120 participants will be assessed prospectively against CMV related clinical outcomes to establish if correlations exist
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Timepoint [2]
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52 weeks following HSCT
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Secondary outcome [1]
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Low level CMV viremia
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Assessment method [1]
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Association of low level CMV viremia and the subsequent clinical outcomes
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Timepoint [1]
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250 retrospective cases of HSCTduring 2012 to 2017, inclusive, will be reviewed from the day of transplant to 6 months post transplant.
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Secondary outcome [2]
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Economic cost for managing CMV infection
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Assessment method [2]
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The economic cost attributable to managing CMV infection and CMV disease will be evaluated to provide a picture of health economics of the infection
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Timepoint [2]
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250 retrospective cases of HSCTduring 2012 to 2017, inclusive, will be reviewed from the day of transplant to 6 months post transplant.
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Secondary outcome [3]
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CMV viral load for initiation of treatment
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Assessment method [3]
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CMV viral load will be assessed to determine an appropriate trigger to initiate treatment for CMV viremia
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Timepoint [3]
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52 weeks following HSCT
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Secondary outcome [4]
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Correlation of host T cell function and risk of CMV infection
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Assessment method [4]
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Association of low or inadequate global immune function (T-cell and TLR7 responses) will be correlated with an increased risk of developing CMV infection post HSCT
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Timepoint [4]
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52 weeks following HSCT
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Eligibility
Key inclusion criteria
* For the retrospective cohort, all 250 consecutive allo-HSCT patients between 2012 to 2017 at the Royal Melbourne Hospital will be included, with CMV-negative patients acting as controls for economic comparisons.
* For the prospective cohort, patients undergoing allo-HSCT, at risk of CMV disease (D+/R+, D-/R+ D+/R-), and able to provide informed consent.
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Minimum age
18
Years
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Maximum age
No limit
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
* For the retrospective cohort, no exclusion is set.
* For the prospective cohort, patients who has CMV disease at the time of enrolment and patients who are unable to provide informed consent.
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Study design
Purpose of the study
Diagnosis
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Allocation to intervention
Non-randomised trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
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Masking / blinding
Open (masking not used)
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Who is / are masked / blinded?
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Intervention assignment
Parallel
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Other design features
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Phase
NA
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Type of endpoint/s
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Statistical methods / analysis
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Recruitment
Recruitment status
Recruiting
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Data analysis
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Reason for early stopping/withdrawal
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Other reasons
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Date of first participant enrolment
Anticipated
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Actual
17/04/2018
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
31/12/2023
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Actual
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Sample size
Target
370
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Accrual to date
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Final
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Recruitment in Australia
Recruitment state(s)
VIC
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Recruitment hospital [1]
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Royal Melbourne Hospital - Parkville
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Recruitment postcode(s) [1]
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3050 - Parkville
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Funding & Sponsors
Primary sponsor type
Other
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Name
Melbourne Health
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Address
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Country
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Other collaborator category [1]
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Other
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Name [1]
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Peter MacCallum Cancer Centre, Australia
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Address [1]
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Country [1]
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Other collaborator category [2]
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Other
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Name [2]
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Western Sydney Local Health District
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Address [2]
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Country [2]
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Other collaborator category [3]
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Other
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Name [3]
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Walter and Eliza Hall Institute of Medical Research
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Address [3]
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Country [3]
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Other collaborator category [4]
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Other
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Name [4]
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Austin Hospital, Melbourne Australia
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Address [4]
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Country [4]
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Ethics approval
Ethics application status
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Summary
Brief summary
This study consists of two parts: 1) Part 1, a retrospective part on 250 consecutive patients following allogeneic haematopoietic stem cell transplant (allo-HSCT) at the Royal Melbourne Hospital from 2012 to 2017, inclusive, and 2) Part 2, a prospective part on 120 allo-HSCT patients from 4 sites in Australia: the Royal Melbourne Hospital, Peter MacCallum Cancer Centre, Austin Hospital, and Westmead Hospital. In Part 1, medical records of allo-HSCT recipients will be evaluated to determine the incidence and clinical outcomes of CMV viremia post HSCT, including both the direct (CMV disease) and indirect (such as invasive fungal infection, other viral infections, bacterial infection) effects on clinical outcomes. In Part 2, allo-HSCT participants at risk of CMV disease will be assessed to determine the association of host CMV-specific immunity with clinical management and outcomes over one year post allo-HSCT. The overall aims of the study are to establish if CMV infection in allo-HSCT patients are associated with poor clinical outcomes; and whether measurement of immunological functions could provide an early indicator to identify patients at risk and appropriate timing for initiation of CMV treatment.
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Trial website
https://clinicaltrials.gov/study/NCT03806764
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
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Monica Slavin, MBBS FRACP
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Address
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Melbourne Health
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Country
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Phone
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Fax
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Email
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Contact person for public queries
Name
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Address
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Country
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Phone
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Fax
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Email
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Contact person for scientific queries
No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
No documents have been uploaded by study researchers.
Results not provided in
https://clinicaltrials.gov/study/NCT03806764
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