Evidence map›Paper›PMID 37965339›Full record

Trial reportFrontiers in immunology2023

Prevention of CMV/EBV reactivation by double-specific T cells in patients after allogeneic stem cell transplantation: results from the randomized phase I/IIa MULTIVIR-01 study.

Armin Gerbitz, Regina Gary, Michael Aigner, Andreas Moosmann, Anita Kremer, Christoph Schmid, Klaus Hirschbuehl, Eva Wagner, Beate Hauptrock, Daniel Teschner and 23 more

Registry-linked trialOpen access · goldAbstract readClinical Trial, Phase IClinical Trial, Phase IIMulticenter Study
In one paragraph

Trial report in Frontiers in immunology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02227641 (Prospective, Open, Randomized, Two-arm, Controlled, Multicenter Clinical Phase I/IIa Trial to Evaluate the Safety and Efficacy of Adoptive Immunotherapy With Allogeneic CMV/EBV Specific, Peptide Stimulated T-cells), which is not on this map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
1.5field-weighted citation impact, top 16% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT02227641 phase1 / phase2completednot on this map

Prospective, Open, Randomized, Two-arm, Controlled, Multicenter Clinical Phase I/IIa Trial to Evaluate the Safety and Efficacy of Adoptive Immunotherapy With Allogeneic CMV/EBV Specific, Peptide Stimulated T-cells (CD3+) for Prevention or Preemptive Therapy of Reactivation of CMV and/or EBV in Patients After Allogeneic, HLA Identical Stem Cell Transplantation

TypeinterventionalSponsorUniversity of Erlangen-Nürnberg Medical SchoolRan2014 to 2017Enrolled50ConditionsPatients Undergoing Allogeneic Stem Cell TransplantationArmsCMV/EBV specific T-cell
3 · Its place in the literature

Who cites it

5 citing papers in PubMed, 7 citations in OpenAlex.

  1. Trial
  2. Article
  3. Adoptive T-cell therapy for virus-associated diseases.Clinical microbiology reviews · 2025
    Review
  4. Review
  5. Virus-Specific T-Cell Therapy for Prophylaxis and Treatment of Cytomegalovirus Infections After Transplantation: a Scoping Review.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2025
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

33 authors at 10 institutions in 3 countries.

Armin GerbitzDepartment of Medicine 5 Hematology/Oncology, University Hospital Erlangen, Erlangen, Germany.
Regina GaryDepartment of Medicine 5 Hematology/Oncology, University Hospital Erlangen, Erlangen, Germany.
Michael AignerDepartment of Medicine 5 Hematology/Oncology, University Hospital Erlangen, Erlangen, Germany.
Andreas MoosmannDepartment of Medicine 3, LMU University Hospital, Munich, Germany.
Anita KremerDepartment of Medicine 5 Hematology/Oncology, University Hospital Erlangen, Erlangen, Germany.
Christoph SchmidDepartment of Medicine 2, University Hospital Augsburg, Augsburg, Germany.
Klaus HirschbuehlDepartment of Medicine 2, University Hospital Augsburg, Augsburg, Germany.
Eva WagnerDepartment of Medicine 3, University Hospital Mainz, Mainz, Germany.
Beate HauptrockDepartment of Medicine 3, University Hospital Mainz, Mainz, Germany.
Daniel TeschnerDepartment of Medicine 3, University Hospital Mainz, Mainz, Germany.
Wolf RoeslerDepartment of Medicine 5 Hematology/Oncology, University Hospital Erlangen, Erlangen, Germany.
Bernd SpriewaldDepartment of Medicine 5 Hematology/Oncology, University Hospital Erlangen, Erlangen, Germany.
Johanna TischerDepartment of Medicine 3, LMU University Hospital, Munich, Germany.
Stephanie MoiDepartment of Medicine 5 Hematology/Oncology, University Hospital Erlangen, Erlangen, Germany.
Heidi BalzerDepartment of Medicine 5 Hematology/Oncology, University Hospital Erlangen, Erlangen, Germany.
Stefanie SchafferDepartment of Medicine 5 Hematology/Oncology, University Hospital Erlangen, Erlangen, Germany.
Judith BausenweinDepartment of Medicine 5 Hematology/Oncology, University Hospital Erlangen, Erlangen, Germany.
Anja WagnerDepartment of Medicine 5 Hematology/Oncology, University Hospital Erlangen, Erlangen, Germany.
Franziska SchmidtDepartment of Medicine 5 Hematology/Oncology, University Hospital Erlangen, Erlangen, Germany.
Jens BrestrichDepartment of Hematology, Oncology and Tumor Immunology, Charite University Hospital Berlin, Berlin, Germany.
Barbara UllrichMedical Center for Information and Communication Technology, University Hospital Erlangen, Erlangen, Germany.
Stefanie MaasCenter for Clinical Studies (CCS), University Hospital Erlangen, Erlangen, Germany.
Susanne HeroldCenter for Clinical Studies (CCS), University Hospital Erlangen, Erlangen, Germany.
Julian StrobelDepartment of Transfusion Medicine, University Hospital Erlangen, Erlangen, Germany.
Robert ZimmermannDepartment of Transfusion Medicine, University Hospital Erlangen, Erlangen, Germany.
Volker WeisbachDepartment of Transfusion Medicine, University Hospital Erlangen, Erlangen, Germany.
Leo HansmannDepartment of Hematology, Oncology and Tumor Immunology, Charite University Hospital Berlin, Berlin, Germany.
Fernanda Lammoglia-CoboDepartment of Hematology, Oncology and Tumor Immunology, Charite University Hospital Berlin, Berlin, Germany.
Mats RembergerDepartment of Medical Sciences, Uppsala University and Clinical Research and Development Unit (KFUE), Uppsala University Hospital, Uppsala, Sweden.
Matthias StelljesDepartment of Hematology/Oncology, University Hospital Muenster, Muenster, Germany.
Francis AyukDepartment of Stem Cell Transplantation, University Hospital Eppendorf, Hamburg, Germany.
Robert ZeiserDepartment of Medicine 1, University Hospital Freiburg, Freiburg, Germany.
Andreas MackensenDepartment of Medicine 5 Hematology/Oncology, University Hospital Erlangen, Erlangen, Germany.
Universitätsklinikum Erlangen · DECharité - Universitätsmedizin Berlin · DEJohannes Gutenberg University Mainz · DEUniversity Hospital Augsburg · DELMU Klinikum · DELudwig-Maximilians-Universität München · DEUniversity Hospital Münster · DEUniversity Medical Center Freiburg · DEUniversity Medical Center Hamburg-Eppendorf · DEUppsala University Hospital · SE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: Allogeneic stem cell transplantation is used to cure hematologic malignancies or deficiencies of the hematopoietic system. It is associated with severe immunodeficiency of the host early after transplant and therefore early reactivation of latent herpesviruses such as CMV and EBV within the first 100 days are frequent. Small studies and case series indicated that application of herpes virus specific T cells can control and prevent disease in this patient population. Methods: We report the results of a randomized controlled multi centre phase I/IIa study (MULTIVIR-01) using a newly developed T cell product with specificity for CMV and EBV derived from the allogeneic stem cell grafts used for transplantation. The study aimed at prevention and preemptive treatment of both viruses in patients after allogeneic stem cell transplantation targeting first infusion on day +30. Primary endpoints were acute transfusion reaction and acute-graft versus-host-disease after infusion of activated T cells. Results: Thirty-three patients were screened and 9 patients were treated with a total of 25 doses of the T cell product. We show that central manufacturing can be achieved successfully under study conditions and the product can be applied without major side effects. Overall survival, transplant related mortality, cumulative incidence of graft versus host disease and number of severe adverse events were not different between treatment and control groups. Expansion of CMV/EBV specific T cells was observed in a fraction of patients, but overall there was no difference in virus reactivation. Discussion: Our study results indicate peptide stimulated epitope specific T cells derived from stem cell grafts can be administered safely for prevention and preemptive treatment of reactivation without evidence for induction of acute graft versus host disease. Clinical trial registration: https://clinicaltrials.gov, identifier NCT02227641.

Indexed as

Cytomegalovirus InfectionsGraft vs Host DiseaseHematopoietic Stem Cell TransplantationHerpesvirus 4, HumanHumansT-LymphocytesTransplantation, Homologousallogeneiccytomegalovirus CMVepitope specificityEpstein-Barr virus EBVpreventionreactivationstem cell transplantation (SCT)

Identifiers

PMID37965339
PMCPMC10642256
OpenAlexW4388096437

What OpenQuestion holds

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.