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Cytomegalovirus (CMV)-Positive RecipientsPhase 3HELIOSNCT01877655

A Study to Evaluate a Therapeutic Vaccine, ASP0113, in Cytomegalovirus (CMV)-Seropositive Recipients Undergoing Allogeneic, Hematopoietic Cell Transplant (HCT)

A Phase 3 study testing ASP0113 in people with Cytomegalovirus (CMV)-Positive Recipients and Allogeneic, Hematopoietic Cell Transplant (HCT), run by Astellas Pharma Global Development, Inc. at 83 sites in 11 countries.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
Search all trials

Trial summary

The purpose of the study was to evaluate the efficacy of ASP0113 compared with placebo as measured by a primary composite endpoint of overall mortality and CMV end organ disease (EOD) through 1 year post-transplant. Safety of ASP0113 in participants undergoing allogeneic HCT will also be evaluated. Read more about this study

Who is it for?
Ages 18 years and older
What is being tested?
ASP0113
Type of treatment
Injection or infusion
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
514 participants
Where
83 sitesin 11 countries
Study dates
11 Sep 2013to 1 Mar 2022
Phase
Phase 3
Are there results?
Yes, posted in the registrySummary in the doctors' view

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Participant is a CMV-seropositive HCT recipient
  • Participant is planned to undergo either of the following:
  • Sibling Donor Transplant
  • Unrelated Donor Transplant
  • Participant has one of the following underlying diseases:
  • Acute myeloid leukemia (AML)
Show all 14Show fewer
  • Acute lymphoblastic leukemia (ALL)
  • Acute undifferentiated leukemia (AUL)
  • Acute biphenotypic leukemia
  • Chronic myelogenous leukemia (CML)
  • Chronic lymphocytic leukemia (CLL).
  • A defined myelodysplastic syndrome(s) (MDS)
  • Primary or secondary myelofibrosis
  • Lymphoma (including Hodgkin's)

Who cannot join

  • Participant has active CMV disease or infection or has received treatment for active CMV disease or infection within 3 months (90 days) prior to transplant
  • Participant has a modified hematopoietic cell transplant comorbidity index (HCT-CI) score ≥ 4
  • Participant has received a prior HCT and has residual Chronic Graft-versus-host Disease (cGVHD)
  • Participant who is scheduled to have a cord blood transplant or a haploidentical transplant
  • Participant has a platelet count of less than 50,000 mm3 within 3 days prior to randomization (platelet transfusions are allowed)
  • Participant has aplastic anemia or multiple myeloma

Trial locations and contacts

83 sites in 11 countries.

83 sites in 11 countries

United States27 sites
  • Site US10012

    Atlanta, Georgia, 30322

  • Site US10043

    Baltimore, Maryland, 21201

  • Site US10011

    Baltimore, Maryland, 21205

  • Site US10028

    Birmingham, Alabama, 35294

  • Site US10021

    Boston, Massachusetts, 02114

  • Site US10025

    Chapel Hill, North Carolina, 27514

  • Site US10013

    Chicago, Illinois, 60612

  • Site US10002

    Dallas, Texas, 75246

  • Site US10023

    Hackensack, New Jersey, 07601-2105

  • Site US10045

    Houston, Texas, 77030

  • Site US10007

    Indianapolis, Indiana, 46237

  • Site US10010

    Louisville, Kentucky, 40202

  • Site US10019

    Milwaukee, Wisconsin, 53226

  • Site US10016

    Nashville, Tennessee, 37232

  • Site US10047

    New York, New York, 10032

  • Site US10031

    Richmond, Virginia, 23298

  • Site US10036

    Rochester, Minnesota, 55905

  • Site US10027

    Rochester, New York, 14642

  • Site US10046

    Salt Lake City, Utah, 84143

  • Site US10035

    San Francisco, California, 94143

  • Site US10039

    Seattle, Washington, 98108

  • Site US10024

    Seattle, Washington, 98109

  • Site US10042

    St Louis, Missouri, 63110

  • Site US10026

    Stanford, California, 94305

  • Site US10030

    Tampa, Florida, 33612

  • Site US10044

    Tucson, Arizona, 85724

  • Site US10020

    Westwood, Kansas, 66205

Other trials in United States

Germany11 sites
  • Site DE49010

    Bonn, 53127

  • Site DE49014

    Cologne, 50937

  • Site DE49012

    Düsseldorf, 40225

  • Site DE49013

    Göttingen, 37075

  • Site DE49002

    Leipzig, 04103

  • Site DE49015

    Mainz, 55131

  • Site DE49007

    Münster, 48149

  • Site DE49005

    Stuttgart, 70376

  • Site DE49008

    Tübingen, 72076

  • Site DE49006

    Ulm, 89081

  • Site DE49001

    Würzburg, 97080

Other trials in Germany

Japan10 sites
  • Site JP81010

    Bunkyo-ku, Tokyo

  • Site JP81008

    Chuo-ku, Tokyo

  • Site JP81001

    Fukuoka

  • Site JP81005

    Fukuoka

  • Site JP81011

    Maebashi, Gunma

  • Site JP81009

    Minato-ku, Tokyo

  • Site JP81003

    Nagoya, Aichi-ken

  • Site JP81006

    Osaka

  • Site JP81007

    Sapporo, Hokkaido

  • Site JP81004

    Shinjuku-ku, Tokyo

Other trials in Japan

Spain10 sites
  • Site ES34001

    Badalona, 08615

  • Site ES34006

    Barcelona, 08041

  • Site ES34004

    Barcelona, 08908

  • Site ES34005

    Córdoba, 14004

  • Site ES34003

    Granada, 18012

  • Site ES34011

    Madrid, 28028

  • Site ES34007

    Murcia, 30008

  • Site ES34010

    Salamanca, 37007

  • Site ES34002

    Santander, 39008

  • Site ES34009

    Valencia, 46010

Other trials in Spain

Sweden5 sites
  • Site SE46001

    Gothenburg, 413 45

  • Site SE46006

    Linköping, 581 85

  • Site SE46004

    Lund, 221 85

  • Site SE46003

    Stockholm, 14186

  • Site SE46005

    Umeå, 901 85

Other trials in Sweden

Canada4 sites
  • Site CA15004

    Montreal, Quebec, H2W 1S6

  • Site CA15003

    Québec, Quebec, G1R 2J6

  • Site CA15002

    Toronto, Ontario, M5G 2M9

  • Site CA15001

    Vancouver, British Columbia, V5Z 1M9

Other trials in Canada

France4 sites
  • Site FR33011

    Besançon, 25030

  • Site FR33005

    Créteil, 94000

  • Site FR33009

    Nantes, 44093

  • Site FR33010

    Nice, 06200

Other trials in France

South Korea4 sites
  • Site KR82004

    Seoul, Seoul Teugbyeolsi, 06351

  • Site KR82002

    Seoul, 05505

  • Site KR82003

    Seoul, 110744

  • Site KR82001

    Seoul, 137-701

Other trials in South Korea

Belgium3 sites
  • Site BE32001

    Bruges, 8000

  • Site BE32005

    Leuven, 3000

  • Site BE32007

    Roeselare, 8800

Other trials in Belgium

Taiwan3 sites
  • Site TW88601

    Taipei, 10002

  • Site TW88602

    Taipei, 11217

  • Site TW88603

    Taoyuan County, 33305

Other trials in Taiwan

Australia2 sites
  • Site AU43004

    Adelaide, South Australia, SA 5000

  • Site AU43001

    Herston, Queensland, QLD 4029

Other trials in Australia

About this study

Official title: A Randomized, Double-Blind, Placebo-Controlled, Phase 3 Trial to Evaluate the Protective Efficacy and Safety of a Therapeutic Vaccine, ASP0113, in Cytomegalovirus (CMV)-Seropositive Recipients Undergoing Allogeneic, Hematopoietic Cell Transplant (HCT)

The purpose of the study was to evaluate the efficacy of ASP0113 compared with placebo as measured by a primary composite endpoint of overall mortality and CMV end organ disease (EOD) through 1 year post-transplant. Safety of ASP0113 in participants undergoing allogeneic HCT will also be evaluated.

Read the detailed description

Participants will be followed for 5.5 years post-transplant for long-term safety via an annual telephone contact.

Being tested
ASP0113, Placebo
Keywords
ASP0113, Cytomegalovirus (CMV), Hematopoietic Cell Transplant (HCT)

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • ASP0113Biological

    Intramuscular injection

  • PlaceboDrug

    Intramuscular injection

Study groups in NCT01877655
Study groupRoleWhat they receive
ASP0113ExperimentalParticipants received 1 mL of 5 mg/mL of ASP0113 via intramuscular injection in the deltoid muscle alternating sides with each dose on days -14 to -3 pretransplant, 14 to 40, 60, 90 and 180 in relation to the day of transplant (Day 0).
Receives: Biological: ASP0113
PlaceboPlacebo comparatorParticipants received 1 mL of 5 mg/mL of matching placebo via intramuscular injection in the deltoid muscle alternating sides with each dose on days -14 to -3 pretransplant, 14 to 40, 60, 90 and 180 in relation to the day of transplant (Day 0).
Receives: Drug: Placebo

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Percentage of Participants With Composite of All-Cause Mortality and Adjudicated Cytomegalovirus End Organ Disease (CMV EOD) Through 1 Year Post Transplant

    This was the composite of all-cause mortality and adjudicated CMV EOD through 1 year posttransplant, The CMV EOD was assessed by the independent and blinded adjudication committee, which counted events that were observed up to day 380 from transplantation. Deaths that occurred up to day 365 from transplant were also counted.

    Measured: From first study dose injection (Day -14 to -3 prior to transplant) up to one year post study drug injection (Day 365)

Secondary outcomes (5)
  1. Percentage of Participants With Protocol-Defined CMV Viremia Through 1 Year Posttransplant

    Protocol-defined CMV viremia was defined as a CMV plasma viral load ≥1000 IU/mL as assessed by the central laboratory. Rate was based on cumulative incidence function estimated at 1 year. The central laboratory had the lower limit of quantification [LLOQ] for CMV viral load assessment, so when the viral load was below the LLOQ the actual viral load reading was not possible and was denoted as ≤LLOQ. If participant had any CMV viral load assessments greater than the LLOQ it was classified as viremic.

    Measured: From first study dose injection (Day -14 to -3 prior to transplant) up to one year post study drug injection (Day 365)

  2. Percentage of Participants With Adjudicated CMV-Specific Antiviral Therapy (AVT) Through 1 Year Posttransplant

    The CMV-specific AVT use was adjudicated by the independent and blinded committee. When the CMV-specific AVT was initiated, a central CMV viral load was obtained weekly until it was discontinued. Participants without any CMV-specific AVT events were censored on the last study evaluation.

    Measured: From first study dose injection (Day -14 to -3 prior to transplant) up to one year post study drug injection (Day 365)

  3. Percentage of Participants With a Composite Endpoint of Protocol-defined CMV Viremia and Adjudicated CMV-Specific AVT Use

    Protocol-defined CMV viremia was as CMV plasma viral load ≥ 1000 IU/mL as assessed by the central laboratory. The CMV-specific AVT was determined by the adjudication committee. Participants with no posttransplant viral load data were excluded from the analysis.

    Measured: From first study dose injection (Day -14 to -3 prior to transplant) up to one year post study drug injection (Day 365)

  4. Percentage of Participants With First Occurrence of Adjudicated CMV-specific AVT or Adjudicated Diagnosis of CMV EOD After Study Drug First Injection Through 1 Year Posttransplant

    Rate was based on cumulative incidence function estimate at 1 year. Time to first CMV-specific AVT was defined as time to the start of AVT for CMV viremia or CMV EOD. CMV-specific AVT and EOD were determined by the adjudication committee. This endpoint was a composite endpoint based on the independent adjudication committee assessments of CMV-specific AVT and CMV EOD.

    Measured: From first study dose injection (Day -14 to -3 prior to transplant) up to one year post study drug injection (Day 365)

  5. All-Cause Mortality at 1 Year Posttransplant

    All-cause mortality through 1-year post-transplantation summary included all deaths and unknown survival status. For the known deaths, the adjudication committee assessed results and summarized them according to the following category: Mortality due to the participant's primary disease, and mortality due to causes unrelated to the participant's primary disease. Participants with unknown survival status at 1 year were considered dead for this analysis.

    Measured: From first study dose injection (Day -14 to -3 prior to transplant) up to one year post study drug injection (Day 365)

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted14 Jun 2013 (estimated)
  2. Study start11 Sep 2013
  3. Primary completion28 Sep 2017
  4. Study completion1 Mar 2022

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 3
Primary purpose
Prevention
Allocation
Randomised
Intervention model
Parallel groups
Masking
Quadruple blind
Who is masked
Participant, Care provider, Investigator, Outcomes assessor
Enrolment
514 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT01877655
Sponsor's protocol ID
0113-CL-1004
Other IDs
2013-000903-18
Acronym
HELIOS
Status last verified
Oct 2024
First submitted
12 Jun 2013
Last updated
24 Oct 2024
Data monitoring committee
Yes
Individual data sharing
Yes: Access to anonymized individual participant level data collected during the study, in addition to study-related supporting documentation, is planned for studies conducted with approved product indications and formulations, as well as products terminated during development. Studies conducted with product indications or formulations that remain active in development are assessed after study completion to determine if Individual Participant Data can be shared. Further details on Astellas' data sharing policy can be found at https://www.clinicaltrials.astellas.com/transparency/.

Publications

  • Ljungman P, Bermudez A, Logan AC, Kharfan-Dabaja MA, Chevallier P, Martino R, Wulf G, Selleslag D, Kakihana K, Langston A, Lee DG, Solano C, Okamoto S, Smith LR, Boeckh M, Wingard JR, Cywin B, Fredericks C, Lademacher C, Wang X, Young J, Maertens J. A randomised, placebo-controlled phase 3 study to evaluate the efficacy and safety of ASP0113, a DNA-based CMV vaccine, in seropositive allogeneic haematopoietic cell transplant recipients. EClinicalMedicine. 2021 Mar 19;33:100787. doi: 10.1016/j.eclinm.2021.100787. eCollection 2021 Mar.

    PubMed 33842870

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing ASP0113 in people with Cytomegalovirus (CMV)-Positive Recipients and Allogeneic, Hematopoietic Cell Transplant (HCT), run by Astellas Pharma Global Development, Inc. at 83 sites in 11 countries.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 14 inclusion and 6 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 24 Oct 2024. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 83 sites in United States, Germany, Japan, Spain, Sweden and 6 more countries. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. Some participants in this study may receive a placebo. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

Yes. Results are posted in the registry (first posted 28 Nov 2018). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Percentage of Participants With Composite of All-Cause Mortality and Adjudicated Cytomegalovirus End Organ Disease (CMV EOD) Through 1 Year Post Transplant (time frame: From first study dose injection (Day -14 to -3 prior to transplant) up to one year post study drug injection (Day 365)). It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT01877655, which also lists 1 linked publication.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 24 Oct 2024.

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