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Infection in Solid Organ Transplant RecipientsPROTECTNCT02382211

T-SPOT.CMV and T-SPOT.PRT Diagnostic Assays

An observational study of Infection in Solid Organ Transplant Recipients, run by Oxford Immunotec at 39 sites in 3 countries.

Completed

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

Official record
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Trial summary

The T-SPOT assay quantifies the number of peripheral blood interferon-γ producing effector T cells [spot forming cells/million peripheral blood mononuclear cells - PBMC)]. The T-SPOT platform technology can be applied to diagnose and monitor any major disease process driven by a T cell response, including a viral… Read more about this study

Who is it for?
Ages 18 to 75 years
How many people
600 participants
Where
39 sitesin 3 countries
Study dates
Jan 2015to Sep 2017
Phase
Observational
Are there results?
None posted in the registry

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 to 75 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Study population: Active candidate for a kidney transplant. Age equal to or greater than 18 years. Male or female.

Who may be able to join

  • Active candidate or recipient of a kidney transplant. Patients enrolled post-transplant must be within 6 months of transplantation and on active CMV anti-viral prophylaxis.
  • Age ≥ 18 years.
  • CMV serology of donor and recipient confirmed prior to enrollment. For seronegative subjects (R-), CMV serostatus should be confirmed within eight weeks prior to transplant by the site local laboratory.
  • Able to provide T-SPOT pre-transplant samples up to a maximum of one month prior to transplant (in the interval between Day -30 and Day 0), or at the time of enrollment if this occurs following transplantation.
  • IRB approved written Informed Consent and privacy language per national regulation (e.g., Health Insurance Portability and Accountability Act for US sites) must be obtained from the subject or legally authorized representative prior to any study related procedures, including screening evaluations and tests.

Who cannot join

  • Anemia prior to transplant that indicates not a candidate for blood draw.
  • On active immunosuppression within two months prior to transplant.
  • Multi-organ transplant (dual-kidney allocation is allowed).
  • Subject has received prior exposure to a CMV vaccine.
  • Subject has undergone or is planning to undergo plasmapheresis.
  • Subject requires desensitization for ABO blood type incompatibility or a positive T or B-cell crossmatch.
  • Subject is known to be HIV positive.
  • Subject is known to have a clinically significant medical or psychiatric condition considered a high risk for participation in an investigational study.

Trial locations and contacts

39 sites in 3 countries.

39 sites in 3 countries

United States35 sites
  • Albany Medical Center

    Albany, New York

  • Emory University

    Atlanta, Georgia, 30322

  • Georgia Regents University

    Augusta, Georgia, 30912

  • University of Colorado

    Aurora, Colorado, 80045

  • U Maryland

    Baltimore, Maryland

  • Massachusetts General Hospital

    Boston, Massachusetts, 02144

  • Erie County Medical Center

    Buffalo, New York, 14215

  • Medical University of South Carolina

    Charleston, South Carolina, 29425

  • University of Cincinnati

    Cincinnati, Ohio, 45219

  • Case Medical Center

    Cleveland, Ohio, 44106

  • Baylor University Medical Center

    Dallas, Texas, 75246

  • Baylor All Saints Medical Center

    Fort Worth, Texas, 76104

  • Houston Methodist

    Houston, Texas, 77030

  • Baylor College of Medicine

    Houston, Texas

  • University of California

    Irvine, California, 92868

  • St Barnabas Medical Center

    Livingston, New Jersey

  • Loma Linda University Medical Center

    Loma Linda, California, 92354

  • Transplant Research Institute

    Los Angeles, California, 90057

  • Ochsner Clinic Foundation

    New Orleans, Louisiana, 70130

  • ICON School of Medicine at Mt Sinai

    New York, New York, 10029

  • U Nebraska

    Omaha, Nebraska

  • Legacy Transplant Services

    Portland, Oregon, 92710

  • Intermoutain Health Care

    Salt Lake City, Utah, 84107

  • University of California - San Francisco

    San Francisco, California, 94143

  • California Pacific Medical Center

    San Francisco, California, 94415

  • University of Washington

    Seattle, Washington, 98122

  • Providence Health and Services

    Spokane, Washington, 99204

  • Washington University

    St Louis, Missouri, 63110

  • SUNY

    Syracuse, New York, 13210

  • Tampa General Hospital

    Tampa, Florida, 33606

  • Montefiore Medical Center

    The Bronx, New York, 10467

  • University of Toledo Medical Center

    Toledo, Ohio

  • University of Arizona

    Tucson, Arizona, 85721

  • Georgetown University

    Washington D.C., District of Columbia, 20007

  • Cleveland Clinic

    Weston, Florida, 33331

Other trials in United States

United Kingdom3 sites
  • Queen Elizabeth Hospital

    Birmingham

  • Guy's Hospital

    London

  • Churchill Hospital

    Oxford

Other trials in United Kingdom

Canada1 site
  • University Health Network

    Toronto, Ontario, m5g 2n2

Other trials in Canada

About this study

Official title: A Prospective Observational Trial to Evaluate the Correlation of T-SPOT® Response to CMV Infection and T Cell-mediated Acute Graft Rejection

The T-SPOT assay quantifies the number of peripheral blood interferon-γ producing effector T cells [spot forming cells/million peripheral blood mononuclear cells - PBMC)]. The T-SPOT platform technology can be applied to diagnose and monitor any major disease process driven by a T cell response, including a viral disease such as cytomegalovirus (CMV) infection (the T-SPOT.CMV assay) or an allograft rejection (the T-SPOT.PRT assay).

Read the detailed description

Approximately 600 subjects who meet inclusion/exclusion criteria will be enrolled in the prospective, non-randomized, observational study. Sample size is based on having an adequate overall number of subjects to assess the T-SPOT.PRT endpoint (350) and the T-SPOT.CMV endpoint (250) in the defined populations. Subjects may be enrolled from pre-transplantation to post-transplantation up to completion of antiviral prophylaxis.

Study duration: 37 months; 25 months to enroll all subjects with 12 months (365 days) of patient participation.

Study population:

All subjects enrolled in this study will be men or women, aged 18 years or older and recipients of a first or subsequent renal transplant.

Keywords
CMV

What is being measured

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

  1. Assessment of anti-CMV cell-mediated immunity using the change in T-SPOT counts

    Measured: Change in T-SPOT counts from baseline to 365 days post transplant.

Timeline

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

  1. First posted6 Mar 2015 (estimated)
  2. Study startJan 2015
  3. Primary completionSep 2017
  4. Study completionSep 2017

Resources

More details

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

Study design
Study type
Observational
Observational model
Other
Time perspective
Prospective
Enrolment
600 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT02382211
Sponsor's protocol ID
US OI 124
Acronym
PROTECT
Status last verified
Apr 2018
First submitted
16 Feb 2015
Last updated
25 Apr 2019
Results posted
No
Data monitoring committee
No

Questions about this trial

What is this clinical trial studying?

An observational study of Infection in Solid Organ Transplant Recipients, run by Oxford Immunotec at 39 sites in 3 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 5 inclusion and 8 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 25 Apr 2019. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 39 sites in United States, United Kingdom, Canada. 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. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

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?

Assessment of anti-CMV cell-mediated immunity using the change in T-SPOT counts (time frame: Change in T-SPOT counts from baseline to 365 days post transplant.). It is what the study was designed to measure, not a finding.

Where can I read the original study information?
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 25 Apr 2019.

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