CytoGam for CMV Infection

Age: 18+
Sex: Any
Trial Phase: Phase 4
Sponsor: Fernanda P Silveira, MD, MS
Must be taking: Antivirals
No Placebo GroupAll trial participants will receive the active study treatment (no placebo)
Prior Safety DataThis treatment has passed at least one previous human trial

What You Need to Know Before You Apply

What is the purpose of this trial?

This trial explores whether CytoGam, an immune-boosting treatment, can help organ transplant recipients combat cytomegalovirus (CMV), a common infection that can be serious for them. The study examines if adding CytoGam to standard antiviral drugs clears the virus faster, prevents its recurrence, and stops drug resistance. It seeks participants who recently had a lung or liver transplant, are dealing with a CMV infection, and have not been on antiviral treatment for more than two weeks. As a Phase 4 trial, CytoGam is already FDA-approved and proven effective, and this research aims to understand how it benefits more patients.

Will I have to stop taking my current medications?

The trial does not specify if you need to stop taking your current medications. However, it mentions that participants will receive CytoGam along with standard antiviral medication, so you may continue your current antiviral treatment.

What is the safety track record for CytoGam?

Previous studies have shown CytoGam to be safe. Fewer than 6% of recipients experienced side effects, which were mostly mild, such as headaches or a slight fever. Serious reactions are rare but can occur, particularly in those allergic to similar treatments. The FDA has approved CytoGam for preventing CMV in other organ transplants, indicating a strong safety record.12345

Why are researchers enthusiastic about this study treatment?

CytoGam is unique because it offers a specialized approach to managing CMV infections, especially after organ transplants. Unlike standard antiviral medications like valganciclovir, which are often used for CMV prophylaxis or treatment, CytoGam is an immunoglobulin product specifically designed to target CMV by providing immediate passive immunity. This can be particularly beneficial for patients who have developed a high viral load or CMV DNAemia after transplant, offering a potentially quicker and targeted response. Researchers are excited about its ability to complement existing antiviral therapies and possibly enhance overall patient outcomes in transplant settings.

What is the effectiveness track record for CytoGam in treating CMV infection?

Research has shown that CytoGam, which participants in this trial will receive, can help reduce problems caused by CMV (cytomegalovirus) in organ transplant recipients. One study found that CytoGam lowers the chances of CMV disease in lung transplant patients and helps clear the virus from the blood more quickly. It outperforms standard treatments due to its high concentration of CMV-fighting antibodies. Since CytoGam is already approved for certain uses, there is confidence in its ability to manage CMV infections in transplant patients.678910

Who Is on the Research Team?

FS

Fernanda Silveira, MD

Principal Investigator

University of Pittsburgh

Are You a Good Fit for This Trial?

This trial is for solid organ transplant recipients who are dealing with CMV infection or disease. Participants should not have other active infections and must be able to receive intravenous treatments.

Inclusion Criteria

I had a lung transplant, got a CMV infection after stopping antiviral drugs, and have CMV DNA in my blood.
I had an organ transplant and am on immunosuppressants with a high CMV virus count despite treatment.
Written informed consent obtained from the subject before any trial-related procedures are performed
See 4 more

Exclusion Criteria

I have a condition where my body might react badly to certain blood products due to a lack of IgA.
Pregnancy
I have had a bone marrow or stem cell transplant.
See 4 more

Timeline for a Trial Participant

Screening

Participants are screened for eligibility to participate in the trial

2-4 weeks

Treatment

Participants receive one dose of CytoGam and antiviral therapy as per physician's discretion

Up to 1 year

Follow-up

Participants are monitored until 2 weekly negative CMV PCRs, discontinuation of antiviral, or 1 year from CytoGam infusion

Up to 1 year

What Are the Treatments Tested in This Trial?

Interventions

  • CytoGam
Trial Overview The study tests CytoGam, an immune globulin intravenous therapy, in combination with standard antiviral medications. It aims to see if this treatment can clear CMV faster, prevent resistance to antivirals, and reduce recurrence of the infection.
How Is the Trial Designed?
1Treatment groups
Experimental Treatment
Group I: CytoGam for primary CMV infection after lung or liver transplantation or for high viral loadExperimental Treatment1 Intervention

Find a Clinic Near You

Who Is Running the Clinical Trial?

Fernanda P Silveira, MD, MS

Lead Sponsor

Trials
2
Recruited
400+

Kamada, Ltd.

Industry Sponsor

Trials
14
Recruited
790+

Citations

Long‐Term Outcomes Among Lung Transplant Recipients ...Among patients with solid organ transplantation, the risk of donor‐derived CMV infection is the highest among mismatched lung recipients. This ...
Efficacy - Lung TransplantationOutcome measures compared: 3-year incidence of CMV disease; fungal infection; acute rejection; survival; rates and severity of transplant coronary artery ...
CytoGam for CMV Infection or Disease in Solid Organ ...Interventional, open-label, single center, pilot study to test the effect of CytoGam on CMV viremia clearance in organ transplant recipients with high CMV viral ...
Revisiting the Biological Rationale for Cytomegalovirus ...As early as 1984, Cytogam®—a polyclonal CMV-specific hyperimmune globulin - has demonstrated significant efficacy in preventing CMV disease and ...
Efficacy - CMV-IGIV vs Standard IGIVsCYTOGAM May Demonstrate Enhanced Properties When Compared to Standard IGIVs2. CYTOGAM is a purified immune globulin (that is, a hyperimmune globulin) that ...
Important Safety InformationCYTOGAM® is contraindicated in individuals with a history of a prior severe reaction associated with the administration of this or other human immunoglobulin ...
7.cytogam.comcytogam.com/safety/
CYTOGAM Has a Demonstrated Safety ProfileCYTOGAM has a favorable safety profile, with an incidence of adverse events of <6.0% of all infusions. The most frequent adverse reactions observed during ...
Package Insert - CytoGamThe rates of serious CMV disease, and concomitant fungal and parasitic superinfection were similar to patients receiving CMV-IGIV in the first trial. In a ...
9.cytogam.comcytogam.com/
CYTOGAM - CYTOGAM helps provide additional CMV ...CYTOGAM works in combination with an antiviral as a prophylaxis by protecting against CMV outside the cell while the antiviral provides protection inside ...
Cytomegalovirus immune globulin (CMV-IG, Cytogam)CMV-IG is FDA-approved for the prophylaxis of cytomegalovirus (CMV) disease associated with kidney, lung, liver, pancreas or heart transplantations.
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