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A Phase 3 Study of Tabelecleucel for Participants With Epstein-Barr Virus-Associated Post-Transplant Lymphoproliferative Disease After Failure With Rituximab or Rituximab and Chemotherapy

Sponsor: Pierre Fabre Medicament

NCT ID: NCT03394365

View on ClinicalTrials.gov ↗

At a glance

What the study gets you
Access to the study treatment being tested
Type of study
Interventional (receives a drug or procedure)
Time in hospital
In-person visits at study sites — visit count not specified by the sponsor
Drug or intervention
tabelecleucel (biological)
How long the study runs
Study runs about 152 months (dates as stated)
About the drug or intervention
tabelecleucel — biological: Tabelecleucel is being investigated as an off-the-shelf, allogeneic T-cell immunotherapy for the treatment of EBV+ malignancies and diseases.
Patient visit burden
Not specified by the sponsor

In plain English

This is a late-stage (Phase 3) study of a treatment called tabelecleucel for people with a condition called EBV-positive post-transplant lymphoproliferative disease (PTLD) — a rare cancer-like growth of immune cells that can happen after a solid organ transplant or a stem cell transplant. It is for people whose PTLD did not get better after treatment with rituximab, either on its own or with chemotherapy. The study is funded by Pierre Fabre Medicament.

Who can take part

  • People of any age who have had a solid organ transplant (such as kidney, liver, heart, lung, pancreas or small bowel) or a stem cell transplant from a donor.
  • A confirmed diagnosis of EBV-positive PTLD based on a tissue sample (biopsy).
  • Their PTLD has not responded to rituximab alone, or rituximab plus chemotherapy.
  • A suitable partly matched tabelecleucel product is available for them, confirmed by the study sponsor.
  • Measurable disease that can be seen on scans (usually a PET-CT scan).
  • Reasonably good daily functioning and adequate organ function, based on blood tests and other checks set out in the study.
  • For stem cell transplant patients only: if the transplant was for leukaemia or a similar blood cancer, that original disease must be in remission.
  • Willing and able to give written informed consent (or have a representative who can).

Who may not be able to

  • Certain other active cancers or lymphoma types, such as Burkitt lymphoma, Hodgkin lymphoma or T-cell lymphoma.
  • Taking daily steroid doses above a set level, ongoing methotrexate, or a light-based blood treatment called extracorporeal photopheresis.
  • Untreated PTLD in the brain or spinal cord, or currently receiving treatment (chemotherapy or radiotherapy) directed at the brain or spinal cord for it.
  • Moderate or worse graft-versus-host disease (a complication of stem cell transplants) at the time of joining.
  • Recent use of immunotherapy drugs called checkpoint inhibitors (for example pembrolizumab or nivolumab).
  • For stem cell transplant patients: an active adenovirus infection in the blood.
  • Needing medicines to support blood pressure or help with breathing (ventilator support).
  • Anti-T-cell antibody therapy (such as antithymocyte globulin) within 4 weeks of joining.
  • Certain cell-based therapies (EBV-targeted T cells, CAR T-cells, or donor lymphocyte infusions) within 8 weeks of joining.
  • Pregnant or breastfeeding, or unwilling to use highly effective contraception where relevant.
  • Being unable to follow the study procedures, or any other condition that the study doctor believes could make taking part unsafe.

What taking part involves

  • • Receiving tabelecleucel, a treatment made from specially selected immune cells (T cells) that target the Epstein-Barr virus.
  • • The tabelecleucel is partly matched to each person's tissue type (HLA-matched).
  • • Scans such as PET-CT (or MRI where used) to measure how the disease responds.
  • • Further details on how the treatment is given — Not stated — ask the trial team.

Time commitment: Frequency of visits and how long the study lasts: Not stated — ask the trial team.

Plain-English summary (AI-generated) from registry data. Not eligibility advice — only the trial team can confirm whether you can take part. Use the eligibility checker to see how your health profile matches this trial.

Type of study
Testing a treatment
Ages
Not specified
Who
All
Number of participants
115
Started
2017-12-29
Last checked
2026-08

Plain English Summary

What is this study?

  • • Testing a new treatment for epstein-barr virus+ associated post-transplant lymphoproliferative disease (ebv+ ptld)
  • • Phase3 - 115 participants
  • • The purpose of this study is to determine the clinical benefit and characterize the safety profile of tabelecleucel for the treatment of Epstein-Barr virus-associated post-transplant lymphoproliferative disease (EBV+ PTLD) in the setting of (1) solid organ transplant (SOT) after failure of rituximab (SOT-R) and rituximab plus chemotherapy (SOT-R+C) or (2) allogeneic hematopoietic cell transplant (HCT) after failure of rituximab

Who can take part?

  • • Adults
  • • Diagnosed with epstein-barr virus+ associated post-transplant lymphoproliferative disease (ebv+ ptld)

Where?

  • • Birmingham - University Hospitals Birmingham NHS Foundation Trust (Adults only)
  • • London - King's College Hospital NHS Foundation Trust (Adults only)
  • • London - Imperial College Healthcare NHS Trust (Adults only)

This is a simplified summary. Always discuss with your doctor before making any decisions.

About This Trial

The purpose of this study is to determine the clinical benefit and characterize the safety profile of tabelecleucel for the treatment of Epstein-Barr virus-associated post-transplant lymphoproliferative disease (EBV+ PTLD) in the setting of (1) solid organ transplant (SOT) after failure of rituximab (SOT-R) and rituximab plus chemotherapy (SOT-R+C) or (2) allogeneic hematopoietic cell transplant (HCT) after failure of rituximab.

More detail

This is a multicenter, open-label, phase 3 study to assess the efficacy and safety of tabelecleucel for the treatment of EBV+ PTLD in the setting of SOT-R and SOT-R+C (Cohort \[C\]-SOT) or HCT after failure of rituximab (C-HCT). SOT-R further included participants: 1. who did not receive chemotherapy and did not have a documented medical reason not to receive chemotherapy (SOT-Ro) or 2. who were considered chemotherapy ineligible/inappropriate (SOT-R-Ci) Combined population (SOT-R-Ci, SOT-R+C, and HCT) and (SOT-R-Ci and SOT-R+C) who received commercial product, or a product manufactured using a comparable process version (PV) were also used for analysis of outcomes. Enrollment will be preceded by confirmation of availability of partially human leukocyte antigen (HLA) matched and restricted tabelecleucel for the participant. Study procedures and product administration will be the same for each cohort. Tabelecleucel will be administered in cycles lasting 5 weeks (35 days). During each cycle, participants will receive intravenous tabelecleucel at a dose of 2 × 10\^6 cells/kg on Days 1, 8, and 15, followed by observation through Day 35. Treatment will continue until maximal response, unacceptable toxicity, initiation of non protocol therapy, or failure of tabelecleucel with up to 2 different HLA restrictions (C-SOT) or up to 4 different HLA restrictions (C-HCT). The study includes a total of 5 years of follow-up for disease and survival status for participants enrolled before or after 09 October 2023 to reach the initial sample size of 33 participants in both cohorts. For all other participants enrolled after 09 October 2023 and after the initial sample of 33 participants in both cohorts has been reached in both cohorts, the follow-up will be every 3 months, up to 12 months, as assessed on anniversary of Cycle 1 Day 1. For responders, the follow-up will be 12 months from the date of initial response.

Epstein-Barr Virus+ Associated Post-transplant Lymphoproliferative Disease (EBV+ PTLD)Solid Organ Transplant ComplicationsLymphoproliferative DisordersAllogeneic Hematopoietic Cell TransplantStem Cell Transplant Complications

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What we know so far

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Preliminary match based on your answers. Full eligibility requires on-site assessment including medical history, physical exam, and lab tests. This does not guarantee enrolment.

Eligibility at a Glance

Key info

  • Age: Not specified
  • Who can join: All genders

Treatment history

Treatments you must have had:

  • ✓ to follow CNS disease response per Lugano Classification response criteria

What the study is looking for

  • ✓Prior SOT of kidney, liver, heart, lung, pancreas, small bowel, or any combination of these (C-SOT); or prior...
  • ✓A diagnosis of locally assessed, biopsy-proven EBV+ PTLD.
  • ✓Availability of appropriate partially HLA-matched and restricted tabelecleucel has been confirmed by the sponsor.
  • ✓Males and females of any age.
  • ✓activity scale performance status ≤ 3 for participants aged ≥ 16 years; Lansky score ≥ 20 for...

Who cannot take part

  • ✗Currently active Burkitt, T-cell, NK/T-cell lymphoma/LPD, Hodgkin, plasmablastic, transformed lymphoma, active...
  • ✗Daily steroids of \> 0.5 mg/kg prednisone or glucocorticoid equivalent, ongoing methotrexate, or extracorporeal...
  • ✗Suspected or confirmed grade ≥ 2 graft-versus-host disease (GvHD) per the Center for International Blood and Marrow...
  • ✗Ongoing or recent use of a checkpoint inhibitor agent (eg, ipilimumab, pembrolizumab, nivolumab) within 3 drug...
  • ✗For C-HCT: active adenovirus viremia.
See the full criteria
Inclusion Criteria: 1. Prior SOT of kidney, liver, heart, lung, pancreas, small bowel, or any combination of these (C-SOT); or prior allogeneic HCT (C-HCT). 2. A diagnosis of locally assessed, biopsy-proven EBV+ PTLD. 3. Availability of appropriate partially HLA-matched and restricted tabelecleucel has been confirmed by the sponsor. 4. Measurable, 18F-deoxyglucose (FDG)-avid (Deauville score ≥ 3) systemic disease using Lugano Classification response criteria by positron emission tomography (PET)-diagnostic computed tomography (CT), except when contraindicated or mandated by local practice, then magnetic resonance imaging (MRI) may be used. For participants with treated central nervous system (CNS) disease, a head CT and/or brain/spinal MRI as clinically appropriate will be required to follow CNS disease response per Lugano Classification response criteria. 5. Treatment failure of rituximab or interchangeable commercially available biosimilar monotherapy (C-SOT-R or C-HCT) or rituximab plus any concurrent or sequentially administered chemotherapy regimen (C-SOT-R+C) for treatment of PTLD. 6. Males and females of any age. 7. Eastern Cooperative Oncology Group performance status ≤ 3 for participants aged ≥ 16 years; Lansky score ≥ 20 for participants \< 16 years. 8. For C-HCT only: If allogeneic HCT was performed as treatment for an acute lymphoid or myeloid malignancy, the underlying primary disease for which the participant underwent transplant must be in morphologic remission. 9. Adequate organ function. 1. Absolute neutrophil count ≥ 1000/μL, (C-SOT) or ≥ 500/μL (C-HCT), with or without cytokine support. 2. Platelet count ≥ 50,000/μL, with or without transfusion or cytokine support. For C-HCT, platelet count \< 50,000/μL but ≥ 20,000/μL, with or without transfusion support, is permissible if the participant has not had grade ≥ 2 bleeding in the prior 4 weeks (where grading of the bleeding is determined per the National Cancer Institute's Common Terminology Criteria for Adverse Events \[CTCAE\], version 5.0). 3. Alanine aminotransferase (ALT), aspartate aminotransferase (AST), and total bilirubin each \< 5 × the upper limit of normal; however, ALT, AST, and total bilirubin each ≤ 10 × upper limit of normal is acceptable if the elevation is considered by the investigator to be due to EBV and/or PTLD involvement of the liver as long as there is no known evidence of significant liver dysfunction. 10. Participant or participant's representative is willing and able to provide written informed consent. Exclusion Criteria: 1. Currently active Burkitt, T-cell, NK/T-cell lymphoma/LPD, Hodgkin, plasmablastic, transformed lymphoma, active hemophagocytic lymphohistiocytosis, or other malignancies requiring systemic therapy. 2. Daily steroids of \> 0.5 mg/kg prednisone or glucocorticoid equivalent, ongoing methotrexate, or extracorporeal photopheresis. 3. Untreated CNS PTLD or CNS PTLD for which the participant is actively receiving CNS-directed chemotherapy (systemic or intrathecal) or radiotherapy at enrollment. NOTE: Participants with previously treated CNS PTLD may enroll if CNS-directed therapy is complete. 4. Suspected or confirmed grade ≥ 2 graft-versus-host disease (GvHD) per the Center for International Blood and Marrow Transplant Research consensus grading system at enrollment. 5. Ongoing or recent use of a checkpoint inhibitor agent (eg, ipilimumab, pembrolizumab, nivolumab) within 3 drug half-lives from the most recent dose to enrollment. 6. For C-HCT: active adenovirus viremia. 7. Need for vasopressor or ventilatory support. 8. Antithymocyte globulin or similar anti-T cell antibody therapy ≤ 4 weeks prior to enrollment. 9. Treatment with Epstein-Barr virus cytotoxic T lymphocytes or chimeric antigen receptor T cells directed against B cells within 8 weeks of enrollment (C-SOT or C-HCT), or unselected donor lymphocyte infusion within 8 weeks of enrollment (C-HCT only). 10. Female who is breastfeeding or pregnant or female of childbearing potential or male with a female partner of childbearing potential unwilling to use a highly effective method of contraception. 11. Inability to comply with study-related procedures. 12. Any medical condition or organ system dysfunction that in the investigator';s opinion, could compromise the participant's safety or ability to complete the study.

Where Is This Study? (3 UK sites)

University Hospitals Birmingham NHS Foundation Trust (Adults only)

Birmingham B15 2GW, United Kingdom

Recruiting
Site contact (verified)
Sridhar Chaganti, MD1214242000

King's College Hospital NHS Foundation Trust (Adults only)

London SE5 9RS, United Kingdom

COMPLETED
Hospital R&D contact (matched)

Jasmine Palmer

kch-tr.research@nhs.net0203 299 1980

Imperial College Healthcare NHS Trust (Adults only)

London W12 0HS, United Kingdom

Recruiting
Site contact (verified)
Eduardo Olavarria, MD208 383 2134

How to Get in Touch

Data Protection Officer

Sponsor contact

CONTACT

00 33 684752268 dpofr@pierre-fabre.com
Data sourced from ClinicalTrials.gov · Last verified: 2026-08