Table 1.

SARS-CoV-2–specific T-cell trials for treatment or prevention of COVID-19

TrialTreatmentPopulationStudy designPhaseEstimated enrollmentBlood disorder eligibility
NCT04457726 Allogeneic CSTs 1 to 90 y SARS-CoV-2 RT-PCR + within 72 h of enrollment Arm A: severe COVID-19 Arm B: mild to moderate COVID-19 with high risk of progression to severe disease based on age and/or underlying comorbidity 1/2 (recruiting) 18 Not excluded unless receiving >0.5 mg/kg/d steroid 
NCT04765449 Partially HLA-matched banked allogeneic CSTs ≥18 y SARS-CoV-2 RT-PCR + High risk of severe disease based on age and/or underlying comorbidity No supplemental O2 requirement Arm A: Treatment with CSTs Arm B: No available HLA-matched product, monitored at home and may receive any standard of care treatment for COVID-19 1 (recruiting) 24 Included: chemotherapy for malignancy within the prior 24 mo Excluded: prior allogeneic HSCT or solid organ transplant; current chemotherapy, radiation, and/or immunosuppressive drug regimen 
NCT04742595 Partially HLA-matched banked allogeneic CSTs ≥18 y Immunocompromised with cancer SARS-CoV-2 RT-PCR + within 2 wk of enrollment Presence of respiratory symptoms Patients receive CSTs on day 1 and treatment may repeat every 14 d at investigators' discretion. 1 (recruiting) 16 Yes (required for inclusion) 
NCT04401410 Partially HLA-matched banked allogeneic CSTs ≥18 y SARS-CoV-2 RT-PCR + within 5 d of enrollment Hospitalized for COVID-19 High risk of severe disease based on age and/or underlying comorbidity No supplemental O2 requirement Phase I: dose finding phase Phase II: randomized pilot study comparing CST treatment at dose determined in phase I to current institutional standard of care treatment for COVID-19 1/2 (terminated early) Final number not yet reported Yes (inclusion criteria as risk factor for severe disease) 
NCT04762186 Allogeneic CSTs ≥18 y SARS-CoV-2 RT-PCR + within 72 h of enrollment Maximum 14 d between symptom onset and enrollment WHO score 5 or 4 with one additional risk factor for progression Phase I: dose finding phase Phase II: randomized pilot study comparing CST treatment at dose determined in phase I to current institutional standard of care treatment for COVID-19 1/2 (recruiting) 12 Yes (inclusion criteria as risk factor for severe disease) 
NCT04896606 Family derived HLA-matched allogeneic CSTs 18 to 65 y SARS-CoV-2 RT-PCR + Hospitalized for mild to moderate COVID-19 disease Risk of progression based on underlying comorbidity HLA-matched family related donor with recent SARS-CoV-2 infection at least 10 d from symptom onset available Experimental arm: Patients receive family donor derived CSTs up to five times every 2 wk along with standard of care. Active Comparator: Standard of care alone. 1/2 (recruiting) 50 Yes (inclusion criteria as risk factor for severe disease) 
NCT05141058 HSCT donor-derived allogeneic CSTs ≥12 y and <80 y ≥28 d and <4 wk after allogeneic HSCT SARS-CoV-2 RT-PCR negative Arm A: Adults (≥18 to <80 y) will receive a single infusion of CSTs at escalating doses for prophylaxis against SARS-CoV-2 infection. Arm B: Children (≥12 and <18 y) will receive a single infusion of CSTs at escalating doses for prophylaxis against SARS-CoV-2 infection. 1 (recruiting) 24 Yes (required for inclusion) 
TrialTreatmentPopulationStudy designPhaseEstimated enrollmentBlood disorder eligibility
NCT04457726 Allogeneic CSTs 1 to 90 y SARS-CoV-2 RT-PCR + within 72 h of enrollment Arm A: severe COVID-19 Arm B: mild to moderate COVID-19 with high risk of progression to severe disease based on age and/or underlying comorbidity 1/2 (recruiting) 18 Not excluded unless receiving >0.5 mg/kg/d steroid 
NCT04765449 Partially HLA-matched banked allogeneic CSTs ≥18 y SARS-CoV-2 RT-PCR + High risk of severe disease based on age and/or underlying comorbidity No supplemental O2 requirement Arm A: Treatment with CSTs Arm B: No available HLA-matched product, monitored at home and may receive any standard of care treatment for COVID-19 1 (recruiting) 24 Included: chemotherapy for malignancy within the prior 24 mo Excluded: prior allogeneic HSCT or solid organ transplant; current chemotherapy, radiation, and/or immunosuppressive drug regimen 
NCT04742595 Partially HLA-matched banked allogeneic CSTs ≥18 y Immunocompromised with cancer SARS-CoV-2 RT-PCR + within 2 wk of enrollment Presence of respiratory symptoms Patients receive CSTs on day 1 and treatment may repeat every 14 d at investigators' discretion. 1 (recruiting) 16 Yes (required for inclusion) 
NCT04401410 Partially HLA-matched banked allogeneic CSTs ≥18 y SARS-CoV-2 RT-PCR + within 5 d of enrollment Hospitalized for COVID-19 High risk of severe disease based on age and/or underlying comorbidity No supplemental O2 requirement Phase I: dose finding phase Phase II: randomized pilot study comparing CST treatment at dose determined in phase I to current institutional standard of care treatment for COVID-19 1/2 (terminated early) Final number not yet reported Yes (inclusion criteria as risk factor for severe disease) 
NCT04762186 Allogeneic CSTs ≥18 y SARS-CoV-2 RT-PCR + within 72 h of enrollment Maximum 14 d between symptom onset and enrollment WHO score 5 or 4 with one additional risk factor for progression Phase I: dose finding phase Phase II: randomized pilot study comparing CST treatment at dose determined in phase I to current institutional standard of care treatment for COVID-19 1/2 (recruiting) 12 Yes (inclusion criteria as risk factor for severe disease) 
NCT04896606 Family derived HLA-matched allogeneic CSTs 18 to 65 y SARS-CoV-2 RT-PCR + Hospitalized for mild to moderate COVID-19 disease Risk of progression based on underlying comorbidity HLA-matched family related donor with recent SARS-CoV-2 infection at least 10 d from symptom onset available Experimental arm: Patients receive family donor derived CSTs up to five times every 2 wk along with standard of care. Active Comparator: Standard of care alone. 1/2 (recruiting) 50 Yes (inclusion criteria as risk factor for severe disease) 
NCT05141058 HSCT donor-derived allogeneic CSTs ≥12 y and <80 y ≥28 d and <4 wk after allogeneic HSCT SARS-CoV-2 RT-PCR negative Arm A: Adults (≥18 to <80 y) will receive a single infusion of CSTs at escalating doses for prophylaxis against SARS-CoV-2 infection. Arm B: Children (≥12 and <18 y) will receive a single infusion of CSTs at escalating doses for prophylaxis against SARS-CoV-2 infection. 1 (recruiting) 24 Yes (required for inclusion) 

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