Could a common arthritis drug shield transplant patients from a dangerous virus?
NCT ID NCT07709013
First seen Jul 16, 2026 · Last updated Jul 17, 2026 · Updated 1 time
Summary
This phase 2 trial tests whether leflunomide, a drug typically used for arthritis, can prevent cytomegalovirus (CMV) reactivation in adults with blood cancers who receive a half-matched stem cell transplant. Participants take leflunomide daily for up to six months after transplant. The study tracks how many develop significant CMV infections, organ damage, or need additional anti-CMV therapy, and monitors safety.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- leflunomide
- What this could lead to
- If effective, leflunomide could offer a new way to prevent dangerous CMV infections in stem cell transplant patients, reducing organ damage and the need for additional treatments.
- What could go wrong
- This is a small, early-phase trial with only 22 participants, so results may not apply broadly. Leflunomide may cause side effects or fail to prevent CMV reactivation.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
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Phase 2
Tests whether the treatment actually works, and watches for side effects, in a larger group.
- Participants
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About 22 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Oct 2024
- Expected to finish
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Apr 2029
An estimate. End dates often move.
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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18 years and older
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: 1. Males or females undergoing Haplo-identical haematopoetic stem cell transplant. 2. Age ≥18yrs on the day of signing informed consent 3. Undetectable CMV from plasma sample in preceding 7 days 4. Patient who has WBC engraftment (ANC\>=500/cumm for 3 or more consecutive days). 5. Within 7 days of WBC engraftment 6. Adequate liver functions (ALT / AST less than 5 times upper limit of normal and Bilirubin \<=3 times upper limit of normal) at time of starting leflunomide 7. Understands the study procedures, alternative treatment available, and risks involved with the study, and voluntarily agree to participate by giving written informed consent. Exclusion Criteria: 1. Known hypersensitivity to Leflunomide 2. History of clinically significant CMV reactivation in past 1 year 3. Patient is receiving/has received drug known to have anti CMV activity within in last 7 days \[Ganciclovir, valganciclovir, foscarnet, letermovir, acyclovir (at doses \>=3200 mg PO per day or \>=25 mg/kg IV per day), valacyclovir (at doses \&\>=3000 mg PO per day)\] 4. Inadequate renal function (creatinine clearance \<=30 ml/min) 5. Chronic active hepatitis B (HBsAg+ or any HBV DNA+), hepatitis C, or/and HIV 6. Any psychiatric condition that might limit the ability of the patient to comply with the protocol
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
How to take part
Only the study team decides who joins. These are the ways to reach them.
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The places running it
3 sites. The list below names each one and where it is.
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The official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
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A doctor treating you
A doctor who knows your case can contact a study site on your behalf, and can tell you whether this study is worth pursuing at all.
Contacts and locations
Locations
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Advanced Centre for Treatment, Research and Education in Cancer
NOT_YET_RECRUITINGNavi Mumbai, Maharashtra, 410210, India
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Advanced Centre for Treatment, Research and Education in Cancer
NOT_YET_RECRUITINGNavi Mumbai, Maharashtra, 410210, India
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Advanced Centre for Treatment, Research and Education in Cancer (ACTREC) Tata Memorial Centre
RECRUITINGNavi Mumbai, Maharashtra, 410210, India
More trials for these conditions
Other studies related to the condition(s) this trial covers.
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- A phone call from a survivor: could peer support calm transplant anxiety?
- AI platform aims to unlock Real-World cancer data on a massive scale
- 10,000 DNA samples could reveal hidden genetic triggers for leukemia and lymphoma
- New biologic MK-1045 targets Hard-to-Treat blood cancers
- Shorter chemo before transplant may cut severe side effects for blood cancer patients