New blood test may help protect kids from post-transplant infection
NCT ID NCT03924219
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This study looked at whether a blood test that measures immune response to CMV can predict infection risk in children who have received a heart, kidney, or liver transplant. Researchers tested blood samples from 161 children within the first year after transplant. The goal is to find immune response levels that indicate protection, which could help doctors decide how long to give antiviral drugs or how often to monitor for infection.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- CMV T cell Immunity Assay (blood test)
- What this could lead to
- If successful, this test could help doctors personalize antiviral treatment for children after transplant, reducing unnecessary medication and preventing infections.
- What could go wrong
- This is an observational study, not a treatment trial. The test may not accurately predict infection risk in all children, and results may not change current care.
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.
- Participants
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161 people
The number who actually took part.
- Started
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Jun 2019
- Finished
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Jul 2025
- 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.
Who is studied
Pediatric patients \<18 years of age listed or anticipated to undergo kidney, heart, or liver transplantation.
- Ages
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0 to 17 years
- 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. \< 18 years of age at the time of pre-transplant enrollment 2. Potential subject is undergoing evaluation or is currently listed for isolated heart, kidney, or liver transplantation at a participating transplant center OR is anticipated to undergo living-donor kidney or liver transplantation 3. Anticipated to receive ≤ 200 days of antiviral chemoprophylaxis Note: Subjects who are consented, enrolled, and undergo transplantation at \<18 years of age will remain in the study and be followed post-transplant according to the study plan after they turn 18 years of age. Subjects will be re-consented to remain in the study at their first study visit after turning 18 years of age. Exclusion Criteria: I. Exclusion Criteria pre-transplant 1. Prior history of any organ transplant 2. Prior history of hematopoietic cell transplant 3. Anticipated to receive more than one organ at the time of transplant 4. Anticipated to receive \> 200 days of CMV antiviral chemoprophylaxis as part of the local transplant center's standard CMV prevention protocol 5. History of underlying primary (genetic) T cell immune deficiency II. Exclusion Criteria post-enrollment A) Removal from study due to minimal risk for CMV infection 1. CMV seronegative children \>= 12 months of age will be enrolled pre-transplant but will subsequently be excluded from the study IF they receive an organ from a CMV seronegative donor (CMV D-/R-). 2. Infants \<12 months will be considered seronegative regardless of their CMV IgG status (whether or not this testing was obtained by the local transplant center) UNLESS the infant has a positive pre-transplant CMV culture (from urine) or a positive pre-transplant CMV PCR (from urine, saliva, or blood). Infants \<12 months of age without evidence of prior CMV infection (as defined by these preceding criteria) will be excluded from post-transplant follow up IF they receive an organ from a CMV seronegative donor due to low risk for post-transplant CMV infection. Infants \<12 months of age with evidence of prior CMV infection (as defined above) will remain in the study following transplantation. B) Removal from study due to age a. Subjects who are enrolled at \<18 years of age but are not transplanted prior to their 18th birthday will be removed from the study and will not have further pre- or post-transplant follow up.
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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.
Contacts and locations
Locations
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Albert Einstein College of Medicine/Children's Hospital at Montefiore
New York, New York, 10467, United States
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Boston Children's Hospital
Boston, Massachusetts, 02115, United States
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Children's Hospital of Philadelphia
Philadelphia, Pennsylvania, 19104, United States
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Children's Mercy Hospital
Kansas City, Missouri, 64108, United States
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Cincinnati Children's Hospital Medical Center
Cincinnati, Ohio, 45229, United States
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Duke University Medical Center/Duke Children's Hosptial
Durham, North Carolina, 27710, United States
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Emory University Medical Center/Children's Hospital of Atlanta
Atlanta, Georgia, 30322, United States
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Northwestern University Medical Center/Lurie Children's Hospital of Chicago
Chicago, Illinois, 60611, United States
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Stanford University Medical Center/Lucile Packard Children's Hospital Stanford
Stanford, California, 94305, United States
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University of Nebraska Medical Center
Omaha, Nebraska, 68198, United States
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University of Pittsburgh Medical Center/Children's Hospital of Pittsburgh
Pittsburgh, Pennsylvania, 15224, United States
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Vanderbilt University Medical Center
Nashville, Tennessee, 37232, United States
More trials for these conditions
Other studies related to the condition(s) this trial covers.
- Can an antiviral drug protect hearing in infants with congenital CMV?
- Could removing catheters sooner after kidney transplant cut infections?
- Could a thyroid hormone boost heart transplant success?
- Can a new drug combo shield young hearts from transplant complications?
- Blood test could tailor CMV prevention after stem cell transplants
- Transplant breakdown? new study checks organ fluid for hidden germs