Recruiting
Phase 3

BCV vs. CDV

Sponsor:

SymBio Pharmaceuticals

Code:

NCT07387367

Conditions

Adenovirus Infections

Eligibility Criteria

Sex: All

Age: 0+

Healthy Volunteers: Not accepted

Interventions

cidofovir

Brincidofovir

Study Details

Brief summary:

This randomized, open-label, parallel group, two-arm, multi-center assessment will compare IV BCV with IV CDV in adult and pediatric allogeneic HCT recipients with AdV viremia. A virologic response-driven approach to duration of treatment will be evaluated, in which randomized subjects are treated with either BCV or CDV until AdV viremia is confirmed as undetectable or until a maximum of 12 weeks of therapy, whichever occurs first. All subjects will be followed for a total of 24 weeks post-randomization, regardless of treatment assignment. Subjects will be assessed on a weekly basis through the end of treatment visit (EOT). Additional assessments will be performed at the test of cure (TOC) visit, which is 4 weeks after the last dose of study drug and at Weeks 12 and 24 post W1D1.

Conditions

Adenovirus Infections

Study ID

NCT07387367

Start date

Mar 17, 2026

Status verified date

Jul, 2026

Completion date

Jun 30, 2028

Anticipated

Primary completion date

Jan 31, 2028

Anticipated

Eligibility Criteria

Eligibility Criteria

Sex: All

Age: 0+

Healthy Volunteers: Not accepted

Inclusion Criteria:

1. Male and female, post-allo HCT within last 180 days, aged 2 months and older at time of signing informed consent form.
2. Subject/Guardian willing and able to understand and provide written informed consent to participate in the study.
3. In the investigator's judgement, the subject's clinical condition justifies treatment with IV BCV or IV CDV for AdV infection.
4. Has adenoviremia, based on any of:

  • AdV viremia DNA ≥10,000 IU/mL, OR
  • Two consecutive and rising AdV viremia DNA results of ≥1,000 IU/mL at screening, OR
  • AdV viremia DNA of ≥1,000 IU/mL, AND

1\. Lymphocyte count <180/mm3, OR 2. Received T cell depletion, cord blood, or haploidentical transplant, OR 3. prior alemtuzumab, OR 4. anti-thymocyte globulin (ATG)

Exclusion Criteria:

1. Subject received an allo-HCT with a matched sibling donor
2. Subject received more than 5 mg/kg of CDV for any reason in the 21 days prior to first dose of study drug.
3. Subject is allergic or hypersensitive to IV BCV or IV CDV or any of their components.
4. Subject received anti-AdV-specific cell-based therapy within 3 weeks prior to W1D1 or an anti-AdV vaccine at any time.
5. Subject has participated in any other investigational study within 30 days (or within 5.5 half-lives of the investigational product, whichever is longer) before signing the informed consent form (ICF), is currently participating in another interventional treatment trial with an investigational agent or is using an investigational device at the time of Screening.

Study Design

Enrollment

180 participants

Anticipated

Allocation

Randomized

Intervention Model

Parallel Assignment

Primary purpose

Treatment

Interventions and Outcome Measures

Arms

experimental: IV BCV

active comparator: IV CDV

Interventions

cidofovir

CDV does not have a labeled indication for treating Adenovirus infection. CDV will be administered according to local guidelines and institutional standard of care practice.

Brincidofovir

Intravenous

Primary outcome measure

  • To assess efficacy of intravenous (IV) brincidofovir (BCV), compared with IV cidofovir (CDV), in subjects after allo-HCT with adenovirus (AdV) viremia. [ Time Frame: Week (W) 5 Day (D) 1. ]

Central Contacts and Locations

Central contacts

Locations

Phoenix Children's Hospital

Recruiting

Phoenix, Arizona, United States, 85016

City of Hope

Recruiting

Duarte, California, United States, 91010

University of California Davis

Recruiting

Sacramento, California, United States, 95616

Children's National Hospital

Recruiting

Washington D.C., District of Columbia, United States, 20010

Children's Healthcare of Atlanta

Recruiting

Atlanta, Georgia, United States, 30329

Ann and Robert H Lurie Children's Hospital

Recruiting

Chicago, Illinois, United States, 60611

Riley Children's Health (Indiana University)

Recruiting

Indianapolis, Indiana, United States, 46202

Dana-Farber Cancer Institute-Brighman and Women's

Recruiting

Boston, Massachusetts, United States, 02115

Dana-Farber/Boston Children's Cancer and Blood Disorders Center

Recruiting

Boston, Massachusetts, United States, 02139

St Louis Children's Hospital - Barnes Jewish Hospital

Recruiting

St Louis, Missouri, United States, 63110

University of Nebraska

Recruiting

Omaha, Nebraska, United States, 68182

Joseph M Sanzari Children's Hospital

Recruiting

Hackensack, New Jersey, United States, 07601

Cohen Children's Medical Center

Recruiting

New Hyde Park, New York, United States, 11042

Weill Cornell Medicine

Recruiting

New York, New York, United States, 10065

Duke University Medical Center

Recruiting

Durham, North Carolina, United States, 27710

Cincinnati Children's Hospital

Recruiting

Cincinnati, Ohio, United States, 45229

Children's Hospital of Philadelphia

Recruiting

Philadelphia, Pennsylvania, United States, 19104

St. Jude Children's Research Hospital

Recruiting

Memphis, Tennessee, United States, 38105

Seattle Children's Hospital

Recruiting

Seattle, Washington, United States, 98105

Medical College of Wisconsin / Children's Wisconsin

Recruiting

Milwaukee, Wisconsin, United States, 53226

CHU Sainte Justine Hospital

Recruiting

Montreal, Canada

The Hospital for Sick Children

Recruiting

Toronto, Canada

More Information

Sponsor

SymBio Pharmaceuticals

Last update posted

Aug 10, 2026

Last verified

Jul, 2026

Keywords

  • Brincidofovir
  • Cidofovir
  • Adenovirus
  • allo-HCT
  • BCV-PA02
  • ENOVIA

Trial information was received from ClinicalTrials.gov and was last updated on 2026-09-08. This information was provided to ClinicalTrials.gov by SymBio Pharmaceuticals on 2026-08-10.