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Starting soon Phase 2

Efficacy of Letermovir in Preventing Cytomegalovirus (CMV) Infection in Lung Transplant Recipients vs. Valganciclovir.

NCT06057194 · tracked via the Priya Life Science Spain tracker
Phase
Phase 2
Started
2023-10
Last updated
2023-09-28

Condition(s) studied

Infections, Cytomegalovirus

Investigational drug(s) / intervention(s)

Letermovir 240 mg Oral Tablet →

Letermovir 240 mg Oral Tablet: Treatment will commence as soon as subjects can receive oral medication, with a maximum timeframe of 28 days after transplantation. If patients cannot receive oral medication after transplantation, initial prophylaxis with ganciclovir per clinical practice will be allowed. Medication will be discontinued 12 months after treatment initiation.

Study summary

The goal of this quasi-experimental multicenter before-after cohort study, phase II study is to evaluate the efficacy of 12-month letermovir prophylaxis in lung transplant recipients (D+/R-) compared to a historical cohort of lung transplant recipients (D+/R-) who received 12 months of valganciclovir prophylaxis to prevent CMV disease."

Eligibility

Sex
ALL
Min age
18 Years
Max age
—
Healthy volunteers
No
Inclusion Criteria (prospective cohort): * Adults over 18 years old * Lung transplant recipients (D+/R-) pre-transplant. * Having an undetectable CMV polymerase chain reaction assay (PCR) within the 96 hours prior to the start of letermovir prophylaxis. * Patients who have provided written informed consent. Exclusion Criteria (prospective cohort): * HIV-infected patients. * Patients with multivisceral transplant. * Patients unable to comply with the follow-up protocol. * Receiving a different antiviral prophylaxis other than ganciclovir prior to letermovir prophylaxis. * Patients with concurrent renal and hepatic insufficiency. Inclusion Criteria (retrospective cohort): * Adults over 18 years old. Lung transplant recipients (D+/R-) pre-transplant. * Patients treated with Valganciclovir prophylaxis for 12 months. * Patients transplanted within 2 years prior to the start of the study. * Patients with a complete 13-month follow-up and comparable data to the prospective cohort to evaluate the study's primary variables. Exclusion Criteria (retrospective cohort): * HIV-infected patients. * Patients with multivisceral transplant.

Primary outcome measure(s)

  • Incidence of CMV disease/replication — During 12 months after initiation of prophylaxis
    CMV replication: The term 'replication' can be used to indicate evidence of multiplication and is sometimes used interchangeably with CMV infection CMV disease: It is defined as symptomatic replication or invasive disease of organs or tissues that requires treatment at the investigator's discretion."

Trial sites (1)

FacilityCityRegionStatus
Hospital Universitario Reina Sofia Córdoba Córdoba
Official registry record

This page summarises publicly available registry data for informational purposes — not medical advice. Eligibility is determined by each study team; patients should discuss participation with their clinician.

View NCT06057194 on ClinicalTrials.gov ↗ ← All trials in Spain