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Cytomegalovirus InfectionsPhase 3IMPACTNCT00294515

IMPACT Study: A Study of Valcyte (Valganciclovir) for Prevention of Cytomegalovirus Disease (CMV) in Kidney Allograft Recipients

A Phase 3 study testing Valganciclovir in people with Cytomegalovirus Infections, run by Hoffmann-La Roche at 80 sites in 13 countries.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
Search all trials

Trial summary

This study will determine the relative efficacy and safety of up to 100 days Valcyte prophylaxis relative to up to 200 days Valcyte prophylaxis when given for the prevention of CMV disease in high-risk (D+/R-) kidney allograft recipients. Read more about this study

Who is it for?
Ages 16 years and older
Conditions the study is for
Cytomegalovirus Infections
What is being tested?
Valganciclovir
Type of treatment
Pill or oral medicine
Could I receive a placebo?
No, everyone receives an active treatment
How many people
326 participants
Where
80 sitesin 13 countries
Study dates
31 Mar 2006to 31 Aug 2009
Phase
Phase 3
Are there results?
Yes, posted in the registrySummary in the doctors' view

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 16 years and older
  • All sexes
  • No healthy volunteers
  • Child, Adult, Older adult

Who may be able to join

  • ≥ 16 years of age
  • CMV seronegative recipient of primary or secondary renal allograft from a living or cadaveric seropositive donor
  • Adequate hematological and renal function
  • Patients and partners must agree to maintain effective birth control for 90 days following cessation of study medication

Who cannot join

  • CMV disease, or receipt of anti-CMV therapy within 30 days prior to screening
  • Multi-organ transplant recipient
  • Hepatitis B, hepatitis C or HIV positive
  • Women who are pregnant or lactating

Trial locations and contacts

80 sites in 13 countries.

80 sites in 13 countries

United States23 sites
  • Uni of Michigan Medical Center

    Ann Arbor, Michigan, 48109-0331

  • Uni of Alabama At Birmingham

    Birmingham, Alabama, 35294

  • New England Medical Center; Division of Transplant Surgery

    Boston, Massachusetts, 02111

  • Rush-Presbyterian St. Luke'S Medical Center; Rush Uni Renal Transplant Program

    Chicago, Illinois, 60612-3824

  • Hackensack University Medical Center

    Hackensack, New Jersey, 07601

  • Indiana Uni Medical Center; Surgery & Microbiology/Immunology

    Indianapolis, Indiana, 46202-5124

  • St. Barnabas Medical Center

    Livingston, New Jersey, 07039

  • National Institute of Transplantation

    Los Angeles, California, 90057

  • UCLA Medical Center

    Los Angeles, California, 90095

  • Uni of Minnesota Medical Center; Dept of Surgery

    Minneapolis, Minnesota, 55455

  • Vanderbilt Uni ; Divison of Nephrology

    Nashville, Tennessee, 37232

  • Robert Wood Johnson Uni Hospital; Anesthesia

    New Brunswick, New Jersey, 08901

  • Hahnemann Uni Hospital; Division of Transplant/Dept. of Surgery

    Philadelphia, Pennsylvania, 19102-1192

  • Uni of Pennslyvania Medical Center

    Philadelphia, Pennsylvania, 19104

  • Oregon Health Sciences Uni ; Division of Nephrology

    Portland, Oregon, 97201

  • Texas Transplant Inst.

    San Antonio, Texas, 78229

  • Uni of Texas Health Science Center At San Antonio; Organ Transplant Program

    San Antonio, Texas, 78284

  • Ucsd Medical Center; Kidney Transplantation

    San Diego, California, 92103-8401

  • California Pacific Medical Center

    San Francisco, California, 94115

  • Uni of California San Francisco; Transplant Services

    San Francisco, California, 94143-0116

  • Uni of Washington Medical Center; Division of Allergy & Infectious Diseases

    Seattle, Washington, 98195

  • Lifelink Healthcare Inst.

    Tampa, Florida, 33606

  • Wake Forest Uni School of Medicine; Section on Infectious Diseases

    Winston-Salem, North Carolina, 27157-1082

Other trials in United States

United Kingdom10 sites
  • Antrim Hospital; Renal Dept

    Antrim, 2RL

  • Queen Elizabeth Hospital

    Birmingham, B15 2TH

  • SOUTHMEAD HOSPITAL; Richard Bright Dialysis Centre

    Bristol, BS10 5NB

  • Western Infirmary; Division of Cardiovascular and Medical Sciences

    Glasgow, G11 6NT

  • Royal Liverpool Uni Hospital; Renal Dept

    Liverpool, L7 8XP

  • Royal London Hospital; Renal Unit

    London, E1 1BB

  • Manchester Royal Infirmary; Renal Transplant Unit

    Manchester, M13 9WL

  • Freeman Hospital; Nephrology

    Newcastle upon Tyne, NE7 7DN

  • Nottingham City Hospital; Transplant Unit

    Nottingham, NG5 1PB

  • Churchill Hospital; Oxford Transplant Center Renal Transplant Unit

    Oxford, OX3 7LJ

Other trials in United Kingdom

France9 sites
  • Hopital Pellegrin; Departement Nephrologie

    Bordeaux, 33076

  • Chu Grenoble - Hopital Albert Michallon; Departement de Cancero-Hematologie

    Grenoble, 38043

  • Hopital Lapeyronie; Nephrologie

    Montpellier, 34295

  • Hopital Hotel Dieu Et HME; Nephrologie Immunologie Clinique

    Nantes, 44035

  • Ch Pitie Salpetriere; Urologie

    Paris, 75651

  • Hopital Civil; Clinique Medicale

    Strasbourg, 67091

  • CHU de Toulouse, Hopital Rangueil; Nephrologie-Tranplantation

    Toulouse, 31403

  • Hopital Bretonneau; Nephrologie Transplantations

    Tours, 37044

  • Hopitaux De Brabois; Nephrologie

    Vandœuvre-lès-Nancy, 54511

Other trials in France

Germany7 sites
  • Charité - Klinikum Mitte; Medizinische Klinik Für Nephrologie

    Berlin, 10117

  • Charite - Campus, Virchow-Klinikum; Abteilung Fuer Nephrologie Und Intensivmedizin

    Berlin, 13353

  • Universitätsklinikum Erlangen; Medizinische Klinik 4; Nephrologie und Hypertensiologie

    Erlangen, 91054

  • Klinik Johann Wolfgang von Goethe Uni; Innere Medizin - Dialyse

    Frankfurt, 60596

  • Med. Hochschule Hannover Zentrum Chirurgie Klinik f.Allgemein- Viszeral- und Transplantationschirur

    Hanover, 30625

  • Universitätsklinikum Schleswig-Holstein / Campus Lübeck; Medizinische Klinik I

    Lübeck, 23562

  • Klinikum der Universitaet Regensburg; Nephrologie

    Regensburg, 93053

Other trials in Germany

Spain6 sites
  • Hospital de Cruces; Servicio de Enfermedades Infecciosas

    Barakaldo, Vizcaya, 48903

  • Hospital Universitari Vall d'Hebron; Servicio de Nefrologia

    Barcelona, 08035

  • Hospital Universitari de Bellvitge; Servicio de Nefrologia

    L'Hospitalet de Llobregat, Barcelona, 08907

  • Hospital General Univ. Gregorio Maranon

    Madrid, 28009

  • Hospital Universitario 12 de Octubre; Servicio de Enfermedades Infecciosas

    Madrid, 28041

  • Hospital Universitario Dr. Peset; Servicio de Nefrologia

    Valencia, 46017

Other trials in Spain

Brazil5 sites
  • Hospital das Clinicas - UNICAMP

    Campinas, São Paulo, 13083-888

  • Santa Casa de Misericordia de Porto Alegre

    Porto Alegre, Rio Grande do Sul, 90020-090

  • Hospital das Clinicas - UFRGS

    Porto Alegre, Rio Grande do Sul, 90035-003

  • Hospital Israelita Albert Einstein; Intensive Care Unit

    São Paulo, São Paulo, 05651-901

  • Faculdade de Medicina de Ribeirao Preto Usp; Campus Uni Rio

    São Paulo, São Paulo, 18048-900

Other trials in Brazil

Canada4 sites
  • Uni of Alberta Hospital

    Edmonton, Alberta, T6G 2S2

  • St. Joseph's Healthcare Hamilton

    Hamilton, Ontario, L8N 4A6

  • Mcgill University - Royal Victoria Hospital; Oncology

    Montreal, Quebec, H3A 1A1

  • Toronto General Hospital

    Toronto, Ontario, M5G 2N2

Other trials in Canada

Italy4 sites
  • Policlinico di Bari; Divisione di Nefrologia, Dialisi e Trapianto

    Bari, Apulia, 70124

  • ASST GRANDE OSPEDALE METROPOLITANO NIGUARDA; Dipartimento di Nefrologia e Dialisi

    Milan, Lombardy, 20162

  • Azienda Ospedaliera DI PADOVA; Divisione Malattie Infettive

    Padova, Veneto, 35128

  • POLICLINICO Universitatio A.Gemelli, Div. Chirurgia Generale e Trapianti d'Organo

    Rome, Lazio, 00168

Other trials in Italy

Australia3 sites
  • Royal Prince Alfred Hospital; Renal Transplant Unit

    Camperdown, New South Wales, 2050

  • Monash Medical Centre; Renal Transplant Unit

    Clayton, Victoria, 3186

  • Royal Melbourne Hospital; Nephrology

    Parkville, Victoria, 3050

Other trials in Australia

Belgium3 sites
  • Clin Univ de Bxl Hôpital Erasme

    Brussels, 1070

  • UZ Gent

    Ghent, 9000

  • UZ Leuven Gasthuisberg

    Leuven, 3000

Other trials in Belgium

Poland3 sites
  • Collegium Medicum Uniwersytetu Jagielonskiego; Katedra I Klinika Nefrologii Cmuj

    Krakow, 31-501

  • Instytut Transplantologii A.M.; Klinika Medycyny Transplantacyjnej I Nefrologii

    Warsaw, 02-006

  • Akademia Medyczna Im. Piastow Slaskich; Klinika Nefrologii I Medycyny Transplantacyjnej

    Wroclaw, 50-417

Other trials in Poland

Romania2 sites
  • Institutul de Urologie Si Transplant Renal Fundeni

    Bucharest, 022328

  • Institutul de Urologie Si Transplant Renal Cluj Napoca

    Cluj-Napoca, 400006

Other trials in Romania

New Zealand1 site
  • Auckland City Hospital; Renal Unit, Level 15

    Auckland, 1001

Other trials in New Zealand

About this study

Official title: A Randomized, Double-Blind, Placebo-Controlled, Multi-Center Study of the Efficacy and Safety of up to 100 Days of Valganciclovir Versus up to 200 Days of Valganciclovir for Prevention of Cytomegalovirus (CMV) Disease in High-Risk Kidney Allograft Recipients

This study will determine the relative efficacy and safety of up to 100 days Valcyte prophylaxis relative to up to 200 days Valcyte prophylaxis when given for the prevention of CMV disease in high-risk (D+/R-) kidney allograft recipients. The anticipated time on study treatment is 3-12 months and the target sample size is 100-500 individuals.

Being tested
Valganciclovir
Medical subject headings
Cytomegalovirus Infections

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • ValganciclovirDrug

    Also called Valcyte

    900 mg orally daily for up to 100 days

  • ValganciclovirDrug

    Also called Valcyte

    900 mg orally daily for up to 200 days

Study groups in NCT00294515
Study groupRoleWhat they receive
Valganciclovir up to 100 daysExperimentalValganciclovir for up to 100 days post kidney transplant
Receives: Drug: Valganciclovir
Valganciclovir up to 200 daysActive comparatorValganciclovir for up to 200 days post kidney transplant
Receives: Drug: Valganciclovir

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Percentage of Patients Who Developed Cytomegalovirus (CMV) Disease up to Month 12 Post-transplant

    Percentage of CMV-seronegative renal transplant recipients (R-) receiving a CMV-seropositive graft (D+) who developed CMV disease (confirmed and assumed) within 12 months post-transplant.

    Measured: 12 months post-transplant

Secondary outcomes (4)
  1. Percentage of Patients Who Developed CMV Disease up to Month 6 Post-transplant

    Percentage of CMV-seronegative renal transplant recipients (R-) receiving a CMV-seropositive graft (D+) who developed CMV disease (confirmed and assumed) within 6 months post-transplant.

    Measured: 6 months post-transplant

  2. Percentage of Patients Who Developed CMV Disease up to Month 9 Post-transplant

    Percentage of CMV-seronegative renal transplant recipients (R-) receiving a CMV-seropositive graft (D+) who developed CMV disease (confirmed and assumed) within 9 months post-transplant.

    Measured: 9 months post-transplant

  3. Percentage of Patients Who Developed CMV Disease up to Month 18 Post-transplant

    Percentage of CMV-seronegative renal transplant recipients (R-) receiving a CMV-seropositive graft (D+) who developed CMV disease (confirmed and assumed) within 18 months post-transplant.

    Measured: 18 months post-transplant

  4. Percentage of Patients Who Developed CMV Disease up to Month 24 Post-transplant

    Percentage of CMV-seronegative renal transplant recipients (R-) receiving a CMV-seropositive graft (D+) who developed CMV disease (confirmed and assumed) within 24 months post-transplant.

    Measured: 24 months post-transplant

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted22 Feb 2006 (estimated)
  2. Study start31 Mar 2006
  3. Primary completion31 Aug 2008
  4. Study completion31 Aug 2009

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 3
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Double blind
Who is masked
Participant, Investigator
Enrolment
326 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT00294515
Sponsor's protocol ID
NT18435
Acronym
IMPACT
Status last verified
Feb 2018
First submitted
21 Feb 2006
Last updated
29 Mar 2018
FDA-regulated drug
Yes
FDA-regulated device
No

Publications

  • Vernooij RW, Michael M, Colombijn JM, Owers DS, Webster AC, Strippoli GF, Hodson EM. Pre-emptive treatment for cytomegalovirus viraemia to prevent cytomegalovirus disease in solid organ transplant recipients. Cochrane Database Syst Rev. 2025 Jan 14;1(1):CD005133. doi: 10.1002/14651858.CD005133.pub4.

    PubMed 39807668
  • Vernooij RW, Michael M, Ladhani M, Webster AC, Strippoli GF, Craig JC, Hodson EM. Antiviral medications for preventing cytomegalovirus disease in solid organ transplant recipients. Cochrane Database Syst Rev. 2024 May 3;5(5):CD003774. doi: 10.1002/14651858.CD003774.pub5.

    PubMed 38700045
  • Humar A, Lebranchu Y, Vincenti F, Blumberg EA, Punch JD, Limaye AP, Abramowicz D, Jardine AG, Voulgari AT, Ives J, Hauser IA, Peeters P. The efficacy and safety of 200 days valganciclovir cytomegalovirus prophylaxis in high-risk kidney transplant recipients. Am J Transplant. 2010 May;10(5):1228-37. doi: 10.1111/j.1600-6143.2010.03074.x. Epub 2010 Mar 26.

    PubMed 20353469

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing Valganciclovir in people with Cytomegalovirus Infections, run by Hoffmann-La Roche at 80 sites in 13 countries.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 4 inclusion and 4 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 29 Mar 2018. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 80 sites in United States, United Kingdom, France, Germany, Spain and 8 more countries. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

Yes. Results are posted in the registry (first posted 5 Jul 2010). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Percentage of Patients Who Developed Cytomegalovirus (CMV) Disease up to Month 12 Post-transplant (time frame: 12 months post-transplant). It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT00294515, which also lists 3 linked publications.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 29 Mar 2018.

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