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.
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
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
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
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
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
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
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
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
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
Belgium3 sites
Clin Univ de Bxl Hôpital Erasme
Brussels, 1070
UZ Gent
Ghent, 9000
UZ Leuven Gasthuisberg
Leuven, 3000
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
Romania2 sites
Institutul de Urologie Si Transplant Renal Fundeni
Bucharest, 022328
Institutul de Urologie Si Transplant Renal Cluj Napoca
Cluj-Napoca, 400006
New Zealand1 site
Auckland City Hospital; Renal Unit, Level 15
Auckland, 1001
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.
- Conditions
- Cytomegalovirus Infections
- 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 group | Role | What they receive |
|---|---|---|
| Valganciclovir up to 100 days | Experimental | Valganciclovir for up to 100 days post kidney transplant Receives: Drug: Valganciclovir |
| Valganciclovir up to 200 days | Active comparator | Valganciclovir 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.
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)
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
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
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
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.
- First posted22 Feb 2006 (estimated)
- Study start31 Mar 2006
- Primary completion31 Aug 2008
- Study completion31 Aug 2009
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Posted resultsParticipant flow, outcome measures and adverse events reported by the sponsor.
- Publications (3)Papers the sponsor has linked to this study.
- Other trials for Cytomegalovirus InfectionsStudies of the same condition, open and under way.
- More trials run by Hoffmann-La RocheThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
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)
Sponsor and investigators
- Lead sponsor
- Hoffmann-La Roche
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- Clinical Trials, Study chair, Hoffmann-La Roche
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
- Results posted
- Yes, on ClinicalTrials.gov
- 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 39807668Vernooij 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 38700045Humar 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
Study at a glance
From the registry record, last updated by the sponsor on 29 Mar 2018. Recruitment status is as the sponsor reported it: confirm with the study team.
- 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
- ClinicalTrials.gov ID
- NCT00294515
- Acronym / sponsor ID
- IMPACT / NT18435
- Conditions
- Cytomegalovirus Infections
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 326 participants (actual)
- Lead sponsor
- Hoffmann-La RocheIndustry (pharma, biotech, devices)
- Study start
- 31 Mar 2006 (actual)
- Primary completion
- 31 Aug 2008 (actual)
- Study completion
- 31 Aug 2009 (actual)
- First posted
- 22 Feb 2006 (estimated)
- Results
- Posted 5 Jul 2010
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
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.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Double blind (participant, investigator)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| Valganciclovir up to 100 days | Experimental | Drug: ValganciclovirValganciclovir for up to 100 days post kidney transplant |
| Valganciclovir up to 200 days | Active comparator | Drug: ValganciclovirValganciclovir for up to 200 days post kidney transplant |
Who may qualify
- Ages
- 16 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Child, Adult, Older adult
Key inclusion criteria (4 listed)
- ≥ 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
Key exclusion criteria (4 listed)
- 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
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| ValganciclovirAlso: Valcyte900 mg orally daily for up to 100 days | Drug | Valganciclovir up to 100 days |
| ValganciclovirAlso: Valcyte900 mg orally daily for up to 200 days | Drug | Valganciclovir up to 200 days |
Primary outcome
Percentage of Patients Who Developed Cytomegalovirus (CMV) Disease up to Month 12 Post-transplant
Time frame: 12 months 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.
4 secondary outcomes
Percentage of Patients Who Developed CMV Disease up to Month 6 Post-transplant
Time frame: 6 months post-transplant
Percentage of Patients Who Developed CMV Disease up to Month 9 Post-transplant
Time frame: 9 months post-transplant
Percentage of Patients Who Developed CMV Disease up to Month 18 Post-transplant
Time frame: 18 months post-transplant
Percentage of Patients Who Developed CMV Disease up to Month 24 Post-transplant
Time frame: 24 months post-transplant
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 29 Mar 2018.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
- Derived from this study: PubMed 39807668Vernooij 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.
- Derived from this study: PubMed 38700045Vernooij 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.
- Derived from this study: PubMed 20353469Humar 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.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Clinical Trials study chair
Hoffmann-La Roche
80 sites in 13 countries: see every site and its status.
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.