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Cytomegalovirus InfectionsPhase 3NCT00411645

Prophylactic Use of Maribavir for the Prevention of Cytomegalovirus (CMV) Disease in Stem Cell Transplant Recipients

A Phase 3 study testing maribavir in people with Cytomegalovirus Infections, run by Shire at 97 sites in 9 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

The purpose of this research study is to investigate whether or not maribavir is safe and effective for preventing CMV disease when taken by mouth for up to 12 weeks in patients who have had a stem cell transplant. Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Cytomegalovirus Infections
What is being tested?
maribavir
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
681 participants
Where
97 sitesin 9 countries
Study dates
13 Dec 2006to 23 May 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 18 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Allogeneic stem cell transplant recipient
  • Recipient or donor CMV seropositive
  • Have transplant engraftment
  • Able to swallow tablets

Who cannot join

  • CMV organ disease
  • HIV infection
  • Use of other anti-CMV therapy post-transplant

Trial locations and contacts

97 sites in 9 countries.

97 sites in 9 countries

United States56 sites
  • University of Michigan

    Ann Arbor, Michigan, 48109-0914

  • Emory University

    Atlanta, Georgia, 30322

  • Greenbaum Cancer Center

    Baltimore, Maryland, 21201-1595

  • St Francis Hospital

    Beech Grove, Indiana, 46107

  • Massachusettes General

    Boston, Massachusetts, 02114

  • Brigham and Women's Hospital

    Boston, Massachusetts, 02115

  • Beth Israel Deaconess Medical Center

    Boston, Massachusetts, 02215

  • Roswell Park Cancer Institute

    Buffalo, New York, 14263

  • University of North Carolina Hospital

    Chapel Hill, North Carolina, 27599

  • Northwestern University Medical Center

    Chicago, Illinois, 60611

  • University of Chicago

    Chicago, Illinois, 60637

  • The Jewish Hospital

    Cincinnati, Ohio, 45236

  • Ireland Cancer Center Case Western Reserve University

    Cleveland, Ohio, 44106

  • Baylor University Medical Center

    Dallas, Texas, 75246

  • Rocky Mountain Cancer Center

    Denver, Colorado, 80218

  • Wayne State Medical Center

    Detroit, Michigan, 48201

  • Henry Ford Health System

    Detroit, Michigan, 48202

  • City of Hope Medical Center

    Duarte, California, 91010

  • Duke Medical Center

    Durham, North Carolina, 27710

  • Shands Hospital

    Gainesville, Florida, 32610

  • Hackensack University Medical Center

    Hackensack, New Jersey, 07601

  • Penn State Milton S. Hershey Medical Center

    Hershey, Pennsylvania, 17033

  • MD Anderson Cancer Center

    Houston, Texas, 77030-4009

  • Methodist Hospital

    Houston, Texas, 77030

  • University of Iowa Hospitals and Clinics

    Iowa City, Iowa, 52242

  • Scripps Green Hospital

    La Jolla, California, 92037

  • UCSD Moores Center

    La Jolla, California, 92093-0960

  • University of Kentucky Chandler Medical Center

    Lexington, Kentucky, 40536

  • University of Arkansas Myeloma Institute

    Little Rock, Arkansas, 72205

  • UCLA Medical Center

    Los Angeles, California, 90095-1678

  • University Medical Center University of Louisville Hospital

    Louisville, Kentucky, 40202

  • Loyola University

    Maywood, Illinois, 60153

  • University of Minnesota

    Minneapolis, Minnesota, 55455

  • West Virginia University Hospital

    Morgantown, West Virginia, 26506-9162

  • Vanderbilt Medical Center

    Nashville, Tennessee, 37232

  • Memorial Sloan-Kettering Cancer Center

    New York, New York, 10021

  • New York Presbyterian Hospital,Weill Cornell Medical Center

    New York, New York, 10021

  • Mount Sinai Hospital

    New York, New York, 10029

  • University of Oklahoma

    Oklahoma City, Oklahoma, 73104

  • Thomas Jefferson

    Philadelphia, Pennsylvania, 19107

  • Jeanes Hospital - Temple

    Philadelphia, Pennsylvania, 19111

  • Western Pennsylvania Cancer Institute

    Pittsburgh, Pennsylvania, 15224

  • University of Pittsburgh Cancer Institute

    Pittsburgh, Pennsylvania, 15232

  • Oregon Health and Sciences University

    Portland, Oregon, 97239-3098

  • Medical College of Virginia

    Richmond, Virginia, 23298

  • Mayo Clinic College of Medicine

    Rochester, Minnesota, 55905

  • University of Rochester Medical Center

    Rochester, New York, 14642

  • Latter Day Saints Hospital

    Salt Lake City, Utah, 84103

  • Texas Transplant Institute

    San Antonio, Texas, 78229

  • University of California, San Francisco

    San Francisco, California, 94143

  • VA Puget Sound Health Center

    Seattle, Washington, 98108

  • Fred Hutchinson Cancer Research Center

    Seattle, Washington, 98109

  • Washington University School of Medicine

    St Louis, Missouri, 63110

  • Stanford University Medical Center

    Stanford, California, 94305

  • H. Lee Moffitt Cancer Center

    Tampa, Florida, 33612

  • Wake Forest Medical Center

    Winston-Salem, North Carolina, 27157

Other trials in United States

Germany10 sites
  • Universitaetsklinikum Koeln, Clinic I for internal Medicine

    Cologne, 50937

  • Univ. Clinic Dresden

    Dresden, 01307

  • University Clinic of Dresden

    Dresden, 01307

  • University of Essen

    Essen, 45122

  • University of Freiburg

    Freiburg im Breisgau, 79106

  • University of Hamburg-Eppendorf

    Hamburg, 20246

  • Hannover, Medizinische Hochschule

    Hanover, 30625

  • University of Heidelberg

    Heidelberg, 69120

  • Johannes-Gutenberg University

    Mainz, 55131

  • University Clinic of Ulm

    Ulm, 89081

Other trials in Germany

France6 sites
  • Hopital Henri Mondor

    Créteil, 94010

  • Edouard Herriot Hopital

    Lyon, 69437

  • Institut Paoli Calmettes

    Marseille, 13273

  • Hopital Hotel Dieu

    Nantes, 44093

  • Hopital St. Louis

    Paris, 75475

  • Hopital Haut-Leveque

    Pessac, 33600

Other trials in France

Belgium5 sites
  • ZNA Stuivenberg

    Antwerp, 2060

  • AZ Sint Jan, Department of Hematology

    Bruges, 8000

  • Cliniques Universitaires St,Luc Dept Hematology

    Brussels, 1200

  • UZ Gasthuisberg

    Leuven, 3000

  • CHU Sart -Tilman Department of Medicine, Hematology

    Liège, 4000

Other trials in Belgium

Canada5 sites
  • QEII Health Sciences Center

    Halifax, Nova Scotia, B3H2Y9

  • McMaster University Medical Center

    Hamilton, Ontario, L8N 3Z5

  • London Health Sciences Centre

    London, Ontario, N6A 4G5

  • Ottawa General Campus

    Ottawa, Ontario, K1H 8L6

  • Hopital l'Enfant Jesus

    Québec, Quebec, G1J 1Z4

Other trials in Canada

Italy5 sites
  • Careggi University Hospital

    Florence, 50134

  • University of San Martino Hospital

    Genova, 16132

  • San Raffaele del Monte Tabor

    Milan, 20132

  • Pescara Hospital

    Pescara, 65123

  • Bianchi-Melacrino-Morelli Hospital

    Reggio Calabria, 89100

Other trials in Italy

Sweden4 sites
  • Sahlgrenska University Hospital

    Gothenburg, S-413 45

  • Karolinska University Hospital

    Huddinge, Stockholm County, 14186

  • Karolinska University Hospital,Huddinge

    Stockholm, 141 86

  • Akademiska Sjukhuset, Dept Hematology

    Uppsala, 751 85

Other trials in Sweden

Spain3 sites
  • Barcelona Hospital

    Barcelona, 08036

  • Duran i Reynals Hospital

    Barcelona, 08907

  • University of Salamanca

    Salamanca, E-37007

Other trials in Spain

United Kingdom3 sites
  • University College Hospital

    London, NW1 2BU

  • Royal Free Hospital

    London, NW3 2QG

  • Hammersmith Hospital

    London, W12 OHS

Other trials in United Kingdom

About this study

Official title: A Randomized, Double-blind, Placebo-controlled Study to Assess the Efficacy and Safety of Prophylactic Use of Maribavir for the Prevention of Cytomegalovirus Disease in Recipients of Allogeneic Stem Cell Transplants.

The purpose of this research study is to investigate whether or not maribavir is safe and effective for preventing CMV disease when taken by mouth for up to 12 weeks in patients who have had a stem cell transplant.

Read the detailed description

Cytomegalovirus (CMV) infections remain a significant problem following various types of transplants that are associated with strong immunosuppressive therapy. Maribavir is a new oral anti-CMV drug with a novel mechanism of action compared to currently available anti-CMV drugs. This study will test the safety and efficacy of maribavir for the prevention of CMV disease when given as prophylaxis for up to 12 weeks following allogeneic stem cell transplant.

Being tested
maribavir, placebo
Keywords
prevention, prophylaxis, Cytomegalovirus, CMV, allogeneic stem cell transplant, SCT
Medical subject headings
Cytomegalovirus Infections

What participants receive

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

  • maribavirDrug

    100 mg twice daily for up to 12 weeks

  • placeboOther

    twice daily for up to 12 weeks

Study groups in NCT00411645
Study groupRoleWhat they receive
AExperimentalNot described
Receives: Drug: maribavir
BPlacebo comparatorNot described
Receives: Other: placebo

What is being measured

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

  1. Number of Participants With Endpoint Committee (EC)-Confirmed Cytomegalovirus (CMV) Disease Within 6 Months Post-Transplantation

    All investigator-determined cases of CMV disease (i.e., CMV infection or CMV organ disease), were adjudicated by an independent, blinded EC. CMV infection was assessed by (1) pp65 antigenemia assay; (2) CMV DNA polymerase chain reaction (PCR); (3) either assay (pp65 antigenemia or CMV DNA PCR); or (4) initiation of anti-CMV therapy. CMV infection was defined as: CMV infection detected by a positive result from a CMV laboratory assay from at least one central laboratory assay (pp65 antigenemia or CMV DNA PCR assay in plasma) and fever >/=38 °C on >/=2 occasions >/=24 hours apart within a 7-day period and at least one of the following: new or increased malaise, two successive measurements of leucopenia (white blood cell [WBC] count <3500/mm3 or a WBC count decrease of 20% if the cell count prior to onset of clinical symptoms was >4000/mm3) >/=24 hours apart, atypical lymphocytosis >/=5%, and thrombocytopenia. CMV organ disease was defined as described by Ljungman et al., 2002.

    Measured: 6 months post-transplant

Secondary outcomes (10)
  1. Number of Participants With CMV Infection or EC-confirmed CMV Disease Within 6 Months Post-transplant

    All investigator-determined cases of CMV disease (i.e., CMV infection or CMV organ disease), were adjudicated by an independent, blinded EC. CMV infection was assessed by (1) pp65 antigenemia assay; (2) CMV DNA polymerase chain reaction (PCR); (3) either assay (pp65 antigenemia or CMV DNA PCR); or (4) initiation of anti-CMV therapy. CMV infection was defined as: CMV infection detected by a positive result from a CMV laboratory assay from at least one central laboratory assay (pp65 antigenemia or CMV DNA PCR assay in plasma) and fever >/=38 °C on >/=2 occasions >/=24 hours apart within a 7-day period and at least one of the following: new or increased malaise, two successive measurements of leucopenia (white blood cell [WBC] count <3500/mm3 or a WBC count decrease of 20% if the cell count prior to onset of clinical symptoms was >4000/mm3) >/=24 hours apart, atypical lymphocytosis >/=5%, and thrombocytopenia. CMV organ disease was defined as described by Ljungman et al., 2002.

    Measured: 6 months post-transplant

  2. Time to Onset of CMV Infection or EC-confirmed CMV Disease Within 6 Months Post- Transplantation

    All investigator-determined cases of CMV disease (i.e., CMV infection or CMV organ disease) were adjudicated by an independent, blinded EC. CMV infection was assessed by (1) pp65 antigenemia assay or (2) CMV DNA polymerase chain reaction (PCR). CMV infection was defined as: CMV infection detected by a positive result from a CMV laboratory assay from at least one central laboratory assay (pp65 antigenemia or CMV DNA PCR assay in plasma) and fever >/=38 °C on >/=2 occasions >/=24 hours apart within a 7-day period and at least one of the following: new or increased malaise, two successive measurements of leucopenia (white blood cell [WBC] count <3500/mm3 or a WBC count decrease of 20% if the cell count prior to onset of clinical symptoms was >4000/mm3) >/=24 hours apart, atypical lymphocytosis >/=5%, and thrombocytopenia. CMV organ disease was defined as described by Ljungman et al., 2002.

    Measured: 6 months post-transplant

  3. Number of Participants With Investigator-determined CMV Disease

    CMV infection was assessed by (1) pp65 antigenemia assay; (2) CMV DNA polymerase chain reaction (PCR); (3) either assay (pp65 antigenemia or CMV DNA PCR); or (4) initiation of anti-CMV therapy. CMV infection was defined as: CMV infection detected by a positive result from a CMV laboratory assay from at least one central laboratory assay (pp65 antigenemia or CMV DNA PCR assay in plasma) and fever >/=38 °C on >/=2 occasions >/=24 hours apart within a 7-day period and at least one of the following: new or increased malaise, two successive measurements of leucopenia (white blood cell [WBC] count <3500/mm3 or a WBC count decrease of 20% if the cell count prior to onset of clinical symptoms was >4000/mm3) >/=24 hours apart, atypical lymphocytosis >/=5%, and thrombocytopenia. CMV organ disease was defined as described by Ljungman et al., 2002.

    Measured: Through 12 months post-transplant (Day 1 to 100 days, 6 months, and 12 months post-transplant)

  4. Number of Participants With CMV Infection or EC-confirmed CMV Disease Within 100 Days Post-Transplantation

    All investigator-determined cases of CMV disease (i.e., CMV infection or CMV organ disease), were adjudicated by an independent, blinded EC. CMV infection was assessed by (1) pp65 antigenemia assay; (2) CMV DNA polymerase chain reaction (PCR); (3) either assay (pp65 antigenemia or CMV DNA PCR); or (4) initiation of anti-CMV therapy. CMV infection was defined as: CMV infection detected by a positive result from a CMV laboratory assay from at least one central laboratory assay (pp65 antigenemia or CMV DNA PCR assay in plasma) and fever >/=38 °C on >/=2 occasions >/=24 hours apart within a 7-day period and at least one of the following: new or increased malaise, two successive measurements of leucopenia (white blood cell [WBC] count <3500/mm3 or a WBC count decrease of 20% if the cell count prior to onset of clinical symptoms was >4000/mm3) >/=24 hours apart, atypical lymphocytosis >/=5%, and thrombocytopenia. CMV organ disease was defined as described by Ljungman et al., 2002.

    Measured: 100 days post-transplant

  5. Number of Participants With EC-confirmed CMV Disease Within 12 Months Post-Transplantation

    All investigator-determined cases of CMV disease (i.e., CMV infection or CMV organ disease), were adjudicated by an independent, blinded EC. CMV infection was assessed by (1) pp65 antigenemia assay; (2) CMV DNA polymerase chain reaction (PCR); (3) either assay (pp65 antigenemia or CMV DNA PCR); or (4) initiation of anti-CMV therapy. CMV infection was defined as: CMV infection detected by a positive result from a CMV laboratory assay from at least one central laboratory assay (pp65 antigenemia or CMV DNA PCR assay in plasma) and fever >/=38 °C on >/=2 occasions >/=24 hours apart within a 7-day period and at least one of the following: new or increased malaise, two successive measurements of leucopenia (white blood cell [WBC] count <3500/mm3 or a WBC count decrease of 20% if the cell count prior to onset of clinical symptoms was >4000/mm3) >/=24 hours apart, atypical lymphocytosis >/=5%, and thrombocytopenia. CMV organ disease was defined as described by Ljungman et al., 2002.

    Measured: 12 months post-transplant

  6. Percent of Participants With Acute Graft-Versus-Host Disease (GVHD)

    Analysis of acute GVHD was based on reported adverse events that mapped to the relevant MedDRA dictionary terms for acute GVHD. The percentage reported is for the occurrence of any grade of acute GVHD.

    Measured: Through 6 months post-transplant (Days 1 to 100 and 6 months post-transplant)

  7. Percent of Participants With Chronic Graft-Versus-Host Disease (GVHD)

    Analysis of chronic GVHD was based on reported adverse events that mapped to the relevant MedDRA dictionary terms for chronic GVHD. The percentage reported is for the occurrence of any grade of chronic GVHD.

    Measured: Through 6 months post-transplant (Days 1 to 100 and 6 months post-transplant)

  8. Number of Participants Who Died Within 12 Months Post-Transplantation

    Measured: Through 12 months post-transplant (Days 1 to 100, 6 months, and 12 months post-transplant)

  9. Plasma Concentration of Maribavir During Treatment

    Pharmacokinetic (PK) profile sampling was performed to evaluate plasma concentrations of Maribavir. During the study drug administration period, blood samples for this purpose were collected on Day 7 (Week 1) and at Week 4. Every effort was made to ensure that doses were administered 12 hours apart on the day before and on the day of PK sampling. Permissible assessment windows for PK profile sampling purposes were +/- 3 days and +/- 5 days for the 1- and 4- week samples, respectively. Samples were analyzed by a validated liquid chromatography tandem mass spectrometry (LC/MS/MS) method. The validated lower limit of quantitation (LLOQ) in plasma was 0.2 μg/mL.

    Measured: 12 hours post-dose after 1 and 4 weeks of treatment

  10. Plasma Concentration of Maribavir Metabolite VP 44469 During Treatment

    Pharmacokinetic (PK) profile sampling was performed to evaluate plasma concentrations of VP 44469, a metabolite of Maribavir. During the study drug administration period, blood samples for this purpose were collected on Day 7 (Week 1) and at Week 4. Every effort was made to ensure that doses were administered 12 hours apart on the day before and on the day of PK sampling. Permissible assessment windows for PK profile sampling purposes were +/- 3 days and +/- 5 days for the 1- and 4- week samples, respectively. Samples were analyzed by a validated liquid chromatography tandem mass spectrometry (LC/MS/MS) method. The validated lower limit of quantitation (LLOQ) in plasma was 0.2 μg/mL.

    Measured: 12 hours post-dose after 1 and 4 weeks of treatment

Timeline

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

  1. First posted14 Dec 2006 (estimated)
  2. Study start13 Dec 2006
  3. Primary completion10 Nov 2008
  4. Study completion23 May 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
Prevention
Allocation
Randomised
Intervention model
Parallel groups
Masking
Triple blind
Who is masked
Participant, Care provider, Investigator
Enrolment
681 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT00411645
Sponsor's protocol ID
1263-300
Other IDs
2006-005692-18, SHP620-300
Status last verified
Jun 2021
First submitted
12 Dec 2006
Last updated
11 Jun 2021
Data monitoring committee
Yes

Publications

  • Marty FM, Ljungman P, Papanicolaou GA, Winston DJ, Chemaly RF, Strasfeld L, Young JA, Rodriguez T, Maertens J, Schmitt M, Einsele H, Ferrant A, Lipton JH, Villano SA, Chen H, Boeckh M; Maribavir 1263-300 Clinical Study Group. Maribavir prophylaxis for prevention of cytomegalovirus disease in recipients of allogeneic stem-cell transplants: a phase 3, double-blind, placebo-controlled, randomised trial. Lancet Infect Dis. 2011 Apr;11(4):284-92. doi: 10.1016/S1473-3099(11)70024-X. Epub 2011 Mar 21.

    PubMed 21414843

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing maribavir in people with Cytomegalovirus Infections, run by Shire at 97 sites in 9 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 3 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 11 Jun 2021. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 97 sites in United States, Germany, France, Belgium, Canada and 4 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. Some participants in this study may receive a placebo. 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 3 Jun 2015). 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?

Number of Participants With Endpoint Committee (EC)-Confirmed Cytomegalovirus (CMV) Disease Within 6 Months Post-Transplantation (time frame: 6 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 NCT00411645, which also lists 1 linked publication.

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 11 Jun 2021.

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