Cytomegalovirus (CMV)Phase 3NCT05319353
A Study to Evaluate the Safety and Tolerability, Pharmacokinetics, and Antiviral Activity of Maribavir for the Treatment of Cytomegalovirus (CMV) Infection in Children and Adolescents Who Have Received a Hematopoietic Stem Cell Transplant (HSCT) or a Solid Organ Transplant (SOT)
A Phase 3 study testing Maribavir in people with Cytomegalovirus (CMV), run by Takeda at 53 sites in 11 countries.
Trial summary
The main aim of this study is to find out the safety, tolerability and pharmacokinetics (PK) of maribavir for the treatment of CMV infection in children and teenagers after HSCT or SOT and to identify the optimal dose of maribavir using a 200 milligrams (mg) tablet formulation or powder for oral suspension. Read more about this study
- Who is it for?
- Ages Up to 17 years
- Conditions the study is for
- Cytomegalovirus (CMV)
- What is being tested?
- Maribavir
- Type of treatment
- Pill or oral medicine
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 80 participants
- Where
- 53 sitesin 11 countries
- Study dates
- 13 Nov 2023to 18 Jan 2027
- Phase
- Phase 3
- Are there results?
- Not yet: the study is under way
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 Up to 17 years
- All sexes
- No healthy volunteers
- Child
Who may be able to join
- Parent/both parents or legally authorized representative (LAR) must provide signature of informed consent and there must be documentation of assent by the participant, as age appropriate, before completing any study-related procedures.
- Be a male or female child or adolescent < 18 years of age at the time of consent. For participants in Cohort 3 only (0 to <6 years) must have a gestational age of at least 39 weeks and a minimum weight of 5 kg.
- Be a recipient of an SOT or an HSCT that is functioning at the time of screening.
- Have a documented CMV infection which may be a first episode of post-transplant CMV viremia (primary or reactivation) or refractory to other anti-CMV treatments, with a CMV DNA screening value of >= 1365 International Units per milliliter (IU/mL) in whole blood or >= 455 IU/mL in plasma in 2 consecutive assessments separated by at least 1 day, as determined by local laboratory quantitative polymerase chain reaction (qPCR) or comparable quantitative nucleic acid amplification test (qNAAT) results. Quantitative assays must be standardized to the World Health Organization (WHO) CMV International Standard. Both samples must be taken within 14 days of first dose of study drug, with the second sample obtained within 5 days prior to first dose of study drug. The same laboratory and same sample type (whole blood or plasma) must be used for both assessments. If documented and verified values are available in medical history that fulfill this criterion entirely, they may be used instead.
- Have all the following results as part of screening laboratory assessments:
- Absolute neutrophil count >= 500 per cubic millimeter (/mm^3) (0.5 × 10^9 per liter [/L])
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- Platelet count >= 15,000/mm^3 (15 × 10^9/L)
- Hemoglobin >= 8 grams per deciliter (g/dL) (>=80 grams per liter [g/L]).
- Have an estimated glomerular filtration rate (creatinine-based Bedside Schwartz equation) >= 30 milliliters per minute (mL/min) /1.73 meter square (m^2).
- Be a female of nonchildbearing potential. If a female of childbearing potential, have a negative serum human chorionic gonadotropin (hCG) or beta-human chorionic gonadotropin (β-hCG) pregnancy test at screening. Males, or nonpregnant, nonlactating females who are sexually active must agree to comply with the applicable contraceptive requirements of this protocol during the study treatment administration period and for 90 days after the last dose of study treatment.
- Have life expectancy of >= 8 weeks.
- Be willing and have an understanding and ability to fully comply with the study procedures and restrictions defined in the protocol. For younger children, the parent/both parents or LAR must meet this criterion.
- Participants must have a confirmed negative human immunodeficiency virus (HIV) test result within 3 months of first dose of study drug or, if unavailable, be tested by a local laboratory during the screening period.
Who cannot join
- Have CMV tissue invasive disease involving the central nervous system (CNS) or retina as assessed by the investigator at the time of screening.
- Have uncontrolled other type of infection as assessed by the investigator on the date of enrollment.
- Have a history of clinically relevant alcohol or drug abuse that may interfere with treatment compliance or assessments with the protocol as determined by the investigator.
- Be receiving valganciclovir, ganciclovir, cidofovir, foscarnet, leflunomide, letermovir, or artesunate when study treatment is initiated, or anticipated to require one of these agents during the 8-week treatment period.
- Have a known hypersensitivity to maribavir or to any excipients.
- Have severe vomiting, diarrhea, or other severe gastrointestinal (GI) illness within 24 hours prior to the first dose of study treatment or a GI absorption abnormality that would preclude administration of oral medication.
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- Require mechanical ventilation or vasopressors for hemodynamic support at baseline (Visit 2/Day 1/Week 0).
- Be pregnant (or expecting to conceive) or nursing.
- Have previously completed, discontinued, or have been withdrawn from this study.
- Have received any investigational agent or device within 30 days before initiation of study treatment (includes CMV specific T-cells) or plan to receive an investigational agent or device during the study.
- Previously approved agents under investigation for additional indications are not exclusionary.
- Have previously received maribavir or CMV vaccine at any time.
- Have any clinically significant medical or surgical condition that, in the investigator's opinion, could interfere with interpretation of study results, contraindicate the administration of the study treatment, or compromise the safety or well-being of the participant.
- Have severe liver disease (Child-Pugh score of >= 10).
- Have serum aspartate aminotransferase greater than (>) 5 times upper limit of normal (ULN) at screening, or serum alanine aminotransferase > 5 times ULN at screening, or total bilirubin >= 3.0 times ULN at screening (except for documented Gilbert's syndrome), as analyzed by local laboratory.
- Have positive results for HIV.
- Have active malignancy with the exception of nonmelanoma skin cancer, as determined by the investigator. Participants who experience relapse or progression of their underlying malignancy (for which HSCT or SOT was performed), as determined by the investigator, are not to be enrolled.
- Be undergoing treatment for acute or chronic hepatitis B or hepatitis C.
- Requiring ongoing treatment with or an anticipated need for treatment with a strong cytochrome P450 3A (CYP3A) inducer.
- Have a low body weight where total blood volume (TBV) required during study participation will exceed 1 percent (%) TBV per study visit or 3% TBV over a 4-week period.
Trial locations and contacts
53 sites in 11 countries. Contact the study team or a site near you to ask about taking part.
53 sites in 11 countries
United States8 sites, 8 recruiting
- Recruiting
Ann and Robert H Lurie Childrens Hospital of Chicago - PIN
Chicago, Illinois, 60611
Site Contact, 312-227-4688, thsargent@luriechildrens.org
Taylor Heald-Sargent, MD
- Recruiting
Cincinnati Children's Hospital Medical Center - PIN
Cincinnati, Ohio, 45229-3026
Site Contact, 513-636-9101, lara.danziger-isakov@cchmc.org
Lara Danziger-Isakov, MD, MPH
- Recruiting
Cook Children's Health Care System
Fort Worth, Texas, 76104-2733
Site Contact, 682-885-8084, richard.howrey@cookchildrens.org
Richard Howrey, MD
- Recruiting
University of Texas MD Anderson Cancer Center - 1515 Holcombe Blvd
Houston, Texas, 77030-4000
Site Contact, 713-792-3497, ptewari@mdanderson.org
Priti Tewari, MD
- Recruiting
Texas Children's Hospital - Wallace Tower - PIN
Houston, Texas, 77030
Site Contact, 832-824-1779, cb135591@bcm.edu
Claire Bocchini
- Recruiting
University of Nebraska Medical Center -985400 Nebraska Medical Center
Omaha, Nebraska, 68114-4113
Site Contact, 402-559-6463, kneemann@unmc.edu
Kari Neemann, MD
- Recruiting
Johns Hopkins All Children's Hospital - Main - PIN
St. Petersburg, Florida, 33701
Site Contact, 727-767-5002, malicea4@jh.edu
Minelys Alicea Marrero, MD
- Recruiting
Nemours Children's Health - Wilmington - PIN
Wilmington, Delaware, 19803-3607
Site Contact, 302-651-5584, emi.caywood@nemours.org
Emi Caywood, MD
China6 sites, 6 recruiting
- Recruiting
Capital Center For Children's Healthy, Capital Medical University
Beijing, Beijing Municipality, 100020
Site Contact, 8613601123876, liurong201305@sina.com
Rong Liu, MD
- Recruiting
Beijing Children's Hospital, Capital Medical University - PIN
Beijing, Beijing Municipality, 100045
Site Contact, +8613601203966, Maoquan.Qin@outlook.com
Maoquan Qin
- Recruiting
The First Affiliated Hospital, Sun Yat-sen University - Main
Guangzhou, Guangdong, 510080
Site Contact, +8613600450862, wangchx@mail.sysu.edu.cn
Changxi Wang, MD
- Recruiting
Shanghai Children's Medical Center - Zhangjiang Campus
Shanghai, Shanghai Municipality, 200127
Site Contact, 8618930830632, chenjingscmc@hotmail.com
Jing Chen
- Recruiting
Shenzhen Children's Hospital
Shenzhen, Guangdong, 518038
Site Contact, +8618938690206, tiger647@126.com
Sixi Liu, MD
- Recruiting
Institute of Hematology and Blood Diseases Hospital Chinese Academy of Medical Sciences - PPDS
Tianjin, Tianjin Municipality, 300020
Site Contact, +8613752090418, xfzhu1981@126.com
Xiaofan Zhu, MD
Germany5 sites, 5 recruiting
- Recruiting
Universitätsklinikum Hamburg Eppendorf
Hamburg, 20246
Site Contact, +4940741052720, i.mueller@uke.de
Ingo Müller, MD, MSc, PhD
- Recruiting
Medizinische Hochschule Hannover
Hanover, 30625
Site Contact, +495115326747, maecker.britta@mh-hannover.de
Britta Maecker-Kolhoff, MD
- Recruiting
Universitatsklinikum Jena - Am Klinikum 1-Erlanger Allee 101
Jena, Thuringia, 07745
Site Contact, +493641328134, bernd.gruhn@med.uni-jena.de
Bernd Gruhn, MD, PhD
- Recruiting
Universitätsklinikum Münster
Münster, North Rhine-Westphalia, 48149
Site Contact, +492518343415, andreas.groll@ukmuenster.de
Andreas Groll, MD
- Recruiting
Universitätsklinikum Würzburg
Würzburg, Bavaria, 97080
Site Contact, +4993120127999, woelfl_m@ukw.de
Matthias Wölfl, MD
Japan5 sites, 5 recruiting
- Recruiting
Shizuoka Children's Hospital
Aoi-ku, Shizuoka, 420-8660
Site Contact, +81542476251, wataken@kuhp.kyoto-u.ac.jp
Kenichiro Watanabe, MD
- Recruiting
Hyogo Prefectural Kobe Children's Hospital
Chiba, 650-0047
Site Contact, +81789457300, hasegawa_kch@hp.pref.hyogo.jp
Daiichiro Hasegawa, MD
- Recruiting
Osaka Women's and Children's Hospital
Izumi-Shi, Ôsaka, 594-1101
Site Contact, +81725561220, asawada@wch.opho.jp
Akihisa Sawada, MD, PhD
- Recruiting
Saitama Prefectural Children's Medical Center
Saitama-Shi Chuo-Ku, Saitama, 330-8777
Site Contact, 81463931121, ko.katsuyoshi@saitama-pho.jp
Katsuyoshi Koh, MD
- Recruiting
National Center for Child Health and Development
Setagaya-Ku, Tokyo, 157-8535
Site Contact, +81334160181, sakaguchi-hi@ncchd.go.jp
Hirotoshi Sakaguchi, MD, PhD
Spain5 sites, 5 recruiting
- Recruiting
Hospital Universitario Vall d´Hebron- PPDS
Barcelona, 08035
Site Contact, +34 934893000, pere.soler@vallhebron.cat
Pere Soler Palacin, MD
- Recruiting
Hospital Sant Joan de Deu - PIN
Espluges de Llobregat, Barcelona, 08950
Site Contact, +34932804000, claudia.fortuny@sjd.es
Claudia Fortuny Guasch, MD
- Recruiting
Hospital Universitario La Paz - PPDS
Horcajo de la Sierra, Madrid, 28755
Site Contact, +34917277223, david.bueno@salud.madrid.org
David Bueno Sanchez, MD
- Recruiting
Hospital Infantil Universitario Niño Jesus - PIN
Madrid, 28009
Site Contact, +34 630667275, blanca.molina@salud.madrid.org
Blanca Molina
- Recruiting
Hospital Regional Universitario de Malaga - Hospital Materno-Infantil
Málaga, Málaga, 29011
Site Contact, +348888888888, jorgediezp@outlook.es
Jorge Diez-Pastor, MD
United Kingdom5 sites, 5 recruiting
- Recruiting
Birmingham Women's and Children's NHS Foundation Trust
Birmingham, West Midlands, B4 6NH
Site Contact, +441213338252, girishgupte@nhs.net
Girish Gupte, MD
- Recruiting
King's College Hospital
London, Lambeth, SE5 9RS
Site Contact, 441132432799, anitaverma@nhs.net
Anita Verma, MD
- Recruiting
Great Ormond Street Hospital
London, WC1N 3JH
Site Contact, 442074059200, stephen.marks@gosh.nhs.uk
Stephen Marks, MD
- Recruiting
Royal Manchester Children's Hospital - PIN
Manchester, Lancashire, M13 9WL
Site Contact, +441612761234, Robert.Wynn@mft.nhs.uk
Robert Wynn, MD
- Recruiting
Nottingham University Hospitals NHS Trust
Nottingham, Nottinghamshire, NG5 1PB
Site Contact, +448888888888, drew.maxted@nhs.net
Andrew (Drew) Maxted, MD
Australia4 sites, 4 recruiting
- Recruiting
Perth Children's Hospital
Nedlands, Western Australia, 6009
Site Contact, +61893408222, michelle.ng@health.wa.gov.au
Michelle Ng, MD
- Recruiting
Royal Children's Hospital Melbourne - PIN
Parkville, Victoria, 3052
Site Contact, +61393455522, theresa.cole@rch.org.au
Theresa Cole, MD
- Recruiting
Minderoo Children's Comprehensive Cancer Centre
Randwick, New South Wales, 2031
Site Contact, 61293821690, adam.nelson@health.nsw.gov.au
Adam Nelson, MD
- Recruiting
Queensland Children's Hospital
Woollangabba, Queensland, 4101
Site Contact, 61393455522, Trisha.SoosayRaj@health.qld.gov.au
Trisha Soosay Raj, MD
Brazil4 sites, 4 recruiting
- Recruiting
Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo
Porto Alegre, Rio Grande do Sul, 05403-000
Site Contact, +555132178555, julianafolloni@gmail.com
Juliana Folloni Fernandes, MD
- Recruiting
Irmandade Da Santa Casa de Misericordia de Porto Alegre
Porto Alegre, Rio Grande do Sul, 90020-090
Site Contact, +555132148640, cdruckgarcia@gmail.com
Clotilde Druck Garcia, MD
- Recruiting
Hospital de Clinicas de Porto Alegre (HCPA) - PPDS
Porto Alegre, Rio Grande do Sul, 90035-903
Site Contact, +(55519) 963-5250, fogliattolaura@gmail.com
Laura Fogliatto, MD
- Recruiting
Hospital Do Rim E Hipertensão
São Paulo, 04038-002
Site Contact, 551150878000, heliotedesco@medfarm.com.br
Helio Tedesco Silva, MD
France4 sites, 4 recruiting
- Recruiting
CHU de Grenoble Alpes - Hôpital Michallon
La Tronche, Isère, 38700
Site Contact, +33476765911, gstofleth@chu-grenoble.fr
Gaelle Stofleth, MD
- Recruiting
CHRU Nantes
Nantes, Loire-Atlantique, 44000
Site Contact, +33240083610, caroline.thomas@chu-nantes.fr
Caroline Thomas, MD
- Recruiting
Hopital Necker
Paris, 75015
Site Contact, +(3314) 449-4622, pierre.frange@nck.aphp.fr
Pierre Frange, MD
- Recruiting
CHU de Rennes - Hôpital Pontchaillou
Rennes, Ille-et-Vilaine, 35200
Site Contact, +33299265835, virginie.gandemer@chu-rennes.fr
Virginie Gandemer
Israel4 sites, 4 recruiting
- Recruiting
Rambam Health Care Campus - PPDS
Haifa, 31096
Site Contact, +97247774798, r_gefen@rambam.health.gov.il
Aharon (Roni) Gefen, MD
- Recruiting
Hadassah Medical Center- Ein Kerem - PPDS
Petah Tikva, 4920235
Site Contact, +97226417095, udi.evenor@gmail.com
Ehud Even-Or, MD
- Recruiting
The Chaim Sheba Medical Center - PPDS
Ramat Gan, Tel Aviv, 52394
Site Contact, +97235303030, bella.bielorai@sheba.health.gov.il
Bella Bielorai, MD
- Recruiting
Tel Aviv Sourasky Medical Center Ichilov - PPDS
Tel Aviv, Tel Aviv, 64239
Site Contact, +972524266464, ronite@tlvmc.gov.il
Ronit Elhasid, MD
Belgium3 sites, 3 recruiting
- Recruiting
Hôpital Universitaire des Enfants Reine Fabiola (HUDERF)
Brussels, Brussels Capital, 1020
Site Contact, +3224773100, christine.devalck@hubruxelles.be
Christine Devalck, MD
- Recruiting
UZ Gent
Ghent, Oost-Vlaanderen, 9000
Site Contact, +3293325860, victoria.bordon@uzgent.be
Victoria Bordon
- Recruiting
Cliniques Universitaires Saint-Luc
Woluwe-Saint-Lambert, Brussels Capital, 1200
Site Contact, +3227641387, xavier.stephenne@saintluc.uclouvain.be
Xavier Stephenne, MD
About this study
Official title: A Phase 3, Open-label, Single-arm, Repeated-dose Study to Evaluate the Safety and Tolerability, Pharmacokinetics, and Antiviral Activity of Maribavir for the Treatment of Cytomegalovirus (CMV) Infection in Children and Adolescents Who Have Received a Hematopoietic Stem Cell Transplant (HSCT) or a Solid Organ Transplant (SOT)
The main aim of this study is to find out the safety, tolerability and pharmacokinetics (PK) of maribavir for the treatment of CMV infection in children and teenagers after HSCT or SOT and to identify the optimal dose of maribavir using a 200 milligrams (mg) tablet formulation or powder for oral suspension.
The participants will be treated with maribavir for 8 weeks.
Participants need to visit their doctor during 12-week follow-up period.
- Conditions
- Cytomegalovirus (CMV)
- Being tested
- Maribavir
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
MaribavirDrug
Also called TAK-620
Participants will receive maribavir.
| Study group | Role | What they receive |
|---|---|---|
| Cohort 1: Maribavir 400, 200 or 100 mg | Experimental | Participants with greater than or equal to (>=) 12 to less than (<) 18 years of age will receive maribavir 400 milligrams (mg) (2*200 mg tablets or powder for oral suspension) twice daily (BID) based on body weight >= 25 kilogram (kg); or 200 mg tablet or powder for oral suspension BID based on body weight 14 to < 25 kg; or 100 mg powder for oral suspension BID based on body weight 10 to < 14 kg for up to 8 weeks treatment period (Day 1/Week 0 to Day 56/Week 8). Receives: Drug: Maribavir |
| Cohort 2: Maribavir 400, 200 or 100 mg | Experimental | Participants with >= 6 to < 12 years of age will receive maribavir 400 mg (2*200 mg tablets or powder for oral suspension) BID based on body weight >= 25 kg; or 200 mg tablet or powder for oral suspension BID based on body weight 14 to < 25 kg; or 100 mg powder for oral suspension BID based on body weight 10 to < 14 kg orally for up to 8 weeks treatment period (Day 1/Week 0 to Day 56/Week 8). Receives: Drug: Maribavir |
| Cohort 3: Maribavir 400, 200, 100 or 50 mg | Experimental | Participants with 0 to < 6 years of age will receive maribavir 400 mg (2*200 mg tablets or powder for oral suspension) BID based on body weight >= 25 kg; or 200 mg tablet or powder for oral suspension BID based on body weight 14 to < 25 kg; or 100 mg powder for oral suspension BID based on body weight 10 to < 14 kg; or 50 mg powder for oral suspension BID based on body weight 7 to < 10 kg; or 50 mg powder for oral suspension once daily (QD) based on body weight 5 to <7 kg for up to 8 weeks treatment period (Day 1/Week 0 to Day 56/Week 8). Receives: Drug: Maribavir |
What is being measured
The primary outcome is the main question the study is designed to answer.
Maximum Observed Plasma Concentration (Cmax) of Maribavir
Cmax of maribavir will be evaluated.
Measured: Pre-dose; 0.5, 1.5, 3, 4, 6, and 8 hours post-dose on Day 7 (Week 1)
Time to Maximum Observed Concentration (Tmax) of Maribavir
Tmax of maribavir will be evaluated.
Measured: Pre-dose; 0.5, 1.5, 3, 4, 6, and 8 hours post-dose on Day 7 (Week 1)
Minimum Plasma Concentration (Cmin) of Maribavir
Cmin of maribavir will be evaluated.
Measured: Pre-dose; (0.5, 1.5, 3, 4, 6, and 8 hours post-dose) on Day 7 (Week 1); Pre-dose on Day 28 (Week 4); Pre-dose; (2 to 4 hours post-dose) on Day 56 (Week 8)
Area Under the Plasma Concentration-Time Curve Over the 1 Dosing Interval of 12 Hours at Steady State (AUC0-tau) of Maribavir
AUC0-tau of maribavir will be evaluated.
Measured: Pre-dose; 0.5, 1.5, 3, 4, 6, and 8 hours post-dose on Day 7 (Week 1)
Half-Life (t1/2) of Maribavir
t1/2 of maribavir will be evaluated.
Measured: Pre-dose; 0.5, 1.5, 3, 4, 6, and 8 hours post-dose on Day 7 (Week 1)
Terminal Elimination Rate Constant (lambdaz) of Maribavir
Lambdaz of maribavir will be evaluated.
Measured: Pre-dose; 0.5, 1.5, 3, 4, 6, and 8 hours post-dose on Day 7 (Week 1)
Apparent Volume of Distribution (Vz/F) of Maribavir
Vz/F of maribavir will be evaluated.
Measured: Pre-dose; 0.5, 1.5, 3, 4, 6, and 8 hours post-dose on Day 7 (Week 1)
Apparent Oral Clearance (CL/F) of Maribavir
CL/F of maribavir will be evaluated.
Measured: Pre-dose; 0.5, 1.5, 3, 4, 6, and 8 hours post-dose on Day 7 (Week 1)
Number of Participants With Adverse Events (AEs) and Serious Adverse Events (SAEs)
An AE is any untoward medical occurrence in a clinical investigation participant administered a pharmaceutical product and that does not necessarily be considered related to investigational product. SAE is any untoward medical occurrence (whether considered related to investigational product or not) that at any dose results in death, is life-threatening, requires inpatient hospitalization or prolongation of existing hospitalization, results in persistent or significant disability/incapacity, is a congenital abnormality or birth defect, or is an important medical event.
Measured: From start of study drug administration up to follow-up (Week 20)
Secondary outcomes (8)
Percentage of Participants With Confirmed CMV viremia Clearance at Week 8
Confirmed CMV viremia clearance is defined as plasma CMV DNA concentration below the lower limit of quantification (LLOQ) at a central specialty laboratory, in 2 consecutive postbaseline samples, separated by at least 5 days at Week 8 regardless of the length of study treatment. Percentage of participants with confirmed CMV viremia clearance at Week 8 will be reported.
Measured: At Week 8
Percentage of Participants who Achieve Maintenance of Confirmed CMV Viremia Clearance and Symptom Control at Week 8 Through Weeks 12, 16 and 20
Confirmed CMV viremia clearance is defined as plasma CMV DNA concentration below the lower LLOQ at a central specialty laboratory, in 2 consecutive postbaseline samples, separated by at least 5 days regardless of the length of study treatment. CMV infection symptom control is defined as resolution or improvement of tissue invasive disease or CMV syndrome for symptomatic participants at baseline, or no new symptoms for asymptomatic participants at baseline. Percentage of participants who achieve maintenance of confirmed CMV viremia clearance and symptom control at Week 8 through Weeks 12, 16 and 20 will be reported.
Measured: At Week 8 through Weeks 12, 16, and 20
Percentage of Participants With Confirmed Recurrence of CMV Viremia on Study Treatment and Off Study Treatment
Confirmed recurrence of CMV viremia is defined as plasma CMV DNA concentration greater than or equal to (>=) LLOQ when assessed in 2 consecutive plasma samples at least 5 days apart, after achieving confirmed viremia clearance. Percentage of participants with confirmed recurrence of viremia on study treatment and off study treatment will be reported.
Measured: Up to Week 20
Time to First Confirmed Viremia Clearance
Confirmed CMV viremia clearance is defined as plasma CMV DNA concentration below the lower LLOQ when assessed at a central specialty laboratory, in 2 consecutive postbaseline samples, separated by at least 5 days. Time to first confirmed viremia clearance at any time during the study will be summarized using the Kaplan-Meier method.
Measured: Up to Week 20
Percentage of Participants With Confirmed Recurrence of CMV Viremia Treated With Alternative Anti-CMV Treatment During 12-Week Follow-up Period in Participants With Confirmed Viremia Clearance at Week 8
Confirmed recurrence of CMV viremia is defined as plasma CMV DNA concentration >= LLOQ when assessed in 2 consecutive plasma samples at least 5 days apart, after achieving confirmed viremia clearance. Percentage of participants with confirmed recurrence of CMV viremia treated with alternative anti-CMV treatment in the 12-Week follow-up period in participants with confirmed viremia clearance at Week 8 will be reported.
Measured: From Week 8 through Week 20
Change From Baseline in Log10 Plasma CMV Deoxyribonucleic Acid (DNA) Load
Change from baseline in log10 plasma CMV DNA on study after receiving study treatment by study week will be reported.
Measured: Baseline up to Week 20
Number of Participants who Develop CMV Resistance to Maribavir
CMV DNA genotyping will be performed for the UL97, UL54, UL56, and UL27 genes known to confer resistance to conventional anti-CMV therapies or Maribavir. Number of participants who developed post-baseline CMV resistance to maribavir up to Week 12 will be reported.
Measured: Up to Week 12
Summary Scores for Palatability Assessment of Maribavir
Palatability (taste, feel, smell, ease of swallowing and after-taste) is being measured using a 5-point facial hedonic scale correlated with a 100-point linear visual analogue scale (VAS) ranges from 0: very bad to 100: very good. Scores will be summarized descriptively at Weeks 1, 4 and 8.
Measured: At Weeks 1, 4, and 8
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted8 Apr 2022
- Study start13 Nov 2023
- Primary completion18 Jan 2027 (estimated)
- Study completion18 Jan 2027 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (1)Papers the sponsor has linked to this study.
- Other trials for Cytomegalovirus (CMV)Studies of the same condition, open and under way.
- More trials run by TakedaThe 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
- Non-randomised
- Intervention model
- Single group
- Model description
- Three dosing cohorts based on participant's age.
- Masking
- None (open label)
- Enrolment
- 80 participants (estimated)
Sponsor and investigators
- Lead sponsor
- Takeda
- Sponsor type
- Industry (pharma, biotech, devices)
- Collaborators
- Takeda Development Center Americas, Inc.
- Responsible party
- Sponsor
- Investigators
- Study Director, Study director, Takeda
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT05319353
- Sponsor's protocol ID
- TAK-620-2004
- Other IDs
- 2021-004279-15, jRCT2031230753, 2023-508988-73-00, 2023
- Status last verified
- May 2026
- First submitted
- 1 Apr 2022
- Last updated
- 22 May 2026
- Results posted
- No
- Data monitoring committee
- Yes
- FDA-regulated drug
- Yes
- FDA-regulated device
- No
- Individual data sharing
- Yes: Takeda provides access to the de-identified individual participant data (IPD) for eligible studies to aid qualified researchers in addressing legitimate scientific objectives (Takeda's data sharing commitment is available on https://clinicaltrials.takeda.com/takedas-commitment?commitment=5). These IPDs will be provided in a secure research environment following approval of a data sharing request, and under the terms of a data sharing agreement.
Publications
Fisher JE, Mulieri K, Finch E, Ericson JE. Use of Maribavir for Multidrug Resistant Cytomegaloviremia in a Pediatric Oncology Patient. J Pediatr Hematol Oncol. 2024 Apr 1;46(3):e244-e247. doi: 10.1097/MPH.0000000000002841. Epub 2024 Mar 1.
PubMed 38447094
Study at a glance
From the registry record, last updated by the sponsor on 22 May 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Phase 3, Open-label, Single-arm, Repeated-dose Study to Evaluate the Safety and Tolerability, Pharmacokinetics, and Antiviral Activity of Maribavir for the Treatment of Cytomegalovirus (CMV) Infection in Children and Adolescents Who Have Received a Hematopoietic Stem Cell Transplant (HSCT) or a Solid Organ Transplant (SOT)
- ClinicalTrials.gov ID
- NCT05319353
- Acronym / sponsor ID
- TAK-620-2004
- Conditions
- Cytomegalovirus (CMV)
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- Recruiting
- Enrolment
- 80 participants (estimated)
- Lead sponsor
- TakedaIndustry (pharma, biotech, devices)
- Collaborators
- Takeda Development Center Americas, Inc.
- Study start
- 13 Nov 2023 (actual)
- Primary completion
- 18 Jan 2027 (estimated)
- Study completion
- 18 Jan 2027 (estimated)
- First posted
- 8 Apr 2022 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
The main aim of this study is to find out the safety, tolerability and pharmacokinetics (PK) of maribavir for the treatment of CMV infection in children and teenagers after HSCT or SOT and to identify the optimal dose of maribavir using a 200 milligrams (mg) tablet formulation or powder for oral suspension.
The participants will be treated with maribavir for 8 weeks.
Participants need to visit their doctor during 12-week follow-up period.
Study design
- Primary purpose
- Treatment
- Allocation
- Non-randomised
- Intervention model
- Single group
- Masking
- None (open label)
- Number of arms
- 3
- Model description
- Three dosing cohorts based on participant's age.
| Arm | Type | Receives |
|---|---|---|
| Cohort 1: Maribavir 400, 200 or 100 mg | Experimental | Drug: MaribavirParticipants with greater than or equal to (>=) 12 to less than (<) 18 years of age will receive maribavir 400 milligrams (mg) (2*200 mg tablets or powder for oral suspension) twice daily (BID) based on body weight >= 25 kilogram (kg); or 200 mg tablet or powder for oral suspension BID based on body weight 14 to < 25 kg; or 100 mg powder for oral suspension BID based on body weight 10 to < 14 kg for up to 8 weeks treatment period (Day 1/Week 0 to Day 56/Week 8). |
| Cohort 2: Maribavir 400, 200 or 100 mg | Experimental | Drug: MaribavirParticipants with >= 6 to < 12 years of age will receive maribavir 400 mg (2*200 mg tablets or powder for oral suspension) BID based on body weight >= 25 kg; or 200 mg tablet or powder for oral suspension BID based on body weight 14 to < 25 kg; or 100 mg powder for oral suspension BID based on body weight 10 to < 14 kg orally for up to 8 weeks treatment period (Day 1/Week 0 to Day 56/Week 8). |
| Cohort 3: Maribavir 400, 200, 100 or 50 mg | Experimental | Drug: MaribavirParticipants with 0 to < 6 years of age will receive maribavir 400 mg (2*200 mg tablets or powder for oral suspension) BID based on body weight >= 25 kg; or 200 mg tablet or powder for oral suspension BID based on body weight 14 to < 25 kg; or 100 mg powder for oral suspension BID based on body weight 10 to < 14 kg; or 50 mg powder for oral suspension BID based on body weight 7 to < 10 kg; or 50 mg powder for oral suspension once daily (QD) based on body weight 5 to <7 kg for up to 8 weeks treatment period (Day 1/Week 0 to Day 56/Week 8). |
Who may qualify
- Ages
- Up to 17 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Child
Key inclusion criteria (13 listed)
- Parent/both parents or legally authorized representative (LAR) must provide signature of informed consent and there must be documentation of assent by the participant, as age appropriate, before completing any study-related procedures.
- Be a male or female child or adolescent < 18 years of age at the time of consent. For participants in Cohort 3 only (0 to <6 years) must have a gestational age of at least 39 weeks and a minimum weight of 5 kg.
- Be a recipient of an SOT or an HSCT that is functioning at the time of screening.
- Have a documented CMV infection which may be a first episode of post-transplant CMV viremia (primary or reactivation) or refractory to other anti-CMV treatments, with a CMV DNA screening value of >= 1365 International Units per milliliter (IU/mL) in whole blood or >= 455 IU/mL in plasma in 2 consecutive assessments separated by at least 1 day, as determined by local laboratory quantitative polymerase chain reaction (qPCR) or comparable quantitative nucleic acid amplification test (qNAAT) results. Quantitative assays must be standardized to the World Health Organization (WHO) CMV International Standard. Both samples must be taken within 14 days of first dose of study drug, with the second sample obtained within 5 days prior to first dose of study drug. The same laboratory and same sample type (whole blood or plasma) must be used for both assessments. If documented and verified values are available in medical history that fulfill this criterion entirely, they may be used instead.
- Have all the following results as part of screening laboratory assessments:
Key exclusion criteria (20 listed)
- Have CMV tissue invasive disease involving the central nervous system (CNS) or retina as assessed by the investigator at the time of screening.
- Have uncontrolled other type of infection as assessed by the investigator on the date of enrollment.
- Have a history of clinically relevant alcohol or drug abuse that may interfere with treatment compliance or assessments with the protocol as determined by the investigator.
- Be receiving valganciclovir, ganciclovir, cidofovir, foscarnet, leflunomide, letermovir, or artesunate when study treatment is initiated, or anticipated to require one of these agents during the 8-week treatment period.
- Have a known hypersensitivity to maribavir or to any excipients.
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 |
|---|---|---|
| MaribavirAlso: TAK-620Participants will receive maribavir. | Drug | Cohort 1: Maribavir 400, 200 or 100 mg, Cohort 2: Maribavir 400, 200 or 100 mg, Cohort 3: Maribavir 400, 200, 100 or 50 mg |
Primary outcome
Maximum Observed Plasma Concentration (Cmax) of Maribavir
Time frame: Pre-dose; 0.5, 1.5, 3, 4, 6, and 8 hours post-dose on Day 7 (Week 1)
Cmax of maribavir will be evaluated.
Time to Maximum Observed Concentration (Tmax) of Maribavir
Time frame: Pre-dose; 0.5, 1.5, 3, 4, 6, and 8 hours post-dose on Day 7 (Week 1)
Tmax of maribavir will be evaluated.
Minimum Plasma Concentration (Cmin) of Maribavir
Time frame: Pre-dose; (0.5, 1.5, 3, 4, 6, and 8 hours post-dose) on Day 7 (Week 1); Pre-dose on Day 28 (Week 4); Pre-dose; (2 to 4 hours post-dose) on Day 56 (Week 8)
Cmin of maribavir will be evaluated.
Area Under the Plasma Concentration-Time Curve Over the 1 Dosing Interval of 12 Hours at Steady State (AUC0-tau) of Maribavir
Time frame: Pre-dose; 0.5, 1.5, 3, 4, 6, and 8 hours post-dose on Day 7 (Week 1)
AUC0-tau of maribavir will be evaluated.
Half-Life (t1/2) of Maribavir
Time frame: Pre-dose; 0.5, 1.5, 3, 4, 6, and 8 hours post-dose on Day 7 (Week 1)
t1/2 of maribavir will be evaluated.
Terminal Elimination Rate Constant (lambdaz) of Maribavir
Time frame: Pre-dose; 0.5, 1.5, 3, 4, 6, and 8 hours post-dose on Day 7 (Week 1)
Lambdaz of maribavir will be evaluated.
Apparent Volume of Distribution (Vz/F) of Maribavir
Time frame: Pre-dose; 0.5, 1.5, 3, 4, 6, and 8 hours post-dose on Day 7 (Week 1)
Vz/F of maribavir will be evaluated.
Apparent Oral Clearance (CL/F) of Maribavir
Time frame: Pre-dose; 0.5, 1.5, 3, 4, 6, and 8 hours post-dose on Day 7 (Week 1)
CL/F of maribavir will be evaluated.
Number of Participants With Adverse Events (AEs) and Serious Adverse Events (SAEs)
Time frame: From start of study drug administration up to follow-up (Week 20)
An AE is any untoward medical occurrence in a clinical investigation participant administered a pharmaceutical product and that does not necessarily be considered related to investigational product. SAE is any untoward medical occurrence (whether considered related to investigational product or not) that at any dose results in death, is life-threatening, requires inpatient hospitalization or prolongation of existing hospitalization, results in persistent or significant disability/incapacity, is a congenital abnormality or birth defect, or is an important medical event.
8 secondary outcomes
Percentage of Participants With Confirmed CMV viremia Clearance at Week 8
Time frame: At Week 8
Percentage of Participants who Achieve Maintenance of Confirmed CMV Viremia Clearance and Symptom Control at Week 8 Through Weeks 12, 16 and 20
Time frame: At Week 8 through Weeks 12, 16, and 20
Percentage of Participants With Confirmed Recurrence of CMV Viremia on Study Treatment and Off Study Treatment
Time frame: Up to Week 20
Time to First Confirmed Viremia Clearance
Time frame: Up to Week 20
Percentage of Participants With Confirmed Recurrence of CMV Viremia Treated With Alternative Anti-CMV Treatment During 12-Week Follow-up Period in Participants With Confirmed Viremia Clearance at Week 8
Time frame: From Week 8 through Week 20
Change From Baseline in Log10 Plasma CMV Deoxyribonucleic Acid (DNA) Load
Time frame: Baseline up to Week 20
Number of Participants who Develop CMV Resistance to Maribavir
Time frame: Up to Week 12
Summary Scores for Palatability Assessment of Maribavir
Time frame: At Weeks 1, 4, and 8
Results and safety
This study is still under way. Results are not available in the source record yet.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 22 May 2026.
- Derived from this study: PubMed 38447094Fisher JE, Mulieri K, Finch E, Ericson JE. Use of Maribavir for Multidrug Resistant Cytomegaloviremia in a Pediatric Oncology Patient. J Pediatr Hematol Oncol. 2024 Apr 1;46(3):e244-e247. doi: 10.1097/MPH.0000000000002841. Epub 2024 Mar 1.
- Click here for more information about this trial in easy-to-understand language, including a Plain Language Summary of the results if the trial has been completed.Link provided by the sponsor.
- Click here to ask Takeda's chatbot for comprehensive and easy-to-understand information about clinical trials - even across products and indications - in your local language.Link provided by the sponsor.
- Individual participant dataSharing planned: Yes. Takeda provides access to the de-identified individual participant data (IPD) for eligible studies to aid qualified researchers in addressing legitimate scientific objectives (Takeda's data sharing commitment is available on https://clinicaltrials.takeda.com/takedas-commitment?commitment=5). These IPDs will be provided in a secure research environment following approval of a data sharing request, and under the terms of a data sharing agreement.
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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.
Study Director study director
Takeda
53 sites in 11 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 3 study testing Maribavir in people with Cytomegalovirus (CMV), run by Takeda at 53 sites in 11 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 13 inclusion and 20 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: looking for participants now, as of the sponsor's last update on 22 May 2026. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 53 sites in United States, China, Germany, Japan, Spain and 6 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?
This study is still under way. Results are not available in the source record yet.
How can a doctor refer a patient or contact the research team?
Contact Takeda Contact (+1-877-825-3327, medinfoUS@takeda.com), or a site near the patient. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Maximum Observed Plasma Concentration (Cmax) of Maribavir (time frame: Pre-dose; 0.5, 1.5, 3, 4, 6, and 8 hours post-dose on Day 7 (Week 1)). The study lists 9 primary outcomes in all. 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 NCT05319353, 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 22 May 2026.