Letermovir vs Valganciclovir in CMV R+ Kidney Transplant

Trial statusNot yet recruiting
Trial phasePhase 4
Trial typeInterventional
Biological sexAll
Age18+
SponsorElisabeth Kincaide

About this trial

The purpose of this study is to find out whether letermovir can help prevent cytomegalovirus (CMV) infection in kidney transplant recipients who are CMV seropositive. To do this, researchers will compare patients who received letermovir with a group of historical patients who received valganciclovir ("mini dose"). Both groups will be on CMV prophylaxis drug for 90 days post-transplant.

The main question the study wants to answer is:

• Does letermovir work as well as valganciclovir in preventing CMV infections during the first 12 months after a kidney transplant?

The study will also look at other important questions:

* Is letermovir easier for patients to tolerate than valganciclovir? * How long does it take for a CMV infection to appear in each group? * Are there differences in "breakthrough" CMV infections between the two medications? * For patients who develop CMV that becomes resistant to treatment, are the resistance patterns different between the two groups

Eligibility criteria

Qualifiers

≥18 years old

Kidney transplant recipient with documented CMV IgG seropositive status (R+) within 90 days prior to transplant

Males agree to use contraception and refraining from donating sperm for 290 days post-treatment initiation

Females of child-bearing potential agree to follow contraception guidance for 290 days post-treatment initiation

Disqualifiers

Multiorgan organ transplant

Received previous solid organ transplant or HSCT

Unable to take oral medications

Uncontrolled infections at the time of enrollment

Trial design

Treatments tested in this trial

  • Letermovir
  • Valganciclovir CMV Prophylaxis

Treatment groups

300 Participants
are divided into 2 treatment groups

Sponsors and collaborators

Elisabeth Kincaide

Lead sponsor

Bexar County Hospital District dba University Health

Sponsor institution