Treatment and prevention of CMV disease in kidney transplant recipients MedDRA version: 16.0 Level: LLT Classification code 10049107 Term: CMV viraemia System Organ Class: 100000004862 MedDRA version: 16.0 Level: LLT Classification code 10009703 Term: CMV infection System Organ Class: 100000004862 MedDRA version: 16.0 Level: LLT Classification code 10009701 Term: CMV System Organ Class: 100000004848 MedDRA version: 16.0 Level: LLT Classification code 10060577 Term: CMV viremia System Organ C
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. Parent or guardian of patient willing and able to give written informed consent; the written assent from the child is also required if he/she is old enough to understand the risks and benefits of the study. 2. Patient has received a kidney transplant. 3. Males or females aged between 4 months and = 16 years. 4. Patient at risk of developing CMV disease (including R+ who are at risk of CMV due to other factors determined by the treating physician). 5. Patient has adequate hematological and renal function defined as: • Absolute neutrophil count (ANC) >1300 cells/µL • Platelet count >40,000 cells/µL • Hemoglobin >8.0 g/dL • Estimated Schwartz creatinine clearance (>15 mL/min) to allow for dosing according to algorithm 6. Patient is able to tolerate oral medication (any standard practice tube feeding is acceptable). 7. Negative pregnancy test (blood or urine) for females of child bearing potential before initiation of valganciclovir treatment. 8. Patients of reproductive potential agree to utilize an effective method of contraception throughout the study period and for 90 days following discontinuation of study drug (abstinence is a valid method of contraception). Are the trial subjects under 18? yes Number of subjects for this age range: 50 F.1.2 Adults (18-64 years) no F.1.2.1 Number of subjects for this age range F.1.3 Elderly (>=65 years) no F.1.3.1 Number of subjects for this age range
Exclusion criteria
Exclusion criteria: 1. Patient has exhibited an allergic or other significant adverse reaction to acyclovir, valacyclovir, ganciclovir or valganciclovir (or excipients) in the past. 2. Patient has severe, uncontrolled diarrhea (more than 5 watery stools per day). 3. Patient has liver enzyme elevation of more than five times the upper limit of normal for AST (SGOT) or ALT (SGPT). 4. Patient requires use of any protocol prohibited concomitant medications. 5. Patient has previously participated in this clinical study. 6. Patient is a lactating female who will not discontinue nursing prior to study entry. 7. Patient is simultaneously participating in another clinical study except as approved by the Sponsor.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Main Objective: • The primary objective of this study is to describe the tolerability profile of up to 200 days prophylaxis of valganciclovir oral solution and tablets in pediatric kidney transplant recipients.;Secondary Objective: • To describe the incidence of CMV infection (viremia) and disease (CMV syndrome or tissue invasive CMV) within the first 52 weeks post transplant. • To describe the incidence and nature of CMV resistance to ganciclovir (mutations in UL97 and/or UL54). ;Primary end point(s): To describe the tolerability profile of up to 200 days prophylaxis of valganciclovir oral solution and tablets in pediatric kidney transplant recipients;Timepoint(s) of evaluation of this end point: Up to 52 weeks post-transplant | — |
Secondary
| Measure | Time frame |
|---|---|
| Secondary end point(s): To describe the incidence of CMV infection and disease within the first 52 weeks post-transplant To describe the incidence and nature of resistance to ganciclovir;Timepoint(s) of evaluation of this end point: Up to 52 weeks post-transplant | — |
Countries
Australia, Brazil, France, Germany, Mexico, Spain, Sweden, United Kingdom, United States
Contacts
F. Hoffmann-La Roche Ltd.