Cytomegalovirus Infections, Heart Transplantation
Conditions
Brief summary
This open label study will assess the pharmacokinetics and the safety and tolerability of Valcyte (valganciclovir) powder for oral solution in neonatal and infant heart transplant patients \< 4 months of age.
Interventions
oral dose, Days 1 and 2
Sponsors
Study design
Eligibility
Inclusion criteria
* Males and females, 0 to \< 4 months (\< 125 days) of age at the time of the last PK assessment in this study * Parent or guardian of the patient is willing and able to give written informed consent * Patient has received a first heart transplant * Patient is at risk of developing cytomegalovirus (CMV) disease and is being treated with i.v. ganciclovir or oral valganciclovir for prevention of CMV * Adequate hematological and renal function * Able to tolerate oral medication (any appropriate form of tube feeding is acceptable)
Exclusion criteria
* Allergic or significant adverse reaction to acyclovir, valacyclovir or ganciclovir in the past * Severe, uncontrolled, clinically abnormal diarrhea * Liver enzyme elevation of more than five times the upper limit of normal for AST (SGOT) or ALT (SGPT) * Patient requires use of any protocol prohibited concomitant medications * Patient has previously participated in this clinical trial
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Peak concentration of ganciclovir | 0, 1-3, 3-7, 7-12, 24 hours post-dose |
| Area under plasma concentration versus time curve of ganciclovir | 0, 1-3, 3-7, 7-12, 24 hours post-dose |
| Apparent volume of distribution of ganciclovir | 0, 1-3, 3-7, 7-12, 24 hours post-dose |
| Terminal half-life of ganciclovir | 0, 1-3, 3-7, 7-12, 24 hours post-dose |
Secondary
| Measure | Time frame |
|---|---|
| Safety (Incidence of adverse events) | 9 days |
Countries
Canada, Spain, United States