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A Study in Adolescent Females to Explore Cytomegalovirus Infection

A Study in Adolescent Females to Explore Cytomegalovirus Infection

Status
Completed
Phases
NA
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT01691820
Enrollment
369
Registered
2012-09-25
Start date
2012-10-05
Completion date
2017-04-08
Last updated
2021-04-27

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Infections, Cytomegalovirus

Keywords

Adolescent females, Cytomegalovirus (CMV)

Brief summary

The purpose of this study is to estimate the incidence of Cytomegalovirus (CMV) secondary infections (re-infections/re-activations) and the incidence of CMV primary infections in adolescent females.

Interventions

PROCEDUREBlood collection

Samples collected at Months 0, 4, 8, 12, 16, 20, 24, 28, 32, and 36.

PROCEDUREUrine collection

Samples collected at Months 0, 2, 4, 6, 8, 10, 12, 14, 16, 18, 20, 22, 24, 26, 28, 30, 32, 34, and 36.

PROCEDURESaliva collection

Samples collected at Months 0, 2, 4, 6, 8, 10, 12, 14, 16, 18, 20, 22, 24, 26, 28, 30, 32, 34, and 36.

Sponsors

GlaxoSmithKline
Lead SponsorINDUSTRY

Study design

Allocation
NON_RANDOMIZED
Intervention model
PARALLEL
Primary purpose
SCREENING
Masking
NONE

Eligibility

Sex/Gender
FEMALE
Age
10 Years to 17 Years
Healthy volunteers
Yes

Inclusion criteria

* A female adolescent between, and including 10 and 17 years at the time of enrolment regardless of pregnancy status and contraception method used or not used. * Subjects who the investigator believes that the subject and/or the subject's parent(s)/Legally Acceptable Representative(s) (LAR\[s\]) can and will comply with the requirements of the protocol. * Written informed assent and/or consent obtained from the subject and/or the parent(s)/LAR(s) of the subject. * Subject is likely to remain in the area and/or return for required study Site Visits and complete Sample Collection Visits.

Exclusion criteria

* Child in care. * Use or planned use of any investigational or non-registered antiviral drug or vaccine during the study period. * Known medical history of any recurrent clinical herpes episodes requiring episodic or chronic suppressive treatment with oral or parenteral antiviral treatment such as acyclovir, famciclovir, valacyclovir or any other anti-herpes virus anti-viral during the year preceding enrolment. Topical anti-viral are allowed. * Subjects with history of previous vaccination against CMV. * Chronic administration of immunosuppressants or other immune-modifying drugs within 6 months prior to Visit 1 or planned administration during the study. Inhaled and topical steroids are allowed. * Administration of immunoglobulins and/or any blood products within 3 months prior to Visit 1 or planned administration during the study. * Any confirmed or suspected immunosuppressive or immunodeficient condition including HIV-infection, based on medical history and physical examination (no laboratory testing required). * Any major congenital defects, serious chronic illness or organ transplantation.

Design outcomes

Primary

MeasureTime frameDescription
Number of CMV Seropositive Subjects With Appearance or Increase of Anti-CMV Tegument Protein IgG Antibodies in Serum.At Month 4This outcome was part of the assessment of occurrence of CMV secondary infections determined in all seropositive subjects. Two-fold and above increases category = subjects that had two-fold and above increases of anti-CMV Immunoglobulin G (IgG) concentration. Four-fold and above increases = subjects that had four-fold and above increases of anti-CMV IgG concentration. The cut-off of the assay = 1.136 ELISA unit (EU)/mL. A seropositive subject is a subject for whom anti-CMV IgG antibodies were detected in serum sample collected at Month 0. CMV secondary infections are defined as either a viral reactivation or a re-infection with a new strain of CMV.
Geometric Mean CMVpp65 Antibody Concentration in Subjects Based on Number of CMV DNA Copies (pp65 Gene) in UrineAt Month 8This outcome was part of the assessment of occurrence of CMV secondary infections determined in all seropositive subjects. The concentration of DNA copies was assessed by quantitative Polymerase Chain Reaction (qPCR),for CMV seropositive subjects with appearance of CMV DNA (\>0 copies/mL) and DNA copies=0 in prior urine sample (category=\> 0 Copies/mL) and for CMV seropositive subjects with increase of CMV DNA (≥6720 copies/mL) and 0\<DNA copies \<LLOQ (6720 copies/mL) in prior urine sample (category name= ≥6720 copies/mL).
Anti-CMV Tegument Protein IgG Antibody Concentration in Serum (ELISA).At Month 0This outcome was part of the assessment of occurrence of CMV secondary infections determined in all seropositive subjects. A seropositive subject is a subject for whom anti-CMV IgG antibodies were detected in serum sample collected at Month 0. CMV secondary infections are defined as either a viral reactivation or a re-infection with a new strain of CMV. Antibody concentrations were tabulated as geometric mean concentrations (GMC) and expressed as ELISA units (EU)/mL. The cut-off of the assay = 1.136 EU/mL.
Geometric Mean CMVpp65 Antibody Concentration in Subjects Based on Number of CMV Deoxyribonucleic Acid (DNA) Copies (pp65 Gene) in UrineAt Month 4This outcome was part of the assessment of occurrence of CMV secondary infections determined in all seropositive subjects. The concentration of DNA copies was assessed by quantitative Polymerase Chain Reaction (qPCR), for CMV seropositive subjects with appearance of CMV DNA (\>0 copies/mL) and DNA copies=0 in prior urine sample (category=\> 0 Copies/mL) and for CMV seropositive subjects with increase of CMV DNA (≥6720 copies/mL) and 0\<DNA copies \<LLOQ (6720 copies/mL) in prior urine sample (category name= ≥6720 copies/mL).

Secondary

MeasureTime frameDescription
Number of CMV Seronegative Subjects With Appearance of Anti-CMV Tegument Protein IgG Antibodies in Serum.From study Month 0 to Month 36This outcome was part of the assessment of occurrence of CMV primary infections determined in all seronegative subjects, on samples collected during the 4-month site visits until study conclusion. A seronegative subject is a subject for whom anti-CMV IgG antibodies were not detected in serum sample collected at Month 0. CMV primary infection is defined as the first infection with CMV in subjects who were seronegative at enrollment.
Anti-CMV Tegument Protein IgG Antibody Concentration of Seronegative SubjectsFrom study Month 0 to Month 36This outcome is part of the assessment of occurrence of CMV primary infections determined in all seronegative subjects, on samples collected during the 4-month site visits until study conclusion. A seronegatve subject is a subject for whom anti-CMV IgG antibodies were not detected in serum sample collected at Month 0. CMV primary infection is defined as the first infection with CMV in subjects who were seronegative at enrollment. Antibody concentrations were tabulated as geometric mean concentrations (GMC) and expressed as ELISA units (EU)/mL. The cut-off of the assay = 1.136 EU/mL.

Countries

Finland, Mexico, United States

Participant flow

Recruitment details

Enrolment was terminated once approximately 240 seropositive subjects were included in the trial, to obtain approximately 200 evaluable seropositive subjects. The number of seronegative subjects enrolled depended on the seroprevalence of the participating countries.

Pre-assignment details

Of the 369 enrolled subjects, 363 were female subjects and 6 were newborns of some subjects. Consent was signed for the newborns to allow testing for CMV disease. The objectives assessed the CMV infections in the adolescent females with a known serostatus (N=362); no demographics, outcome measures, or adverse events were assessed in newborns.

Participants by arm

ArmCount
Group S+
CMV seropositive subjects, aged 10-17 years at enrollment in the study.
210
Group S-
CMV seronegative subjects, aged 10-17 years at enrollment in the study.
152
Total362

Withdrawals & dropouts

PeriodReasonFG000FG001
Overall StudyConsent withdrawal (not due to an AE)915
Overall StudyLost to Follow-up617
Overall StudyMigrated/moved from study area74
Overall StudyOther (unspecified)41

Baseline characteristics

CharacteristicGroup S-TotalGroup S+
Age, Continuous13.4 Years
STANDARD_DEVIATION 2.2
13.5 Years
STANDARD_DEVIATION 2.1
13.5 Years
STANDARD_DEVIATION 2.1
Race/Ethnicity, Customized
African Heritage / African American
8 Participants16 Participants8 Participants
Race/Ethnicity, Customized
Asian - South East Asian Heritage
0 Participants1 Participants1 Participants
Race/Ethnicity, Customized
Other
50 Participants187 Participants137 Participants
Race/Ethnicity, Customized
White - Arabic / North African Heritage
1 Participants1 Participants0 Participants
Race/Ethnicity, Customized
White - Caucasian / European Heritage
93 Participants157 Participants64 Participants
Sex: Female, Male
Female
152 Participants362 Participants210 Participants
Sex: Female, Male
Male
0 Participants0 Participants0 Participants

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
deaths
Total, all-cause mortality
0 / 2100 / 152
other
Total, other adverse events
0 / 00 / 0
serious
Total, serious adverse events
0 / 2100 / 152

Outcome results

Primary

Anti-CMV Tegument Protein IgG Antibody Concentration in Serum (ELISA).

This outcome was part of the assessment of occurrence of CMV secondary infections determined in all seropositive subjects. A seropositive subject is a subject for whom anti-CMV IgG antibodies were detected in serum sample collected at Month 0. CMV secondary infections are defined as either a viral reactivation or a re-infection with a new strain of CMV. Antibody concentrations were tabulated as geometric mean concentrations (GMC) and expressed as ELISA units (EU)/mL. The cut-off of the assay = 1.136 EU/mL. GMC was calculated on subjects meeting a two-fold increase or above (i.e.: subjects that had two-fold and above increases \[including four-fold\] of CMV anti-tegument IgG compared with previous time point).

Time frame: At Month 36

Population: This analysis was performed on CMV seropositive subjects with available results and meeting the two-fold increase or above, at Month 36, from the According-to-Protocol cohort, which included all subjects who met all inclusion criteria and no exclusion criteria for the study, who did not have any elimination criteria during the study and who complied with the study procedures.

ArmMeasureValue (GEOMETRIC_MEAN)
Group S+Anti-CMV Tegument Protein IgG Antibody Concentration in Serum (ELISA).6.9 EU/mL
Primary

Anti-CMV Tegument Protein IgG Antibody Concentration in Serum (ELISA).

This outcome was part of the assessment of occurrence of CMV secondary infections determined in all seropositive subjects. A seropositive subject is a subject for whom anti-CMV IgG antibodies were detected in serum sample collected at Month 0. CMV secondary infections are defined as either a viral reactivation or a re-infection with a new strain of CMV. Antibody concentrations were tabulated as geometric mean concentrations (GMC) and expressed as ELISA units (EU)/mL. The cut-off of the assay = 1.136 EU/mL.

Time frame: At Month 0

Population: This analysis was performed on CMV seropositive subjects with available results at Month 0 from the According-to-Protocol cohort, which included all subjects who met all inclusion criteria and no exclusion criteria for the study, who did not have any elimination criteria during the study and who complied with the study procedures.

ArmMeasureValue (GEOMETRIC_MEAN)
Group S+Anti-CMV Tegument Protein IgG Antibody Concentration in Serum (ELISA).5.4 EU/mL
Primary

Anti-CMV Tegument Protein IgG Antibody Concentration in Serum (ELISA).

This outcome was part of the assessment of occurrence of CMV secondary infections determined in all seropositive subjects. A seropositive subject is a subject for whom anti-CMV IgG antibodies were detected in serum sample collected at Month 0. CMV secondary infections are defined as either a viral reactivation or a re-infection with a new strain of CMV. Antibody concentrations were tabulated as geometric mean concentrations (GMC) and expressed as ELISA units (EU)/mL. The cut-off of the assay = 1.136 EU/mL. GMC was calculated on subjects meeting a two-fold increase or above (i.e.: subjects that had two-fold and above increases \[including four-fold\] of CMV anti-tegument IgG compared with previous time point).

Time frame: At Month 4

Population: This analysis was performed on CMV seropositive subjects with available results and meeting the two-fold increase or above, at Month 4, from the According-to-Protocol cohort, which included all subjects who met all inclusion criteria and no exclusion criteria for the study, who did not have any elimination criteria during the study and who complied with the study procedures.

ArmMeasureValue (GEOMETRIC_MEAN)
Group S+Anti-CMV Tegument Protein IgG Antibody Concentration in Serum (ELISA).32.2 EU/mL
Primary

Anti-CMV Tegument Protein IgG Antibody Concentration in Serum (ELISA).

This outcome was part of the assessment of occurrence of CMV secondary infections determined in all seropositive subjects. A seropositive subject is a subject for whom anti-CMV IgG antibodies were detected in serum sample collected at Month 0. CMV secondary infections are defined as either a viral reactivation or a re-infection with a new strain of CMV. Antibody concentrations were tabulated as geometric mean concentrations (GMC) and expressed as ELISA units (EU)/mL. The cut-off of the assay = 1.136 EU/mL. GMC was calculated on subjects meeting a two-fold increase or above (i.e.: subjects that had two-fold and above increases \[including four-fold\] of CMV anti-tegument IgG compared with previous time point).

Time frame: At Month 8

Population: This analysis was performed on CMV seropositive subjects with available results and meeting the two-fold increase or above, at Month 8, from the According-to-Protocol cohort, which included all subjects who met all inclusion criteria and no exclusion criteria for the study, who did not have any elimination criteria during the study and who complied with the study procedures.

ArmMeasureValue (GEOMETRIC_MEAN)
Group S+Anti-CMV Tegument Protein IgG Antibody Concentration in Serum (ELISA).10.3 EU/mL
Primary

Anti-CMV Tegument Protein IgG Antibody Concentration in Serum (ELISA).

This outcome was part of the assessment of occurrence of CMV secondary infections determined in all seropositive subjects. A seropositive subject is a subject for whom anti-CMV IgG antibodies were detected in serum sample collected at Month 0. CMV secondary infections are defined as either a viral reactivation or a re-infection with a new strain of CMV. Antibody concentrations were tabulated as geometric mean concentrations (GMC) and expressed as ELISA units (EU)/mL. The cut-off of the assay = 1.136 EU/mL. GMC was calculated on subjects meeting a two-fold increase or above (i.e.: subjects that had two-fold and above increases \[including four-fold\] of CMV anti-tegument IgG compared with previous time point).

Time frame: At Month 12

Population: This analysis was performed on CMV seropositive subjects with available results and meeting the two-fold increase or above, at Month 12, from the According-to-Protocol cohort, which included all subjects who met all inclusion criteria and no exclusion criteria for the study, who did not have any elimination criteria during the study and who complied with the study procedures.

ArmMeasureValue (GEOMETRIC_MEAN)
Group S+Anti-CMV Tegument Protein IgG Antibody Concentration in Serum (ELISA).9.8 EU/mL
Primary

Anti-CMV Tegument Protein IgG Antibody Concentration in Serum (ELISA).

This outcome was part of the assessment of occurrence of CMV secondary infections determined in all seropositive subjects. A seropositive subject is a subject for whom anti-CMV IgG antibodies were detected in serum sample collected at Month 0. CMV secondary infections are defined as either a viral reactivation or a re-infection with a new strain of CMV. Antibody concentrations were tabulated as geometric mean concentrations (GMC) and expressed as ELISA units (EU)/mL. The cut-off of the assay = 1.136 EU/mL. GMC was calculated on subjects meeting a two-fold increase or above (i.e.: subjects that had two-fold and above increases \[including four-fold\] of CMV anti-tegument IgG compared with previous time point).

Time frame: At Month 16

Population: This analysis was performed on CMV seropositive subjects with available results and meeting the two-fold increase or above, at Month 16, from the According-to-Protocol cohort, which included all subjects who met all inclusion criteria and no exclusion criteria for the study, who did not have any elimination criteria during the study and who complied with the study procedures.

ArmMeasureValue (GEOMETRIC_MEAN)
Group S+Anti-CMV Tegument Protein IgG Antibody Concentration in Serum (ELISA).26.5 EU/mL
Primary

Anti-CMV Tegument Protein IgG Antibody Concentration in Serum (ELISA).

This outcome was part of the assessment of occurrence of CMV secondary infections determined in all seropositive subjects. A seropositive subject is a subject for whom anti-CMV IgG antibodies were detected in serum sample collected at Month 0. CMV secondary infections are defined as either a viral reactivation or a re-infection with a new strain of CMV. Antibody concentrations were tabulated as geometric mean concentrations (GMC) and expressed as ELISA units (EU)/mL. The cut-off of the assay = 1.136 EU/mL. GMC was calculated on subjects meeting a two-fold increase or above (i.e.: subjects that had two-fold and above increases \[including four-fold\] of CMV anti-tegument IgG compared with previous time point).

Time frame: At Month 20

Population: This analysis was performed on CMV seropositive subjects with available results and meeting the two-fold increase or above, at Month 20, from the According-to-Protocol cohort, which included all subjects who met all inclusion criteria and no exclusion criteria for the study, who did not have any elimination criteria during the study and who complied with the study procedures.

ArmMeasureValue (GEOMETRIC_MEAN)
Group S+Anti-CMV Tegument Protein IgG Antibody Concentration in Serum (ELISA).10.1 EU/mL
Primary

Anti-CMV Tegument Protein IgG Antibody Concentration in Serum (ELISA).

This outcome was part of the assessment of occurrence of CMV secondary infections determined in all seropositive subjects. A seropositive subject is a subject for whom anti-CMV IgG antibodies were detected in serum sample collected at Month 0. CMV secondary infections are defined as either a viral reactivation or a re-infection with a new strain of CMV. Antibody concentrations were tabulated as geometric mean concentrations (GMC) and expressed as ELISA units (EU)/mL. The cut-off of the assay = 1.136 EU/mL. GMC was calculated on subjects meeting a two-fold increase or above (i.e.: subjects that had two-fold and above increases \[including four-fold\] of CMV anti-tegument IgG compared with previous time point).

Time frame: At Month 24

Population: This analysis was performed on CMV seropositive subjects with available results and meeting the two-fold increase or above, at Month 24, from the According-to-Protocol cohort, which included all subjects who met all inclusion criteria and no exclusion criteria for the study, who did not have any elimination criteria during the study and who complied with the study procedures.

ArmMeasureValue (GEOMETRIC_MEAN)
Group S+Anti-CMV Tegument Protein IgG Antibody Concentration in Serum (ELISA).9.3 EU/mL
Primary

Anti-CMV Tegument Protein IgG Antibody Concentration in Serum (ELISA).

This outcome was part of the assessment of occurrence of CMV secondary infections determined in all seropositive subjects. A seropositive subject is a subject for whom anti-CMV IgG antibodies were detected in serum sample collected at Month 0. CMV secondary infections are defined as either a viral reactivation or a re-infection with a new strain of CMV. Antibody concentrations were tabulated as geometric mean concentrations (GMC) and expressed as ELISA units (EU)/mL. The cut-off of the assay = 1.136 EU/mL. GMC was calculated on subjects meeting a two-fold increase or above (i.e.: subjects that had two-fold and above increases \[including four-fold\] of CMV anti-tegument IgG compared with previous time point)

Time frame: At Month 28

Population: This analysis was performed on CMV seropositive subjects with available results and meeting the two-fold increase or above, at Month 28, from the According-to-Protocol cohort, which included all subjects who met all inclusion criteria and no exclusion criteria for the study, who did not have any elimination criteria during the study and who complied with the study procedures.

ArmMeasureValue (GEOMETRIC_MEAN)
Group S+Anti-CMV Tegument Protein IgG Antibody Concentration in Serum (ELISA).8.3 EU/mL
Primary

Anti-CMV Tegument Protein IgG Antibody Concentration in Serum (ELISA).

This outcome was part of the assessment of occurrence of CMV secondary infections determined in all seropositive subjects. A seropositive subject is a subject for whom anti-CMV IgG antibodies were detected in serum sample collected at Month 0. CMV secondary infections are defined as either a viral reactivation or a re-infection with a new strain of CMV. Antibody concentrations were tabulated as geometric mean concentrations (GMC) and expressed as ELISA units (EU)/mL. The cut-off of the assay = 1.136 EU/mL. GMC was calculated on subjects meeting a two-fold increase or above (i.e.: subjects that had two-fold and above increases \[including four-fold\] of CMV anti-tegument IgG compared with previous time point).

Time frame: At Month 32

Population: This analysis was performed on CMV seropositive subjects with available results and meeting the two-fold increase or above, at Month 32, from the According-to-Protocol cohort, which included all subjects who met all inclusion criteria and no exclusion criteria for the study, who did not have any elimination criteria during the study and who complied with the study procedures.

ArmMeasureValue (GEOMETRIC_MEAN)
Group S+Anti-CMV Tegument Protein IgG Antibody Concentration in Serum (ELISA).14.4 EU/mL
Primary

Geometric Mean CMVpp65 Antibody Concentration in Subjects Based on Number of CMV Deoxyribonucleic Acid (DNA) Copies (pp65 Gene) in Urine

This outcome was part of the assessment of occurrence of CMV secondary infections determined in all seropositive subjects. The concentration of DNA copies was assessed by quantitative Polymerase Chain Reaction (qPCR), for CMV seropositive subjects with appearance of CMV DNA (\>0 copies/mL) and DNA copies=0 in prior urine sample (category=\> 0 Copies/mL) and for CMV seropositive subjects with increase of CMV DNA (≥6720 copies/mL) and 0\<DNA copies \<LLOQ (6720 copies/mL) in prior urine sample (category name= ≥6720 copies/mL).

Time frame: At Month 4

Population: This analysis was performed on the seropositive subjects with DNA copies data in prior urine sample and with CMV DNA copies above the specified cut-off, at Month 4, from the According-to-Protocol cohort, which included all subjects who met all inclusion criteria and no exclusion criteria for the study, who did not have any elimination criteria during the study and who complied with the study procedures.

ArmMeasureGroupValue (GEOMETRIC_MEAN)
Group S+Geometric Mean CMVpp65 Antibody Concentration in Subjects Based on Number of CMV Deoxyribonucleic Acid (DNA) Copies (pp65 Gene) in Urine> 0 Copies/mL754.1 DNA copies/mL
Group S+Geometric Mean CMVpp65 Antibody Concentration in Subjects Based on Number of CMV Deoxyribonucleic Acid (DNA) Copies (pp65 Gene) in Urine≥ 6720 Copies/mL8310.0 DNA copies/mL
Primary

Geometric Mean CMVpp65 Antibody Concentration in Subjects Based on Number of CMV DNA Copies (pp65 Gene) in Urine

This outcome was part of the assessment of occurrence of CMV secondary infections determined in all seropositive subjects. The concentration of DNA copies was assessed by quantitative Polymerase Chain Reaction (qPCR),for CMV seropositive subjects with appearance of CMV DNA (\>0 copies/mL) and DNA copies=0 in prior urine sample (category=\> 0 Copies/mL).

Time frame: At Month 12

Population: This analysis was performed on the seropositive subjects with DNA copies data in prior urine sample and with CMV DNA copies above the specified cut-off, at Month 12, from the According-to-Protocol cohort, which included all subjects who met all inclusion criteria and no exclusion criteria for the study, who did not have any elimination criteria during the study and who complied with the study procedures

ArmMeasureValue (GEOMETRIC_MEAN)
Group S+Geometric Mean CMVpp65 Antibody Concentration in Subjects Based on Number of CMV DNA Copies (pp65 Gene) in Urine647.4 DNA copies/mL
Primary

Geometric Mean CMVpp65 Antibody Concentration in Subjects Based on Number of CMV DNA Copies (pp65 Gene) in Urine

This outcome was part of the assessment of occurrence of CMV secondary infections determined in all seropositive subjects. The concentration of DNA copies was assessed by quantitative Polymerase Chain Reaction (qPCR),for CMV seropositive subjects with appearance of CMV DNA (\>0 copies/mL) and DNA copies=0 in prior urine sample (category=\> 0 Copies/mL).

Time frame: At Month 16

Population: This analysis was performed on the seropositive subjects with DNA copies data in prior urine sample and with CMV DNA copies above the specified cut-off, at Month 16, from the According-to-Protocol cohort, which included all subjects who met all inclusion criteria and no exclusion criteria for the study, who did not have any elimination criteria during the study and who complied with the study procedures

ArmMeasureValue (GEOMETRIC_MEAN)
Group S+Geometric Mean CMVpp65 Antibody Concentration in Subjects Based on Number of CMV DNA Copies (pp65 Gene) in Urine348.7 DNA copies/mL
Primary

Geometric Mean CMVpp65 Antibody Concentration in Subjects Based on Number of CMV DNA Copies (pp65 Gene) in Urine

This outcome was part of the assessment of occurrence of CMV secondary infections determined in all seropositive subjects. The concentration of DNA copies was assessed by quantitative Polymerase Chain Reaction (qPCR),for CMV seropositive subjects with appearance of CMV DNA (\>0 copies/mL) and DNA copies=0 in prior urine sample (category=\> 0 Copies/mL).

Time frame: At Month 20

Population: This analysis was performed on the seropositive subjects with DNA copies data in prior urine sample and with CMV DNA copies above the specified cut-off, at Month 20, from the According-to-Protocol cohort, which included all subjects who met all inclusion criteria and no exclusion criteria for the study, who did not have any elimination criteria during the study and who complied with the study procedures

ArmMeasureValue (GEOMETRIC_MEAN)
Group S+Geometric Mean CMVpp65 Antibody Concentration in Subjects Based on Number of CMV DNA Copies (pp65 Gene) in Urine199.4 DNA copies/mL
Primary

Geometric Mean CMVpp65 Antibody Concentration in Subjects Based on Number of CMV DNA Copies (pp65 Gene) in Urine

This outcome was part of the assessment of occurrence of CMV secondary infections determined in all seropositive subjects. The concentration of DNA copies was assessed by quantitative Polymerase Chain Reaction (qPCR),for CMV seropositive subjects with appearance of CMV DNA (\>0 copies/mL) and DNA copies=0 in prior urine sample (category=\> 0 Copies/mL) and for CMV seropositive subjects with increase of CMV DNA (≥6720 copies/mL) and 0\<DNA copies \<LLOQ (6720 copies/mL) in prior urine sample (category name= ≥6720 copies/mL).

Time frame: At Month 8

Population: This analysis was performed on the seropositive subjects with DNA copies data in prior urine sample and with CMV DNA copies above the specified cut-off, at Month 8, from the According-to-Protocol cohort, which included all subjects who met all inclusion criteria and no exclusion criteria for the study, who did not have any elimination criteria during the study and who complied with the study procedures.

ArmMeasureGroupValue (GEOMETRIC_MEAN)
Group S+Geometric Mean CMVpp65 Antibody Concentration in Subjects Based on Number of CMV DNA Copies (pp65 Gene) in Urine> 0 Copies/mL361.5 DNA copies/mL
Group S+Geometric Mean CMVpp65 Antibody Concentration in Subjects Based on Number of CMV DNA Copies (pp65 Gene) in Urine≥ 6720 Copies/mL15386.0 DNA copies/mL
Primary

Geometric Mean CMVpp65 Antibody Concentration in Subjects Based on Number of CMV DNA Copies (pp65 Gene) in Urine

This outcome was part of the assessment of occurrence of CMV secondary infections determined in all seropositive subjects. The concentration of DNA copies was assessed by quantitative Polymerase Chain Reaction (qPCR),for CMV seropositive subjects with appearance of CMV DNA (\>0 copies/mL) and DNA copies=0 in prior urine sample (category=\> 0 Copies/mL) and for CMV seropositive subjects with increase of CMV DNA (≥6720 copies/mL) and 0\<DNA copies \<LLOQ (6720 copies/mL) in prior urine sample (category name= ≥6720 copies/mL).

Time frame: At Month 28

Population: This analysis was performed on the seropositive subjects with DNA copies data in prior urine sample and with CMV DNA copies above the specified cut-off, at Month 28,from the According-to-Protocol cohort, which included all subjects who met all inclusion criteria and no exclusion criteria for the study, who did not have any elimination criteria during the study and who complied with the study procedures

ArmMeasureGroupValue (GEOMETRIC_MEAN)
Group S+Geometric Mean CMVpp65 Antibody Concentration in Subjects Based on Number of CMV DNA Copies (pp65 Gene) in Urine> 0 Copies/mL421.9 DNA copies/mL
Group S+Geometric Mean CMVpp65 Antibody Concentration in Subjects Based on Number of CMV DNA Copies (pp65 Gene) in Urine≥ 6720 Copies/mL7369.0 DNA copies/mL
Primary

Geometric Mean CMVpp65 Antibody Concentration in Subjects Based on Number of CMV DNA Copies (pp65 Gene) in Urine

This outcome was part of the assessment of occurrence of CMV secondary infections determined in all seropositive subjects. The concentration of DNA copies was assessed by quantitative Polymerase Chain Reaction (qPCR),for CMV seropositive subjects with appearance of CMV DNA (\>0 copies/mL) and DNA copies=0 in prior urine sample (category=\> 0 Copies/mL).

Time frame: At Month 32

Population: This analysis was performed on the seropositive subjects with DNA copies data in prior urine sample and with CMV DNA copies above the specified cut-off, at Month 32, from the According-to-Protocol cohort, which included all subjects who met all inclusion criteria and no exclusion criteria for the study, who did not have any elimination criteria during the study and who complied with the study procedures

ArmMeasureValue (GEOMETRIC_MEAN)
Group S+Geometric Mean CMVpp65 Antibody Concentration in Subjects Based on Number of CMV DNA Copies (pp65 Gene) in Urine186.1 DNA copies/mL
Primary

Geometric Mean CMVpp65 Antibody Concentration in Subjects Based on Number of CMV DNA Copies (pp65 Gene) in Urine

This outcome was part of the assessment of occurrence of CMV secondary infections determined in all seropositive subjects. The concentration of DNA copies was assessed by quantitative Polymerase Chain Reaction (qPCR),for CMV seropositive subjects with appearance of CMV DNA (\>0 copies/mL) and DNA copies=0 in prior urine sample (category=\> 0 Copies/mL).

Time frame: At Month 36

Population: This analysis was performed on the seropositive subjects with DNA copies data in prior urine sample and with CMV DNA copies above the specified cut-off, at Month 36, from the According-to-Protocol cohort, which included all subjects who met all inclusion criteria and no exclusion criteria for the study, who did not have any elimination criteria during the study and who complied with the study procedures

ArmMeasureValue (GEOMETRIC_MEAN)
Group S+Geometric Mean CMVpp65 Antibody Concentration in Subjects Based on Number of CMV DNA Copies (pp65 Gene) in Urine915.3 DNA copies/mL
Primary

Geometric Mean CMVpp65 Antibody Concentration in Subjects Based on Number of CMV DNA Copies (pp65 Gene) in Urine

This outcome was part of the assessment of occurrence of CMV secondary infections determined in all seropositive subjects. The concentration of DNA copies was assessed by quantitative Polymerase Chain Reaction (qPCR),for CMV seropositive subjects with appearance of CMV DNA (\>0 copies/mL) and DNA copies=0 in prior urine sample (category=\> 0 Copies/mL).

Time frame: At Month 24

Population: This analysis was performed on the seropositive subjects with DNA copies data in prior urine sample and with CMV DNA copies above the specified cut-off, at Month 24,from the According-to-Protocol cohort, which included all subjects who met all inclusion criteria and no exclusion criteria for the study, who did not have any elimination criteria during the study and who complied with the study procedures

ArmMeasureValue (GEOMETRIC_MEAN)
Group S+Geometric Mean CMVpp65 Antibody Concentration in Subjects Based on Number of CMV DNA Copies (pp65 Gene) in Urine322.1 DNA copies/mL
Primary

Number of CMV Seropositive Subjects With Appearance or Increase of Anti-CMV Tegument Protein IgG Antibodies in Serum.

This outcome was part of the assessment of occurrence of CMV secondary infections determined in all seropositive subjects. Two-fold and above increases category = subjects that had two-fold and above increases of anti-CMV Immunoglobulin G (IgG) concentration. Four-fold and above increases = subjects that had four-fold and above increases of anti-CMV IgG concentration. The cut-off of the assay = 1.136 ELISA unit (EU)/mL. A seropositive subject is a subject for whom anti-CMV IgG antibodies were detected in serum sample collected at Month 0. CMV secondary infections are defined as either a viral reactivation or a re-infection with a new strain of CMV.

Time frame: At Month 4

Population: This analysis was performed on CMV seropositive subjects with available results at Month 4 from the According-to-Protocol cohort, which included all subjects who met all inclusion criteria and no exclusion criteria for the study, who did not have any elimination criteria during the study and who complied with the study procedures.

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
Group S+Number of CMV Seropositive Subjects With Appearance or Increase of Anti-CMV Tegument Protein IgG Antibodies in Serum.anti-Teg IgG - Two-fold and above increases5 Participants
Group S+Number of CMV Seropositive Subjects With Appearance or Increase of Anti-CMV Tegument Protein IgG Antibodies in Serum.anti-Teg IgG -Four-fold and above increases2 Participants
Primary

Number of CMV Seropositive Subjects With Appearance or Increase of Anti-CMV Tegument Protein IgG Antibodies in Serum.

This outcome was part of the assessment of occurrence of CMV secondary infections determined in all seropositive subjects. Two-fold and above increases category = subjects that had two-fold and above increases of anti-CMV IgG concentration. Four-fold and above increases = subjects that had four-fold and above increases of anti-CMV IgG concentration. The cut-off of the assay = 1.136 ELISA unit (EU)/mL. A seropositive subject is a subject for whom anti-CMV IgG antibodies were detected in serum sample collected at Month 0. CMV secondary infections are defined as either a viral reactivation or a re-infection with a new strain of CMV.

Time frame: At Month 8

Population: This analysis was performed on CMV seropositive subjects with available results at Month 8 from the According-to-Protocol cohort, which included all subjects who met all inclusion criteria and no exclusion criteria for the study, who did not have any elimination criteria during the study and who complied with the study procedures.

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
Group S+Number of CMV Seropositive Subjects With Appearance or Increase of Anti-CMV Tegument Protein IgG Antibodies in Serum.Two-fold and above increases5 Participants
Group S+Number of CMV Seropositive Subjects With Appearance or Increase of Anti-CMV Tegument Protein IgG Antibodies in Serum.Four-fold and above increases1 Participants
Primary

Number of CMV Seropositive Subjects With Appearance or Increase of Anti-CMV Tegument Protein IgG Antibodies in Serum.

This outcome was part of the assessment of occurrence of CMV secondary infections determined in all seropositive subjects. Two-fold and above increases category = subjects that had two-fold and above increases of anti-CMV IgG concentration. Four-fold and above increases = subjects that had four-fold and above increases of anti-CMV IgG concentration. The cut-off of the assay = 1.136 ELISA unit (EU)/mL. A seropositive subject is a subject for whom anti-CMV IgG antibodies were detected in serum sample collected at Month 0. CMV secondary infections are defined as either a viral reactivation or a re-infection with a new strain of CMV.

Time frame: At Month 12

Population: This analysis was performed on CMV seropositive subjects with available results at Month 12 from the According-to-Protocol cohort, which included all subjects who met all inclusion criteria and no exclusion criteria for the study, who did not have any elimination criteria during the study and who complied with the study procedures.

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
Group S+Number of CMV Seropositive Subjects With Appearance or Increase of Anti-CMV Tegument Protein IgG Antibodies in Serum.Two-fold and above increases6 Participants
Group S+Number of CMV Seropositive Subjects With Appearance or Increase of Anti-CMV Tegument Protein IgG Antibodies in Serum.Four-fold and above increases3 Participants
Primary

Number of CMV Seropositive Subjects With Appearance or Increase of Anti-CMV Tegument Protein IgG Antibodies in Serum.

This outcome was part of the assessment of occurrence of CMV secondary infections determined in all seropositive subjects. Two-fold and above increases category = subjects that had two-fold and above increases of anti-CMV IgG concentration. Four-fold and above increases = subjects that had four-fold and above increases of anti-CMV IgG concentration. The cut-off of the assay = 1.136 ELISA unit (EU)/mL. A seropositive subject is a subject for whom anti-CMV IgG antibodies were detected in serum sample collected at Month 0. CMV secondary infections are defined as either a viral reactivation or a re-infection with a new strain of CMV.

Time frame: At Month 16

Population: This analysis was performed on CMV seropositive subjects with available results at Month 16 from the According-to-Protocol cohort, which included all subjects who met all inclusion criteria and no exclusion criteria for the study, who did not have any elimination criteria during the study and who complied with the study procedures.

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
Group S+Number of CMV Seropositive Subjects With Appearance or Increase of Anti-CMV Tegument Protein IgG Antibodies in Serum.Two-fold and above increases1 Participants
Group S+Number of CMV Seropositive Subjects With Appearance or Increase of Anti-CMV Tegument Protein IgG Antibodies in Serum.Four-fold and above increases0 Participants
Primary

Number of CMV Seropositive Subjects With Appearance or Increase of Anti-CMV Tegument Protein IgG Antibodies in Serum.

This outcome was part of the assessment of occurrence of CMV secondary infections determined in all seropositive subjects. Two-fold and above increases category = subjects that had two-fold and above increases of anti-CMV IgG concentration. Four-fold and above increases = subjects that had four-fold and above increases of anti-CMV IgG concentration. The cut-off of the assay = 1.136 ELISA unit (EU)/mL. A seropositive subject is a subject for whom anti-CMV IgG antibodies were detected in serum sample collected at Month 0. CMV secondary infections are defined as either a viral reactivation or a re-infection with a new strain of CMV.

Time frame: At Month 20

Population: This analysis was performed on CMV seropositive subjects with available results at Month 20 from the According-to-Protocol cohort, which included all subjects who met all inclusion criteria and no exclusion criteria for the study, who did not have any elimination criteria during the study and who complied with the study procedures.

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
Group S+Number of CMV Seropositive Subjects With Appearance or Increase of Anti-CMV Tegument Protein IgG Antibodies in Serum.Two-fold and above increases5 Participants
Group S+Number of CMV Seropositive Subjects With Appearance or Increase of Anti-CMV Tegument Protein IgG Antibodies in Serum.Four-fold and above increases2 Participants
Primary

Number of CMV Seropositive Subjects With Appearance or Increase of Anti-CMV Tegument Protein IgG Antibodies in Serum.

This outcome was part of the assessment of occurrence of CMV secondary infections determined in all seropositive subjects. Two-fold and above increases category = subjects that had two-fold and above increases of anti-CMV IgG concentration. Four-fold and above increases = subjects that had four-fold and above increases of anti-CMV IgG concentration. The cut-off of the assay = 1.136 ELISA unit (EU)/mL. A seropositive subject is a subject for whom anti-CMV IgG antibodies were detected in serum sample collected at Month 0. CMV secondary infections are defined as either a viral reactivation or a re-infection with a new strain of CMV.

Time frame: At Month 24

Population: This analysis was performed on CMV seropositive subjects with available results at Month 24 from the According-to-Protocol cohort, which included all subjects who met all inclusion criteria and no exclusion criteria for the study, who did not have any elimination criteria during the study and who complied with the study procedures.

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
Group S+Number of CMV Seropositive Subjects With Appearance or Increase of Anti-CMV Tegument Protein IgG Antibodies in Serum.Two-fold and above increases6 Participants
Group S+Number of CMV Seropositive Subjects With Appearance or Increase of Anti-CMV Tegument Protein IgG Antibodies in Serum.Four-fold and above increases2 Participants
Primary

Number of CMV Seropositive Subjects With Appearance or Increase of Anti-CMV Tegument Protein IgG Antibodies in Serum.

This outcome was part of the assessment of occurrence of CMV secondary infections determined in all seropositive subjects. Two-fold and above increases category = subjects that had two-fold and above increases of anti-CMV IgG concentration. Four-fold and above increases = subjects that had four-fold and above increases of anti-CMV IgG concentration. The cut-off of the assay = 1.136 ELISA unit (EU)/mL. A seropositive subject is a subject for whom anti-CMV IgG antibodies were detected in serum sample collected at Month 0. CMV secondary infections are defined as either a viral reactivation or a re-infection with a new strain of CMV.

Time frame: At Month 28

Population: This analysis was performed on CMV seropositive subjects with available results at Month 28 from the According-to-Protocol cohort, which included all subjects who met all inclusion criteria and no exclusion criteria for the study, who did not have any elimination criteria during the study and who complied with the study procedures.

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
Group S+Number of CMV Seropositive Subjects With Appearance or Increase of Anti-CMV Tegument Protein IgG Antibodies in Serum.Two-fold and above increases5 Participants
Group S+Number of CMV Seropositive Subjects With Appearance or Increase of Anti-CMV Tegument Protein IgG Antibodies in Serum.Four-fold and above increases1 Participants
Primary

Number of CMV Seropositive Subjects With Appearance or Increase of Anti-CMV Tegument Protein IgG Antibodies in Serum.

This outcome was part of the assessment of occurrence of CMV secondary infections determined in all seropositive subjects. Two-fold and above increases category = subjects that had two-fold and above increases of anti-CMV IgG concentration. Four-fold and above increases = subjects that had four-fold and above increases of anti-CMV IgG concentration. The cut-off of the assay = 1.136 ELISA unit (EU)/mL. A seropositive subject is a subject for whom anti-CMV IgG antibodies were detected in serum sample collected at Month 0. CMV secondary infections are defined as either a viral reactivation or a re-infection with a new strain of CMV.

Time frame: At Month 32

Population: This analysis was performed on CMV seropositive subjects with available results at Month 32 from the According-to-Protocol cohort, which included all subjects who met all inclusion criteria and no exclusion criteria for the study, who did not have any elimination criteria during the study and who complied with the study procedures.

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
Group S+Number of CMV Seropositive Subjects With Appearance or Increase of Anti-CMV Tegument Protein IgG Antibodies in Serum.Two-fold and above increases1 Participants
Group S+Number of CMV Seropositive Subjects With Appearance or Increase of Anti-CMV Tegument Protein IgG Antibodies in Serum.Four-fold and above increases1 Participants
Primary

Number of CMV Seropositive Subjects With Appearance or Increase of Anti-CMV Tegument Protein IgG Antibodies in Serum.

This outcome was part of the assessment of occurrence of CMV secondary infections determined in all seropositive subjects. Two-fold and above increases category = subjects that had two-fold and above increases of anti-CMV IgG concentration. Four-fold and above increases = subjects that had four-fold and above increases of anti-CMV IgG concentration. The cut-off of the assay = 1.136 ELISA unit (EU)/mL. A seropositive subject is a subject for whom anti-CMV IgG antibodies were detected in serum sample collected at Month 0. CMV secondary infections are defined as either a viral reactivation or a re-infection with a new strain of CMV.

Time frame: At Month 36

Population: This analysis was performed on CMV seropositive subjects with available results at Month 36 from the According-to-Protocol cohort, which included all subjects who met all inclusion criteria and no exclusion criteria for the study, who did not have any elimination criteria during the study and who complied with the study procedures.

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
Group S+Number of CMV Seropositive Subjects With Appearance or Increase of Anti-CMV Tegument Protein IgG Antibodies in Serum.Two-fold and above increases3 Participants
Group S+Number of CMV Seropositive Subjects With Appearance or Increase of Anti-CMV Tegument Protein IgG Antibodies in Serum.Four-fold and above increases0 Participants
Secondary

Anti-CMV Tegument Protein IgG Antibody Concentration of Seronegative Subjects

This outcome is part of the assessment of occurrence of CMV primary infections determined in all seronegative subjects, on samples collected during the 4-month site visits until study conclusion. A seronegatve subject is a subject for whom anti-CMV IgG antibodies were not detected in serum sample collected at Month 0. CMV primary infection is defined as the first infection with CMV in subjects who were seronegative at enrollment. Antibody concentrations were tabulated as geometric mean concentrations (GMC) and expressed as ELISA units (EU)/mL. The cut-off of the assay = 1.136 EU/mL.

Time frame: From study Month 0 to Month 36

Population: This analysis was performed on the seronegative subjects with available results at Month 0, or on the seronegative subjects with antibody concentration above 1.136 U/mL for the other time points, from the According-to-Protocol cohort, which included all subjects who met all inclusion criteria and no exclusion criteria for the study, who did not have any elimination criteria during the study and who complied with the study procedures.

ArmMeasureGroupValue (GEOMETRIC_MEAN)
Group S+Anti-CMV Tegument Protein IgG Antibody Concentration of Seronegative SubjectsMonth 00.4 EU/mL
Group S+Anti-CMV Tegument Protein IgG Antibody Concentration of Seronegative SubjectsMonth 42.4 EU/mL
Group S+Anti-CMV Tegument Protein IgG Antibody Concentration of Seronegative SubjectsMonth 82.6 EU/mL
Group S+Anti-CMV Tegument Protein IgG Antibody Concentration of Seronegative SubjectsMonth 121.8 EU/mL
Group S+Anti-CMV Tegument Protein IgG Antibody Concentration of Seronegative SubjectsMonth 163.5 EU/mL
Group S+Anti-CMV Tegument Protein IgG Antibody Concentration of Seronegative SubjectsMonth 204.5 EU/mL
Group S+Anti-CMV Tegument Protein IgG Antibody Concentration of Seronegative SubjectsMonth 242.7 EU/mL
Group S+Anti-CMV Tegument Protein IgG Antibody Concentration of Seronegative SubjectsMonth 283.5 EU/mL
Group S+Anti-CMV Tegument Protein IgG Antibody Concentration of Seronegative SubjectsMonth 323.4 EU/mL
Group S+Anti-CMV Tegument Protein IgG Antibody Concentration of Seronegative SubjectsMonth 364.5 EU/mL
Secondary

Number of CMV Seronegative Subjects With Appearance of Anti-CMV Tegument Protein IgG Antibodies in Serum.

This outcome was part of the assessment of occurrence of CMV primary infections determined in all seronegative subjects, on samples collected during the 4-month site visits until study conclusion. A seronegative subject is a subject for whom anti-CMV IgG antibodies were not detected in serum sample collected at Month 0. CMV primary infection is defined as the first infection with CMV in subjects who were seronegative at enrollment.

Time frame: From study Month 0 to Month 36

Population: This analysis was performed on the seronegative subjects with available results at the specified timepoints, from the According-to-Protocol cohort, which included all subjects who met all inclusion criteria and no exclusion criteria for the study, who did not have any elimination criteria during the study and who complied with the study procedures.

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
Group S+Number of CMV Seronegative Subjects With Appearance of Anti-CMV Tegument Protein IgG Antibodies in Serum.Month 00 Participants
Group S+Number of CMV Seronegative Subjects With Appearance of Anti-CMV Tegument Protein IgG Antibodies in Serum.Month 85 Participants
Group S+Number of CMV Seronegative Subjects With Appearance of Anti-CMV Tegument Protein IgG Antibodies in Serum.Month 124 Participants
Group S+Number of CMV Seronegative Subjects With Appearance of Anti-CMV Tegument Protein IgG Antibodies in Serum.Month 166 Participants
Group S+Number of CMV Seronegative Subjects With Appearance of Anti-CMV Tegument Protein IgG Antibodies in Serum.Month 208 Participants
Group S+Number of CMV Seronegative Subjects With Appearance of Anti-CMV Tegument Protein IgG Antibodies in Serum.Month 2412 Participants
Group S+Number of CMV Seronegative Subjects With Appearance of Anti-CMV Tegument Protein IgG Antibodies in Serum.Month 288 Participants
Group S+Number of CMV Seronegative Subjects With Appearance of Anti-CMV Tegument Protein IgG Antibodies in Serum.Month 329 Participants
Group S+Number of CMV Seronegative Subjects With Appearance of Anti-CMV Tegument Protein IgG Antibodies in Serum.Month 3612 Participants
Group S+Number of CMV Seronegative Subjects With Appearance of Anti-CMV Tegument Protein IgG Antibodies in Serum.Month 45 Participants

Source: ClinicalTrials.gov · Data processed: Feb 9, 2026