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Trial · NCT02931539

Efficacy and Safety Study of Maribavir Treatment Compared to Investigator-assigned Treatment in Transplant Recipients With Cytomegalovirus (CMV) Infections That Are Refractory or Resistant to Treatment With Ganciclovir, Valganciclovir, Foscarnet, or Cidofovir

NCT02931539, Phase 3, Completed, Shire; results first posted 2021-09-23

3 sourcestrials-2026-11-12-0.5.0

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ConductScience Library. Efficacy and Safety Study of Maribavir Treatment Compared to Investigator-assigned Treatment in Transplant Recipients With Cytomegalovirus (CMV) Infections That Are Refractory or Resistant to Treatment With Ganciclovir, Valganciclovir, Foscarnet, or Cidofovir. Trials, record NCT02931539. Release trials-2026-11-12-0.5.0, 12 Nov 2026. https://conductscience.org/library/trials/NCT02931539

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Trial

As registered on ClinicalTrials.gov, in the graph's capture of the registry.

Title
Efficacy and Safety Study of Maribavir Treatment Compared to Investigator-assigned Treatment in Transplant Recipients With Cytomegalovirus (CMV) Infections That Are Refractory or Resistant to Treatment With Ganciclovir, Valganciclovir, Foscarnet, or Cidofovir
NCT number
NCT02931539
Status
Completed
Phases
Phase 3
Enrollment
352 participants, actual
Lead sponsor
Shire
Conditions
Cytomegalovirus (CMV)
Interventions
Maribavir, Ganciclovir, Valganciclovir, Foscarnet, Cidofovir
First posted
2016-10-13
Last updated
2021-11-03
Other registries' IDs
eudract:2015-004725-13
Results first posted
2021-09-23

Source ClinicalTrials.gov

Registered outcomes26

Each outcome the trial registered, primary first, in ClinicalTrials.gov's words.

ListOutcomeTime frameDescription
PrimaryPercentage of Participants Who Achieved Confirmed Clearance of Plasma Cytomegalovirus (CMV) Deoxyribonucleic Acid (DNA) (CMV Viremia Clearance) at End of Week 8Week 8
Confirmed CMV viremia clearance was defined as plasma CMV DNA concentration less than (\<) lower limit of quantification (LLOQ) that is, \<137 International Units per milliliter (IU/mL) when assessed by COBAS® AmpliPrep/COBAS® TaqMan® CMV Test in 2 consecutive postbaseline samples, separated by at least 5 days. Percentage of participants with confirmed CMV viremia clearance at end of study Week 8 regardless of whether either study-assigned treatment was discontinued before the end of the stipulated 8 weeks of therapy, and could not have received alternative anti-CMV treatment were reported.
SecondaryPercentage of Participants Who Achieved Confirmed CMV Viremia Clearance and CMV Infection Symptom Control at End of Week 8, Followed by Maintenance of Treatment Effect at Week 16Up to Week 16
Confirmed CMV viremia clearance was defined as plasma CMV DNA concentration \<LLOQ that is, \<137 IU/mL when assessed by COBAS® AmpliPrep/COBAS® TaqMan® CMV test in 2 consecutive postbaseline samples, separated by at least 5 days. CMV infection symptom control was defined as resolution or improvement of tissue invasive CMV disease or CMV syndrome for participants symptomatic at baseline, or maintaining no symptoms of tissue invasive CMV disease or CMV syndrome for participants asymptomatic at baseline. Percentage of participants who achieved CMV viremia clearance and CMV infection symptom control at end of Week 8 through Week 16 were reported.
SecondaryPercentage of Participants Who Achieved Confirmed CMV Viremia Clearance After Receiving 8 Weeks of Study-assigned TreatmentAt Week 8 through Weeks 12, 16 and 20
Confirmed CMV viremia clearance was defined as plasma CMV DNA concentration \<LLOQ that is, \<137IU/mL when assessed by COBAS® AmpliPrep/COBAS® TaqMan® CMV test in 2 consecutive postbaseline samples, separated by at least 5 days. Percentage of participants who achieved confirmed CMV viremia clearance after receiving 8 weeks study-assigned treatment at end of Week 8, and maintained this effect through 12, 16 and 20 were reported.
SecondaryPercentage of Participants Who Achieved Confirmed CMV Viremia Clearance and CMV Infection Symptom Control After Receiving 8 Weeks of Study-assigned Treatment Through Weeks 12, 16 and 20At Week 8 through Weeks 12, 16 and 20
Confirmed CMV viremia clearance was defined as plasma CMV DNA concentration \<LLOQ that is, \<137IU/mL when assessed by COBAS® AmpliPrep/COBAS® TaqMan® CMV test in 2 consecutive postbaseline samples, separated by at least 5 days. CMV infection symptom control was defined as resolution or improvement of tissue invasive CMV disease or CMV syndrome for participants symptomatic at baseline, or maintaining no symptoms of tissue invasive CMV disease or CMV syndrome for participants asymptomatic at baseline. Percentage of participants who achieved confirmed CMV viremia clearance and CMV infection control after receiving 8 weeks study-assigned treatment at end of Week 8, and maintained this effect through 12, 16 and 20 were reported.
Secondary
Percentage of Participants Who Maintained CMV Viremia Clearance and CMV Infection Symptom Control at the End of Study Week 8 Through Weeks 12 and 20 Regardless of Whether Either Study-assigned Treatment Was Discontinued Before 8 Weeks of Therapy
At Week 8 through Weeks 12 and 20
Confirmed CMV viremia clearance was defined as plasma CMV DNA concentration \<LLOQ that is, \<137IU/mL when assessed by COBAS® AmpliPrep/COBAS® TaqMan® CMV test in 2 consecutive postbaseline samples, separated by at least 5 days. CMV infection symptom control was defined as resolution or improvement of tissue invasive CMV disease or CMV syndrome for participants symptomatic at baseline or maintaining no symptoms of tissue invasive CMV disease or CMV syndrome for participants asymptomatic at baseline. Percentage of participants who maintained CMV viremia clearance and CMV infection symptom control at the end of study Week 8 through Weeks 12 and 20 regardless of whether either study-assigned treatment was discontinued before 8 weeks of therapy were reported.
SecondaryPercentage of Participants With Recurrence of CMV Viremia During the First 8 Weeks of Study Regardless of Whether Study-assigned Treatment Was Discontinued Before 8 Weeks of TherapyAt Week 8
Recurrence of CMV viremia was defined as plasma CMV DNA concentration greater than or equal to (\>=) LLOQ when assessed by COBAS® AmpliPrep/COBAS® TaqMan® CMV test in 2 consecutive plasma samples at least 5 days apart, after achieving confirmed viremia clearance, regardless of whether either study-assigned treatment was discontinued before the end of the stipulated 8 weeks of therapy. Percentage of participants with recurrence of CMV viremia during the first 8 weeks of study regardless of whether study-assigned treatment was discontinued before 8 weeks of therapy were reported.
SecondaryPercentage of Participants With Recurrence of CMV Viremia During the 12 Weeks Follow-up Period Regardless of Whether Study-assigned Treatment Was Discontinued Before 8 Weeks of TherapyEnd of Week 8 up to Week 20 (12 weeks follow-up period)
Recurrence of CMV viremia was defined as plasma CMV DNA concentration \>=LLOQ when assessed by COBAS® AmpliPrep/COBAS® TaqMan® CMV test in 2 consecutive plasma samples at least 5 days apart, after achieving confirmed viremia clearance, regardless of whether either study-assigned treatment was discontinued before the end of the stipulated 8 weeks of therapy. Percentage of participants with recurrence of CMV viremia during the 12 weeks follow-up period regardless of whether study-assigned treatment was discontinued before 8 weeks of therapy were reported.
SecondaryPercentage of Participants With Recurrence of CMV Viremia at Any Time on Study Regardless of Whether Study-assigned Treatment Was Discontinued Before 8 Weeks of TherapyBaseline up to Week 20
Recurrence of CMV viremia was defined as plasma CMV DNA concentration \>=LLOQ when assessed by COBAS® AmpliPrep/COBAS® TaqMan® CMV test in 2 consecutive plasma samples at least 5 days apart, after achieving confirmed viremia clearance, regardless of whether either study-assigned treatment was discontinued before the end of the stipulated 8 weeks of therapy. Percentage of participants with recurrence of CMV viremia during at any time on study regardless of whether study-assigned treatment was discontinued before 8 weeks of therapy were reported.
SecondaryPercentage of Participants Who Completed 8 Weeks of Study-assigned Treatment With Recurrence of CMV Viremia During the First 8 Weeks of the TreatmentBaseline up to Week 8
Recurrence of CMV viremia was defined as plasma CMV DNA concentration \>=LLOQ when assessed by COBAS® AmpliPrep/COBAS® TaqMan® CMV test in 2 consecutive plasma samples at least 5 days apart, after achieving confirmed viremia clearance. Percentage of participants with recurrence of CMV viremia during the first 8 Weeks of the treatment who completed 8 weeks of study-assigned treatment were reported.
SecondaryPercentage of Participants Who Completed 8 Weeks of Study-assigned Treatment With Recurrence of CMV Viremia During the 12 Weeks of Follow-up PeriodEnd of Week 8 up to Week 20 (12 weeks follow-up period)
Recurrence of CMV viremia was defined as plasma CMV DNA concentration \>=LLOQ when assessed by COBAS® AmpliPrep/COBAS® TaqMan® CMV test in 2 consecutive plasma samples at least 5 days apart, after achieving confirmed viremia clearance. Percentage of participants who completed 8 weeks of study-assigned treatment with recurrence of CMV viremia during the 12 weeks of follow-up period were reported.

Outcomes26

Each outcome the trial posted results for, in ClinicalTrials.gov's words.

TypeOutcomeTime framePopulationUnitsMeasured as
PRIMARYPercentage of Participants Who Achieved Confirmed Clearance of Plasma Cytomegalovirus (CMV) Deoxyribonucleic Acid (DNA) (CMV Viremia Clearance) at End of Week 8Week 8The randomized set consisted of all participants who had signed informed consent and had begun some study procedures and were randomized to the study.percentage of participantsNUMBER
SECONDARYPercentage of Participants Who Achieved Confirmed CMV Viremia Clearance and CMV Infection Symptom Control at End of Week 8, Followed by Maintenance of Treatment Effect at Week 16Up to Week 16The randomized set consisted of all participants who had signed informed consent and had begun some study procedures and were randomized to the study.percentage of participantsNUMBER
SECONDARYPercentage of Participants Who Achieved Confirmed CMV Viremia Clearance After Receiving 8 Weeks of Study-assigned TreatmentAt Week 8 through Weeks 12, 16 and 20The randomized set consisted of all participants who had signed informed consent and had begun some study procedures and were randomized to the study.percentage of participantsNUMBER
SECONDARYPercentage of Participants Who Achieved Confirmed CMV Viremia Clearance and CMV Infection Symptom Control After Receiving 8 Weeks of Study-assigned Treatment Through Weeks 12, 16 and 20At Week 8 through Weeks 12, 16 and 20The randomized set consisted of all participants who had signed informed consent and had begun some study procedures and were randomized to the study.percentage of participantsNUMBER
SECONDARY
Percentage of Participants Who Maintained CMV Viremia Clearance and CMV Infection Symptom Control at the End of Study Week 8 Through Weeks 12 and 20 Regardless of Whether Either Study-assigned Treatment Was Discontinued Before 8 Weeks of Therapy
At Week 8 through Weeks 12 and 20The randomized set consisted of all participants who had signed informed consent and had begun some study procedures and were randomized to the study.percentage of participantsNUMBER
SECONDARYPercentage of Participants With Recurrence of CMV Viremia During the First 8 Weeks of Study Regardless of Whether Study-assigned Treatment Was Discontinued Before 8 Weeks of TherapyAt Week 8The randomized set consisted of all participants who had signed informed consent and had begun some study procedures and were randomized to the study.percentage of participantsNUMBER
SECONDARYPercentage of Participants With Recurrence of CMV Viremia During the 12 Weeks Follow-up Period Regardless of Whether Study-assigned Treatment Was Discontinued Before 8 Weeks of TherapyEnd of Week 8 up to Week 20 (12 weeks follow-up period)The randomized set consisted of all participants who had signed informed consent and had begun some study procedures and were randomized to the study.percentage of participantsNUMBER
SECONDARYPercentage of Participants With Recurrence of CMV Viremia at Any Time on Study Regardless of Whether Study-assigned Treatment Was Discontinued Before 8 Weeks of TherapyBaseline up to Week 20The randomized set consisted of all participants who had signed informed consent and had begun some study procedures and were randomized to the study.percentage of participantsNUMBER
SECONDARYPercentage of Participants Who Completed 8 Weeks of Study-assigned Treatment With Recurrence of CMV Viremia During the First 8 Weeks of the TreatmentBaseline up to Week 8
The randomized set consisted of all participants who had signed informed consent and had begun some study procedures and were randomized to the study. Here overall number of participants analyzed were participants who were evaluable for this outcome measure.
percentage of participantsNUMBER
SECONDARYPercentage of Participants Who Completed 8 Weeks of Study-assigned Treatment With Recurrence of CMV Viremia During the 12 Weeks of Follow-up PeriodEnd of Week 8 up to Week 20 (12 weeks follow-up period)
The randomized set consisted of all participants who had signed informed consent and had begun some study procedures and were randomized to the study. Here overall number of participants analyzed were participants who were evaluable for this outcome measure.
percentage of participantsNUMBER

Results by group78

Each measurement the trial posted, group by group, in the words and numbers it posted.

OutcomeGroupCategoryValueSpreadUnits
Percentage of Participants Who Achieved Confirmed Clearance of Plasma Cytomegalovirus (CMV) Deoxyribonucleic Acid (DNA) (CMV Viremia Clearance) at End of Week 8Investigator-assigned Anti-CMV Treatment (IAT)23.9percentage of participants
Percentage of Participants Who Achieved Confirmed Clearance of Plasma Cytomegalovirus (CMV) Deoxyribonucleic Acid (DNA) (CMV Viremia Clearance) at End of Week 8Maribavir 400 mg55.7percentage of participants
Percentage of Participants Who Achieved Confirmed CMV Viremia Clearance and CMV Infection Symptom Control at End of Week 8, Followed by Maintenance of Treatment Effect at Week 16Investigator-assigned Anti-CMV Treatment (IAT)10.3percentage of participants
Percentage of Participants Who Achieved Confirmed CMV Viremia Clearance and CMV Infection Symptom Control at End of Week 8, Followed by Maintenance of Treatment Effect at Week 16Maribavir 400 mg18.7percentage of participants
Percentage of Participants Who Achieved Confirmed CMV Viremia Clearance After Receiving 8 Weeks of Study-assigned TreatmentInvestigator-assigned Anti-CMV Treatment (IAT)At Week 818.8percentage of participants
Percentage of Participants Who Achieved Confirmed CMV Viremia Clearance After Receiving 8 Weeks of Study-assigned TreatmentMaribavir 400 mgAt Week 854.9percentage of participants
Percentage of Participants Who Achieved Confirmed CMV Viremia Clearance After Receiving 8 Weeks of Study-assigned TreatmentInvestigator-assigned Anti-CMV Treatment (IAT)At Week 125.1percentage of participants
Percentage of Participants Who Achieved Confirmed CMV Viremia Clearance After Receiving 8 Weeks of Study-assigned TreatmentMaribavir 400 mgAt Week 1222.6percentage of participants
Percentage of Participants Who Achieved Confirmed CMV Viremia Clearance After Receiving 8 Weeks of Study-assigned TreatmentInvestigator-assigned Anti-CMV Treatment (IAT)At Week 165.1percentage of participants
Percentage of Participants Who Achieved Confirmed CMV Viremia Clearance After Receiving 8 Weeks of Study-assigned TreatmentMaribavir 400 mgAt Week 1618.7percentage of participants

Participant flow33

How many started, completed or left each group, period by period.

PeriodMilestoneGroupParticipantsUnits counted
Period 1: Treatment PhaseSTARTEDInvestigator-assigned Anti-CMV Treatment (IAT)117
Period 1: Treatment PhaseSTARTEDMaribavir 400 mg235
Period 1: Treatment PhaseSTARTEDMaribavir Rescue Arm0
Period 1: Treatment PhaseTreated ParticipantsInvestigator-assigned Anti-CMV Treatment (IAT)116
Period 1: Treatment PhaseTreated ParticipantsMaribavir 400 mg234
Period 1: Treatment PhaseTreated ParticipantsMaribavir Rescue Arm0
Period 1: Treatment PhaseIAT (Ganciclovir/ Valganciclovir)Investigator-assigned Anti-CMV Treatment (IAT)56
Period 1: Treatment PhaseIAT (Ganciclovir/ Valganciclovir)Maribavir 400 mg0
Period 1: Treatment PhaseIAT (Ganciclovir/ Valganciclovir)Maribavir Rescue Arm0
Period 1: Treatment PhaseIAT (Foscarnet)Investigator-assigned Anti-CMV Treatment (IAT)47

Adverse events1,848

Each adverse event the trial posted, group by group: the participants affected out of those at risk.

TypeEventOrgan systemGroupAffectedAt riskEvents
otherAnaemiaBlood and lymphatic system disordersIAT: Ganciclovir/ Valganciclovir7568
otherAnaemiaBlood and lymphatic system disordersIAT: Foscarnet104712
otherAnaemiaBlood and lymphatic system disordersIAT: Cidofovir162
otherAnaemiaBlood and lymphatic system disordersIAT: Foscarnet + Ganciclovir/ Valganciclovir171
otherAnaemiaBlood and lymphatic system disordersMaribavir 400 mg3123436
otherAnaemiaBlood and lymphatic system disordersMaribavir Rescue Arm3223
otherLeukopeniaBlood and lymphatic system disordersIAT: Ganciclovir/ Valganciclovir7568
otherLeukopeniaBlood and lymphatic system disordersIAT: Foscarnet2472
otherLeukopeniaBlood and lymphatic system disordersIAT: Cidofovir060
otherLeukopeniaBlood and lymphatic system disordersIAT: Foscarnet + Ganciclovir/ Valganciclovir171

Adverse event totals18

The totals the trial posted for each group.

TotalGroupAffectedAt risk
Total, all-cause mortalityIAT: Ganciclovir/ Valganciclovir656
Total, all-cause mortalityIAT: Foscarnet747
Total, all-cause mortalityIAT: Cidofovir06
Total, all-cause mortalityIAT: Foscarnet + Ganciclovir/ Valganciclovir07
Total, all-cause mortalityMaribavir 400 mg27234
Total, all-cause mortalityMaribavir Rescue Arm022
Total, other adverse eventsIAT: Ganciclovir/ Valganciclovir5456
Total, other adverse eventsIAT: Foscarnet4347
Total, other adverse eventsIAT: Cidofovir56
Total, other adverse eventsIAT: Foscarnet + Ganciclovir/ Valganciclovir77

Papers7

The papers the trial lists on ClinicalTrials.gov.

PMIDListed asSource
33811823DERIVEDPubMed
34864943DERIVEDPubMed
37506264DERIVEDPubMed
38071422DERIVEDPubMed
39613120DERIVEDPubMed
40478680DERIVEDPubMed
41384277DERIVEDPubMed

Grants0

The grants NIH RePORTER links to the trial, newest funded first: NIH's, and some of AHRQ's, CDC's, FDA's and VA's. Each shows its title, principal investigators, organization and funder in its newest year.

None in this release.

Trial comparisons1

Comparisons of the trial's two groups, calculated by ConductScience from the counts it posted.

Comparison
Investigator-assigned Anti-CMV Treatment (IAT) vs Maribavir 400 mg: Number of Participants With All-cause Mortality by the End of the Study

Tests0

The ConductCognition tests this trial's registered outcomes name, as ScienceGraph matched them in trial-tests-2026-11-12-0.2.1.

None in this release.

Data dates

The day each source was copied for this release.

ClinicalTrials.gov
2026-11-12
ClinicalTrials.gov
Results, from AACT
2026-03-23
AACT
NIH grant links
2026-11-13
NIH RePORTER

Sources 3

  • ClinicalTrials.gov's posted results, through CTTI's AACTFreely available. Acknowledgement requested
  • ClinicalTrials.govNo license stated
  • NIH RePORTER's clinical studies and project filesPublic domain
Each source's terms
  • ClinicalTrials.gov's posted results, through CTTI's AACTClinicalTrials.gov data via Aggregate Analysis of ClinicalTrials.gov (AACT), CTTI. CTTI makes its materials freely available and requests acknowledgement. https://aact.ctti-clinicaltrials.org/documentation/299
  • ClinicalTrials.govnone stated
  • NIH RePORTER's clinical studies and project filesPublic domain (NIH RePORTER)

ClinicalTrials.gov's data carry an international copyright outside the United States: https://clinicaltrials.gov/about-site/terms-conditions.

For software

Read this trial from software.

The record and each of its lists are JSON, twenty rows a page. No key.

GET https://conductscience.org/api/trials/v1/NCT02931539

GET https://conductscience.org/api/trials/v1/NCT02931539/registered?page=2