Status:

TERMINATED

Asymptomatic Congenital CMV Treatment

Lead Sponsor:

National Institute of Allergy and Infectious Diseases (NIAID)

Conditions:

Congenital Cytomegalovirus Infection

Eligibility:

All Genders

1-30 years

Phase:

PHASE2

Brief Summary

This is a phase II, open-label trial to evaluate valganciclovir as a treatment to prevent development of sensorineural hearing loss (SNHL) in infants with asymptomatic congenital cytomegalovirus (CMV)...

Detailed Description

This is a phase II, open-label trial to evaluate valganciclovir as a treatment to prevent development of sensorineural hearing loss (SNHL) in infants with asymptomatic congenital cytomegalovirus (CMV)...

Eligibility Criteria

Inclusion

  • Parent(s)/legal guardian(s) have signed informed consent documents\*
  • Confirmation of cytomegalovirus (CMV) by urine polymerase chain reaction (PCR) testing
  • Infant \</= 30 days of age at initiation of study drug
  • Weight at study enrollment \>/= 1775 grams
  • Gestational age \>/= 32 weeks at birth
  • There is a screening informed consent for screening phase of study participation, and a treatment informed consent for treatment phase of study participation.

Exclusion

  • Symptomatic congenital cytomegalovirus (CMV) disease\*
  • Sensorineural hearing deficits as detected by formal brainstem evoked response (not a screening auditory brainstem response (abr)) of known etiology other than CMV
  • Prior or current receipt of ganciclovir, valganciclovir, foscarnet, cidofovir, brincidofovir, maribavir, or letermovir
  • Maternal receipt of CMV hyperimmune globulin during pregnancy
  • Breastfeeding from mother who is receiving ganciclovir, valganciclovir, foscarnet, cidofovir, brincidofovir, maribavir, or letermovir
  • Gastrointestinal abnormality which might preclude absorption of an oral medication (e.g., a history of necrotizing enterocolitis)
  • Infants known to be born to women who are HIV positive (HIV testing is not required for study entry)
  • Current receipt of other investigational drugs
  • Symptomatic disease is defined as one or more of the following: 1) thrombocytopenia, if known; 2) petechiae; 3) hepatomegaly; 4) splenomegaly; 5) intrauterine growth restriction; 6) hepatitis (elevated transaminases and/or direct bilirubin), if known; 7) central nervous system involvement of the CMV disease (such as microcephaly; radiographic abnormalities indicative of CMV CNS disease, if known; abnormal CSF indices for age, if known; chorioretinitis, if known; and/or positive CMV PCR from CSF, if known).

Key Trial Info

Start Date :

August 21 2019

Trial Type :

INTERVENTIONAL

Allocation :

ACTUAL

End Date :

November 5 2020

Estimated Enrollment :

7 Patients enrolled

Trial Details

Trial ID

NCT03301415

Start Date

August 21 2019

End Date

November 5 2020

Last Update

January 26 2023

Active Locations (9)

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Page 1 of 3 (9 locations)

1

University of Alabama - Children's of Alabama - Clinical Virology

Birmingham, Alabama, United States, 35233-1711

2

Arkansas Children's Hospital - Infectious Diseases

Little Rock, Arkansas, United States, 72202

3

University of Louisville School of Medicine - Norton Children's Hospital - Infectious Diseases

Louisville, Kentucky, United States, 40202

4

University of Mississippi - Children's Infectious Diseases

Jackson, Mississippi, United States, 39216-4505