Actively Recruiting

Phase 4
Age: 18Years +
All Genders
NCT07235683

Combination Letermovir and Standard of Care Antiviral for Enhanced Antiviral Response in Cytomegalovirus Infection in Lung Transplant Recipients

Led by University Health Network, Toronto · Updated on 2026-02-17

40

Participants Needed

1

Research Sites

83 weeks

Total Duration

On this page

AI-Summary

What this Trial Is About

The primary objective of the CLEAR-CMV trial is to evaluate the efficacy of letermovir therapy plus standard of care (SOC) antiviral compared to SOC plus placebo in achieving clearance of CMV viremia by week 3 in lung transplant recipients with active CMV infection.

CONDITIONS

Official Title

Combination Letermovir and Standard of Care Antiviral for Enhanced Antiviral Response in Cytomegalovirus Infection in Lung Transplant Recipients

Who Can Participate

Age: 18Years +
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • Recipient of a lung transplant.
  • Confirmed CMV viremia with a viral load of 1000 IU/mL or higher.
  • Receiving or have started standard antiviral treatment within the past 72 hours as decided by the treating physician.
Not Eligible

You will not qualify if you...

  • Renal failure with creatinine clearance less than 15 mL/min or requiring dialysis.
  • Severe liver impairment (Child-Pugh Class C).
  • Currently participating in another interventional clinical trial.
  • Receiving a combined transplant such as heart-lung or lung-liver.
  • Known allergy or contraindication to antiviral medications used in the study.
  • Known resistance to antiviral drugs.
  • Taking cyclosporin, pimozide, or ergot alkaloids due to interactions with letermovir.
  • Receiving or expected to receive CMV immunoglobulin or IVIG during the initial 3-week treatment period.

AI-Screening

AI-Powered Screening

Complete this quick 3-step screening to check your eligibility

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Trial Site Locations

Total: 1 location

1

University Health Network, Toronto General Hospital

Toronto, Ontario, Canada, M5G 2C4

Actively Recruiting

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Research Team

A

Atul Humar, MD, FRCPC

CONTACT

How is the study designed?

Study Type

INTERVENTIONAL

Masking

QUADRUPLE

Allocation

RANDOMIZED

Model

PARALLEL

Primary Purpose

TREATMENT

Number of Arms

2

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