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Completed

NCT Number: NCT01509404

Cytogam Administration in Abdominal Organ Transplant Recipients at High Risk for Cytomegalovirus Infection

The purpose of the study is to assess the incidence and severity of late Cytomegalovirus (CMV) disease, defined as CMV syndrome or tissue invasive disease occurring between 100 and 200 days and after 200 days post-transplant in patients treated with valganciclovir per package insert guidelines for prophylaxis against CMV infection for 200 days post-transplant versus valganciclovir per package insert guidelines for 100 days post-transplant with Cytogam 100 mg/kg administered at 90 days, 120 days, and 180 days post-transplant.

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Key information

Age range

18 year and older

Sex eligibility

All sexes

Study type

Interventional

Phase

Phase 4

Primary location

Medical University of South Carolina

Charleston, South Carolina, 29425, United States

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Male and female patients ≥ 18 years of age.
  • Male or female patients who CMV seronegative receiving a kidney, pancreas or liver from a seropositive donor.
  • Female patients of child bearing potential must have a negative urine or serum pregnancy test within the past 48 hours prior to receiving transplant or study inclusion.
  • The patient has given written informed consent to participate in the study.

Exclusion criteria

  • Solid organ transplant recipient is CMV seropositive at the time of transplant.
  • Recipient or donor is known to be seropositive for human immunodeficiency virus (HIV).
  • Patient has uncontrolled concomitant infection or any other unstable medical condition that could interfere with the study objectives.
  • Patients with thrombocytopenia (<25,000/mm3 ), with an absolute neutrophil count of < 1,000/mm3); and/or leucopoenia (< 2,000/mm3), or anemia (hemoglobin < 6 g/dL) prior to study inclusion.
  • Patient is taking or has been taking an investigational drug in the 30 days prior to transplant.
  • Patient has a known hypersensitivity to valganciclovir, tacrolimus, mycophenolate mofetil, rabbit anti-thymocyte globulin, CMV hyperimmune globulin, basiliximab or corticosteroids.
  • Patients with severe diarrhea or other gastrointestinal disorders that might interfere with their ability to absorb oral medication.
  • Patient is pregnant or lactating, where pregnancy is defined as the state of a female after conception and until the termination of gestation, confirmed by positive human Chorionic Gonadotropin (hCG) laboratory test.
  • Patient has any form of substance abuse, psychiatric disorder or a condition that, in the opinion of the investigator, may invalidate communication with the investigator.
  • Inability to cooperate or communicate with the investigator.

Treatment and study plan

Valganciclovir

Drug

Valcyte per package insert guidelines for 200 days post transplant

Other names: Valcyte

CMV hyperimmune globulin

Biological

100 mg/kg administered at 90 days, 120 days, and 180 days post-transplant

Other names: Cytogam

Primary outcomes

  1. Number of Patients With Late CMV Disease

    Time frame: after 200 days post-transplant until 2 years post-transplant

    Number of any clinically significant late CMV disease, defined as CMV syndrome or tissue-invasive disease occurring after the first 200 days post transplant

Secondary outcomes

  1. Number of Patients With Early CMV Infection

    Time frame: 100 days

  2. Number of Patients With Cell Mediated Immunity

    Time frame: 2 years

    Positive CMV quantiferon at last follow-up

  3. Renal Function

    Time frame: 6, 12, and 24 months after transplant

    Renal function will be assessed by an estimated creatinine clearance utilizing the abbreviated Modification of Diet in Renal Disease (MDRD) equation at 6, 12, and 24 months after transplant

  4. Number of Participants With Acute Cellular and/or Antibody Mediated Rejection

    Time frame: 2 years

  5. Number of Participants With Opportunistic Infections

    Time frame: 2 years

  6. Number of Participants With Asymptomatic CMV Viremia

    Time frame: 2 years

  7. Number of Participants With CMV Seroconversions

    Time frame: 2 years

Sponsors and collaborators

Lead sponsor

Medical University of South Carolina

Other

Collaborators

  • CSL Behring

Registry information

Official study title

Cytogam Administration in Abdominal Organ Transplant Recipients at High Risk for CMV Infection

Important dates

Study start
2011
Primary completion
2014
Study completion
2015
First posted
Jan 13, 2012
Registry last updated
Oct 4, 2018

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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