dichlororibofuranosylbenzimidazole has been researched along with Cytomegalovirus Infections in 3 studies
Dichlororibofuranosylbenzimidazole: An RNA polymerase II transcriptional inhibitor. This compound terminates transcription prematurely by selective inhibition of RNA synthesis. It is used in research to study underlying mechanisms of cellular regulation.
Cytomegalovirus Infections: Infection with CYTOMEGALOVIRUS, characterized by enlarged cells bearing intranuclear inclusions. Infection may be in almost any organ, but the salivary glands are the most common site in children, as are the lungs in adults.
Excerpt | Relevance | Reference |
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"In this phase 3, open-label study, hematopoietic-cell and solid-organ transplant recipients with R/R cytomegalovirus were randomized 2:1 to maribavir 400 mg twice daily or investigator-assigned therapy (IAT; valganciclovir/ganciclovir, foscarnet, or cidofovir) for 8 weeks, with 12 weeks of follow-up." | 5.51 | Maribavir for Refractory Cytomegalovirus Infections With or Without Resistance Post-Transplant: Results From a Phase 3 Randomized Clinical Trial. ( Alain, S; Alexander, BD; Avery, RK; Blumberg, EA; Chemaly, RF; Cordonnier, C; Duarte, RF; Florescu, DF; Fournier, M; Kamar, N; Kumar, D; Maertens, J; Marty, FM; Papanicolaou, GA; Silveira, FP; Sundberg, AK; Witzke, O; Wu, J, 2022) |
Timeframe | Studies, this research(%) | All Research% |
---|---|---|
pre-1990 | 0 (0.00) | 18.7374 |
1990's | 0 (0.00) | 18.2507 |
2000's | 0 (0.00) | 29.6817 |
2010's | 0 (0.00) | 24.3611 |
2020's | 3 (100.00) | 2.80 |
Authors | Studies |
---|---|
Avery, RK | 1 |
Alain, S | 1 |
Alexander, BD | 1 |
Blumberg, EA | 2 |
Chemaly, RF | 1 |
Cordonnier, C | 1 |
Duarte, RF | 1 |
Florescu, DF | 1 |
Kamar, N | 1 |
Kumar, D | 1 |
Maertens, J | 1 |
Marty, FM | 1 |
Papanicolaou, GA | 1 |
Silveira, FP | 1 |
Witzke, O | 1 |
Wu, J | 1 |
Sundberg, AK | 1 |
Fournier, M | 1 |
Halpern-Cohen, V | 1 |
Trial | Phase | Enrollment | Study Type | Start Date | Status | ||
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A Phase 3, Multicenter, Randomized, Open-label, Active-controlled Study to Assess the Efficacy and Safety of Maribavir Treatment Compared to Investigator-assigned Treatment in Transplant Recipients With Cytomegalovirus (CMV) Infections That Are Refractory[NCT02931539] | Phase 3 | 352 participants (Actual) | Interventional | 2016-12-22 | Completed | ||
[information is prepared from clinicaltrials.gov, extracted Sep-2024] |
All-cause mortality was analyzed by the end of study regardless of the use of rescue treatment or alternative anti-CMV treatment. Number of participants who died during the entire study period were reported. (NCT02931539)
Timeframe: From enrollment up to end of study (approximately 44 months)
Intervention | Participants (Count of Participants) |
---|---|
Investigator-assigned Anti-CMV Treatment (IAT) | 13 |
Maribavir 400 mg | 27 |
Confirmed CMV viremia clearance was defined as plasma CMV DNA concentration
Timeframe: Up to Week 16
Intervention | percentage of participants (Number) |
---|---|
Maribavir Rescue Arm | 27.3 |
Confirmed CMV viremia clearance was defined as plasma CMV DNA concentration
Timeframe: From start of maribavir rescue treatment through 8 weeks
Intervention | percentage of participants (Number) |
---|---|
Maribavir Rescue Arm | 50.0 |
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. (NCT02931539)
Timeframe: Week 8
Intervention | percentage of participants (Number) |
---|---|
Investigator-assigned Anti-CMV Treatment (IAT) | 23.9 |
Maribavir 400 mg | 55.7 |
Confirmed CMV viremia clearance was defined as plasma CMV DNA concentration
Timeframe: Up to Week 16
Intervention | percentage of participants (Number) |
---|---|
Investigator-assigned Anti-CMV Treatment (IAT) | 10.3 |
Maribavir 400 mg | 18.7 |
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. (NCT02931539)
Timeframe: End of Week 8 up to Week 20 (12 weeks follow-up period)
Intervention | percentage of participants (Number) |
---|---|
Investigator-assigned Anti-CMV Treatment (IAT) | 35.5 |
Maribavir 400 mg | 40.9 |
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 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 20 weeks of study were reported. (NCT02931539)
Timeframe: Baseline up to Week 20
Intervention | percentage of participants (Number) |
---|---|
Investigator-assigned Anti-CMV Treatment (IAT) | 45.2 |
Maribavir 400 mg | 56.1 |
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. (NCT02931539)
Timeframe: Baseline up to Week 8
Intervention | percentage of participants (Number) |
---|---|
Investigator-assigned Anti-CMV Treatment (IAT) | 9.7 |
Maribavir 400 mg | 15.2 |
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. (NCT02931539)
Timeframe: Baseline up to Week 20
Intervention | percentage of participants (Number) |
---|---|
Investigator-assigned Anti-CMV Treatment (IAT) | 33.8 |
Maribavir 400 mg | 56.5 |
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. (NCT02931539)
Timeframe: End of Week 8 up to Week 20 (12 weeks follow-up period)
Intervention | percentage of participants (Number) |
---|---|
Investigator-assigned Anti-CMV Treatment (IAT) | 21.5 |
Maribavir 400 mg | 38.6 |
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. (NCT02931539)
Timeframe: At Week 8
Intervention | percentage of participants (Number) |
---|---|
Investigator-assigned Anti-CMV Treatment (IAT) | 12.3 |
Maribavir 400 mg | 17.9 |
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 while off study-assigned treatment during follow-up period were reported. (NCT02931539)
Timeframe: Termination of study treatment (Week 8) up to the End of the Study (Week 20)
Intervention | percentage of participants (Number) |
---|---|
Investigator-assigned Anti-CMV Treatment (IAT) | 29.2 |
Maribavir 400 mg | 40.8 |
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 while on study-assigned treatment period were reported. (NCT02931539)
Timeframe: Baseline up to termination of study treatment (up to Week 8)
Intervention | percentage of participants (Number) |
---|---|
Investigator-assigned Anti-CMV Treatment (IAT) | 4.6 |
Maribavir 400 mg | 15.8 |
The time to all-cause mortality by the end of the study participation in days was calculated. Participants who were alive at the last study follow-up (regardless of use of rescue or alternative anti-CMV treatment), withdrew from study or were lost to follow-up were censored at the date of last contact. (NCT02931539)
Timeframe: From enrollment to last serious adverse event (SAE) follow-up (approximately Week 28)
Intervention | days (Median) |
---|---|
Investigator-assigned Anti-CMV Treatment (IAT) | 73.0 |
Maribavir 400 mg | 55.0 |
Resistance-associated amino acid substitutions (RASs) to maribavir are known to generally map to the pUL97 and pUL27 genes. Genotyping was performed to identify RASs mapping to the pUL97 and pUL27 genes. Number of participants who had maribavir CMV resistance at baseline were reported. (NCT02931539)
Timeframe: At Baseline
Intervention | Participants (Count of Participants) | ||
---|---|---|---|
RASs associated with pUL97 only | RASs associated with pUL27 only | RASs associated with pUL97 and pUL27 | |
Investigator-assigned Anti-CMV Treatment (IAT) | 3 | 0 | 0 |
Maribavir 400 mg | 0 | 1 | 0 |
Maribavir Rescue Arm | 1 | 0 | 0 |
Resistance-associated amino acid substitutions (RASs) to maribavir are known to generally map to the pUL97 and pUL27 genes. Genotyping was performed to identify RASs mapping to the pUL97 and pUL27 genes. Number of participants who had post-baseline resistance to maribavir were reported. (NCT02931539)
Timeframe: After first dose of study drug up to Week 20
Intervention | Participants (Count of Participants) | ||
---|---|---|---|
RASs associated with pUL97 only | RASs associated with pUL27 only | RASs associated with pUL97 and pUL27 | |
Investigator-assigned Anti-CMV Treatment (IAT) | 0 | 0 | 0 |
Maribavir 400 mg | 45 | 0 | 0 |
Maribavir Rescue Arm | 4 | 0 | 0 |
An adverse event (AE) is any untoward medical occurrence in a clinical investigation participant administered a pharmaceutical product and that does not necessarily have a causal relationship with this treatment. Serious AE was any untoward medical occurrence (whether considered to be related to study-assigned treatment or not) that at any dose resulted in death, was life-threatening, required inpatient hospitalization or prolongation of existing hospitalization, resulted in persistent or significant disability/incapacity, resulted in a congenital abnormality/birth defect, or was an important medical event. TEAEs was defined as any adverse events (classified by preferred term) that had a start date on or after the first dose of study treatment or that had a start date before the date of first dose of study treatment, but increased in severity after the first dose of study treatment. (NCT02931539)
Timeframe: Baseline up to 7 days or 21 days (if cidofovir used) after the last dose of study treatment (up to Week 8)
Intervention | Participants (Count of Participants) | |
---|---|---|
TEAEs | Serious TEAEs | |
Investigator-assigned Anti-CMV Treatment (IAT) | 106 | 43 |
Maribavir 400 mg | 228 | 90 |
Maribavir Rescue Arm | 22 | 11 |
Confirmed CMV viremia clearance was defined as plasma CMV DNA concentration
Timeframe: At Week 8 through Weeks 12, 16 and 20
Intervention | percentage of participants (Number) | |||
---|---|---|---|---|
At Week 8 | At Week 12 | At Week 16 | At Week 20 | |
Investigator-assigned Anti-CMV Treatment (IAT) | 18.8 | 5.1 | 5.1 | 4.3 |
Maribavir 400 mg | 54.9 | 22.6 | 18.7 | 18.3 |
Confirmed CMV viremia clearance was defined as plasma CMV DNA concentration
Timeframe: At Week 8 through Weeks 12, 16 and 20
Intervention | percentage of participants (Number) | |||
---|---|---|---|---|
At Week 8 | At Week 12 | At Week 16 | At Week 20 | |
Investigator-assigned Anti-CMV Treatment (IAT) | 18.8 | 5.1 | 5.1 | 4.3 |
Maribavir 400 mg | 54.9 | 22.6 | 18.7 | 18.3 |
Confirmed CMV viremia clearance was defined as plasma CMV DNA concentration
Timeframe: At Week 8 through Weeks 12 and 20
Intervention | percentage of participants (Number) | ||
---|---|---|---|
At Week 8 | At Week 12 | At Week 20 | |
Investigator-assigned Anti-CMV Treatment (IAT) | 23.9 | 10.3 | 9.4 |
Maribavir 400 mg | 55.7 | 22.6 | 18.3 |
Cmin of maribavir was reported. (NCT02931539)
Timeframe: Predose at Week 1, 4 and 8
Intervention | micrograms per milliliter (mcg/mL) (Mean) | ||
---|---|---|---|
Cmin at Week 1 | Cmin at Week 4 | Cmin at Week 8 | |
Maribavir 400 mg | 8.77 | 7.59 | 7.19 |
Maribavir Rescue Arm | 8.57 | 5.75 | 5.65 |
1 review available for dichlororibofuranosylbenzimidazole and Cytomegalovirus Infections
Article | Year |
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New Perspectives on Antimicrobial Agents: Maribavir.
Topics: Adult; Anti-Infective Agents; Antiviral Agents; Benzimidazoles; Child; Cidofovir; Cytomegalovirus In | 2022 |
1 trial available for dichlororibofuranosylbenzimidazole and Cytomegalovirus Infections
Article | Year |
---|---|
Maribavir for Refractory Cytomegalovirus Infections With or Without Resistance Post-Transplant: Results From a Phase 3 Randomized Clinical Trial.
Topics: Antiviral Agents; Cytomegalovirus; Cytomegalovirus Infections; Dichlororibofuranosylbenzimidazole; D | 2022 |
1 other study available for dichlororibofuranosylbenzimidazole and Cytomegalovirus Infections
Article | Year |
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Maribavir (Livtencity) for cytomegalovirus infection.
Topics: Cytomegalovirus Infections; Dichlororibofuranosylbenzimidazole; Humans | 2022 |
Maribavir (Livtencity) for cytomegalovirus infection.
Topics: Cytomegalovirus Infections; Dichlororibofuranosylbenzimidazole; Humans | 2022 |
Maribavir (Livtencity) for cytomegalovirus infection.
Topics: Cytomegalovirus Infections; Dichlororibofuranosylbenzimidazole; Humans | 2022 |
Maribavir (Livtencity) for cytomegalovirus infection.
Topics: Cytomegalovirus Infections; Dichlororibofuranosylbenzimidazole; Humans | 2022 |
Maribavir (Livtencity) for cytomegalovirus infection.
Topics: Cytomegalovirus Infections; Dichlororibofuranosylbenzimidazole; Humans | 2022 |
Maribavir (Livtencity) for cytomegalovirus infection.
Topics: Cytomegalovirus Infections; Dichlororibofuranosylbenzimidazole; Humans | 2022 |
Maribavir (Livtencity) for cytomegalovirus infection.
Topics: Cytomegalovirus Infections; Dichlororibofuranosylbenzimidazole; Humans | 2022 |
Maribavir (Livtencity) for cytomegalovirus infection.
Topics: Cytomegalovirus Infections; Dichlororibofuranosylbenzimidazole; Humans | 2022 |
Maribavir (Livtencity) for cytomegalovirus infection.
Topics: Cytomegalovirus Infections; Dichlororibofuranosylbenzimidazole; Humans | 2022 |