A Study of MCMV5322A/MCMV3068A for the Prevention of Cytomegalovirus Disease in High-Risk Kidney Allograft Recipients

NCT ID: NCT01753167

Last Updated: 2017-03-08

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE2

Total Enrollment

122 participants

Study Classification

INTERVENTIONAL

Study Start Date

2012-12-14

Study Completion Date

2014-10-15

Brief Summary

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This is a Phase II, randomized, double-blind, placebo-controlled study designed to assess the safety and clinical activity of multiple intravenous doses of MCMV5322A/MCMV3068A in cytomegalovirus (CMV)-seronegative recipients of a renal transplant from a CMV-seropositive donor, with use of a preemptive approach for prevention of CMV disease. Participants will be randomized into two treatment groups: active or placebo control; both arms will be followed preemptively. The study has a planned enrollment of approximately 120 participants (60 active and 60 placebo).

Detailed Description

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Conditions

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Cytomegalovirus Infections

Study Design

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Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

DOUBLE

Participants Investigators

Study Groups

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MCMV5322A/MCMV3068A

Participants will receive a total of four doses of study drug administered by intravenous infusion: at the time of transplantation (Day 1), and at Days 8, 29, and 57. MCMV5322A/MCMV3068A will be tested in this study at 10 milligrams per kilogram (mg/kg) of each component antibody. Thus, at each dose, 10 mg/kg of MCMV5322A and 10 mg/kg of MCMV3068A will be tested (20 mg/kg total).

Group Type EXPERIMENTAL

MCMV3068A

Intervention Type DRUG

Four doses of MCMV3068A (10 mg/kg) administered by intravenous infusion at the time of transplantation (Day 1), and at Days 8, 29, and 57.

MCMV5322A

Intervention Type DRUG

Four doses of MCMV5322A (10 mg/kg) administered by intravenous infusion at the time of transplantation (Day 1), and at Days 8, 29, and 57.

Placebo

Participants will receive a total of four doses of placebo matched with MCMV5322A/MCMV3068A administered by intravenous infusion: at the time of transplantation (Day 1), and at Days 8, 29, and 57.

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type DRUG

Four doses of placebo matched to MCMV5322A/MCMV3068A administered by intravenous infusion at the time of transplantation (Day 1), and at Days 8, 29, and 57.

Interventions

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MCMV3068A

Four doses of MCMV3068A (10 mg/kg) administered by intravenous infusion at the time of transplantation (Day 1), and at Days 8, 29, and 57.

Intervention Type DRUG

MCMV5322A

Four doses of MCMV5322A (10 mg/kg) administered by intravenous infusion at the time of transplantation (Day 1), and at Days 8, 29, and 57.

Intervention Type DRUG

Placebo

Four doses of placebo matched to MCMV5322A/MCMV3068A administered by intravenous infusion at the time of transplantation (Day 1), and at Days 8, 29, and 57.

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Participant is scheduled to receive a primary or secondary renal allograft from a donor
* Participant is seronegative for CMV and is receiving an allograft from a CMV-seropositive donor
* Female participants of child-bearing age must have a negative pregnancy test result on Day 1, prior to infusion
* For women who are not postmenopausal or surgically sterile (defined as absence of ovaries and/or uterus): agreement to remain completely abstinent or use two methods of contraception at all times

Exclusion Criteria

* Participant is suspected of having CMV disease
* Participant has received anti-CMV therapy within the 30 days prior to screening (exceptions are the use of acyclovir, valacyclovir, or famciclovir for up to 10 days duration for treatment of acute herpes simplex or herpes zoster or participants receiving acyclovir or valacyclovir at doses to suppress herpes zoster)
* Participants who have received intravenous immunoglobulin (IVIG) within 3 months before transplantation or with expectation of receiving IVIG at time of transplantation or in the 3 months after transplantation
* Participants who have received B cell-depleting therapies (including but not limited to rituximab) within 3 months before transplantation or with the expectation of receiving such therapy at the time of transplantation or in the 3 months after transplantation
* Participant is receiving a multi-organ transplant (e.g., liver or pancreas in addition to kidney)
* Active or chronic hepatic or hepatobiliary disease (including known Gilbert's syndrome) or elevations in a hepatic transaminase or bilirubin \>= 2 times upper limits of normal (ULN)
* Participant is unlikely or unwilling to be available for follow-up for the full 24-week duration of the study
* Female participants who are pregnant, plan to become pregnant during the study, or who are breastfeeding
* History of severe allergic, anaphylactic, or other hypersensitivity reactions to chimeric or humanized antibodies or fusion proteins or human-derived immunoglobulin preparations; or any constituent of MCMV5322A/MCMV3068A or placebo
* Active treatment for untreated tuberculosis or other infectious conditions that are significant in the judgment of the investigator
* Infection with hepatitis B, hepatitis C or human immunodeficiency virus
* Previous exposure to any investigational agent within 12 weeks or 5 half-lives
* Any other acute or chronic condition, metabolic dysfunction, physical examination finding, or clinical laboratory finding giving reasonable suspicion of a disease or condition that, in the opinion of the Principal Investigator, contraindicates the use of an investigational drug or that may affect the interpretation of the results or that renders the participant at high risk for treatment complications
* History of alcoholism or substance abuse within 6 months before screening
* Participant is expected to require treatment or prophylaxis with an antiviral with anti-CMV activity during the study
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Genentech, Inc.

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Clinical Trials

Role: STUDY_DIRECTOR

Genentech, Inc.

Locations

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Royal Free Hospital

London, , United Kingdom

Site Status

UCLA; Kidney & Pancreas Transplantation

Los Angeles, California, United States

Site Status

California Inst. of Renal Research

San Diego, California, United States

Site Status

Univ of CA San Francisco; Kidney Transplant Service

San Francisco, California, United States

Site Status

University of Colorado Health Sciences Center; Dept of Medicine

Denver, Colorado, United States

Site Status

Georgetown Uni Hospital; Division of Transplant Surgery

Washington D.C., District of Columbia, United States

Site Status

MedStar Washington Hosp Center

Washington D.C., District of Columbia, United States

Site Status

Emory University

Atlanta, Georgia, United States

Site Status

Georgia Regents University

Augusta, Georgia, United States

Site Status

Henry Ford Health System; Gastroenterology

Detroit, Michigan, United States

Site Status

Washington Uni School of Medicine/Barnes Jewish Hospital; Renal

St Louis, Missouri, United States

Site Status

Erie County Medical Center; Dept. of Nephrology

Buffalo, New York, United States

Site Status

Icahn School of Medicine at Mount Sinai

New York, New York, United States

Site Status

Columbia University

New York, New York, United States

Site Status

University of Cincinnati / University of Cincinnati College of Medicine

Cincinnati, Ohio, United States

Site Status

Baylor Univ Medical Center

Dallas, Texas, United States

Site Status

Clin Univ de Bxl Hôpital Erasme

Brussels, , Belgium

Site Status

UZ Gent

Ghent, , Belgium

Site Status

UZ Leuven Gasthuisberg

Leuven, , Belgium

Site Status

Hopital Pellegrin-CHU de Bordeaux; Service de Neurologie

Bordeaux, , France

Site Status

CHU de Nantes; Institut de transplantation urologie-néphrologie

Nantes, , France

Site Status

Hopital Necker

Paris, , France

Site Status

Hopital Rangueil; Gastro Enterologie Et Nutrition

Toulouse, , France

Site Status

Chu De Tours

Tours, , France

Site Status

Hopitaux De Brabois; Nephrologie

Vandœuvre-lès-Nancy, , France

Site Status

Universitätsklinikum "Carl Gustav Carus"; Medizinische Klinik III

Dresden, , Germany

Site Status

Universitätsklinikum Essen Zentrum f.Innere Medizin Abt.Nephrologie

Essen, , Germany

Site Status

Klinik Johann Wolfgang von Goethe Uni; Zentrum der Inneren Medizin; Medizinische Klinik III

Frankfurt, , Germany

Site Status

Uniklinikum Heidelberg

Heidelberg, , Germany

Site Status

Oslo Universitetssykehus HF, Rikshospitalet

Oslo, , Norway

Site Status

Fundació Puigvert

Barcelona, Barcelona, Spain

Site Status

Hospital Universitari Vall d'Hebron

Barcelona, Barcelona, Spain

Site Status

Hospital Clinic i Provincial de Barcelona

Barcelona, Barcelona, Spain

Site Status

Hospital Universitario de Bellvitge

L'Hospitalet de Llobregat, Barcelona, Spain

Site Status

CEIC del Hospital Virgen del Rocío

Seville, Sevilla, Spain

Site Status

Sahlgrenska Universitetssjukhuset; Jubileumskliniken

Gothenburg, , Sweden

Site Status

Karolinska University Hospital

Huddinge, , Sweden

Site Status

Akademiska Sjukhuset; Transplantation Surgery

Uppsala, , Sweden

Site Status

Guys and St Thomas NHS Foundation Trust, Guys Hospital

London, , United Kingdom

Site Status

Countries

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United States Belgium France Germany Norway Spain Sweden United Kingdom

References

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Vernooij RW, Michael M, Colombijn JM, Owers DS, Webster AC, Strippoli GF, Hodson EM. Pre-emptive treatment for cytomegalovirus viraemia to prevent cytomegalovirus disease in solid organ transplant recipients. Cochrane Database Syst Rev. 2025 Jan 14;1(1):CD005133. doi: 10.1002/14651858.CD005133.pub4.

Reference Type DERIVED
PMID: 39807668 (View on PubMed)

Vernooij RW, Michael M, Ladhani M, Webster AC, Strippoli GF, Craig JC, Hodson EM. Antiviral medications for preventing cytomegalovirus disease in solid organ transplant recipients. Cochrane Database Syst Rev. 2024 May 3;5(5):CD003774. doi: 10.1002/14651858.CD003774.pub5.

Reference Type DERIVED
PMID: 38700045 (View on PubMed)

Deng R, Wang Y, Maia M, Burgess T, McBride JM, Liao XC, Tavel JA, Hanley WD. Pharmacokinetics and Exposure-Response Analysis of RG7667, a Combination of Two Anticytomegalovirus Monoclonal Antibodies, in a Phase 2a Randomized Trial To Prevent Cytomegalovirus Infection in High-Risk Kidney Transplant Recipients. Antimicrob Agents Chemother. 2018 Jan 25;62(2):e01108-17. doi: 10.1128/AAC.01108-17. Print 2018 Feb.

Reference Type DERIVED
PMID: 29133549 (View on PubMed)

Ishida JH, Patel A, Mehta AK, Gatault P, McBride JM, Burgess T, Derby MA, Snydman DR, Emu B, Feierbach B, Fouts AE, Maia M, Deng R, Rosenberger CM, Gennaro LA, Striano NS, Liao XC, Tavel JA. Phase 2 Randomized, Double-Blind, Placebo-Controlled Trial of RG7667, a Combination Monoclonal Antibody, for Prevention of Cytomegalovirus Infection in High-Risk Kidney Transplant Recipients. Antimicrob Agents Chemother. 2017 Jan 24;61(2):e01794-16. doi: 10.1128/AAC.01794-16. Print 2017 Feb.

Reference Type DERIVED
PMID: 27872061 (View on PubMed)

Other Identifiers

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2012-002245-37

Identifier Type: EUDRACT_NUMBER

Identifier Source: secondary_id

GV28418

Identifier Type: -

Identifier Source: org_study_id

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