A Clinical Study of Letermovir (MK-8228) in Children and Adolescents Who Receive a Kidney Transplant (KT) (MK-8228-077)

NCT ID: NCT07199465

Last Updated: 2026-01-22

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

RECRUITING

Clinical Phase

PHASE1

Total Enrollment

40 participants

Study Classification

INTERVENTIONAL

Study Start Date

2026-02-27

Study Completion Date

2028-05-19

Brief Summary

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Researchers are looking for a way to prevent cytomegalovirus (CMV) in children and adolescents who receive a kidney transplant (KT) and weigh less than 40 kilograms (88.2 pounds). The goals of the study are to:

* Learn what happens to letermovir in the body over time
* Learn about the safety of letermovir and if participants tolerate it

Detailed Description

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Conditions

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Cytomegalovirus Prophylaxis

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Weight-banded letermovir dosing

Participants who are between 4 and 52 weeks post-KT will receive letermovir for 7 consecutive days.

Group Type EXPERIMENTAL

Letermovir

Intervention Type DRUG

Administered orally (as tablets/pellets) or via gastrostomy or nasogastric tube (as pellets) for 7 consecutive days.

Interventions

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Letermovir

Administered orally (as tablets/pellets) or via gastrostomy or nasogastric tube (as pellets) for 7 consecutive days.

Intervention Type DRUG

Other Intervention Names

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MK-8228 AIC246 AIC001 PREVYMIS™

Eligibility Criteria

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Inclusion Criteria

* Is a recipient of a primary or secondary allograft kidney
* Is at least 4 weeks posttransplant and not more than 52 weeks posttransplant at the time of enrollment (Day 1) and is being managed per local standard of care
* Has stable kidney function posttransplant
* Has undetectable CMV deoxyribonucleic acid (DNA) from a plasma or whole blood sample collected within 14 days prior to enrollment
* Must be able to take (as assessed by the investigator) letermovir tablets or oral pellets by mouth, or via gastrostomy or nasogastric tube (oral pellets only)
* Does not have a condition that may interfere with the absorption of oral medication (e.g., vomiting, diarrhea, or a malabsorptive condition) from the day of enrollment (Day 1) until the intensive pharmacokinetics (IPK) sampling is completed
* Weighs ≥2.5 and \<40 kg at enrollment (Day 1)

Exclusion Criteria

* Has CMV disease or suspected CMV disease between screening and enrollment
* Is on dialysis or plasmapheresis at the time of enrollment
* Has evidence of CMV viremia at any time from screening until the time of enrollment
* Has Child-Pugh B or C hepatic insufficiency within 14 days before enrollment
* Is a multi-organ transplant recipient (e.g., kidney-pancreas)
* Has any uncontrolled infection on the day of enrollment
* Requires mechanical ventilation, or is hemodynamically unstable, at the time of enrollment
* Has received or is receiving protocol-specified prohibited medications
Maximum Eligible Age

17 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Merck Sharp & Dohme LLC

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Medical Director

Role: STUDY_DIRECTOR

Merck Sharp & Dohme LLC

Locations

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Lucile Packard Children's Hospital ( Site 0001)

Palo Alto, California, United States

Site Status RECRUITING

University of Michigan ( Site 0014)

Ann Arbor, Michigan, United States

Site Status RECRUITING

Mayo Clinic - Rochester ( Site 0015)

Rochester, Minnesota, United States

Site Status RECRUITING

Morgan Stanley Children's Hospital ( Site 0018)

New York, New York, United States

Site Status RECRUITING

Duke University Medical Center ( Site 0008)

Durham, North Carolina, United States

Site Status RECRUITING

Cincinnati Children's Hospital Medical Center ( Site 0002)

Cincinnati, Ohio, United States

Site Status RECRUITING

Countries

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United States

Central Contacts

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Toll Free Number

Role: CONTACT

1-888-577-8839

Facility Contacts

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Study Coordinator

Role: primary

408-828-5120

Study Coordinator

Role: primary

734-936-6280

Study Coordinator

Role: primary

507-254-1714

Study Coordinator

Role: primary

212-305-2500

Study Coordinator

Role: primary

919-684-6335

Study Coordinator

Role: primary

513-636-7499

Related Links

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http://www.merckclinicaltrials.com

Merck Clinical Trials Information

Other Identifiers

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MK-8228-077

Identifier Type: OTHER

Identifier Source: secondary_id

8228-077

Identifier Type: -

Identifier Source: org_study_id

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