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Letermovir granules

Phase 2

Cytomegalovirus (CMV) Infection | Small molecule | Infectious Disease |Merck & Company, Inc.|Trials Updated: Aug 22, 2024

Letermovir granules target and mechanism

ModalitySmall molecule

Also known as Letermovir oral granules

Success Probability

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Market & Valuation

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Trial Design

UNCONTROLLEDDMC
Total Trials1
Total Enrollment65

FDA Designations

No designations recorded

Letermovir granules clinical trials

Letermovir granules · 1 trial · 1 indication

Phase 2 1
NCT03940586Letermovir Treatment in Pediatric Participants Following Allogeneic Haematopoietic Stem Cell Transplantation (HSCT) (MK-8228-030)Cytomegalovirus (CMV) Infection
COMPLETED65 Analytics
PHASE2COMPLETED
Letermovir Treatment in Pediatric Participants Following Allogeneic Haematopoietic Stem Cell Transplantation (HSCT) (MK-8228-030)
Cytomegalovirus (CMV) InfectionUnlock trial analytics

Study Endpoints

Primary Endpoints

Area Under the Concentration-time Curve From Time 0 to 24 Hours Post-dose (AUC0-24) of Plasma Letermovir Taken as Oral Formulation by Ages 2 - <18 Years
Day 7: Pre-dose, 1, 2.5, 8, and 24 hours post-dose

Blood was collected on treatment Day 7 from participants aged 2 - \<18 years in order to determine the AUC0-24 of plasma letermovir for participants receiving oral formulation. Individual values were natural log transformed and evaluated separately with a linear mixed effects model containing a fixed effect for treatment and a random effect for participant. Participants aged \< 2 years were not presented as their data analysis resulted in a different measure type and method of dispersion.

AUC0-24 of Plasma Letermovir Taken as Oral Formulation by Ages 2 to <12 Years
Day 7: Pre-dose, 1, 2.5, 8, and 24 hours post-dose

Blood was collected on treatment Day 7 from participants aged 2 to \<12 years in order to determine the AUC0-24 of plasma letermovir for participants receiving oral formulation. Individual values were natural log transformed and evaluated separately with a linear mixed effects model containing a fixed effect for treatment and a random effect for participant. Participants aged \<2 and \>12 years were not presented as their data analysis resulted in a different measure type and method of dispersion.

AUC0-24 of Plasma Letermovir Taken as Oral Formulation by Ages <2 Years
Day 7: Pre-dose, 1, 2.5, 8, and 24 hours post-dose

Blood was collected on treatment Day 7 from participants aged \<2 years in order to determine the AUC0-24 of plasma letermovir for participants receiving oral formulation. Individual values were natural log transformed and evaluated separately with a linear mixed effects model containing a fixed effect for treatment and a random effect for participant. Participants aged 2 - \<18 years were not presented as their data analysis resulted in a different measure type and method of dispersion. The measure of dispersion is not determined when N \<2.

Maximal Concentration (Cmax) of Plasma Letermovir Taken as Oral Formulation by Ages 2 - <18 Years
Day 7: Pre-dose, 1, 2.5, 8, and 24 hours post-dose

Blood was collected on treatment Day 7 from participants aged 2 - \<18 years in order to determine the Cmax of plasma letermovir for participants receiving oral formulation. Individual values were natural log transformed and evaluated separately with a linear mixed effects model containing a fixed effect for treatment and a random effect for participant. Participants aged \< 2 years were not presented as their data analysis resulted in a different measure type and method of dispersion.

Cmax of Plasma Letermovir Taken as Oral Formulation by Ages 2 to <12 Years
Day 7: Pre-dose, 1, 2.5, 8, and 24 hours post-dose

Blood was collected on treatment Day 7 from participants aged 2 to \<12 years in order to determine Cmax of plasma letermovir for participants receiving oral formulation. Individual values were natural log transformed and evaluated separately with a linear mixed effects model containing a fixed effect for treatment and a random effect for participant. Participants aged \<2 and \>12 years were not presented as their data analysis resulted in a different measure type and method of dispersion.

Cmax of Plasma Letermovir Taken as Oral Formulation by Ages < 2 Years
Day 7: Pre-dose, 1, 2.5, 8, and 24 hours post-dose

Blood was collected on treatment Day 7 from participants aged \<2 years in order to determine the Cmax of plasma letermovir for participants receiving oral formulation. Individual values were natural log transformed and evaluated separately with a linear mixed effects model containing a fixed effect for treatment and a random effect for participant. Participants aged 2 - \<18 years were not presented as their data analysis resulted in a different measure type and method of dispersion. The measure of dispersion is not determined when N \<2

Minimum Concentration of Plasma Letermovir Observed Before Next Dose (Ctrough) Taken as Oral Formulation by Ages 2 - <18 Years
Day 7: 24 hours post-dose

Blood was collected on treatment Day 7 from participants aged 2 - \<18 years in order to determine the Ctrough of plasma letermovir for participants receiving oral formulation. Individual values were natural log transformed and evaluated separately with a linear mixed effects model containing a fixed effect for treatment and a random effect for participant. Participants aged \< 2 years were not presented as their data analysis resulted in a different measure type and method of dispersion.

Ctrough of Plasma Letermovir Taken as Oral Formulation by Ages 2 to <12 Years
Day 7: Pre-dose, 1, 2.5, 8, and 24 hours post-dose

Blood was collected on treatment Day 7 from participants aged 2 to \<12 years in order to determine Ctrough of plasma letermovir for participants receiving oral formulation. Individual values were natural log transformed and evaluated separately with a linear mixed effects model containing a fixed effect for treatment and a random effect for participant. Participants aged \<2 and \>12 years were not presented as their data analysis resulted in a different measure type and method of dispersion.

Ctrough of Plasma Letermovir Taken as Oral Formulation by Ages < 2 Years
Day 7: 24 hours post-dose

Blood was collected on treatment Day 7 from participants aged \<2 years in order to determine the Ctrough of plasma letermovir for participants receiving oral formulation. Individual values were natural log transformed and evaluated separately with a linear mixed effects model containing a fixed effect for treatment and a random effect for participant. Participants aged 2 - \<18 years were not presented as their data analysis resulted in a different measure type and method of dispersion. The measure of dispersion is not determined when N \<2.

AUC0-24 of Plasma Letermovir Taken as Intravenous (IV) Formulation by Ages 12 - <18 Years
Day 7: Pre-dose, 1, 2.5, 8, and 24 hours post-dose

Blood was collected on treatment Day 7 from participants aged 12 - \<18 years in order to determine the AUC0-24 of plasma letermovir for participants receiving IV formulation. Individual values were natural log transformed and evaluated separately with a linear mixed effects model containing a fixed effect for treatment and a random effect for participant. Participants aged \< 12 years were not presented as their data analysis resulted in a different measure type and method of dispersion.

AUC0-24 of Plasma Letermovir Taken as IV Formulation by Ages 2 to <12 Years
Day 7: Pre-dose, 1, 2.5, 8, and 24 hours post-dose

Blood was collected on treatment Day 7 from participants aged 2 to \<12 years in order to determine the AUC0-24 of plasma letermovir for participants receiving IV formulation. Individual values were natural log transformed and evaluated separately with a linear mixed effects model containing a fixed effect for treatment and a random effect for participant. Participants aged \< 2 years and \> 12 years were not presented as their data analysis resulted in a different measure type and method of dispersion.

AUC0-24 of Plasma Letermovir Taken as IV Formulation by Ages <2 Years
Day 7: Pre-dose, 1, 2.5, 8, and 24 hours post-dose

Blood was collected on treatment Day 7 from participants aged \<2 years in order to determine the AUC0-24 of plasma letermovir for participants receiving IV formulation. Individual values were natural log transformed and evaluated separately with a linear mixed effects model containing a fixed effect for treatment and a random effect for participant. Participants aged \> 2 years were not presented as their data analysis resulted in a different measure type and method of dispersion. The measure of dispersion is not determined when N \<2.

Concentration at the End of Infusion (Ceoi) of Plasma Letermovir Taken as IV Formulation by Ages 12 - <18 Years
Day 7: Pre-dose, 1, 2.5, 8, and 24 hours post-dose

Blood was collected on treatment Day 7 from participants aged 12 - \<18 years in order to determine the Ceoi of plasma letermovir for participants receiving IV formulation. As samples were collected outside the collection window Ceoi for these samples were predicted by using a log linear model .Participants aged \< 12 years were not presented as their data analysis resulted in a different measure type and method of dispersion.

Ceoi of Plasma Letermovir Taken as IV Formulation by Ages 2 to <12 Years
Day 7: Pre-dose, 1, 2.5, 8, and 24 hours post-dose

Blood was collected on treatment Day 7 from participants aged 2 to \<12 years in order to determine the Ceoi of plasma letermovir for participants receiving IV formulation. As samples were collected outside the collection window Ceoi for these samples were predicted by using a log linear model. Participants aged \< 2 years and \> 12 years were not presented as their data analysis resulted in a different measure type and method of dispersion.

Ceoi of Plasma Letermovir Taken as IV Formulation by Ages s 2 to <12 Years
Day 7: Pre-dose, 1, 2.5, 8, and 24 hours post-dose

Blood was collected on treatment Day 7 from participants aged 2 to \<12 years in order to determine the Ceoi of plasma letermovir for participants receiving IV formulation. As samples were collected outside the collection window Ceoi for these samples were predicted by using a log linear model. Participants aged \> 2 years were not presented as their data analysis resulted in a different measure type and method of dispersion. A measure of dispersion is not determined when N \<2.

Ceoi of Plasma Letermovir Taken as IV Formulation by Ages <2 Years
Day 7: Pre-dose, 1, 2.5, 8, and 24 hours post-dose

Blood was collected on treatment Day 7 from participants aged \<2 years in order to determine the Ceoi of plasma letermovir for participants receiving IV formulation. As samples were collected outside the collection window Ceoi for these samples were predicted by using a log linear model. Participants aged \> 2 years were not presented as their data analysis resulted in a different measure type and method of dispersion. A measure of dispersion is not determined when N \<2.

Ctrough of Plasma Letermovir Taken as IV Formulation by Ages 12 - <18 Years
Day 7: 24 hours post-dose

Blood was collected on treatment Day 7 from participants aged 12 - \<18 years in order to determine the Ctrough of plasma letermovir for participants receiving IV formulation. Individual values were natural log transformed and evaluated separately with a linear mixed effects model containing a fixed effect for treatment and a random effect for participant. Participants aged \< 12 years were not presented as their data analysis resulted in a different measure type and method of dispersion.

Ctrough of Plasma Letermovir Taken as IV Formulation by Ages 2 to <12 Years
Day 7: 24 hours post-dose

Blood was collected on treatment Day 7 from participants aged 2 to \<12 years in order to determine the Ctrough of plasma letermovir for participants receiving IV formulation. Individual values were natural log transformed and evaluated separately with a linear mixed effects model containing a fixed effect for treatment and a random effect for participant. Participants aged \< 2 years and \> 12 years were not presented as their data analysis resulted in a different measure type and method of dispersion.

Ctrough of Plasma Letermovir Taken as IV Formulation by Ages <2 Years
Day 7: Pre-dose, 1, 2.5, 8, and 24 hours post-dose

Blood was collected on treatment Day 7 from participants aged \<2 years in order to determine the Ctrough of plasma letermovir for participants receiving IV formulation. Individual values were natural log transformed and evaluated separately with a linear mixed effects model containing a fixed effect for treatment and a random effect for participant. Participants aged \> 2 years were not presented as their data analysis resulted in a different measure type and method of dispersion. The measure type is Geometric Mean, and a measure of dispersion is not determined when N \<2.

Ctrough of Plasma Letermovir Taken During Sparse PK for Oral Formulation
Day 7: 24 hours post-dose

Blood was collected on treatment Day 7 in order to determine the Ctrough of plasma letermovir during sparse PK for participants receiving oral formulation. Individual values were natural log transformed and evaluated separately with a linear mixed effects model containing a fixed effect for treatment and a random effect for participant.

Ctrough of Plasma Letermovir Taken During Sparse PK as IV Formulation
Day 7: 24 hours post-dose

Blood was collected on treatment Day 7 in order to determine the Ctrough of plasma letermovir for participants receiving IV formulation during sparse PK. Individual values were natural log transformed and evaluated separately with a linear mixed effects model containing a fixed effect for treatment and a random effect for participant.

Secondary Endpoints

Percentage of Participants With One or More Adverse Event (AE)
Up to Week 48 post-transplant (up to 52 weeks)
Percentage of Participants Who Discontinued Study Medication Due to an AE.
Up to Week 14 post-transplant (up to 18 weeks)
Percentage of Participants With Clinically Significant CMV Infection Through Week 14 Post-transplant
Up to Week 14 post-transplant (up to 18 weeks)
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Study Design & Arms

AllocationNA
MaskingNONE
ModelSINGLE_GROUP
PurposePREVENTION

Treatment Arms

ArmTypeDescription
LetermovirEXPERIMENTALLetermovir administered either orally or intravenously within 28 days post-transplant, once daily through week 14 (approximately 100 days). Dosing will vary based on age, weight, and whether participant takes cyclosporin A as a concomitant medication.

Interventions

NameTypeDescription
Letermovir oral granulesDRUGGranules administered orally based on age, weight, and whether participant takes cyclosporin A as a concomitant medication.
Letermovir tabletDRUGTablet administered orally based on age, weight, and whether participant takes cyclosporin A as a concomitant medication.
Letermovir intravenousDRUGLetermovir administered intravenously based on age, weight, and whether participant takes cyclosporin A as a concomitant medication.
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Eligibility Criteria

Age RangeN/A to 17 Years
SexALL
Healthy VolunteersNo
Study Sites40

Inclusion Criteria: * All participants 12 to \<18 years old must have documented positive CMV serostatus (CMV IgG seropositive) for the recipient (R+) within 90 days prior to enrollment. Participants from birth to \<12 years old must have documented positive CMV serostatus (CMV IgG seropositive) fo...

Countries:United StatesAustraliaColombiaFranceGermanyIsraelJapanMexicoPolandSpainTurkey (Türkiye)
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Frequently asked questions about Letermovir granules

What is letermovir granules?

Letermovir granules is an oral formulation of letermovir, a small molecule antiviral developed by Merck & Company, Inc. (ticker MRK). It is being studied for the treatment of cytomegalovirus (CMV) infection, an infectious disease that is a serious complication in patients with weakened immune systems. The granule form is also known as letermovir oral granules.

What is letermovir granules used for in cytomegalovirus infection?

Letermovir granules is being developed to treat cytomegalovirus (CMV) infection. CMV is a common virus that can cause serious illness in immunocompromised patients, including those who have received an allogeneic hematopoietic stem cell transplant. The granule formulation is intended to provide an oral dosing option for CMV treatment in this patient population.

Who makes letermovir granules?

Letermovir granules is developed by Merck & Company, Inc., which trades under the ticker MRK. Merck is the sponsor of the clinical program evaluating the granule formulation for cytomegalovirus infection. The drug is also referred to as letermovir oral granules.

What phase is letermovir granules in?

Letermovir granules is in Phase 2 clinical development. It is investigational and has not been approved by the FDA for the treatment of cytomegalovirus infection. The Phase 2 program consists of one completed trial, and no trials are currently active.

What clinical trials is letermovir granules in?

Letermovir granules has been evaluated in one completed Phase 2 trial, NCT03940586, titled Letermovir Treatment in Pediatric Participants Following Allogeneic Haematopoietic Stem Cell Transplantation (MK-8228-030). The trial enrolled 65 participants with cytomegalovirus infection across the United States, Australia, Colombia, France, Germany, Israel, Japan, Mexico, Poland, Spain, and Turkey.

Is letermovir granules the same as letermovir oral granules?

Yes. Letermovir granules and letermovir oral granules refer to the same Merck product, an oral granule formulation of letermovir under development for cytomegalovirus infection. Both names describe the same investigational Phase 2 asset, so searches for either term point to the same drug program.