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Letermovir granules

Phase 2

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

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Market & Valuation

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Trial Design

UNCONTROLLEDDMC
Total Trials1
Total Enrollment65

FDA Designations

No designations recorded

Clinical trial landscape

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 used for?

Letermovir granules are used for the treatment of Cytomegalovirus (CMV) infection in pediatric participants following allogeneic haematopoietic stem cell transplantation (HSCT). The drug is being developed by Merck & Company, Inc. and is currently in Phase 2 clinical development.

What does Letermovir granules target?

Letermovir granules target the cytomegalovirus (CMV) infection. The drug is a small molecule developed for the treatment of CMV infection in pediatric patients following allogeneic haematopoietic stem cell transplantation (HSCT).

Who makes Letermovir granules?

Letermovir granules are being developed by Merck & Company, Inc. (ticker: MRK). The drug is currently in Phase 2 clinical development for the treatment of Cytomegalovirus (CMV) infection in pediatric participants following allogeneic haematopoietic stem cell transplantation (HSCT).

What phase is Letermovir granules in?

Letermovir granules are in Phase 2 clinical development. The drug is being studied for the treatment of Cytomegalovirus (CMV) infection in pediatric participants following allogeneic haematopoietic stem cell transplantation (HSCT). It is not yet approved and remains investigational.

What clinical trials is Letermovir granules in?

Letermovir granules have one completed clinical trial, NCT03940586, titled 'Letermovir Treatment in Pediatric Participants Following Allogeneic Haematopoietic Stem Cell Transplantation (HSCT) (MK-8228-030)'. This Phase 2 trial enrolled 65 participants with Cytomegalovirus (CMV) infection across multiple countries.

Is Letermovir granules the same as MK-8228?

Letermovir granules are also known as MK-8228, as indicated by the clinical trial identifier NCT03940586, which references MK-8228-030. The drug is being developed by Merck & Company, Inc. for the treatment of Cytomegalovirus (CMV) infection in pediatric patients.