Clinical trial • Phase IV • Infectious Disease|Immunology

Maribavir for Epstein–Barr virus (EBV) infection in solid organ transplant recipients

Phase IV trial of Maribavir for Epstein–Barr virus (EBV) infection in solid organ transplant recipients.

Overview

Trial Therapeutic Area
Infectious Disease|Immunology
Trial Disease
Epstein–Barr virus (EBV) infection in solid organ transplant recipients
Trial Stage
Phase IV
Drug Modality
Small molecule

Key dates

Initial CTIS Submission Date
26-01-2026
First CTIS Authorization Date
13-05-2026

Trial design

open-label, none/not specified-controlled, adaptive Phase IV trial across 1 site in Spain.

Open Label
Yes
Comparator
None/Not specified
Adaptive
True, 2-step design with planned continuation: initial 6-month course of maribavir at 400 mg bid for all participants; subjects achieving between 25%-50% reduction in viral replication during the first phase will continue with an additional 3 months of maribavir therapy.
Target Sample Size
10
Trial Duration For Participant
270

Eligibility

Recruits 10 No vulnerable populations selected; subjects must be able to understand and provide written informed consent ("Subject must be able to understand and provide informed consent"). Participants are adults (age 18-30) so no assent procedures are indicated..

Pregnancy Exclusion
Pregnant or breast feeding
Vulnerable Population
No vulnerable populations selected; subjects must be able to understand and provide written informed consent ("Subject must be able to understand and provide informed consent"). Participants are adults (age 18-30) so no assent procedures are indicated.

Inclusion criteria

  • {"criterion_text":"- Patients who have had EBV infection for more than 2 years of more than 5 logs\n- Subject must be able to understand and provide informed consent\n- Males and females age 18-30 years\n- solid organ transplant with a functioning graft\n- No previous PTLD\n- EBV IgG positive\n- CMV PCR negative\n- Female subjects of childbearing potential must have a negative pregnancy test upon study entry and must agree to use FDA approved methods of birth control for the duration of the study."}

Exclusion criteria

  • {"criterion_text":"- Inability or unwillingness of a participant to give written informed consent or comply with study protocol\n- Pregnant or breast feeding\n- Known active current or history of recurrent bacterial, viral, fungal, mycobacterial or other infections (including HIV, hepatitis B, hepatitis C, zoster)\n- Serious uncontrolled concomitant major organ disease\n- Any infection requiring hospitalization and IV antibiotics within 4 weeks of screening or PO antibiotics within 2 weeks\n- Primary or secondary immunodeficiency\n- Malignancy within the last 5 years except treated basal and squamous cell cancer of the skin\n- Alcohol, drug or chemical abuse within 1 year\n- Difficult peripheral venous access\n- Treatment with any investigational agent within 4 weeks (or 5 half-lives of investigational drug, whichever is longer) of screening"}

Endpoints

Primary endpoints

  • {"endpoint_text":"- Proportion of patients achieving complete viral clearence after Maribavir therapy","definition_or_measurement_approach":"Not specified in the endpoint listing; study main objective describes evaluation of eradication or reduction of EBV replication load (references to viral load measurements and reductions in replication are made in the main objective)."}

Secondary endpoints

  • {"endpoint_text":"- Proportion of patients with a complete elimination of viral replication during the first study phase\n- Proportion of patients needing a further maribavir course for a significant reduction of viral replication.\n- Rates of EBV recurrence after maribavir withdrawal\n- Impact of maribavir on the EBV-specific T and B-cell immune response after therapy\n- Impact on different B-cell subset phenotypes in peripheral blood.\n- Kinetics of viral replication over the course of the anti-viral therapy","definition_or_measurement_approach":"Not specified in the endpoint listings; endpoints refer to measures of viral replication (EBV viremia) and immunologic assays as described in the study objectives, but specific measurement methods are not detailed in the provided record."}

Recruitment

Planned Sample Size
10
Recruitment Window Months
21
Consent Approach
Written informed consent required from each participant; inclusion states "Subject must be able to understand and provide informed consent." Participants are adults (18-30); no assent procedures described. A subject information and informed consent form document is listed but available languages are not specified.

Geography

Total Number Of Sites
1
Total Number Of Participants
10

Spain

Earliest CTIS Part Ii Submission Date
11-02-2026
Latest Decision Or Authorization Date
13-05-2026
Processing Time Days
91
Number Of Sites
1
Number Of Participants
10

Sites

Site Name
Hospital Universitari Vall D Hebron
Department Name
Nefrologia
Principal Investigator Name
Oriol Bestard Matamoros
Principal Investigator Email
oriol.bestard@vallhebron.cat
Contact Person Name
Oriol Bestard Matamoros
Contact Person Email
oriol.bestard@vallhebron.cat
Number Of Participants
10

Sponsor

Primary sponsor

Full Name
Fundacio Hospital Universitari Vall D’Hebron Institut De Recerca
Organisation Type
Laboratory/Research/Testing facility
Country Of Registered Address
Spain

Investigational products

Investigational Product Name
LIVTENCITY 200 mg film-coated tablets.
Active Substance
Maribavir
Modality
Small molecule
Routes Of Administration
Oral
Route
Oral
Authorisation Status
Authorised (marketing authorisation EU/1/22/1672/001)
Starting Dose
400 mg twice daily
Dose Levels
400 mg twice daily
Frequency
Twice daily (bid)
Maximum Dose
400 mg per day (maxDailyDoseAmount: 400)
Dose Escalation Increase
Initial: 400 mg twice daily; no further dose escalation levels specified

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