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
Related trials
Other published trials that may interest you.
- DOLUTEGRAVIR SODIUM for HIV-1 infection
- HUMAN PAPILLOMAVIRUS TYPE 31 L1 PROTEIN - ADSORBED - IN THE FORM OF VIRUS-LIKE PARTICLES PRODUCED IN YEAST CELLS (SACCHAROMYCES CEREVISIAE CANADE 3C-5 (STRAIN 1895)) BY RDNA, HUMAN PAPILLOMAVIRUS TYPE 33 L1 PROTEIN - ADSORBED - IN THE FORM OF VIRUS-LIKE PARTICLES PRODUCED IN YEAST CELLS (SACCHAROMYCES CEREVISIAE CANADE 3C-5 (STRAIN 1895)) BY RDNA, HUMAN PAPILLOMAVIRUS TYPE 45 L1 PROTEIN - ADSORBED - IN THE FORM OF VIRUS-LIKE PARTICLES PRODUCED IN YEAST CELLS (SACCHAROMYCES CEREVISIAE CANADE 3C-5 (STRAIN 1895)) BY RDNA, HUMAN PAPILLOMAVIRUS TYPE 52 L1 PROTEIN - ADSORBED - IN THE FORM OF VIRUS-LIKE PARTICLES PRODUCED IN YEAST CELLS (SACCHAROMYCES CEREVISIAE CANADE 3C-5 (STRAIN 1895)) BY RDNA, HUMAN PAPILLOMAVIRUS TYPE 58 L1 PROTEIN - ADSORBED - IN THE FORM OF VIRUS-LIKE PARTICLES PRODUCED IN YEAST CELLS (SACCHAROMYCES CEREVISIAE CANADE 3C-5 (STRAIN 1895)) BY RDNA, HUMAN PAPILLOMAVIRUS TYPE 11 L1 PROTEIN - ADSORBED - IN THE FORM OF VIRUS-LIKE PARTICLES PRODUCED IN YEAST CELLS (SACCHAROMYCES CEREVISIAE CANADE 3C-5 (STRAIN 1895)) BY RDNA, HUMAN PAPILLOMAVIRUS TYPE 16 L1 PROTEIN - ADSORBED - IN THE FORM OF VIRUS-LIKE PARTICLES PRODUCED IN YEAST CELLS (SACCHAROMYCES CEREVISIAE CANADE 3C-5 (STRAIN 1895)) BY RDNA, HUMAN PAPILLOMAVIRUS TYPE 18 L1 PROTEIN - ADSORBED - IN THE FORM OF VIRUS-LIKE PARTICLES PRODUCED IN YEAST CELLS (SACCHAROMYCES CEREVISIAE CANADE 3C-5 (STRAIN 1895)) BY RDNA for Human Papillomavirus infection
- venetoclax for HIV-1 infection
- TACROLIMUS for BK polyomavirus (BKPyV) DNAemia after kidney transplantation
- Pneumococcal polysaccharide conjugate antigens (multiple serotypes) conjugated to CRM197 for Asplenia