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Mar. 09, 2026

April. 09, 2026

jRCT1031250785

A Prospective Single-Center Exploratory Study of Letermovir for Cytomegalovirus Prophylaxis in Perioperative Liver Transplantation

A Prospective Single-Center Exploratory Study of Letermovir for Cytomegalovirus Prophylaxis in Perioperative Liver Transplantation

Hasegawa Kiyoshi

The University of Tokyo Hospital

7-3-1 Hongo, Bunkyo-ku,Tokyo

+81-3-3815-5411

hasegawa-2su@h.u-tokyo.ac.jp

Saruta Yuya

The University of Tokyo Hospital

7-3-1 Hongo. Bunkyo-ku

+81-3-3815-5411

tsukubamd39@gmail.com

Recruiting

Mar. 09, 2026

April. 01, 2026
30

Interventional

single arm study

open(masking not used)

historical control

single assignment

prevention purpose

(1) No history of CMV treatment.
(2) Scheduled to undergo liver transplantation (brain-dead or living donor).
(3) Patients at intermediate or high risk for CMV infection.
(4) Age: 18 years or older at the time of obtaining consent.
(5) Gender: Any.
(6) Patients who have received a full explanation regarding participation in this study, fully understood the contents, and provided written informed consent of their own free will (or via a legally acceptable representative).
(7) Patients capable of outpatient visits according to the study schedule.

(1) History of severe drug allergies such as anaphylactic shock or history of severe side effects.
(2) Patients using concomitant drugs contraindicated in the package insert of Prevymis (pimozide, ergotamine tartrate/anhydrous caffeine/isopropylantipyrine, dihydroergotamine, methylergometrine, ergometrine).
(3) Any other patients deemed unsuitable for participation in this study by the Principal Investigator or Sub-investigator.

18age old over
No limit

Both

Cytomegalovirus(CMV) infection

For patients undergoing liver transplantation with high or intermediate CMV infection risk, letermovir(Prevymis) 480 mg will be administered once daily for 90 days, starting between postoperative day 7 and 10.

CMV

Letermovir(Prevymis)

CMV positivity rate within 90 days after liver transplantation.

(1) CMV positivity rate within 180 days after liver transplantation.
(2) Incidence of CMV syndrome within 90 days and 180 days after liver transplantation.
(3) Incidence of CMV infection accompanied by end-organ disease (tissue-invasive CMV disease) within 90 days and 180 days after liver transplantation.
(4) Frequency of adverse events within 90 days and 180 days after liver transplantation.

Te University of Tokyo, Clinical Reserch Review Board
7-3-1 Hongo, Bunkyo-ku, Tokyo, Tokyo

+81-3-5841-3600

mgr-ohrs@m.u-tokyo.ac.jp
Approval

Feb. 03, 2026

none

History of Changes

No Publication date
2 April. 09, 2026 (this page) Changes
1 Mar. 09, 2026 Detail