A Phase III Study to Evaluate the Safety and Efficacy of Ganciclovir (Dihydroxypropoxymethyl Guanine [DHPG]) Treatment of Symptomatic Central Nervous System (CNS) Congenital Cytomegalovirus (CMV) Infections.

National Institute of Allergy and Infectious Diseases (NIAID)

Status and phase

Completed

Phase 3

Conditions

Cytomegalovirus Infections

Treatments

Drug: ganciclovir

Study type

Interventional

Funder types

NIH

Identifiers

NCT00001100

DAB-AL-558607

DMID ARB-AL-91-CMV

Details and patient eligibility

About

The purpose of this study is to evaluate the benefits and safety of the antiviral drug ganciclovir (DHPG) given intravenously to treat newborn infants who are born infected with cytomegalovirus (CMV). CMV is a herpes virus that can infect most organs of the body, resulting in death in 10-30% of babies with symptoms of CMV. It can cause severe brain damage in a large percentage of surviving babies. Children in this study have a CMV infection of the central nervous system (CNS).

Full description

The study will enroll 130 newborn infants 1 month of age or younger with CMV involving the CNS. Patients will be assigned randomly (like tossing a coin) to receive either DHPG or no study drug treatment. All babies in the study will receive standard of care treatment and clinical, diagnostic, laboratory, safety, and follow-up evaluations. Follow-up evaluations, including hearing and eye exams and developmental assessments, will be done periodically until the child reaches 5 years of age. The degree of improved hearing among surviving patients will be a primary measure of drug effectiveness.

Sex

All

Ages

Under 1 month old

Volunteers

No Healthy Volunteers

Inclusion criteria

Infants may be eligible for this study if they:

Were full term infants (at least 32 weeks gestation).
Are 1 month of age or younger (preferably less than 2 weeks).
Weighed at least 1,200 grams (2.5 lbs) at birth.
Have confirmed cytomegalovirus.
Have evidence of CMV infection of the CNS with or without evidence of other organ involvement.

Exclusion criteria

Infants will not be eligible for this study if they:

Have concurrent bacterial infection.
Have HIV infection.
Have mild symptoms or no symptoms of CMV infection at birth.
Have an abnormal brain development (hydranencephaly) or any devastating brain involvement.