Prenatal Treatment of Congenital Cytomegalovirus Infection With Letermovir Randomized Against Valaciclovir - CYMEVALIII STEP1
NCT04732260 · Status: COMPLETED · Phase: NA · Type: INTERVENTIONAL · Enrollment: 7
Last updated 2026-03-31
Summary
In the model of the perfused cotyledon, Letermovir crosses the placenta to reach appropriate fetal concentration. The cotyledon model can only be performed in the third trimester placenta. Although it is probable that the transplacental passage in the second trimester is in the same range than the one found in the 2th trimester, it needs to be confirmed. The study will be divided in 2 steps: step 1 will study the Letermovir transplacental transfer in the second trimester and step 2 will test the efficacy of letermovir to inhibit replication in infected fetuses.
Main objective To measure the Letermovir transplacental transfer in the second trimester and its accumulation in the amniotic fluid and the placenta in the second trimester
Primary end point:
Concentrations reached in fetal blood relative to EC50 of letermovir.
Conditions
- Pregnant Women Undergoing TOP
- TOP - Failed Attempted Termination of Pregnancy
Interventions
- DRUG
-
Letermovir
Each patient will receive 1 tablet of Letermovir (240 mg or 480 mg /day) during 3 days before TOP. 5 women will receive 240 mg. 5 women will receive 480 mg.
Sponsors & Collaborators
-
URC-CIC Paris Descartes Necker Cochin
collaborator OTHER -
Assistance Publique - Hôpitaux de Paris
lead OTHER
Principal Investigators
-
Marianne LERUEZ-VILLE, PhD & MD · Virology laboratory- reference national Lab for CMV infection -Hôpital Necker-Enfants malades, Paris
Study Design
- Allocation
- NA
- Purpose
- OTHER
- Masking
- NONE
- Model
- SINGLE_GROUP
Eligibility
- Min Age
- 18 Years
- Sex
- FEMALE
- Healthy Volunteers
- Yes
Timeline & Regulatory
- Start
- 2021-06-11
- Primary Completion
- 2021-11-05
- Completion
- 2021-11-12
Countries
- France
Study Locations
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