Evidence map›Paper›PMID 18285548›Full record

Trial reportBlood2008

Maribavir prophylaxis for prevention of cytomegalovirus infection in allogeneic stem cell transplant recipients: a multicenter, randomized, double-blind, placebo-controlled, dose-ranging study.

Drew J Winston, Jo-Anne H Young, Vinod Pullarkat, Genovefa A Papanicolaou, Ravi Vij, Estil Vance, George J Alangaden, Roy F Chemaly, Finn Petersen, Nelson Chao and 4 more

Open access · bronzeAbstract readMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in Blood, 2008. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 77 papers.

0numbers the graph read from it
0cells of the map it votes in
77citing papers in PubMed
17.2field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

77 citing papers in PubMed, 242 citations in OpenAlex.

  1. Trial
  2. Trial
  3. Trial
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Maribavir.Hospital pharmacy · 2023
    Review
  11. Article
  12. Anti-CMV therapy, what next? A systematic review.Frontiers in microbiology · 2023
    Review
  13. Carbohydrate-based drugs launched during 2000Acta pharmaceutica Sinica. B · 2022
    Review
  14. New Perspectives on Antimicrobial Agents: Maribavir.Antimicrobial agents and chemotherapy · 2022
    Review
  15. Review
  16. Article
  17. Evaluating the Safety of Maribavir for the Treatment of Cytomegalovirus.Therapeutics and clinical risk management · 2022
    Review
  18. Review
  19. Article
  20. Review

17 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

14 authors at 13 institutions in 1 country.

Drew J WinstonUniversity of California, Los Angeles Medical Center, Los Angeles, CA 90095, USA. dwinston@mednet.ucla.edu
Jo-Anne H Young
Vinod Pullarkat
Genovefa A Papanicolaou
Ravi Vij
Estil Vance
George J Alangaden
Roy F Chemaly
Finn Petersen
Nelson Chao
Jared Klein
Kellie Sprague
Stephen A Villano
Michael Boeckh
Baylor University Medical Center · USCity Of Hope National Medical Center · USDuke Medical Center · USFred Hutch Cancer Center · USLos Angeles Medical Center · USLoyola University Medical Center · USMemorial Sloan Kettering Cancer Center · USThe University of Texas MD Anderson Cancer Center · USTufts Medical Center · USUniversity of Minnesota Medical Center · USUniversity of Utah · USWashington University in St. Louis · USWayne State University · US

Funding

Infections in Hematopoietic Cell Transplant RecipientsK24HL093294 · NHLBI · FRED HUTCHINSON CANCER RESEARCH CENTER · PI BOECKH, MICHAEL J · 2009 to 2019
$1.5M
NHLBI NIH HHS K24 HL093294
6 · The paper itself

Abstract

The anti-cytomegalovirus (CMV) activity and safety of oral maribavir in CMV-seropositive allogeneic stem-cell transplant recipients were evaluated in a randomized, double-blind, placebo-controlled, dose-ranging study. After engraftment, 111 patients were randomized to receive CMV prophylaxis with maribavir (100 mg twice daily, 400 mg once daily, or 400 mg twice daily) or placebo. Within the first 100 days after transplantation, the incidence of CMV infection based on CMV pp65 antigenemia was lower in each of the respective maribavir groups (15%, P = .046; 19%, P = .116; 15%, P = .053) compared with placebo (39%). Similarly, the incidence of CMV infection based on plasma CMV DNA was lower in each of the respective maribavir groups (7%, P = .001; 11%, P = .007; 19%, P = .038) compared with placebo (46%). Anti-CMV therapy was also used less often in patients receiving each respective dose of maribavir (15%, P = .001; 30%, P = .051; 15%, P = .002) compared with placebo (57%). There were 3 cases of CMV disease in placebo patients but none in the maribavir patients. Adverse events, mostly taste disturbance, nausea, and vomiting, were more frequent with maribavir. Maribavir had no adverse effect on neutrophil or platelet counts. These results show that maribavir can reduce the incidence of CMV infection and, unlike ganciclovir, does not cause myelosuppression.

Indexed as

Stem Cell TransplantationAdultAntiviral AgentsBenzimidazolesCytomegalovirus InfectionsDichlororibofuranosylbenzimidazoleDose-Response Relationship, DrugDouble-Blind MethodFemaleHumansMaleMiddle AgedNauseaRibonucleosidesTaste DisordersTransplantation, HomologousAntiviral AgentsBenzimidazolesDichlororibofuranosylbenzimidazolemaribavirRibonucleosides

Identifiers

PMID18285548
PMCPMC5726327
OpenAlexW1989700483

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.