Evidence map›Paper›PMID 30137245›Full record

ArticleClinical infectious diseases : an official publication of the Infectious Diseases Society of America2019

Definitions of Resistant and Refractory Cytomegalovirus Infection and Disease in Transplant Recipients for Use in Clinical Trials.

Roy F Chemaly, Sunwen Chou, Hermann Einsele, Paul Griffiths, Robin Avery, Raymund R Razonable, Kathleen M Mullane, Camille Kotton, Jens Lundgren, Takashi E Komatsu and 7 more

4 registry-linked trialsOpen access · bronzeAbstract read
In one paragraph

Article in Clinical infectious diseases : an official publication of the Infectious Diseases Society of America, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 4 registered trials, which are not on this map. Cited by 103 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
103citing papers in PubMed, 3 pooled it
11.7field-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.

NCT04690933 completednot on this mapstarted 2020, after this paper: background citation

Real-life Observatory of Efficacy and Resistance to Anti CMV Molecules in Stem Cell Recipients

TypeobservationalSponsorUniversity Hospital, LimogesRan2020 to 2025Enrolled400ConditionsHematopoietic Stem Cell Transplantation, Cytomegalovirus Infections, Antivirals, Antiviral Drug ResistanceArmsReal-life observatory of efficacy and resistance to anti CMV molecules in stem cell recipients
NCT06341686 phase3unknown statusnot on this mapstarted 2024, after this paper: background citation

Efficacy and Safety of Prophylactic Use of Letermovir Versus Preemptive Strategy in Kidney Transplant Recipients at Higher Risk of Cytomegalovirus Infection: a Prospective Randomized Study

TypeinterventionalSponsorHospital do Rim e HipertensãoRan2024 to 2025Enrolled100ConditionsCMV InfectionArmsLetermovir 480 MG, Ganciclovir
NCT07679412 narecruitingnot on this mapstarted 2026, after this paper: background citation

An Exploratory Clinical Study of Autologous LB-DTK-CMV in Patients With Antiviral-Resistant and Refractory Cytomegalovirus Retinitis.

TypeinterventionalSponsorLucasBioRan2026 to 2027Enrolled5ConditionsCMV RetinitisArmsLB-DTK-CMV
NCT07787767 not yet recruitingnot on this mapstarted 2026, after this paper: background citation

Evaluation of Cytomegalovirus Refractoriness and Resistance in Solid Organ Transplantation in Argentina: A Multicenter Study

TypeobservationalSponsorHospital Italiano de Buenos AiresRan2026 to 2027Enrolled200ConditionsCytomegalovirus Infections, Solid Organ Transplantation Recipient, Solid Organ Transplantation
3 · Its place in the literature

Who cites it

103 citing papers in PubMed, 3 syntheses or guidelines pooled it, 236 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Trial
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Review
  14. Review
  15. Article
  16. Article
  17. Current and Future Strategies for the Prevention and Treatment of Cytomegalovirus Infections in Transplantation.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2025
    Review
  18. Article
  19. Article
  20. Article

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

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

17 authors at 16 institutions in 5 countries.

Roy F ChemalyDepartment of Infectious Diseases, Infection Control, and Employee Health, University of Texas MD Anderson Cancer Center, Houston.
Sunwen ChouDivision of Infectious Diseases, Oregon Health and Science University, and Research and Development Service, Veterans Affairs Portland Health Care System.
Hermann EinseleDepartment of Internal Medicine II, University Hospital Wuerzburg, Germany.
Paul GriffithsInstitute for Immunity and Transplantation, University College London Medical School, United Kingdom.
Robin AveryDivision of Infectious Diseases, Department of Medicine, Johns Hopkins University, Baltimore, Maryland.
Raymund R RazonableDivision of Infectious Diseases, Department of Medicine, William J. von Liebig Center for Transplantation and Clinical Regeneration, Mayo Clinic, Rochester, Minnesota.
Kathleen M MullaneSection of Infectious Diseases and Global Health, Department of Medicine, University of Chicago, Illinois.
Camille KottonInfectious Diseases Division, Massachusetts General Hospital, Harvard Medical School, Boston.
Jens LundgrenCentre for Health and Infectious Disease Research, Department of Infectious Diseases, Rigshospitalet, University of Copenhagen, Denmark.
Takashi E KomatsuDivision of Antiviral Products, Center for Drug Evaluation and Research, US Food and Drug Administration, Silver Spring, Maryland.
Peter LischkaAiCuris Anti-infective Cures GmbH, Wuppertal, Germany.
Filip JosephsonSwedish Medical Products Agency, Uppsala.
Cameron M DouglasMerck & Co, Inc, Kenilworth, New Jersey.
Obi UmehShire Global Clinical Development (Immunology Therapeutic Area), Lexington, Massachusetts.
Veronica MillerForum for Collaborative Research, University of California, Berkeley.
Per LjungmanDepartment of Cellular Therapy and Allogeneic Stem Cell Transplantation, Karolinska University Hospital.
Resistant Definitions Working Group of the Cytomegalovirus Drug Development Forum
AiCuris (Germany) · DECentre of Excellence for Health, Immunity and Infections · DKHarvard University · USJohns Hopkins Medicine · USKarolinska Institutet · SEMayo Clinic · USMedical Products Agency · SEMerck & Co., Inc., Rahway, NJ, USA (United States) · USTakeda (United States) · USThe University of Texas MD Anderson Cancer Center · USUnited States Food and Drug Administration · USUniversitätsklinikum Würzburg · DEUniversity College London · GBUniversity of California, Berkeley · USUniversity of Chicago · USVA Portland Health Care System · US

Funding

Tumor Evolution and Metastasis ProgramP30CA016672 · NCI · UNIVERSITY OF TX MD ANDERSON CAN CTR · PI Scott Kopetz · 1985 to 2026
$290.8M
NCI NIH HHS P30 CA016672
6 · The paper itself

Abstract

Despite advances in preventive strategies, cytomegalovirus (CMV) infection remains a major complication in solid organ and hematopoietic cell transplant recipients. CMV infection may fail to respond to commercially available antiviral therapies, with or without demonstrating genotypic mutation(s) known to be associated with resistance to these therapies. This lack of response has been termed "resistant/refractory CMV" and is a key focus of clinical trials of some investigational antiviral agents. To provide consistent criteria for future clinical trials and outcomes research, the CMV Resistance Working Group of the CMV Drug Development Forum (consisting of scientists, clinicians, regulatory officials, and industry representatives from the United States, Canada, and Europe) has undertaken establishing standardized consensus definitions of "resistant" and "refractory" CMV. These definitions have emerged from the Working Group's review of the available virologic and clinical literature and will be subject to reassessment and modification based on results of future studies.

Indexed as

Hematopoietic Stem Cell TransplantationOrgan TransplantationTransplant RecipientsCytomegalovirus InfectionsDrug Resistance, ViralHumansImmunocompromised HostRisk FactorsTerminology as TopicTreatment Failureclinical trialscytomegalovirusdefinitionsrefractoryresistance

Identifiers

PMID30137245
PMCPMC7348585
OpenAlexW2888202523

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

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.