ArticleJHLT open2024
Letermovir use for cytomegalovirus prophylaxis following lung transplantation: A single-center review.
Article in JHLT open, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 2 of them syntheses that pooled 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.
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.
Who cites it
4 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Beyond valganciclovir: A meta-analysis of letermovir's safety and efficacy in cytomegalovirus prophylaxis after solid organ transplantation.BMC infectious diseases · 2026Pooled it
- Efficacy and safety of letermovir for cytomegalovirus prophylaxis in thoracic organ transplantation: a systematic review and meta-analysis.BMC infectious diseases · 2025Pooled it
- Cytomegalovirus infections in thoracic organ transplant recipients: Updates on prevention, treatment, and immune monitoring.JHLT open · 2026Article
- Computational Investigation of Novel pUL56 Ligands Using Docking and Molecular Dynamics with Preliminary Cytotoxicity Evaluation: An Early-Stage Study.Molecules (Basel, Switzerland) · 2026Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors.
Funding
Abstract
Background: Cytomegalovirus (CMV) remains a major cause of infection following solid organ transplant and valganciclovir prophylaxis is the standard of care. However, valganciclovir-associated myelosuppression limits its tolerability and can require dose reduction in immunosuppression, particularly cell cycle inhibitors, or changes in antimicrobial prophylaxis. Letermovir, a viral terminase inhibitor, is approved by the FDA for use as CMV prophylaxis in kidney transplant recipients; data on its use in lung transplant recipients (LTRs) are limited. Methods: We performed a single-center retrospective cohort study of LTRs prescribed letermovir for prophylaxis between January 1, 2018 and September 1, 2023. Results: Over the study period, 88 LTRs were prescribed letermovir with most (93%) switching due to myelosuppression while on valganciclovir. Of those prescribed letermovir, 67 (76%) actually started letermovir, with the primary barrier being insufficient insurance coverage or high copay cost. Among LTRs who started letermovir due to myelosuppression, 90% had improvement in their leukopenia or neutropenia, with a significant increase in white blood cell count 1 month after switching therapy ( Conclusions: Our findings support the use of letermovir for CMV prophylaxis in LTRs with possible benefits over valganciclovir, although a direct comparison is needed.
Indexed as
Identifiers
What OpenQuestion holds
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.