A Study on Spermatogenesis in Male Renal Transplant Recipients Receiving Valganciclovir (Valcyte®) Versus Untreated Matched Controls
A Multicenter Prospective Cohort Study to Investigate if Ganciclovir Significantly Affects Spermatogenesis in Adult Male Renal Transplant Recipients Receiving up to 200 Days Valganciclovir Vs. Concurrent Untreated Matched Controls
1 other identifier
interventional
59
2 countries
19
Brief Summary
This observational study will compare spermatogenesis in male adult renal transplant recipients receiving valganciclovir versus untreated matched controls. Data will be collected from each participant for up to 52 weeks post transplant.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P25-P50 for phase_4
Started Jan 2012
Longer than P75 for phase_4
19 active sites
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
Click on a node to explore related trials.
Study Timeline
Key milestones and dates
Study Start
First participant enrolled
January 30, 2012
CompletedFirst Submitted
Initial submission to the registry
August 9, 2012
CompletedFirst Posted
Study publicly available on registry
August 13, 2012
CompletedPrimary Completion
Last participant's last visit for primary outcome
September 29, 2015
CompletedStudy Completion
Last participant's last visit for all outcomes
December 30, 2016
CompletedResults Posted
Study results publicly available
August 31, 2018
CompletedAugust 31, 2018
July 1, 2018
3.7 years
August 9, 2012
October 2, 2017
August 1, 2018
Conditions
Outcome Measures
Primary Outcomes (1)
Change in Sperm Density From Baseline to the End of Treatment (EOT)
Sperm density was calculated based on the average of two semen samples. Change was calculated as the sperm density measured at post-baseline visit (EOT) minus (-) the sperm density measured at baseline for each participant. A negative change from baseline indicated a lower sperm density (worsening).
Baseline, EOT (Week 28)
Secondary Outcomes (26)
Change in Terminal Uridine Nick-End Labeling (TUNEL) Score From Baseline to EOT and End of Follow-up (FU)
Baseline, EOT (Week 28), end of FU (Week 52)
Change in TUNEL Score From EOT to End of FU
EOT (Week 28), end of FU (Week 52)
Change in Seminal Volume From Baseline to EOT and End of FU
Baseline, EOT (Week 28), end of FU (Week 52)
Change in Seminal Volume From EOT to End FU
EOT (Week 28), end of FU (Week 52)
Change in Sperm Density From EOT to End of FU
EOT (Week 28), end of FU (Week 52)
- +21 more secondary outcomes
Study Arms (2)
Cohort A: Partcipants who Received Valganciclovir
EXPERIMENTALParticipants with donor positive (D+)/recipient negative (R-) cytomegalovirus (CMV) serology, who receive valganciclovir prophylaxis according to the local prescribing information, will be observed for spermatogenesis up to 52 weeks post-transplant.
Cohort B: Untreated Participants
NO INTERVENTIONParticipants with donor negative (D-)/R- CMV serology, who do not receive prophylaxis, will be observed for spermatogenesis up to 52 weeks post-transplant.
Interventions
Participants will receive valganciclovir 900 milligrams (mg) orally once daily for up to a maximum of 200 days post-transplant.
Eligibility Criteria
You may qualify if:
- First renal transplant
- Participant eligible to receive valganciclovir prophylaxis as determined by the treating physician in accordance with the local approved product prescribing information (Cohort A only) or the participant is not expected to require any valganciclovir prophylaxis (Cohort B only) post-transplant
- Participant has no history of known infertility
- Participant is able and willing to provide semen samples
- Participant agrees to utilize a barrier contraceptive throughout the study or for at least 90 days after cessation of valganciclovir treatment
You may not qualify if:
- Prior ganciclovir or valganciclovir within 3 months of enrollment
- Organ transplant other than kidney
- Participant has received an investigational new drug in the 3 months prior to transplant
- Participant hs received an alkylating agent or other medications known to affect fertility/spermatogenesis
- Participant is unlikely to be available for follow-up for the entire duration of the study (up to 52 weeks)
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (19)
National Institute of Transplantation
Los Angeles, California, 90057, United States
University of California Los Angeles (UCLA)
Los Angeles, California, 90095, United States
University of California at San Francisco
San Francisco, California, 94115, United States
Washington Hospital Center
Washington D.C., District of Columbia, 20010, United States
Medical College of Georgia
Augusta, Georgia, 30912, United States
Tufts Medical Center
Boston, Massachusetts, 02111, United States
Western New England Renal & Transplant Associates, P.C.
Springfield, Massachusetts, 01107, United States
University of Minnesota
Minneapolis, Minnesota, 55455, United States
Mayo Clinic Rochester
Rochester, Minnesota, 55902, United States
Albany Medical Cancer Center
Albany, New York, 12208, United States
University at Buffalo
Buffalo, New York, 14203, United States
Stony Brook University Hospital
Stony Brook, New York, 11794, United States
Oregan Health & Science Univ
Portland, Oregon, 97237, United States
Drexel University Department of Nephrology
Philadelphia, Pennsylvania, 19102, United States
Rhode Island Hospital
Providence, Rhode Island, 02903, United States
Methodist Healthcare System of San Antonio
San Antonio, Texas, 78229, United States
Hospital Miguel Hidalgo
Aguascalientes, 20230, Mexico
Instituto Mexicano de Trasplantes
Cuernavaca, 62448, Mexico
Hospital Central Dr. Ignacio Morones Prieto
San Luis Potosí City, 78240, Mexico
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Intervention Hierarchy (Ancestors)
Results Point of Contact
- Title
- Medical Communications
- Organization
- Hoffmann-La Roche
Study Officials
- STUDY DIRECTOR
Clinical Trials
Hoffmann-La Roche
Publication Agreements
- PI is Sponsor Employee
- No
- Restriction Type
- OTHER
- Restrictive Agreement
- Yes
Study Design
- Study Type
- interventional
- Phase
- phase 4
- Allocation
- RANDOMIZED
- Masking
- NONE
- Purpose
- OTHER
- Sponsor Type
- INDUSTRY
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
August 9, 2012
First Posted
August 13, 2012
Study Start
January 30, 2012
Primary Completion
September 29, 2015
Study Completion
December 30, 2016
Last Updated
August 31, 2018
Results First Posted
August 31, 2018
Record last verified: 2018-07