Advisors Considering Data from 2 Maribavir Trials
The FDA Antimicrobial Drugs Advisory Committee meets 10/7 to consider Takeda’s maribavir to treat cytomegalovirus (CMV) infection in the post-transplant setting. An agency briefing paper distributed in advance of the meeting says Takeda submitted a Phase 2 and Phase 3 trial evaluating the efficacy of maribavir for treating resistant or refractory CMV infection or disease in solid organ and stem cell transplant recipients.
FDA medical reviewers say that both trials have significant limitations, but there is a considerable unmet need for antiviral drugs to treat CMV infection and disease which is resistant or refractory to treatment with currently available therapies.
“The charge to the committee is to advise whether data from these trials support the use of maribavir for treatment of resistant or refractory CMV infection and disease,” the document says. “If the data are not deemed adequate to support the proposed indication, FDA asks the advisory committee to provide input on what additional studies or trials may be needed.”
The reviewers say that maribavir provides some advantages over currently available therapies. It appears to have a better safety profile, they say, and is available as an oral tablet, providing ease of administration. One of the drug’s disadvantages, the document says, is its low barrier to resistance and potential cross-resistance to valganciclovir or ganciclovir.