Merck’s Prevymis OK’d for Cytomegalovirus in Stem Cell Transplants
FDA has approved Merck’s Prevymis (letermovir) once-daily tablets for oral use and injection for intravenous infusion, indicated for preventing cytomegalovirus (CMV) infection and disease in adult CMV-seropositive recipients [R+] of an allogeneic hematopoietic stem cell transplant. CMV is a common and potentially serious viral infection in such transplant recipients and any level of infection is associated with increased mortality in these patients. Approval was based on data from a Phase 3 clinical trial that showed significantly “fewer patients in the Prevymis group (38%, n=122/325) compared to the placebo group (61%, n=103/170) developed clinically significant CMV infection, discontinued treatment or had missing data through Week 24,” according to the company.
The therapy is contraindicated in patients receiving pimozide (Janssen’s Orap) or ergot alkaloids, Merck says. “Increased pimozide concentrations may lead to QT prolongation and torsades de pointes,” it added. Increased ergot alkaloids concentrations may lead to ergotism. To see the full warnings and contraindications, click here.