Drugs / Letermovir
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Letermovir

also known as Prevymis · AIC246 · LET · Letermovir Tablets · LTM · LTV · MK-8228

Small molecule

Developed for
cytomegalovirus infection · disease related to solid organ transplantation · HIV infectious disease · disease related to transplantation · fetal cytomegalovirus syndrome · idiopathic disseminated cytomegalovirus infection
Investigated by
Merck Sharp & Dohme LLC · Assistance Publique - Hôpitaux de Paris · URC-CIC Paris Descartes Necker Cochin · Institute of Hematology & Blood Diseases Hospital, China · M.D. Anderson Cancer Center · National Institute of Allergy and Infectious Diseases (NIAID)
+33 more · The First Affiliated Hospital of Soochow University · Tufts Medical Center · University of Wisconsin, Madison · AiCuris Anti-infective Cures AG · Amy C. Sherman, MD · Beijing Children's Hospital · Children's Oncology Group · City of Hope Medical Center · Columbia University · Cornell University · Eurofins Viracor · Fernanda P Silveira, MD, MS · Hospital do Rim e Hipertensão · Jason A Roberts · Jean-Pierre Routy · MERCK SHARP & DOHME DE ESPAÑA S.A. · Maimónides Biomedical Research Institute of Córdoba · Memorial Sloan Kettering Cancer Center · National Cancer Institute (NCI) · Ohio State University Comprehensive Cancer Center · Quintiles, Inc. · Rabin Medical Center · Royal Brisbane and Women's Hospital · Royal Free Hospital NHS Foundation Trust · Ruijin Hospital · Seoul National University Hospital · University College, London · University Health Network, Toronto · University Medical Centre Ljubljana · University of California, Irvine · University of Pennsylvania · Virginia Commonwealth University · WeiShi

Regulatory milestones approvals, filings & regulatory actions · 8 recorded

MilestoneJurisdictionBrandIndicationDateSentence it was read from
Filed cytomegalovirus infection 2 milestones
Filed EU (EMA) — cytomegalovirus infection —

“Merck has regulatory applications pending in other markets, including in the European Union and Japan.” merck.com ↗

Filed Japan (PMDA) — cytomegalovirus infection —

“Merck also has filed letermovir for regulatory approval in other markets including Japan, where it is currently under review.” merck.com ↗

“Merck has regulatory applications pending in other markets, including in the European Union and Japan.” merck.com ↗

Filed idiopathic disseminated cytomegalovirus infection 1 milestone
Filed US (FDA) PREVYMIS idiopathic disseminated cytomegalovirus infection 2023-02-17

“today announced the U.S. Food and Drug Administration (FDA) has accepted for review two supplemental new drug applications (sNDA) for PREVYMIS™ (letermovir).” merck.com ↗

“The FDA granted priority review for the sNDA for PREVYMIS for prophylaxis of cytomegalovirus (CMV) disease in adult kidney transplant recipients at high risk” merck.com ↗

Approved Indication not stated 3 milestones
Label expansions (3) US (FDA) PREVYMIS — 2023-06-05 – 2024-08-30 fda.gov ↗
Approved EU (EMA) Prevymis — 2018-01-08 europa.eu ↗
Approved US (FDA) PREVYMIS — 2017-11-08 fda.gov ↗

Trials 45

PhaseRegistry idDatesIndicationSponsorStatusOutcome
Phase 14 trials
Phase 1 NCT07020533 May 2026 → May 2028 expected Hodgkins lymphoma, acute myeloid leukemia, chronic lymphocytic leukemia/small lymphocytic lymphoma, leukemia, myeloid, accelerated-phase +3 City of Hope Medical Center Recruiting No outcome recorded
Phase 1 NCT07199465 Mar 2026 → Apr 2028 expected cytomegalovirus infection Merck Sharp & Dohme LLC Recruiting No outcome recorded
Phase 1 NCT07101055 Sep 2025 → Feb 2027 expected end stage renal failure Jason A Roberts Not yet recruiting No outcome recorded
Phase 1 NCT06118515 Feb 2025 → May 2026 cytomegalovirus infection National Institute of Allergy and Infectious Diseases (NIAID) Completed No outcome recorded
Phase 216 trials · 1 missed
Phase 2 NCT06920251 Sep 2025 → Dec 2027 expected refractory plasma cell neoplasm Seoul National University Hospital Recruiting No outcome recorded
Phase 2 NCT06575374 Dec 2024 → Aug 2026 overdue — M.D. Anderson Cancer Center Recruiting No outcome recorded
Phase 2 NCT06626555 Oct 2024 → Mar 2026 overdue HIV infectious disease University College, London Not yet recruiting No outcome recorded
Phase 2 NCT06453460 Jun 2024 → Jun 2028 expected cytomegalovirus infection, disease related to hematopoietic stem cell transplant University of California, Irvine Recruiting No outcome recorded
Phase 2 NCT06066957 Apr 2024 → Dec 2026 expected cytomegalovirus infection, disease related to transplantation University of Pennsylvania Active not recruiting No outcome recorded
Phase 2 NCT05969743 Oct 2023 → Apr 2025 cytomegalovirus infection, graft versus host disease Rabin Medical Center Unknown No outcome recorded
Phase 2 NCT06057194 Oct 2023 → Apr 2027 expected cytomegalovirus infection Maimónides Biomedical Research Institute of Córdoba Not yet recruiting No outcome recorded
Phase 2 NCT05432778 May 2023 → Aug 2025 overdue cytomegalovirus infection University Medical Centre Ljubljana Recruiting No outcome recorded
Phase 2 NCT06021210 Jul 2022 → Jul 2024 cytomegalovirus infection The First Affiliated Hospital of Soochow University Unknown No outcome recorded
Phase 2 NCT04840199 Apr 2022 → Nov 2023 HIV infectious disease, cytomegalovirus infection National Institute of Allergy and Infectious Diseases (NIAID) Terminated Missed primary Stop: Enrollment
Phase 2/31 trial
Phase 2/3 NCT07079735 Sep 2025 → Jan 2028 expected cytomegalovirus infection, disease related to solid organ transplantation, transplant rejection Columbia University Recruiting No outcome recorded
Phase 312 trials · 3 met primary
Phase 3 NCT06334497 Aug 2024 → Sep 2027 expected cytomegalovirus infection Assistance Publique - Hôpitaux de Paris Recruiting No outcome recorded
Phase 3 NCT06407232 Aug 2024 → Aug 2027 expected cytomegalovirus infection, disease related to solid organ transplantation University of Wisconsin, Madison Recruiting No outcome recorded
Phase 3 NCT05711667 Jul 2024 → Jun 2029 expected cancer, hematopoietic and lymphoid cell neoplasm Children's Oncology Group Recruiting No outcome recorded
Phase 3 NCT06449586 Jul 2024 → Jun 2026 overdue hematopoietic and lymphoid system neoplasm Ruijin Hospital Active not recruiting No outcome recorded
Phase 3 NCT06341686 May 2024 → Mar 2025 cytomegalovirus infection Hospital do Rim e Hipertensão Unknown No outcome recorded
Phase 3 NCT05446571 Oct 2023 → Aug 2029 expected fetal cytomegalovirus syndrome Assistance Publique - Hôpitaux de Paris Recruiting No outcome recorded
Phase 3 NCT06001320 Sep 2023 → Sep 2026 cytomegalovirus infection Virginia Commonwealth University Completed No outcome recorded
Phase 3 NCT05763823 Mar 2023 → Apr 2024 cytomegalovirus infection Merck Sharp & Dohme LLC Completed No outcome recorded
Phase 3 NCT04129398 Dec 2019 → Oct 2022 cytomegalovirus infection Merck Sharp & Dohme LLC Completed No outcome recorded
Phase 3 NCT03930615 Jun 2019 → Oct 2021 cytomegalovirus infection Merck Sharp & Dohme LLC Completed Met primary
Phase 47 trials
Phase 4 NCT07706166 Oct 2026 → Sep 2029 expected — University of Wisconsin, Madison Not yet recruiting No outcome recorded
Phase 4 NCT07235683 Dec 2025 → Aug 2027 expected cytomegalovirus infection University Health Network, Toronto Recruiting No outcome recorded
Phase 4 NCT07569653 Oct 2025 → Oct 2027 expected cytomegalovirus infection, graft versus host disease WeiShi Recruiting No outcome recorded
Phase 4 NCT05914701 Jul 2023 → Dec 2024 — Institute of Hematology & Blood Diseases Hospital, China Unknown No outcome recorded
Phase 4 NCT05914675 Jul 2023 → Dec 2024 — Institute of Hematology & Blood Diseases Hospital, China Unknown No outcome recorded
Phase 4 NCT05626530 Feb 2023 → Dec 2025 overdue cytomegalovirus infection, disease related to solid organ transplantation, neutropenia, poisoning Tufts Medical Center Recruiting No outcome recorded
Phase 4 NCT04904614 Jan 2022 → Jan 2025 cytomegalovirus infection, disease related to solid organ transplantation, neutropenia, poisoning Tufts Medical Center Completed No outcome recorded
Phase not applicable5 trials
— NCT07488728 Oct 2025 → Dec 2026 expected Epstein-Barr virus-associated lymphoproliferative disorder, secondary hemophagocytic lymphohistiocytosis Beijing Children's Hospital Recruiting No outcome recorded
— NCT06812598 Dec 2024 → Jun 2026 overdue cytomegalovirus infection The First Affiliated Hospital of Soochow University Recruiting No outcome recorded
— NCT06639854 Nov 2024 → Jul 2027 expected cytomegalovirus infection, disease related to hematopoietic stem cell transplant M.D. Anderson Cancer Center Recruiting No outcome recorded
— NCT05362916 Sep 2022 → Jan 2025 — Jean-Pierre Routy Completed No outcome recorded
— NCT04732260 Jun → Nov 2021 — Assistance Publique - Hôpitaux de Paris Completed No outcome recorded
Comparator or background therapy3 trials
Phase 2 NCT04060277 Background Nov 2019 → Jun 2023 overdue Hodgkins lymphoma, acute myeloid leukemia, chronic lymphocytic leukemia/small lymphocytic lymphoma, leukemia, myeloid, accelerated-phase +3 City of Hope Medical Center Active not recruiting No outcome recorded
Phase 4 NCT07571135 Comparator May 2026 → Nov 2028 expected cytomegalovirus infection Elisabeth Kincaide Not yet recruiting No outcome recorded
Phase 4 NCT07266467 Comparator May 2025 → Nov 2026 expected — First Affiliated Hospital Xi'an Jiaotong University Recruiting No outcome recorded

News releases announcing trial results or a regulatory action · 17

DateIssuerRelease
2024-07-17 AiCuris Anti-infective Cures AG Regulatory Aicuris Announces Milestone Achievements Further Validating its Pipeline of Anti-viral Solutions for Immuno-compromised Patients aicuris.com ↗
PREVYMIS® (letermovir) gains approval in Japan for prevention of cytomegalovirus disease in adult patients with a solid organ transplant (SOT) triggering next milestone payment of EUR €7.5 million from partner MSD
2024-06-03 Lupin Limited Regulatory Lupin Receives Tentative Approval from U.S. FDA for Letermovir Tablets lupin.com ↗
2024-03-23 Zydus Lifesciences Limited Regulatory Zydus receives tentative approval from USFDA for Letermovir Tablets, 240 mg and 480 mg zyduslife.com ↗
Zydus Lifesciences Limited (including its subsidiaries/ affiliates, hereafter referred to as “Zydus”) has received tentative approval from the United States Food and Drug Administration (USFDA) to market Letermovir tablets, 240 mg and 480 mg, (USRLD: Prevymis® tablets).
2024-01-09 AiCuris Anti-infective Cures AG Regulatory Aicuris Received 15 Million Euros Milestone Payment from Licensing Partner MSD Following EMA Approval of PREVYMIS® for Prevention of CMV Infection in High-Risk Adult Kidney Transplant Recipients aicuris.com ↗
PREVYMIS® now approved in the U.S. and Europe for prophylaxis of Cytomegalovirus (CMV) disease in adult kidney transplant recipients at high risk (Donor CMV seropositive/Recipient CMV seronegative [D+/R?])
2023-10-17 Merck Sharp & Dohme LLC Regulatory Merck Receives Positive EU CHMP Opinion for PREVYMIS® for Prevention of CMV Disease in High-Risk Adult Kidney Transplant Recipients and Extended 200-Day Dosing in Adult HSCT Recipients at Risk for Late CMV Infection and Disease merck.com ↗
Merck (NYSE: MRK), known as MSD outside of the United States and Canada, today announced that the Committee for Medicinal Products for Human Use (CHMP) of the European Medicines Agency (EMA) has recommended the approval of PREVYMIS ® (letermovir) for prophylaxis of cytomegalovirus (CMV) disease in adult kidney transplant recipients at high risk (Donor CMV-seropositive/Recipient CMV-seronegative [D+/R-]).
2023-08-23 AiCuris Anti-infective Cures AG Regulatory Aicuris Received 30 Million Euros Milestone Payment from Licensing Partner MSD Following U.S. FDA Approval of PREVYMIS® (letermovir) in Second Indication aicuris.com ↗
Aicuris Anti-infective Cures AG, a leading clinical-stage pharmaceutical company developing novel, therapeutic candidates for the prevention and treatment of severe and potentially life-threatening infectious diseases in immunocompromised patients, announced today that it has received milestone payments in the amount of EUR €30 million from its licensing partner MSD (tradename of Merck & Co., Inc., Rahway, N.J., USA, (NYSE: MRK)) following U.S. Food and Drug Administration (FDA) approval for first-in-class antiviral agent PREVYMIS ® in a new indication – the prophylaxis of CMV disease after kidney transplant in Donor CMV-seropositive/Recipient CMV-seronegative patients.
2023-06-06 Merck Sharp & Dohme LLC Regulatory U.S. FDA Approves New Indication for Merck’s PREVYMIS® (letermovir) for Prevention of Cytomegalovirus (CMV) Disease in High-Risk Adult Kidney Transplant Recipients merck.com ↗
Merck (NYSE: MRK), known as MSD outside of the United States and Canada, today announced the U.S. Food and Drug Administration (FDA) has approved a new indication for PREVYMIS ® (letermovir) for prophylaxis of cytomegalovirus (CMV) disease in adult kidney transplant recipients at high risk (Donor CMV-seropositive/Recipient CMV-seronegative [D+/R-]) following a priority review.
2023-02-17 Merck Sharp & Dohme LLC Regulatory U.S. FDA Accepts for Priority Review the Supplemental New Drug Application for Merck’s PREVYMIS™ for Prophylaxis of Cytomegalovirus Disease in Kidney Transplant Recipients at High Risk merck.com ↗
Merck (NYSE: MRK), known as MSD outside of the United States and Canada, today announced the U.S. Food and Drug Administration (FDA) has accepted for review two supplemental new drug applications (sNDA) for PREVYMIS™ (letermovir).
2022-10-22 Merck Sharp & Dohme LLC Results Merck’s PREVYMIS™ Demonstrates Efficacy in Phase 3 Study for Prevention of Cytomegalovirus Disease in Adults After Kidney Transplantation merck.com ↗
In a pre-specified safety analysis, PREVYMIS-treated participants had significantly less myelotoxicity, as measured by rates of leukopenia or neutropenia, compared to valganciclovir-treated participants; 26.0% (n=76) versus 64.0% (n=190), (95% CI, -45.1, -30.3; p-value <0.0001).
2022-04-28 Merck Sharp & Dohme LLC Results Merck Announces First-Quarter 2022 Financial Results merck.com ↗
PREVYMIS was approved by the FDA in 2017.
2022-03-22 Merck Sharp & Dohme LLC Results Systematic Review and Meta-Analysis of Real-World Observational Studies Provide Additional Evidence of Effectiveness of PREVYMIS™ in Preventing Cytomegalovirus Infection and Disease in Adults Undergoing Allogeneic HCT merck.com ↗
Consistent results were observed at 200 days of follow-up with respect to CMV reactivation, clinically significant CMV infection, and CMV disease.
2017-12-06 Merck Sharp & Dohme LLC Results New England Journal of Medicine Publishes Phase 3 Clinical Study of PREVYMIS™ (letermovir), Merck’s New CMV Prophylaxis Medicine merck.com ↗
In the study, significantly fewer patients in the PREVYMIS arm (37.5%, n=122/325) compared to the placebo arm (60.6%, n=103/170) developed clinically significant CMV infection, discontinued treatment or had missing data through Week 24 post-transplant (p<0.001), the primary efficacy endpoint.

All press releases naming this drug 18 releases

DateIssuerRelease

Evidence & citations 11 cited values

Every value below carries the sentence it was read from. 50 sources stand behind the page.

FieldValueCited text
Known as Letermovir “A Phase III, Randomized, Double-Blind, Active Comparator-Controlled Study to Evaluate the Efficacy and Safety of MK-8228 (Letermovir) Versus Valganciclovir for the Prevention...” NCT03443869 ↗
47

“Patients received oral letermovir (at a dose of 60, 120, or 240 mg per day, or matching placebo) for 12 weeks after engraftment.” PMID 24806159 ↗ May 2014

NCT06334497 ↗

NCT06812598 ↗

NCT07101055 ↗

NCT06407232 ↗

NCT04732260 ↗

NCT07079735 ↗

NCT05362916 ↗

NCT05763823 ↗

NCT06920251 ↗

Show 37 more sources

Known as AIC246 “we evaluated the effect of letermovir (also known as AIC246), a new anti-CMV drug with a novel mechanism of action” PMID 24806159 ↗ May 2014
Known as LET “This is a research study to test the tolerability and clinical effectiveness of the study drug, Letermovir (LET), when used as secondary prophylaxis following treatment of...” NCT05626530 ↗
Known as Letermovir Tablets “Letermovir Tablets” NCT06021210 ↗
Known as LTM “Letermovir (LTM) is a new anti CMV drug, manufactured by Merck that:” NCT04732260 ↗
Known as LTV “Letermovir (LTV) has substantially reduced the risk of clinically significant CMV infection (csCMVi) in CMV seropositive recipients of allo-HSCT.” NCT06449586 ↗
Known as MK-8228 “A Phase III, Randomized, Double-Blind, Active Comparator-Controlled Study to Evaluate the Efficacy and Safety of MK-8228 (Letermovir) Versus Valganciclovir for the Prevention...” NCT03443869 ↗
Known as Prevymis “Letermovir 480 MG [Prevymis]” NCT06066957 ↗
1

“Letermovir 480 mg [PREVYMIS]” NCT07101055 ↗

Action Inhibit “Letermovir is an antiviral drug that inhibits the CMV-terminase complex.” PMID 29211658 ↗ Dec 2017
Modality Small molecule — CHEMBL1241951 ↗
Route Oral “Patients received oral letermovir (at a dose of 60, 120, or 240 mg per day, or matching placebo) for 12 weeks after engraftment.” PMID 24806159 ↗ May 2014