{"id":71,"date":"2023-03-24T12:45:42","date_gmt":"2023-03-24T12:45:42","guid":{"rendered":"https:\/\/www.merckconnect.com\/prevymis\/?page_id=71"},"modified":"2026-03-30T09:46:01","modified_gmt":"2026-03-30T09:46:01","slug":"hsct-adverse-reactions","status":"publish","type":"page","link":"https:\/\/www.merckconnect.com\/prevymis\/hsct-adverse-reactions\/","title":{"rendered":"Adverse events"},"content":{"rendered":"<link rel='stylesheet' id='vivid360-spacer-css-css' href='https:\/\/www.merckconnect.com\/prevymis\/wp-content\/themes\/cex-wpvip-mhh-merck-vivid360-theme-1-12\/blocks\/spacer\/css\/style.min.css?ver=1764613072' media='all' \/>\n\n<div style=\"background-color:transparent;height:8px\" class=\"wp-block-vivid360-spacer vivid360-spacer spacer-8 spacer-undefined\"><\/div>\n\n\n<link rel='stylesheet' id='vivid360-heading-css-css' href='https:\/\/www.merckconnect.com\/prevymis\/wp-content\/themes\/cex-wpvip-mhh-merck-vivid360-theme-1-12\/blocks\/heading\/css\/style.min.css?ver=1764613072' media='all' \/>\n\n<div class=\"vivid360-heading default-hcp-fontsize default-hcp-tablet-fontsize default-hcp-mobile-fontsize\" id=\"ac779a096-88a7-49e7-b645-601fa2a63413\"><h1 class=\"content-width fontWeightRegular\" style=\"--desktopFontSize:var(--h1FontSizeDesktop);--tabletFontSize:var(--h1FontSizeDesktop);--mobileFontSize:var(--h1FontSizeMobile);--desktopLineHeightSize:var(--h1LineHeightDesktop);--tabletLineHeightSize:var(--h1LineHeightDesktop);--mobileLineHeightSize:\" id=\"top\"><strong>Adverse events (AE) in hematopoietic stem cell transplantation (HSCT) patients<\/strong><\/h1><\/div>\n\n\n\n<div style=\"background-color:transparent;height:8px\" class=\"wp-block-vivid360-spacer vivid360-spacer spacer-8\"><\/div>\n\n\n\n<p><a href=\"#prop100\" aria-label=\"#\">Safety profile through Week 14 (~100 days) post-HSCT in adults<\/a><\/p>\n\n\n\n<div style=\"background-color:transparent;height:8px\" class=\"wp-block-vivid360-spacer vivid360-spacer spacer-8\"><\/div>\n\n\n\n<p><a href=\"#prop200\" aria-label=\"#\">Safety profile from Week 14 (~100 days) through Week 28 (~200 days) post-HSCT in adults<\/a><\/p>\n\n\n\n<div style=\"background-color:transparent;height:8px\" class=\"wp-block-vivid360-spacer vivid360-spacer spacer-8\"><\/div>\n\n\n\n<p><a href=\"#pediatric\" aria-label=\"#\">Safety profile in pediatric R+ recipients of an allogeneic HSCT<\/a><\/p>\n\n\n\n<div style=\"background-color:transparent;height:8px\" class=\"wp-block-vivid360-spacer vivid360-spacer spacer-8\"><\/div>\n\n\n\n<div class=\"vivid360-heading default-hcp-tablet-fontsize\" id=\"a57885ac1-72eb-4830-83d1-58682ffa8058\"><h2 class=\"has-primary-color content-width fontWeightRegular mt-0 mb-0\" style=\"--desktopFontSize:30px;--tabletFontSize:var(--h2FontSizeDesktop);--mobileFontSize:22px;--desktopLineHeightSize:45px;--tabletLineHeightSize:var(--h2LineHeightDesktop);--mobileLineHeightSize:\" id=\"prop100\"><strong>Safety profile through Week 14 (~100 days) post-HSCT in adults<\/strong><\/h2><\/div>\n\n\n\n<div style=\"background-color:transparent;height:8px\" class=\"wp-block-vivid360-spacer vivid360-spacer spacer-8\"><\/div>\n\n\n\n<div class=\"vivid360-heading default-hcp-fontsize default-hcp-tablet-fontsize default-hcp-mobile-fontsize\" id=\"a2b4d3720-cd53-4776-99ae-6cbce4b09ba3\"><h2 class=\"content-width fontWeightRegular\" style=\"--desktopFontSize:var(--h2FontSizeDesktop);--tabletFontSize:var(--h2FontSizeDesktop);--mobileFontSize:var(--h2FontSizeMobile);--desktopLineHeightSize:var(--h2LineHeightDesktop);--tabletLineHeightSize:var(--h2LineHeightDesktop);--mobileLineHeightSize:\" id=\"\">Cardiac AEs<\/h2><\/div>\n\n\n\n<p>The cardiac AE rate was higher in subjects receiving PREVYMIS (13%) compared to subjects receiving placebo (6%). The most common cardiac AEs were tachycardia (reported in 4% of PREVYMIS subjects and in 2% of placebo subjects) and atrial fibrillation (reported in 3% of PREVYMIS subjects and in 1% of placebo subjects). Among those subjects who experienced 1 or more cardiac AEs, 85% of PREVYMIS and 92% of placebo subjects had events reported as mild or moderate in severity.<\/p>\n\n\n\n<div style=\"background-color:transparent;height:16px\" class=\"wp-block-vivid360-spacer vivid360-spacer spacer-16\"><\/div>\n\n\n\n<div class=\"vivid360-heading\" id=\"adec84fa8-7c30-4c31-8ad4-815801f9e94f\"><h3 class=\"content-width fontWeightRegular\" style=\"--desktopFontSize:var(--h3FontSizeDesktop);--tabletFontSize:var(--h3FontSizeDesktop);--mobileFontSize:var(--h3FontSizeMobile);--desktopLineHeightSize:var(--h3LineHeightDesktop);--tabletLineHeightSize:var(--h3LineHeightDesktop);--mobileLineHeightSize:\" id=\"\">All grade AEs reported in \u226510% of patients treated with PREVYMIS at a frequency at least 2% greater than placebo<\/h3><\/div>\n\n\n\n<figure class=\"wp-block-flexible-table-block-table is-scroll-on-mobile\"><table class=\"has-fixed-layout\" style=\"min-width:1080px\"><tbody><tr><td style=\"background-color:#3b6e8f;color:#FFF;font-size:26px;border-color:#3b6e8f;vertical-align:top;text-align:left;padding:10px 30px 15px;width:33%\"><strong>AEs<\/strong><\/td><td style=\"background-color:#981d97;color:#FFF;font-size:26px;text-align:center;padding:10px 30px 15px;width:33%;border-color:#981d97\"><strong>PREVYMIS<\/strong><br>(N=373)<\/td><td style=\"border-color:#4d4d4f;background-color:#4d4d4f;color:#FFF;text-align:center;font-size:26px;padding:10px 30px 15px;width:33%\"><strong>Placebo<\/strong><br>(n=192)<\/td><\/tr><tr><td style=\"font-size:24px;padding:10px 30px 10px 50px;border-color:#babdbf\"><strong>Nausea<\/strong><\/td><td style=\"font-size:24px;text-align:center;padding:10px 30px;border-color:#babdbf\"><strong>27%<\/strong><\/td><td style=\"padding:10px 30px;font-size:24px;text-align:center;border-color:#babdbf\"><strong>23%<\/strong><\/td><\/tr><tr><td style=\"font-size:24px;padding:10px 30px 10px 50px;border-color:#babdbf\"><strong>Diarrhea<\/strong><\/td><td style=\"font-size:24px;text-align:center;border-color:#babdbf\"><strong>26%<\/strong><\/td><td style=\"font-size:24px;padding:10px 30px;text-align:center;border-color:#babdbf\"><strong>24%<\/strong><\/td><\/tr><tr><td style=\"font-size:24px;padding:10px 30px 10px 50px;border-color:#babdbf\"><strong>Vomiting<\/strong><\/td><td style=\"font-size:24px;padding:10px 30px;text-align:center;border-color:#babdbf\"><strong>19%<\/strong><\/td><td style=\"font-size:24px;padding:10px 30px;text-align:center;border-color:#babdbf\"><strong>14%<\/strong><\/td><\/tr><tr><td style=\"font-size:24px;padding:10px 30px 10px 50px;border-color:#babdbf\"><strong>Peripheral edema<\/strong><\/td><td style=\"font-size:24px;padding:10px 30px;text-align:center;border-color:#babdbf\"><strong>14%<\/strong><\/td><td style=\"font-size:24px;padding:10px 30px;text-align:center;border-color:#babdbf\"><strong>9%<\/strong><\/td><\/tr><tr><td style=\"font-size:24px;padding:10px 30px 10px 50px;border-color:#babdbf\"><strong>Cough<\/strong><\/td><td style=\"font-size:24px;padding:10px 30px;text-align:center;border-color:#babdbf\"><strong>14%<\/strong><\/td><td style=\"font-size:24px;padding:10px 30px;text-align:center;border-color:#babdbf\"><strong>10%<\/strong><\/td><\/tr><tr><td style=\"font-size:24px;padding:10px 30px 10px 50px;border-color:#babdbf\"><strong>Headache<\/strong><\/td><td style=\"padding:10px 30px;font-size:24px;text-align:center;border-color:#babdbf\"><strong>14%<\/strong><\/td><td style=\"padding:10px 30px;font-size:24px;text-align:center;border-color:#babdbf\"><strong>9%<\/strong><\/td><\/tr><tr><td style=\"padding:10px 30px 10px 50px;font-size:24px;border-color:#babdbf\"><strong>Fatigue<\/strong><\/td><td style=\"font-size:24px;padding:10px 30px;text-align:center;border-color:#babdbf\"><strong>13%<\/strong><\/td><td style=\"font-size:24px;text-align:center;border-color:#babdbf\"><strong>11%<\/strong><\/td><\/tr><tr><td style=\"padding:10px 30px 10px 50px;border-color:#babdbf;font-size:24px\"><strong>Abdominal pain<\/strong><\/td><td style=\"padding:10px 30px;font-size:24px;text-align:center;border-color:#babdbf\"><strong>12%<\/strong><\/td><td style=\"font-size:24px;padding:10px 30px;text-align:center;border-color:#babdbf\"><strong>9%<\/strong><\/td><\/tr><\/tbody><\/table><\/figure>\n\n\n\n<div class=\"vivid360-heading\" id=\"ad4a061c8-3aac-4fe9-b09a-6f61bc18ebbf\"><h3 class=\"content-width fontWeightRegular\" style=\"--desktopFontSize:var(--h3FontSizeDesktop);--tabletFontSize:var(--h3FontSizeDesktop);--mobileFontSize:var(--h3FontSizeMobile);--desktopLineHeightSize:var(--h3LineHeightDesktop);--tabletLineHeightSize:var(--h3LineHeightDesktop);--mobileLineHeightSize:\" id=\"\">Drug-related renal and hepatic AEs<sup>1<\/sup><\/h3><\/div>\n\n\n\n<figure class=\"wp-block-flexible-table-block-table is-scroll-on-mobile\"><table class=\"has-fixed-layout\" style=\"min-width:1080px\"><tbody><tr><td style=\"background-color:#3b6e8f;color:#FFF;font-size:26px;border-color:#3b6e8f;vertical-align:top;text-align:left;padding:10px 30px 15px;width:33%\"><strong>AEs<\/strong><\/td><td style=\"background-color:#981d97;color:#FFF;font-size:26px;text-align:center;padding:10px 30px 15px;width:33%;border-color:#981d97\"><strong>PREVYMIS<\/strong><br>(N=373)<\/td><td style=\"border-color:#4d4d4f;background-color:#4d4d4f;color:#FFF;text-align:center;font-size:26px;padding:10px 30px 15px;width:33%\"><strong>Placebo<\/strong><br>(n=192)<\/td><\/tr><tr><td style=\"font-size:24px;border-color:#babdbf;padding:10px 30px\"><strong>Renal and urinary disorders<\/strong><\/td><td style=\"font-size:24px;text-align:center;padding:10px 30px;border-color:#babdbf\"><strong>1%<\/strong><\/td><td style=\"padding:10px 30px;font-size:24px;text-align:center;border-color:#babdbf\"><strong>1%<\/strong><\/td><\/tr><tr><td style=\"font-size:24px;border-color:#babdbf;padding:10px 30px\"><strong>Hepatobiliary disorders<\/strong><\/td><td style=\"font-size:24px;text-align:center;border-color:#babdbf\"><strong>0%<\/strong><\/td><td style=\"font-size:24px;padding:10px 30px;text-align:center;border-color:#babdbf\"><strong>1%<\/strong><\/td><\/tr><\/tbody><\/table><\/figure>\n\n\n\n<p>Rates of discontinuation due to AEs were comparable between PREVYMIS and placebo (13% vs 12%, respectively).<\/p>\n\n\n\n<p>The median time to engraftment (defined as absolute neutrophil count \u2265 500\/mm<sup>3<\/sup> on 3 consecutive days after transplantation) was 19 days in the PREVYMIS group and 18 days in the placebo group.<\/p>\n\n\n\n<div style=\"background-color:transparent;height:16px\" class=\"wp-block-vivid360-spacer vivid360-spacer spacer-16\"><\/div>\n\n\n\n<div class=\"vivid360-heading default-hcp-tablet-fontsize\" id=\"ace0d6f6c-d5e4-4a25-8b76-1789ed6075e1\"><h2 class=\"has-primary-color content-width fontWeightRegular mt-0 mb-0\" style=\"--desktopFontSize:30px;--tabletFontSize:var(--h2FontSizeDesktop);--mobileFontSize:22px;--desktopLineHeightSize:45px;--tabletLineHeightSize:var(--h2LineHeightDesktop);--mobileLineHeightSize:\" id=\"prop200\"><strong>Safety profile from Week 14 (~100 days) through Week 28 (~200 days) post-HSCT in adults<\/strong><\/h2><\/div>\n\n\n\n<div style=\"background-color:transparent;height:8px\" class=\"wp-block-vivid360-spacer vivid360-spacer spacer-8\"><\/div>\n\n\n<link rel='stylesheet' id='vivid360-list-css-css' href='https:\/\/www.merckconnect.com\/prevymis\/wp-content\/themes\/cex-wpvip-mhh-merck-vivid360-theme-1-12\/blocks\/list\/css\/style.min.css?ver=1764613072' media='all' \/>\n\n<div class=\"vivid-block-list content-width  default-list block-8d231584-e73f-46a1-ae58-4432b1bf8ea7\" data-image=\"\" data-image-mobile=\"\" data-image-all=\"\" data-image-all-mobile=\"\" data-icon-color=\"#333\" data-text-color=\"#333\" data-client-id=\"block-8d231584-e73f-46a1-ae58-4432b1bf8ea7\"><ul class=\"first-level\"><li>The most commonly reported adverse events with prophylaxis with PREVYMIS from Week 14 through Week 28 post-HSCT were similar to those reported with prophylaxis with PREVYMIS through Week 14 post-HSCT.<\/li><li><span class=\"word-break\">Study drug was discontinued due to an adverse event in 5% of PREVYMIS subjects and 1% of placebo subjects.<\/span><\/li><li>The cardiac adverse event rate was 4% in the PREVYMIS and placebo groups.<\/li><li>The rates of hematologic laboratory abnormalities were comparable in the PREVYMIS and placebo groups. Serum creatinine abnormalities <span class=\"no-wrap-text\">&gt;1.5 mg\/dL<\/span> occurred in 15% of PREVYMIS and 8% of placebo subjects.<\/li><\/ul><\/div>\n\n\n\n<div style=\"background-color:transparent;height:16px\" class=\"wp-block-vivid360-spacer vivid360-spacer spacer-16\"><\/div>\n\n\n\n<div class=\"vivid360-heading default-hcp-tablet-fontsize\" id=\"a19808730-05bd-47a6-adaf-6ad3f4a887b4\"><h2 class=\"has-primary-color content-width fontWeightRegular mt-0 mb-0\" style=\"--desktopFontSize:30px;--tabletFontSize:var(--h2FontSizeDesktop);--mobileFontSize:22px;--desktopLineHeightSize:45px;--tabletLineHeightSize:var(--h2LineHeightDesktop);--mobileLineHeightSize:\" id=\"pediatric\"><strong>Safety profile in pediatric recipients of an allogeneic HSCT<\/strong><\/h2><\/div>\n\n\n\n<div style=\"background-color:transparent;height:8px\" class=\"wp-block-vivid360-spacer vivid360-spacer spacer-8\"><\/div>\n\n\n\n<p>The safety of PREVYMIS was evaluated in 63 pediatric subjects aged 2 months to less than 18 years of age who received an allogeneic HSCT (P030). PREVYMIS was administered orally (tablet or pellet) or intravenously. The duration of PREVYMIS exposure ranged from 3 days to 102 days (median duration 84 days).<\/p>\n\n\n\n<div style=\"background-color:transparent;height:8px\" class=\"wp-block-vivid360-spacer vivid360-spacer spacer-8\"><\/div>\n\n\n\n<p>The safety profile in pediatric patients was consistent with the safety profile observed in clinical trials of PREVYMIS in adults.<\/p>\n\n\n\n<div style=\"background-color:transparent;height:8px\" class=\"wp-block-vivid360-spacer vivid360-spacer spacer-8\"><\/div>\n\n\n\n<p>PREVYMIS is indicated for prophylaxis of CMV infection and disease in pediatric CMV-seropositive recipients [R+] of an allogeneic HSCT 6 months of age and older and weighing at least 6 kg.<\/p>\n\n\n\n<div style=\"background-color:transparent;height:8px\" class=\"wp-block-vivid360-spacer vivid360-spacer spacer-8\"><\/div>\n\n\n\n<div class=\"wp-block-vivid360-button-parent btn-block-container content-width button-justify-left\"><link rel='stylesheet' id='vivid360-button-block-css-css' href='https:\/\/www.merckconnect.com\/prevymis\/wp-content\/themes\/cex-wpvip-mhh-merck-vivid360-theme-1-12\/blocks\/button\/css\/style.min.css?ver=1765898918' media='all' \/>\n<link rel='stylesheet' id='vivid360-button-parent-block-css-css' href='https:\/\/www.merckconnect.com\/prevymis\/wp-content\/themes\/cex-wpvip-mhh-merck-vivid360-theme-1-12\/blocks\/button-parent\/css\/style.min.css?ver=6.8.5' media='all' \/>\n\n<div class=\"vivid360-button-block fullWidth-mobile\"><a class=\"btn primary primary-regular\" role=\"button\" aria-label=\"P030 Study Design\" style=\"font-size:14px;letter-spacing:0.86px;border-radius:5px;border-style:solid;justify-content:center;text-align:center;width:100%\" href=\"https:\/\/www.merckconnect.com\/prevymis\/hsct-pediatric\/\" title=\"P030 Study Design\" target=\"_self\" rel=\"noopener\" data-design-category=\"button\" data-design-label=\"P030 Study Design\" data-design-module=\"element\" data-event-name=\"element_click\">P030 Study Design<\/a><\/div>\n<\/div>\n\n\n\n<div style=\"background-color:transparent;height:16px\" class=\"wp-block-vivid360-spacer vivid360-spacer spacer-16\"><\/div>\n\n\n\n<div class=\"vivid360-heading\" id=\"adb0021a2-9fbb-4c11-b8b5-a77a8b8f242e\"><h4 class=\"content-width fontWeightRegular\" style=\"--desktopFontSize:var(--h4FontSizeDesktop);--tabletFontSize:var(--h4FontSizeDesktop);--mobileFontSize:var(--h4FontSizeMobile);--desktopLineHeightSize:var(--h4LineHeightDesktop);--tabletLineHeightSize:var(--h4LineHeightDesktop);--mobileLineHeightSize:\" id=\"\">References<\/h4><\/div>\n\n\n\n<div class=\"vivid-block-list content-width  block-9a3a6412-0bc8-415b-902b-bd13680c77fb\" data-image=\"\" data-image-mobile=\"\" data-image-all=\"\" data-image-all-mobile=\"\" data-icon-color=\"#333\" data-text-color=\"#333\" data-client-id=\"block-9a3a6412-0bc8-415b-902b-bd13680c77fb\"><ol class=\"first-level default-order\"><li>Data available on request from the Merck National Service Center via email at daprequests@merck.com. Please specify information package US-CYT-02287.<\/li><\/ol><\/div>\n\n\n\n<div style=\"background-color:transparent;height:16px\" class=\"wp-block-vivid360-spacer vivid360-spacer spacer-16\"><\/div>\n\n\n\n<p><a href=\"#top\" aria-label=\"#\">Back to top<\/a><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Safety profile through Week 14 (~100 days) post-HSCT in adults Safety profile from Week 14 (~100 days) through Week 28 (~200 days)&#8230;<\/p>\n","protected":false},"author":699,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":false,"_trash_the_other_posts":false,"editor_notices":[],"footnotes":""},"ga4_page_audience":[],"ga4_page_birn_id":[],"ga4_page_branding":[270],"ga4_page_businessunit":[],"ga4_page_campaign":[],"ga4_page_content_purpose":[281],"ga4_page_customer_journey_stage":[336],"ga4_page_customer_specialty":[361],"ga4_page_experience":[],"ga4_page_indication":[],"ga4_page_material_intent":[576],"ga4_page_product":[599],"ga4_page_region":[910],"ga4_page_therapeuticarea":[],"user_role":[],"mhh-area-of-interest":[],"access":[],"user_status":[],"class_list":["post-71","page","type-page","status-publish"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.4 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Adverse Reactions to PREVYMIS\u00ae (letermovir) in HSCT 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