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The investigators aim is to determine the incidence of cytomegalovirus resistance to antivirals in a cohort study. The patients are included at their first CMV active infection and are followed during two years thereafter. When criteria for suspected resistance are meet, blood and urine samples are collected for virus isolation and further resistance phenotype, and for resistance genotype determination. Results are compared with baseline samples. Clinical information such as treatment, immunosuppressive regimen and clinical evolution will be collected. Through this study, the investigators aim to organize a national network for the detection and identification of CMV resistant strains that will be useful when new therapeutics will be available.
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| depistage | Biological | Virus isolation from urine, blood, or any suitable sample in case of CMV disease Resistance phenotype to antivirals UL97 and UL54 genes sequencing from blood, urines or any suitable samples for resistance mutations detection and polymorphism study |
| Measure | Description | Time Frame |
|---|---|---|
| Resistance incidence in our patients with subgroup analysis, by organ and by the use of prophylaxis or preemptive treatment |
| Measure | Description | Time Frame |
|---|---|---|
| Strain diversity in baseline isolates and in resistant isolates Frequency of known resistance mutations Identification of new resistance-related mutations. |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| ALAIN Sophie, MD | University Hospital, Limoges | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Virologie | Amiens | 80 | France | |||
| Virologie |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 26872863 | Result | Andouard D, Mazeron MC, Ligat G, Couvreux A, Pouteil-Noble C, Cahen R, Yasdanpanah Y, Deering M, Viget N, Alain S, Hantz S. Contrasting effect of new HCMV pUL54 mutations on antiviral drug susceptibility: Benefits and limits of 3D analysis. Antiviral Res. 2016 May;129:115-119. doi: 10.1016/j.antiviral.2016.02.004. Epub 2016 Feb 10. | |
| 24184983 |
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| Angers |
| 49 |
| France |
| Virologie | Besançon | 25 | France |
| Virologie - Hôpital Avicenne | Bobigny | 93 | France |
| Virologie | Bordeaux | 33 | France |
| Virologie | Brest | 29 | France |
| Virologie | Caen | 14 | France |
| Virologie | Clermont-Ferrand | 63 | France |
| Virologie | Dijon | 21 | France |
| Virologie | Fort de France | 97 | France |
| Virologie | Grenoble | 38 | France |
| Virologie | Lille | 59 | France |
| Bactériologie Virologie | Limoges | 87042 | France |
| Virologie | Lyon | 69 | France |
| Virologie | Montpellier | 34 | France |
| Virologie | Nancy | 54 | France |
| Virologie | Nantes | 44 | France |
| Virologie | Nîmes | 30 | France |
| Virologie - Hôpital BICHAT | Paris | 75 | France |
| Virologie - Hôpital La Pitié Salpétrière | Paris | 75 | France |
| Virologie - Hôpital LARIBOISIERE | Paris | 75 | France |
| Virologie - Hôpital NECKER | Paris | 75 | France |
| Virologie - Hôpital SAINT-LOUIS | Paris | 75 | France |
| Virologie | Poitiers | 86 | France |
| Virologie | Reims | 51 | France |
| Virologie | Rennes | 35 | France |
| Virologie | Rouen | 76 | France |
| Virologie | Saint-Etienne | 42 | France |
| Virologie | Strasbourg | 67 | France |
| Virologie | Suresne | 92 | France |
| Virologie | Toulouse | 31 | France |
| Virologie | Tours | 37 | France |
| Virologie - Hôpital Paul Brousse | Villejuif | 94 | France |
| Germi R, Mariette C, Alain S, Lupo J, Thiebaut A, Brion JP, Epaulard O, Saint Raymond C, Malvezzi P, Morand P. Success and failure of artesunate treatment in five transplant recipients with disease caused by drug-resistant cytomegalovirus. Antiviral Res. 2014 Jan;101:57-61. doi: 10.1016/j.antiviral.2013.10.014. Epub 2013 Nov 1. |
| 20961907 | Derived | Hantz S, Garnier-Geoffroy F, Mazeron MC, Garrigue I, Merville P, Mengelle C, Rostaing L, Saint Marcoux F, Essig M, Rerolle JP, Cotin S, Germi R, Pillet S, Lebranchu Y, Turlure P, Alain S; French CMV Resistance Survey Study Group. Drug-resistant cytomegalovirus in transplant recipients: a French cohort study. J Antimicrob Chemother. 2010 Dec;65(12):2628-40. doi: 10.1093/jac/dkq368. Epub 2010 Oct 20. |