How CMV develops resistance to antiviral medicines

Genetic Pathways of Human Cytomegalovirus Drug Resistance

['FUNDING_R01'] · PORTLAND VA RESEARCH FOUNDATION, INC. · NIH-11300967

This project looks at the genetic changes in CMV that let the virus survive antiviral drugs, aiming to help transplant and cancer patients who get CMV.

Quick facts

Phase['FUNDING_R01']
Study typeNih_funding
SexAll
SponsorPORTLAND VA RESEARCH FOUNDATION, INC. (nih funded)
Locations1 site (PORTLAND, UNITED STATES)
Trial IDNIH-11300967 on ClinicalTrials.gov

What this research studies

Researchers collect CMV samples from patients treated with antiviral drugs and use whole-genome deep sequencing to find mutations that appear after drug exposure. They use recombinant phenotyping in the lab to test how specific genetic changes affect drug sensitivity. The team will search for resistance mutations both in known antiviral target genes (like UL97, UL54, UL56/UL89/UL51) and in other viral genes that might matter. They will also study how baseline differences between viral strains change how well drugs work.

Who could benefit from this research

Good fit: Ideal candidates are people with active CMV infection—especially immunosuppressed patients such as transplant recipients or cancer patients—whose virus is not responding as expected to antiviral therapy or who provide viral samples.

Not a fit: People without CMV infection or whose infection responds well to current antiviral treatment are unlikely to benefit directly from participation.

Why it matters

Potential benefit: If successful, this work could improve how clinicians diagnose drug-resistant CMV and guide better choices of existing antivirals or the development of new ones.

How similar studies have performed: Previous studies have already linked many CMV mutations in UL97 and UL54 to drug resistance, and this project builds on those successes using newer sequencing and phenotyping tools.

Where this research is happening

PORTLAND, UNITED STATES

Researchers

About this research

  1. This is an active NIH-funded research project — typically early-stage science, not a clinical trial accepting patient enrollment.
  2. Some NIH-funded labs run parallel clinical studies or seek volunteers for related work. To check, contact the principal investigator or institution listed above.
  3. For full project details, budget, and progress reports, visit the official NIH RePORTER page below.

View on NIH RePORTER →

Conditions: CMV infection, Cancers, Cytomegalic Inclusion Disease, Cytomegalovirus Infections

Last reviewed 2026-05-15 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.