TheraRadar
Data updated: May 26, 2026

LIVTENCITY (maribavir)

Cytomegalovirus pUL97 Kinase Inhibitors Trial Activity: Expansion 4 active trials
First-in-Class Orphan Drug Breakthrough Therapy Priority Review
Infectious Disease Approved 2021-11-23

LIVTENCITY is indicated for the treatment of Cytomegalovirus Infection; Cytomegalovirus Disease.

Source: FDA Label • Takeda • Cytomegalovirus pUL97 Kinase Inhibitor

How LIVTENCITY Works

Maribavir is a cytomegalovirus (CMV) pUL97 kinase inhibitor. It functions by inhibiting the adenosine triphosphate (ATP) binding site of the pUL97 protein kinase, thereby preventing viral DNA replication, encapsidation, and the egress of mature capsids from the nucleus of infected cells. This targeted mechanism allows for activity against CMV strains that have developed resistance to DNA polymerase inhibitors like ganciclovir or foscarnet.

Development Insights

Shire conducting 5 trials (42%)
5 indications explored (Moderate)
cytomegalovirus (cmv) (8 trials)
healthy volunteers (2 trials)
hematologic malignancy (1 trials)
2
Indications
--
Phase 3 Trials
1
Priority Reviews
4
Years on Market

Details

Status
Prescription
First Approved
2021-11-23
Patent Cliff
2043

Pro Metrics

Patent cliff and revenue data

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Routes
ORAL
Dosage Forms
TABLET

Companies

Active Ingredient: MARIBAVIR

LIVTENCITY Approval History

2022
2023
2024
2025
2026
Original
New Indication
New Form
Label Update
6 FDA actions from 2021 to 2025 · 1 indication expansions
Nov 2025 SUPPL
Efficacy
Mar 2024 SUPPL
Label · Labeling
Apr 2023 SUPPL
Label · Labeling

What LIVTENCITY Treats

2 indications

LIVTENCITY is approved for 2 conditions since its original approval in 2021. These indications span multiple therapeutic areas including oncology, immunology, and more.

  • Cytomegalovirus Infection
  • Cytomegalovirus Disease
Source: FDA Label

LIVTENCITY Competitive Set

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Three rings of competition based on shared molecular targets and treated indications.

Indication competitors

3

Same indication, different mechanism — what else might this patient receive?

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Filters applied: drops same-active-ingredient (505(b)(2) reformulations), route-mismatch (topical vs systemic), and cross-therapeutic-area matches in same-indication rings.

Drugs Similar to LIVTENCITY

FDA-approved drugs for similar conditions. Compare mechanisms and indications to understand treatment alternatives.

PREVYMIS
LETERMOVIR
2 shared
Merck
Shared indications:
Cytomegalovirus InfectionCytomegalovirus Disease
GANCICLOVIR SODIUM
GANCICLOVIR SODIUM
1 shared
PH HEALTH
Shared indications:
Cytomegalovirus Disease
VALCYTE
VALGANCICLOVIR HYDROCHLORIDE
1 shared
CHEPLAPHARM
Shared indications:
Cytomegalovirus Disease
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Clinical Trial Registry

12 trials
Trial Sponsor ID Phase Status Title
NCT06034925 results posted Pro00125967 Ph 4 completed Maribavir vs. Valganciclovir for CMV Prophylaxis in High-Risk Kidney Transplant Recipients
NCT07511127 RJBMT-2026CMV Ph 3 recruiting Comparing the Efficacy of Different Durations of Maribavir Treatment Regimens in Allo-HSCT
NCT06439342 TAK-620-3002 Ph 3 recruiting A Study of Maribavir in Chinese Adults With Cytomegalovirus (CMV) Infections
NCT07014319 MALMBA 2505-076-1641 Ph 2 recruiting Phase II Trial of Maribavir for CMV in Patients With Lymphoid Malignancy on Bispecific Antibodies
NCT04131556 results posted TAK-620-1019 Ph 1 terminated A Study Comparing the Pharmacokinetics and Palatability of Two Candidate Pediatric Powder-for-Oral-Suspension Formulations of Maribavir to the Current Maribavir Tablet Formulation Administered in Healthy Adult Participants
NCT05319353 TAK-620-2004 2021-004279-15, jRCT2031230753 Ph 3 recruiting A Study to Evaluate the Safety and Tolerability, Pharmacokinetics, and Antiviral Activity of Maribavir for the Treatment of Cytomegalovirus (CMV) Infection in Children and Adolescents Who Have Received a Hematopoietic Stem Cell Transplant (HSCT) or a Solid Organ Transplant (SOT)
NCT05137717 results posted TAK-620-3001 jRCT2021210056 Ph 3 completed A Study of Maribavir in Japanese People With Cytomegalovirus (CMV) Infection
NCT05382104 results posted TAK-620-1025 Ph 1 completed Maribavir Food-Effect Study in Healthy Adults Participants
NCT02927067 results posted SHP620-302 2015-004726-34 Ph 3 completed A Study of Maribavir Compared to Valganciclovir to Treat Cytomegalovirus Infections in People Who Have Received Stem Cell Transplants
NCT02931539 results posted SHP620-303 2015-004725-13 Ph 3 completed Efficacy and Safety Study of Maribavir Treatment Compared to Investigator-assigned Treatment in Transplant Recipients With Cytomegalovirus (CMV) Infections That Are Refractory or Resistant to Treatment With Ganciclovir, Valganciclovir, Foscarnet, or Cidofovir
NCT02775240 results posted SHP620-115 Ph 1 completed Study of SHP620 (Maribavir) in Healthy Adults
NCT01611974 results posted 1263-202 SHP620-202 Ph 2 completed Maribavir for Treatment of Resistant or Refractory CMV Infections in Transplant Recipients
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Active Pipeline

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Ongoing clinical trials by development phase

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Key Completed Trials

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Completed studies with published results, ranked by significance

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Trial Timeline

Full development history with FDA approval milestones

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Understanding FDA Approval Types
Count Type What it means
- ORIG Original approval - drug first enters market
- SUPPL - Efficacy New indication (new disease/condition approved)
- SUPPL - Labeling Label text changes (warnings, dosing updates)
- SUPPL - Manufacturing Production changes (new facility)
- SUPPL - Chemistry Formulation changes (new dosage strength)

Green lines in the timeline show ORIG and Efficacy approvals - the clinically meaningful milestones.

LIVTENCITY FDA Label Details

Indications & Usage

FDA Label (PDF)

LIVTENCITY is indicated for the treatment of Cytomegalovirus Infection; Cytomegalovirus Disease.

View full patent landscape →
6 OB patents · 3 families · 77 international docs across 18 countries

LIVTENCITY Patents & Exclusivity

Latest Patent: Oct 2043
Exclusivity: Nov 2028

Patents (7 active)

US12527771 Expires Oct 11, 2043
US12295940 Expires Oct 11, 2043
US12447170 Expires Nov 18, 2042
US12213989 Expires Nov 18, 2042
US12433907 Expires Nov 18, 2042
US11684632 Expires Jan 4, 2032
US12447169 Expires Oct 27, 2031

Exclusivity

NCE Until Nov 2026
ODE-388 Until Nov 2028
Source: FDA Orange Book

Pro Intelligence Preview

Deep insights for LIVTENCITY

Revenue Insights

  • Quarterly revenue tracking
  • Historical trend analysis

Patent Timeline

  • Cliff: 2043
  • 7 active patents

Trial Analysis

  • 12 total trials
  • Stage: Expansion

Competitive Landscape

  • 3 similar drugs
  • Same target/indication analysis
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Full approval history • All patents • Revenue trends • Competitor analysis

Data Sources

Data sourced from official FDA and NIH databases. Click links to verify on original sources.

How We Calculate These Metrics

Trial Activity Stage

Measures the current development activity pattern based on trial phases, status, and trends. Important: This measures R&D activity, not commercial lifecycle.

Trial statuses: "Active" means recruiting or ongoing. "Completed" means reached planned endpoint. "Terminated" means stopped early—often due to safety, efficacy, or business reasons.

  • Growth: High proportion of early-phase trials (Phase 1/2), active development
  • Expansion: Significant Phase 3 activity, approaching or pursuing approvals
  • Mature: Substantial Phase 4 post-marketing studies
  • Stable: Mixed phase distribution, steady development
  • Declining: Low active trial ratio, reduced R&D investment