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Badanie fazy 1 bezpieczeństwa wirusa Epstein-Barr (EBV) GH/GL/GP42-FERRITIN NANOPARTILE VICCINE z lub bez GP350-Ferritin

23 października 2026 zaktualizowane przez: National Institute of Allergy and Infectious Diseases (NIAID)

Background:

Epstein-Barr virus (EBV) is the primary cause of infectious mononucleosis, commonly known as mono. EBV infects more than 90% of the world s population. Mono can be serious, and it can lead to severe illnesses like cancer and autoimmune diseases. Researchers want to test vaccines that may help prevent EBV and associated diseases.

Objective:

To test two EBV vaccines: EBV gH/gL/gp42-ferritin and EBV gp350-ferritin.

Eligibility:

Healthy EBV-negative or EBV-positive people aged 18 to 29.

Design:

Participants will be screened. They will have a physical examination. They will give blood and saliva samples.

They will receive 3 doses of the study vaccine as an injection in the shoulder muscle. They will get either one vaccine or a combination of both vaccines.

Participants will get their first dose of the vaccine at visit 1, the second dose about 30 days later, and the final dose about 90 days after that.

Participants will be given a memory aid so they can record any symptoms and side effects between visits. This can be done either on paper or online through a link that is emailed to them.

There are 6 required in-person visits. There are also 2 optional visits. In between the in-person visits are 7 telehealth visits or phone calls. Each visit may take up to 4 hours.

The study will last for about 17 months. Participants will have the option of staying in the study for an additional year.

Przegląd badań

Status

Rekrutacyjny

Warunki

Interwencja / Leczenie

Szczegółowy opis

Study Description:

This is a phase 1 study to evaluate the safety of a 3-dose vaccination regimen of an EBV gH/gL/gp42-ferritin nanoparticle vaccine with or without gp350-ferritin. Based on data reported in animal studies, our hypothesis is that this EBV vaccine will be safe. In addition, we hypothesize the vaccine will induce a potent immune response that neutralizes EBV infection of B cells and epithelial cells.

In an initial dose escalation phase comprised of 9 EBV-seropositive individuals, 3 individuals will receive 50 micrograms adjuvanted gH/gL/gp42-ferritin vaccine alone, then 3 individuals will receive 25 micrograms adjuvanted gH/gL/gp42-ferritin vaccine + 25 micrograms gp350-ferritin vaccine, then 3 individuals will receive 50 micrograms adjuvanted gH/gL/gp42-ferritin vaccine + 50 micrograms gp350-ferritin vaccine.

To distinguish reactogenicity and immunogenicity between the vaccine alone and the adjuvanted vaccine, we will include 3 individuals to

receive gH/gL/gp42-ferritin vaccine alone without adjuvant,. This information will be used to select dosing of both vaccine and adjuvant for the randomization phase. Pending results of dose escalation, the study will progress to the randomization phase. Twenty-four EBV-seropositive individuals will be randomized in a 1:1 ratio to receive either 3 doses of 50 micrograms adjuvanted gH/gL/gp42-ferritin alone or 50 micrograms adjuvanted gH/gL/gp42-ferritin + gp350-ferritin nanoparticle. An additional 30 EBV-seronegative individuals will be randomized in a 1:1 ratio to receive either 3 doses of adjuvanted 50 gH/gL/gp42-ferritin alone or adjuvanted 50 micrograms gH/gL/gp42-ferritin + gp350-ferritin. Administration of gH/gL/gp42-ferritin with or without EBV gp350-ferritin will be performed open-label.

If the combined dose of 50 micrograms adjuvanted gH/gL/gp42-ferritin vaccine + gp350-ferritin vaccine with or without adjuvant is not well tolerated during the dose escalation phase, the dosing of vaccine and/or adjuvant will be adjusted prior to starting the randomization phase.

In each group, the vaccine will be given at 0, 1, and 4 months, and participants will be followed until at least 12 months after the third dose of vaccine with an option to be followed for an additional year.

Objectives:

Primary objective: To determine the safety of an EBV gH/gL/gp42-ferritin nanoparticle vaccine with or without gp350-ferritin nanoparticle in seronegative and seropositive healthy adults.

Key secondary objective: To evaluate the immunogenicity via neutralization assay of an EBV gH/gL/gp42-ferritin nanoparticle vaccine with or without gp350-ferritin nanoparticle in seronegative and seropositive healthy adults.

Other Secondary:

To further evaluate the immunogenicity of the EBV gH/gL/gp42-ferritin nanoparticle vaccine with or without gp350-ferritin.

To determine whether the vaccine causes production of antibodies to Helicobacter pylori and/or human ferritin.

Endpoints:

Primary endpoints:

  • Local and systemic reactogenicity signs and symptoms during the 7-day period after each vaccination
  • Unsolicited adverse events (AEs) up to 30 days after each vaccination
  • Serious adverse events (SAEs) through Day 150

Key secondary endpoints:

  • Change in log10 antibody response to EBV from baseline to 30 days after the third dose of vaccine (Day 150) as measured by the B-cell neutralization assay
  • Change in log10 antibody response to EBV from baseline to 30 days after the third dose of vaccine (Day 150) as measured by the epithelial cell neutralization assay

Other secondary endpoints:

  • Change in log10 antibody response to EBV gp350, gp42, and gH/gL from baseline to Day 150 as measured by luciferase immunoprecipitation system (LIPS) assay
  • Enzyme-linked immunosorbent assay (ELISA)-determined dilution for antibodies to H. pylori and/or human ferritin on Day 0, Day 30, Day 60, and Day 150

Typ studiów

Interwencyjne

Zapisy (Szacowany)

750

Faza

  • Faza 1

Kontakty i lokalizacje

Ta sekcja zawiera dane kontaktowe osób prowadzących badanie oraz informacje o tym, gdzie badanie jest przeprowadzane.

Kontakt w sprawie studiów

Lokalizacje studiów

    • Maryland
      • Bethesda, Maryland, Stany Zjednoczone, 20892
        • Rekrutacyjny
        • National Institutes of Health Clinical Center
        • Kontakt:

Kryteria uczestnictwa

Badacze szukają osób, które pasują do określonego opisu, zwanego kryteriami kwalifikacyjnymi. Niektóre przykłady tych kryteriów to ogólny stan zdrowia danej osoby lub wcześniejsze leczenie.

Kryteria kwalifikacji

Wiek uprawniający do nauki

18 lat do 29 lat (Dorosły)

Akceptuje zdrowych ochotników

Tak

Płeć kwalifikująca się do nauki

Wszystko

Opis

  • INCLUSION CRITERIA:

To be eligible to participate in this study, an individual must meet all of the following criteria:

  1. 18 to 29 years old.
  2. Able to provide informed consent.
  3. Willingness to allow storage of blood and saliva for future research.
  4. In good general health as evidenced by medical history, physical examination, and laboratory screening results.
  5. Participant is willing to forgo receipt of a licensed, live vaccine in the 30 days preceding each dose of vaccine or in the 30 days following each dose of vaccine. Any FDA-approved inactivated, subunit, or replication-defective vaccine (such as COVID-19, influenza, tetanus, etc.) can be used >=14 days before or >=14 days after administration of the study vaccine.
  6. Participants of reproductive potential who are sexually active with a partner who can impregnate them: use of highly effective continuous contraception for at least 30 days prior to Day 0 and agreement to continue use until 60 days after the last dose of vaccine.

Contraceptive requirements: Because the effects of EBV gH/gL/gp42-FNP and EBV gp350-ferritin vaccines on the developing human fetus are unknown, sexually active participants of childbearing potential must agree to use highly effective contraception as outlined below before study entry and until 60 days after the last dose of vaccine. Participants of childbearing potential must have a negative pregnancy test before receiving each dose of the EBV gH/gL/gp42-FNP vaccine. During the course of the study, if a participant becomes pregnant or suspects they are pregnant, then they should inform the study staff and their primary care physician immediately.

Acceptable forms of contraception are:

  • Intrauterine device (IUD) or equivalent.
  • Hormonal contraceptive (eg, consistent, timely, and continuous use of contraceptive pill, patch, ring, implant, or injection that has reached full efficacy prior to dosing). If the participant uses a contraceptive pill, patch, or ring, then a barrier method (eg, internal/external condom, cap, or diaphragm plus spermicide) must also be used at the time of potentially reproductive sexual activity.
  • A stable, long-term monogamous relationship with a partner who does not pose any potential pregnancy risk, eg, has undergone a vasectomy at least 6 months prior to the first dose of vaccine or is of the same sex as the participant.
  • A hysterectomy and/or a bilateral tubal ligation or bilateral oophorectomy.

Acceptable forms of contraception for participants who can impregnate a partner include one of the following:

  • External condom plus spermicide, used during sexual intercourse, even if the partner uses a contraceptive pill, patch, or ring.
  • A vasectomy completed at least 6 months before the first dose of vaccine.
  • Continuously and completely abstaining from sexual intercourse with a partner of childbearing potential from the first dose of vaccine until 30 days after the last dose.

Acceptable contraception for partners of childbearing potential of participants who can impregnate them include one of the following:

  • IUD or equivalent.
  • Hormonal contraceptive (eg, pill, patch, ring, implant, or an injection used consistently and that has reached full effect prior to the first dose of vaccine).
  • Hysterectomy and/or a bilateral tubal ligation or bilateral oophorectomy.

Laboratory Criteria within 30 days or less prior to enrollment:

  1. Hemoglobin within institutional normal limits or if not, then assessed and deemed not clinically significant by PI or designee
  2. White blood cell count and differential either within institutional normal reference range or if not then assessed and deemed not clinically significant by PI or designee
  3. Total lymphocyte count (lymphocyte absolute) > 800 cells/microL
  4. Platelet count equal to 125,000-500,000/microL
  5. Alanine aminotransferase <1.25 x upper limit of normal (ULN)
  6. Serum IgG >600 mg/dL

EXCLUSION CRITERIA:

An individual who meets any of the following criteria will be excluded from participation in this study:

  1. Pregnant, breastfeeding, or planning to become pregnant while participating through 60 days after the last dose of vaccine.

  2. Participant has received any of the following:

    1. More than 10 days of systemic immunosuppressive medications (>=10 mg prednisone dose or its equivalent) or cytotoxic medication within the 30 days prior to first dose of vaccine or immunomodulating therapy within 180 days prior to first dose of vaccine.
    2. Blood products, including immunoglobulin products, within 120 days prior to first dose of vaccine.
    3. Investigational research agents within 30 days prior to first dose or planning to receive investigational products while on study.
    4. Allergy treatment with antigen injections, unless on a maintenance schedule of shots no more frequently than once per month.
    5. Prior participant in an EBV vaccine clinical trial.
  3. Participant has any of the following:

    1. Febrile illness within 14 days of the first dose of vaccine.
    2. Body habitus such that it is difficult to confirm location of the deltoid muscle for safe intramuscular injection.
    3. History of serious reactions to vaccines.
    4. Hereditary, acquired, or idiopathic forms of angioedema.
    5. Idiopathic urticaria within the past year.
    6. Asthma that is not well-controlled or required emergent care, urgent care, hospitalization, or intubation during the past 2 years or that requires the use of oral or intravenous steroids.
    7. Diabetes mellitus type 1 or type 2, excluding a history of gestational diabetes.
    8. Clinically significant autoimmune disease or immunodeficiency.
    9. Hypertension that is not well-controlled.
    10. Thyroid disease that is not well-controlled.
    11. Bleeding disorder diagnosed by doctor (eg, factor deficiency, coagulopathy, or platelet disorder requiring special precautions).
    12. Significant bruising or bleeding difficulties with intramuscular injections or blood draws.
    13. Malignancy that is active or treated malignancy for which there is no reasonable assurance of sustained cure or malignancy that is likely to recur during the study period.
    14. Seizure disorder other than a history of 1) febrile seizures, 2) seizures secondary to alcohol withdrawal more than 3 years ago, or 3) seizures that have not required treatment within the past 3 years.
    15. Asplenia, functional asplenia, or any condition resulting in absence or removal of the spleen.
    16. History of Guillain-Barre Syndrome.
    17. Alcohol or drug abuse or addiction.
    18. HIV infection.
  4. Any medical, psychiatric, or social condition that, in the judgement of the investigator, is a contraindication to protocol participation or impairs the participant's ability to give informed consent.

Plan studiów

Ta sekcja zawiera szczegółowe informacje na temat planu badania, w tym sposób zaprojektowania badania i jego pomiary.

Jak projektuje się badanie?

Szczegóły projektu

  • Główny cel: Inny
  • Przydział: Randomizowane
  • Model interwencyjny: Przydział równoległy
  • Maskowanie: Brak (otwarta etykieta)

Broń i interwencje

Grupa uczestników / Arm
Interwencja / Leczenie
Eksperymentalny: Dose escalation

There will be an initial dose escalation phase comprised of 18-24 EBV seropositive individuals.

The adjuvanted gH/gL/gp42-ferritin nanoparticle vaccine is given with gp350-ferritin intramuscularly into the deltoid muscle at 0, 1, and 4 months.

The adjuvanted gH/gL/gp42-ferritin nanoparticle vaccine is given with gp350-ferritin intramuscularly into the deltoid muscle at 0, 1, and 4 months.

Eksperymentalny: Randomization

In the randomization phase, twenty-four EBV-seropositive individuals will be randomized in a 1:1 ratio to receive either 3 doses of adjuvanted gH/gL/gp42-ferritin alone or adjuvanted gH/gL/gp42-ferritin + gp350-ferritin nanoparticle.

The adjuvanted gH/gL/gp42-ferritin nanoparticle vaccine is given with gp350-ferritin intramuscularly into the deltoid muscle at 0, 1, and 4 months.

The adjuvanted gH/gL/gp42-ferritin nanoparticle vaccine is given with gp350-ferritin intramuscularly into the deltoid muscle at 0, 1, and 4 months.

Co mierzy badanie?

Podstawowe miary wyniku

Miara wyniku
Opis środka
Ramy czasowe
Local and systemic reactogenicity signs and symptoms during the 7-day period after each vaccination. Unsolicited AEs up to 30 days after each vaccination and SAEs through Day 150.
Ramy czasowe: Through Day 150

To determine the safety of an adjuvanted EBV gH/gL/gp42-ferritin nanoparticle vaccine with or without gp350-ferritin nanoparticle in seronegative and seropositive healthy adults.

Through Day 150

Miary wyników drugorzędnych

Miara wyniku
Opis środka
Ramy czasowe
Change in log10 antibody response to EBV from baseline to 30 days after the last dose of vaccine (Day 150) as measured by the B cell neutralization assay.
Ramy czasowe: Through Day 150

To evaluate the immunogenicity via neutralization assay of an EBV gH/gL/gp42-ferritin nanoparticle vaccine with or without gp350-ferritin nanoparticle in seronegative and seropositive healthy adults.

Through Day 150
Change in log10 antibody response to EBV from baseline to 30 days after the last dose of vaccine (Day 150) as measured by the epithelial cell neutralization assay.
Ramy czasowe: Through Day 150

To further evaluate the immunogenicity of the adjuvanted EBV gH/gL/gp42-ferritin nanoparticle vaccine with or without gp350-ferritin.

Through Day 150
ELISA-determined dilution for for antibodies to H. pylori and/or human ferritin on Day 0, Day 30, Day 60, and Day 150.
Ramy czasowe: Length of the study

To determine whether the vaccine causes production of antibodies to H. pylori and/or human ferritin.

Length of the study

Współpracownicy i badacze

Tutaj znajdziesz osoby i organizacje zaangażowane w to badanie.

Sponsor

Śledczy

  • Główny śledczy: Jessica R Durkee-Shock, M.D., National Institute of Allergy and Infectious Diseases (NIAID)

Publikacje i pomocne linki

Osoba odpowiedzialna za wprowadzenie informacji o badaniu dobrowolnie udostępnia te publikacje. Mogą one dotyczyć wszystkiego, co jest związane z badaniem.

Daty zapisu na studia

Daty te śledzą postęp w przesyłaniu rekordów badań i podsumowań wyników do ClinicalTrials.gov. Zapisy badań i zgłoszone wyniki są przeglądane przez National Library of Medicine (NLM), aby upewnić się, że spełniają określone standardy kontroli jakości, zanim zostaną opublikowane na publicznej stronie internetowej.

Główne daty studiów

Rozpoczęcie studiów (Rzeczywisty)

29 maja 2025

Zakończenie podstawowe (Szacowany)

1 października 2027

Ukończenie studiów (Szacowany)

1 października 2028

Daty rejestracji na studia

Pierwszy przesłany

2 kwietnia 2025

Pierwszy przesłany, który spełnia kryteria kontroli jakości

2 kwietnia 2025

Pierwszy wysłany (Rzeczywisty)

3 kwietnia 2025

Aktualizacje rekordów badań

Ostatnia wysłana aktualizacja (Rzeczywisty)

26 października 2026

Ostatnia przesłana aktualizacja, która spełniała kryteria kontroli jakości

23 października 2026

Ostatnia weryfikacja

22 października 2026

Więcej informacji

Terminy związane z tym badaniem

Inne numery identyfikacyjne badania

  • 10002288
  • 002288-I

Plan dla danych uczestnika indywidualnego (IPD)

Planujesz udostępniać dane poszczególnych uczestników (IPD)?

TAK

Opis planu IPD

We allow sharing of essentially all de-identified data per the data sharing plan.

Ramy czasowe udostępniania IPD

Data will be shared after conclusion of the trial and upon request by appropriate researchers.

Kryteria dostępu do udostępniania IPD

Data will be shared in compliance with the NIH data sharing policy, the clinical protocol, and participant consent forms. Furthermore, sharing of data must also be approved by WRAIR.

Typ informacji pomocniczych dotyczących udostępniania IPD

  • ICF
  • CSR

Informacje o lekach i urządzeniach, dokumenty badawcze

Bada produkt leczniczy regulowany przez amerykańską FDA

Tak

Bada produkt urządzenia regulowany przez amerykańską FDA

Nie

Te informacje zostały pobrane bezpośrednio ze strony internetowej clinicaltrials.gov bez żadnych zmian. Jeśli chcesz zmienić, usunąć lub zaktualizować dane swojego badania, skontaktuj się z register@clinicaltrials.gov. Gdy tylko zmiana zostanie wprowadzona na stronie clinicaltrials.gov, zostanie ona automatycznie zaktualizowana również na naszej stronie internetowej .