Rational Design of an Epstein-Barr Virus Vaccine Targeting the Receptor-Binding Site.
Masaru Kanekiyo, Wei Bu, M Gordon Joyce...
https://pubmed.ncbi.nlm.nih.gov/26279189/Actively Recruiting
Led by National Institute of Allergy and Infectious Diseases (NIAID) · Updated on 2026-08-11
750
Participants Needed
1
Research Sites
52 weeks
Total Duration
Researchers are investigating two vaccines designed to prevent Epstein-Barr virus EBV infection and related illnesses such as infectious mononucleosis, cancer, and autoimmune diseases. This phase 1 study aims to assess the safety and immune response triggered by a 3-dose vaccination regimen of an EBV gHgLgp42-ferritin nanoparticle vaccine, with or without the gp350-ferritin vaccine, in healthy adults aged 18 to 29 who may or may not already have EBV infection. Participants will receive three injections into the shoulder muscle at the start of the study, about one month later, and again around four months after the first dose. The study includes an initial dose escalation phase with different dosing levels and combinations to determine the best dose for the randomization phase. The vaccines are given with an adjuvant to potentially enhance the immune response. The randomization phase will assign participants to receive either the gHgLgp42-ferritin vaccine alone or combined with gp350-ferritin. During the approximately 17-month study, participants will attend six required in-person visits and up to two optional visits, along with seven telehealth or phone follow-ups. Each visit may last up to four hours. Participants will provide blood and saliva samples and record any symptoms or side effects using a memory aid available on paper or online. The researchers will monitor safety by tracking reactions and adverse events after each vaccination and will measure immune responses to the vaccines. Participants may opt to continue in the study for an additional year to further assess safety and immune response.
CONDITIONS
Epstein-Barr Virus (EBV) gH/gL/gp42-Ferritin Nanoparticle Vaccine With or Without gp350-Ferritin in Healthy Adults With or Without EBV Infection
J
Jessica R Durkee-Shock, M.D.
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National Institute of Allergy and Infectious Diseases (NIAID)
Lead Sponsor
This table compares participation in this trial with other options available for this condition. The information is drawn from published research and the trial’s study details and is provided for educational purposes only.
| Factors | gH/gL/gp42-Ferritin Nanoparticle Vaccine | gH/gL/gp42-Ferritin + gp350-Ferritin Nanoparticle Vaccines |
|---|---|---|
| What it is | A nanoparticle-based vaccine containing EBV gH/gL/gp42 proteins, formulated with ALFQ adjuvant. | A nanoparticle-based vaccine that combines EBV gH/gL/gp42 and EBV gp350 proteins, formulated with ALFQ adjuvant. |
| Role in trial | Investigational vaccine tested for safety, immune response, and tolerability in healthy adults aged 18 to 29. | Investigational vaccine, combining two EBV antigens, tested for safety, immune response, and tolerability in healthy adults aged 18 to 29. |
| Primary use | Intended to elicit immune response against EBV for possible protection against infection and related diseases. Not yet established for clinical prevention. | Intended to induce broader immune response by including gp350 protein alongside gH/gL/gp42, aiming for effective prevention. Not yet established for clinical prevention. |
| How it is given or performed | Administered as an intramuscular injection into the deltoid at 0, 1, and 4 months. | Administered as a combination intramuscular injection containing both gH/gL/gp42 and gp350 proteins at 0, 1, and 4 months. |
| Evidence status | No published human clinical efficacy data for this vaccine. Preclinical studies suggest targeted immune response and rationale for clinical investigation. | No published human clinical efficacy data. Preclinical studies in humanized mice suggest broader immunity with bivalent antigen combination. |
| Important limitations | Human safety and effectiveness are not yet established; this is an early-phase trial in healthy adults. | No established safety or effectiveness in humans; evidence mostly limited to preclinical studies. |
Disclaimer: This comparison is created with the help of artificial intelligence(AI) and may contain errors or missing information. It is not medical advice and does not mean one option is better or safer than another. Clinical trials are still being studied, and joining a trial is your choice. Please consult your healthcare professional before making any decisions.
You may qualify if you...
You will not qualify if you...
Duration - 2 to 4 weeks
Participants are screened for eligibility to participate in the trial.
/ Visit completion includes physical exam, blood and saliva samples, and medical history review.
Duration - Approximately 1 to 2 months
Participants receive varying doses of the EBV vaccines to evaluate safety and immune response.
Multiple visits for vaccination and monitoring
Duration - 4 months for vaccine dosing plus 12 months follow-up
Participants are randomly assigned to receive either the gH/gL/gp42-ferritin vaccine alone or combined with gp350-ferritin, given as three injections over four months.
6 in-person visits and 7 telehealth visits or phone calls
Duration - Up to 12 months
Participants may choose to stay in the study for an additional year for further safety and immune response monitoring.
Periodic visits as arranged
Study Type
INTERVENTIONAL
Masking
NONE
Allocation
RANDOMIZED
Model
PARALLEL
Primary Purpose
OTHER
Number of Arms
2
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Masaru Kanekiyo, Wei Bu, M Gordon Joyce...
https://pubmed.ncbi.nlm.nih.gov/26279189/Chih-Jen Wei, Wei Bu, Laura A Nguyen...
https://pubmed.ncbi.nlm.nih.gov/35507671/Jeffrey I Cohen
https://pubmed.ncbi.nlm.nih.gov/25671130/National Institute of Allergy and Infectious Diseases (NIAID)
Lead Sponsor