Virologic and Immunologic Characteristics of Severe Mpox in Persons With Advanced HIV

NCT ID: NCT06045923

Last Updated: 2025-03-20

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

RECRUITING

Total Enrollment

100 participants

Study Classification

OBSERVATIONAL

Study Start Date

2023-03-17

Study Completion Date

2026-10-01

Brief Summary

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The purpose of this study is to examine the extent of mpox viral spread and immunologic markers in people with advanced HIV. Study findings will enhance knowledge of mpox pathogenesis in severely immunocompromised people, which can inform treatment and prevention of severe illness and deaths associated with mpox in people with advanced HIV.

Detailed Description

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Primary objective:

Describe the relationship between the systemic immunologic response and the persistence and replication competence of mpox virus at rash lesions, in blood, and at mucosal sites over the course of mpox illness among patients with advanced HIV.

Secondary objectives:

* Describe the association between clinical outcomes and virologic and immunologic parameters among patients with severe mpox and advanced HIV.
* Survey for emergence of antiviral drug resistance among MPXV isolates collected over time during mpox illness among patients with advanced HIV.
* Characterize the effects of antivirals to treat mpox and/or HIV infection on virologic and immunologic parameters among patients with mpox and advanced HIV.
* Assess persistence and replication competence of mpox virus in the oropharynx and rectum over the course of mpox illness among patients with advanced HIV.

Conditions

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Monkeypox HIV Infections AIDS

Study Design

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Observational Model Type

COHORT

Study Time Perspective

PROSPECTIVE

Study Groups

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Outpatient

15 outpatients will be recruited from a single pre-determined clinical site (Columbia University)

No interventions assigned to this group

Inpatient

Up to 85 hospitalized patients will be recruited from other participating clinical sites

No interventions assigned to this group

Eligibility Criteria

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Inclusion Criteria

* Age ≥18 years; AND
* HIV infection with CD4 count \< 200 cells/uL; AND
* Probable or confirmed mpox (does NOT need to be a new diagnosis); AND
* Hospitalized while symptomatic from mpox, for reasons other than (or in addition to) infection prevention and control

Exclusion Criteria

* Inability of the individual or appropriate proxy to provide informed consent.
* In the judgment of the clinical treating team, has a medical condition or other factor that might affect their ability to participate in the evaluation.
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Centers for Disease Control and Prevention

FED

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Agam Rao, MD

Role: PRINCIPAL_INVESTIGATOR

Centers for Disease Control and Prevention

Irini Sereti, MD

Role: STUDY_DIRECTOR

National Institutes of Health (NIH)

Faisal Minhaj, Pharm.D.

Role: STUDY_DIRECTOR

Centers for Disease Control and Prevention

Shama Cash-Goldwasser, MD

Role: STUDY_DIRECTOR

Centers for Disease Control and Prevention

Jesse OShea, MD

Role: STUDY_DIRECTOR

Centers for Disease Control and Prevention

Christine Hughes, PhD

Role: STUDY_DIRECTOR

Centers for Disease Control and Prevention

Brian Epling, MD

Role: STUDY_DIRECTOR

National Institutes of Health (NIH)

Katy Saliba, PhD

Role: STUDY_DIRECTOR

National Institutes of Health (NIH)

Jason Zucker, MD

Role: STUDY_DIRECTOR

Columbia University

Sarah Reagan Steiner, MD

Role: STUDY_DIRECTOR

Centers for Disease Control and Prevention

Sarah Park, MD

Role: STUDY_DIRECTOR

Karius Laboratories

Locations

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Centers for Disease Control and Prevention

Atlanta, Georgia, United States

Site Status RECRUITING

Countries

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United States

Central Contacts

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Faisal Minhaj, Pharm.D.

Role: CONTACT

678-642-1093

Related Links

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Other Identifiers

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7445

Identifier Type: -

Identifier Source: org_study_id

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