The DELTA-EBV study

2025-522781-77-01 Therapeutic exploratory (Phase II) Authorised, recruitment pending

Status Authorised, recruitment pending · 1 EU/EEA countries · 2 sites

Overview

Sponsor-declared trial summary

Phase Therapeutic exploratory (Phase II)
Status Authorised, recruitment pending
Participants planned 45
Countries 1
Sites 2

Epstein-Barr virus infection

The main objective of the study is to determine the safety and tolerability of a sequential dose escalation regimen of TAF (25mg, 50mg, and 100mg) in healthy individuals

Key facts

Sponsor
Helse Bergen HF
Participant type
Healthy volunteers
Age range
18-64 years, 65+ years
Gender
Male and Female
Therapeutic area
Diseases [C] - Virus Diseases [C02]
Decision date (initial)
2026-05-28
Transition trial
No
Low-intervention
No
Rare-disease indication
No
Vulnerable population
No
Funding sources
Gilead Sciences

Trial design

CTIS Part I — objectives, methods, condition coding

Main objective

Scope: Safety

The main objective of the study is to determine the safety and tolerability of a sequential dose escalation regimen of TAF (25mg, 50mg, and 100mg) in healthy individuals

Secondary objectives 1

  1. The secondary objectives are to determine the effect of TAF on oral viral shedding, Epstein-Barr virus-specific CD4 T cell responses by ELISPOT, change in IgG antibodies in healthy individuals and to further assess the safety and tolerability of TAF during the treatment period.

Conditions and MedDRA coding

Epstein-Barr virus infection

Study design 1 period

#TitleAllocationBlindingRoles blindedArms
1 DELTA-EBV
This is a prospective study to determine the safety and efficacy of treatment with tenofovir alafenamide (TAF, Vemlidy®) at the dose of 25mg, 50mg, and 100mg per day on Epstein-Barr virus-specific immune responses and oral shedding in healthy individuals aged 18 to 65.
Not Applicable None

Regulatory references

Plan to share IPD
No
EU CT numberTitleSponsor
2025-522781-77-00 Dosing EvaLuation of Tenofovir Alafenamide on Epstein-Barr Virus (The DELTA-EBV study) Helse Bergen HF

Eligibility criteria

Principal inclusion / exclusion criteria as submitted by sponsor

Inclusion criteria 7

  1. Age ≥ 18 to ≤ 65 years, both male and female participants.
  2. Positive serological testing for EBNA1 or VCA IgG.
  3. Creatinine clearance (CrCL) >= 80 mL/min.
  4. EBV-positive otherwise healthy individuals
  5. Women of childbearing potential (WOCBP) able and willing to use highly effective methods of birth control3 that result in a low failure rate of less than 1% per year when used consistently for the duration of the study + 7 days after last dose to comply with CTCG Contraception guidance Version 1.2 (CTCG 07.03.2024).
  6. Able and willing to perform all study procedures, including at-home saliva collection, for the duration of the study
  7. Negative hepatitis B serology defined as hepatitis B surface antigen (HBsAg) negative and Hepatitis B core antibody (anti-HBc) negative.

Exclusion criteria 18

  1. Known hypersensitivity or severe adverse reactions to the study medication’s active agent or other component.
  2. History of pancreatitis.
  3. Prior or current disorders influence the participant’s ability to give informed consent or to comply with treatment and follow-up of the protocol.
  4. Current users of medications that could interact with the study medication (listed in paragraph 5.6).
  5. Participants previously treated with hematopoietic stem cell transplantation (HSCT).
  6. Participants who previously have been treated with any chemotherapeutic medication.
  7. WBC < 1.5 x 10^9/L if not caused by a reversible effect of documented ongoing medication. If WBC < 1.5 x 10^9/L is caused by a reversible effect of documented ongoing medication the WBC count must be > 1.5 x 10^9/L before start of study treatment.
  8. History of liver disease
  9. History of kidney disease
  10. Platelet (thrombocyte) count < 100 x 10^9/L.
  11. ALAT over the upper normal reference limit.
  12. Serum creatinine over the upper normal reference limit.
  13. Serum bilirubin over the upper normal reference limit.
  14. Any other disease that can influence participant safety and compliance or the evaluation of the outcome.
  15. Currently enrolled in another investigational drug trial, or within 30 days of completing one. Participants are excluded until systemic exposure has cleared, defined as 5.5 half-lives or 30 days, whichever is longer
  16. Women who are pregnant, as verified by a serum pregnancy test at screening and during follow-up, or lactating.
  17. Any known ongoing infection with HIV, chronic active hepatitis, hepatitis C, or hepatitis B surface antigen positivity.
  18. Participants with any evidence of current or prior hepatitis B infection (including anti-HBc positivity) will be excluded to eliminate the risk of viral reactivation or flare following discontinuation of study treatment

Endpoints

Primary and secondary outcome measures (English text)

Primary endpoints 1

  1. Number of participants experiencing treatment-emergent adverse events (AEs).

Secondary endpoints 5

  1. Within-participants changes in EBV shedding frequency in saliva, defined as number of samples with detectable levels of EBV during sequential dose escalation.
  2. Within-participant changes in EBV viral load in saliva during sequential dose escalation.
  3. Within-participant changes in EBV specific CD4 T cells by ELISPOT assay during sequential dose escalation.
  4. Within-participant changes in IgG antibodies to EBNA1 and VCA during sequential dose escalation.
  5. Secondary safety endpoints related to the IMP

Investigational products

Investigational medicinal products (IMPs), comparators, placebo, auxiliary

Test 1

Vemlidy 25 mg film-coated tablets

PRD4659207 · Product

Active substance
Tenofovir Alafenamide
Pharmaceutical form
FILM-COATED TABLET
Route of administration
ORAL
Max daily dose
100 mg milligram(s)
Max total dose
100 mg milligram(s)
Max treatment duration
12 Week(s)
Authorisation status
Authorised
ATC code
J05AF13 — -
Marketing authorisation
EU/1/16/1154/001
MA holder
GILEAD SCIENCES IRELAND UNLIMITED COMPANY
MA country
EU
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Sponsors and contacts

Sponsor organisations, regulatory contacts, third parties

Helse Bergen HF

Sponsor organisation
Helse Bergen HF
Address
Haukelandsveien 22
City
Bergen
Postcode
5021
Country
Norway

Scientific contact point

Organisation
Helse Bergen HF
Contact name
Andrea Kyvik Habbestad

Public contact point

Organisation
Helse Bergen HF
Contact name
Andrea Kyvik Habbestad

Locations

1 EU/EEA country · 2 investigational sites

By country

CountryMS statusPlanned subjectsSites
Norway Authorised, recruitment pending 45 2
Rest of world 0

Investigational sites

Norway

2 sites · Authorised, recruitment pending
Oslo Universitetssykehus HF
Department of Neurology, Oslo University Hospital, P. O. Box 4950, 0424, Oslo
Helse Bergen HF
Department of Neurology Haukeland University Hospital, Haukelandsveien 22, 5021, Bergen

Results and documents

Annex IV summary of results, Annex V layperson summary, and all documents registered in CTIS for this trial

Documents 6 files

Public protocol annexes, IB summaries, regulatory submissions and post-authorisation documents registered in CTIS.

TypeTitleVersion
Protocol (for publication) D1_ Protocol 2025-522781-77-01 final 2.2
Recruitment arrangements (for publication) K1_Recruitment arrangements 2.0
Recruitment arrangements (for publication) Rekruteringsark DELTA 1
Subject information and informed consent form (for publication) L1_SIS and ICF final 2.2
Summary of Product Characteristics (SmPC) (for publication) E2_SmPC_Vemlidy 2.0
Synopsis of the protocol (for publication) D1_Protocol synopsis 2025-522781-77-01 final 2.2

Application history

1 submissions — initial application plus substantial / non-substantial modifications

#TypeCodeSubmittedReference MSConclusionDecision date
1 INITIAL IN 2026-02-16 Norway Acceptable
2026-05-28
2026-05-28