Overview
Sponsor-declared trial summary
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
- 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
| # | Title | Allocation | Blinding | Roles blinded | Arms |
|---|---|---|---|---|---|
| 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 number | Title | Sponsor |
|---|---|---|
| 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
- Age ≥ 18 to ≤ 65 years, both male and female participants.
- Positive serological testing for EBNA1 or VCA IgG.
- Creatinine clearance (CrCL) >= 80 mL/min.
- EBV-positive otherwise healthy individuals
- 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).
- Able and willing to perform all study procedures, including at-home saliva collection, for the duration of the study
- Negative hepatitis B serology defined as hepatitis B surface antigen (HBsAg) negative and Hepatitis B core antibody (anti-HBc) negative.
Exclusion criteria 18
- Known hypersensitivity or severe adverse reactions to the study medication’s active agent or other component.
- History of pancreatitis.
- Prior or current disorders influence the participant’s ability to give informed consent or to comply with treatment and follow-up of the protocol.
- Current users of medications that could interact with the study medication (listed in paragraph 5.6).
- Participants previously treated with hematopoietic stem cell transplantation (HSCT).
- Participants who previously have been treated with any chemotherapeutic medication.
- 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.
- History of liver disease
- History of kidney disease
- Platelet (thrombocyte) count < 100 x 10^9/L.
- ALAT over the upper normal reference limit.
- Serum creatinine over the upper normal reference limit.
- Serum bilirubin over the upper normal reference limit.
- Any other disease that can influence participant safety and compliance or the evaluation of the outcome.
- 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
- Women who are pregnant, as verified by a serum pregnancy test at screening and during follow-up, or lactating.
- Any known ongoing infection with HIV, chronic active hepatitis, hepatitis C, or hepatitis B surface antigen positivity.
- 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
- Number of participants experiencing treatment-emergent adverse events (AEs).
Secondary endpoints 5
- Within-participants changes in EBV shedding frequency in saliva, defined as number of samples with detectable levels of EBV during sequential dose escalation.
- Within-participant changes in EBV viral load in saliva during sequential dose escalation.
- Within-participant changes in EBV specific CD4 T cells by ELISPOT assay during sequential dose escalation.
- Within-participant changes in IgG antibodies to EBNA1 and VCA during sequential dose escalation.
- 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
| Country | MS status | Planned subjects | Sites |
|---|---|---|---|
| Norway | Authorised, recruitment pending | 45 | 2 |
| Rest of world | — | 0 | — |
Investigational sites
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.
| Type | Title | Version |
|---|---|---|
| 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
| # | Type | Code | Submitted | Reference MS | Conclusion | Decision date |
|---|---|---|---|---|---|---|
| 1 | INITIAL | IN | 2026-02-16 | Norway | Acceptable 2026-05-28
|
2026-05-28 |