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VaccinePhase 1NCT06799013

Safety and Immunogenicity of a Self-Amplifying RNA Vaccine Against Crimean-Congo Hemorrhagic Fever

A Phase 1 study testing 10 ug HDT 321, 25ug HDT-321 and 50ug HDT-321 in people with Vaccine and Crimean-Congo Hemorrhagic Fever, run by HDT Bio at 1 site in United States.

Recruiting

Looking for participants now. Contact the study team or a site below to ask about taking part.

Sites and contacts
Official record
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Trial summary

The goal of this clinical trial is to assess the safety, tolerability and immunogenicity of three dosage levels, and a single or two-dose administration regimen, of the investigational HDT-321 product administered intra-muscularly. Read more about this study

Who is it for?
Ages 18 to 64 yearsHealthy volunteers can take part
Conditions the study is for
Vaccine, Crimean-Congo Hemorrhagic Fever
What is being tested?
10 ug HDT 321, 25ug HDT-321 and 50ug HDT-321
Type of treatment
Vaccines
Could I receive a placebo?
No, everyone receives an active treatment
How many people
48 participants
Where
1 siteUnited States
Study dates
10 Jul 2025to Jul 2027
Phase
Phase 1
Are there results?
Not yet: the study is under way

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 to 64 years
  • All sexes
  • Healthy volunteers accepted
  • Adult

Who may be able to join

  • Males and non-pregnant females 18 to 64 years of age at the time of signing the ICF.
  • Body mass index (BMI) 17 to 35 inclusive at screening.
  • Considered by the PI or designee to be in good general health as determined by medical history, physical examination, vital sign measurements*, and clinical laboratory assessments conducted no more than 30 days prior to the first study injection administration.
  • Screening laboratory values within the laboratory reference ranges or considered non-clinically significant (NCS) if within Grade 1 severity on the toxicity grading scale.
  • Negative human immunodeficiency virus (HIV) 1/2 antibody, hepatitis B surface antigen (HBsAg), and hepatitis C virus (HCV) antibody.
  • Women of childbearing potential must agree to use or have practiced true abstinence or use at least one acceptable primary form of contraception3 for at least 30 days prior to the first injection and for 60 days after the last injection. Female participants of childbearing potential must have a negative serum pregnancy test at screening and a negative urine pregnancy test on the day of and prior to each study injection.
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  • Able to understand and comply with planned study procedures and willing to be available for all study required procedures, visits, and telephone calls for the duration of the study.
  • Provide written informed consent before initiation of any study procedures.
  • Willing to abstain from donating whole blood or blood derivatives 30 days prior to screening and for the duration of the study.
  • Willing to refrain from receiving any licensed vaccine within 28 days prior to and after scheduled study injections.

Who cannot join

  • Any medical disease or condition that, in the opinion of the participating site PI or appropriate sub-investigator, precludes study participation. Including Acute, subacute, intermittent, or chronic medical diseases or conditions that would place the subject at an unacceptable risk of injury, render the subject unable to meet the requirements of the protocol, or may interfere with the evaluation of responses or the subject's successful completion of the trial. Significant respiratory disease (COPD) requiring daily medications, asthma that is not well controlled, significant cardiovascular disease, history of myocarditis or pericarditis, myocardial infarction, coronary artery bypass surgery or stent placement, or uncontrolled cardiac arrhythmia, Neurological or neurodevelopmental conditions, ongoing malignancy or recent diagnosis of malignancy in the last five years excluding basal cell and squamous cell carcinoma of the skin, blood dyscrasias or significant disorder of coagulation, chronic liver disease, including fatty liver, autoimmune disease, including localized or history of psoriasis or hypothyroidism without a defined non-autoimmune cause and Immunodeficiency of any cause.
  • Abnormal screening electrocardiogram (ECG)
  • History of hypersensitivity or severe reactions to previous vaccinations
  • History of hypersensitivity or severe reactions to products known to contain polyethylene glycol (PEG).
  • Allergy to antibiotics structurally similar to kanamycin (including but not limited to neomycin, streptomycin, tobramycin, and gentamycin).
  • Chronic administration (defined as more than 14 days in total) of immunosuppressants or other immunemodifying drugs within 6 months prior to the first study injection (for corticosteroids: prednisone ≥20 mg/day or equivalent). Intra-articular, inhaled, nasal, and topical steroids are allowed.
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  • Received immunoglobulins or any blood products within 60 days prior to enrollment/Day 1.
  • Donated blood products within 30 days prior to enrollment/Day 1.
  • Received an investigational or non-registered medicinal product within 30 days prior to screening.
  • Currently enrolled, or plan to participate, in another clinical trial with an investigational agent to be received during the study period.
  • Received or plans to receive any non-study vaccine within 28 days before and after each study injection.
  • Febrile illness*, as determined by the participating site PI or appropriate sub-investigator, with or without fever (oral temperature ≥38.0°C/100.4°F), within 24 hours prior to each study injection.
  • Current heavy smoking/vaping (defined as 1 pack or more of cigarettes a day or vaping equivalent*). *1-2 mL of 20 mg/mL of nicotine salt
  • Known or suspected alcohol or illicit drug abuse within the past 12 months prior to Study Day 1.
  • Breastfeeding or plans to breastfeed from the time of the first vaccination through 60 days after the last study injection.
  • Participants unlikely to cooperate with the requirements of the study protocol.

Trial locations and contacts

1 site in 1 country. Contact the study team or a site near you to ask about taking part.

United States1 site, 1 recruiting
  • Flourish Research San Antonio (Clinical Trials of Texas)

    San Antonio, Texas, 78229

    Jessie Williams, 210-949-0122 ext. 179, jwilliams@flourishresearch.com

    Barbara Corral, DNP, 210-949-0122 ext. 151, BCorral@flourishresearch.com

    Recruiting

Other trials in United States

About this study

Official title: A Phase 1, Open Label, Dose-Escalation Study to Evaluate the Safety, Reactogenicity and Immunogenicity of a Nanoparticle Carrier-Formulated Self-Amplifying RNA Vaccine Against Crimean-Congo Hemorrhagic Fever (HDT-321) in Healthy Adults

The goal of this clinical trial is to assess the safety, tolerability and immunogenicity of three dosage levels, and a single or two-dose administration regimen, of the investigational HDT-321 product administered intra-muscularly. The main questions it aims to answer are:

  • Is HDT-321 safe to use
  • Does HDT-321 provide protection against Crimean-Congo hemorrhagic fever virus (CCHFV)
Read more

Researchers will record any adverse events and test blood samples to see if HDT-321 is safe and works to protect participants against Crimean-Congo hemorrhagic fever virus (CCHFV)

Participants will:

  • Receive 1 or 2 doses of HDT-321
  • Complete a memory aid and measurements for 7 days after receiving each dose of HDT-321
  • Be followed throughout the study using phone calls and clinic visits to check for and record adverse events
  • Provide blood samples at specific study visits
Read the detailed description

This is an open-label, dose-escalation, first-in-human study to evaluate the safety, reactogenicity and immunogenicity of the investigational product HDT-321 in approximately 48 healthy adults aged 18-64 years.

Four groups of 12 participants at three dosage levels will be sequentially recruited in the study, starting with the lowest dose. Groups 1, 2 and 4 will receive 2 doses and group 3 will receive 1 dose of HDT-321.

Study progression and dose escalation will occur according to the following:

Group 1 (10 μg): Three sentinel participants will be initially enrolled and followed for 7 days post-first study injection for safety assessment by predetermined objective criteria. If none of the pre-defined halting rules are met, as confirmed by the Safety Review Team (SRT), enrollment of the remaining participants of the group will proceed. In addition, available safety data for 7 days post-second study injection will be evaluated in the sentinel group prior to administering the second injection of the remaining participants of Group 1. Available safety data for 7 days post-first study injection of all participants will be reviewed by the SRT. If none of the pre-defined halting rules are met and no safety concerns have been identified, enrollment of Group 2 participants will proceed.

Group 2 (25 μg): In a similar fashion, three sentinel participants will be initially enrolled and followed for 7 days post-first study injection for safety assessment by predetermined objective criteria. If none of the pre-defined halting rules are met, as confirmed by the SRT, enrollment of the remaining participants of the group will proceed. In addition, available safety data for 7 days post second study injection will be evaluated in the sentinel group prior to administering the second injection of the remaining participants of Group 2. Available safety data for 7 days post-first study injection of all Group 1 and 2 participants along with any available post-second injection from Group 1 participants will be reviewed by the SRT. If none of the pre-defined halting rules are met and no safety concerns have been identified, enrollment of Groups 3 and 4 participants will proceed.

Groups 3 and 4 (50 μg): the same procedure with initial enrollment of three sentinel participants will be followed as outlined above, prior to enrollment of the remaining participants of Group 3 and all of Group 4. In addition, the available data 7 days post-first injection of the entire Group 3 and 4 along with available post-second injection data from Group 1 and 2 will be reviewed prior to administering the second dose of Group 4 participants.

Blood samples will be collected from all participants in the study. Participants in groups 1, 2 and 4 will provide samples at screening and 8 additional visits. Participants in group 3 will provide samples at screening and 7 additional visits.

Participants will be requested to attend a combination of in person clinic visits and phone calls. Participants in groups 1, 2 and 4 will have 2 phone calls and 10 in-clinic visits. Two of the clinic visits will include administration of HDT-321 via IM injections. Participants in cohort 3 will have 1 phone call and 9 in-clinic visits. One of the clinic visits will include administration of HDT-321 via IM injection.

Protocol-defined solicited local and systemic AEs will be collected for 7 days following each study injection via memory aid. Other AEs will be collected for 28 days following each study injection. SAEs, AESIs, MAAEs and NOCDs will be collected from the first study injection through their entire study participation.

Being tested
10 ug HDT 321, 25ug HDT-321, 50ug HDT-321
Keywords
Vaccine, Healthy, 18-64, Male, Female, Preventative
Medical subject headings
Hemorrhagic Fever, Crimean

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • 10 ug HDT 321Biological

    HDT-321 Investigational Vaccine (a Nanoparticle Carrier-Formulated self-amplifying RNA encoding the NP of CCHFV)

  • 25ug HDT-321Biological

    HDT-321 Investigational Vaccine (a Nanoparticle Carrier-Formulated self-amplifying RNA encoding the NP of CCHFV)

  • 50ug HDT-321Biological

    HDT-321 Investigational Vaccine (a Nanoparticle Carrier-Formulated self-amplifying RNA encoding the NP of CCHFV)

Study groups in NCT06799013
Study groupRoleWhat they receive
Group 1ExperimentalGroup 1 will include 12 participants who will receive a 10 ug two dose schedule of HDT-321 at day 1 and day 29.
Receives: Biological: 10 ug HDT 321
Group 2ExperimentalGroup 2 will include 12 participants who will receive a 25 ug, two dose schedule of HDT-321 at day 1 and day 29.
Receives: Biological: 25ug HDT-321
Group 3ExperimentalGroup 3 will include 12 participants who will receive a 50 ug one dose schedule of HDT-321 at day 1.
Receives: Biological: 50ug HDT-321
Group 4ExperimentalGroup 4 will include 12 participants who will receive a 50 ug two dose schedule of HDT-321 at day 1 and day 29.
Receives: Biological: 50ug HDT-321

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Solicited local and systemic adverse events (AEs)

    Frequency and grade of solicited local and systemic AEs during the 7-day follow-up period after each study injection (i.e. the day of administration and 6 subsequent days).

    Measured: Day 1-7 post administration

  2. Unsolicited study product related adverse events

    Frequency and grade of unsolicited study product related AEs reported during the 28-day follow-up period after each study injection.

    Measured: Day 1-28 post administration

  3. Laboratory abnormalities

    Occurrence of laboratory abnormalities at 7 days post injection visit (increased or decreased outside normal ranges, as determined by the FDA Guidance for Industry Toxicity Grading Scale for Healthy Adults Enrolled in Preventive Vaccine Clinical Trials, 2007)

    Measured: Day 1-7 post administration

  4. Serious AEs, AEs of Special Interest, Medically Attended AEs, and New-Onset of Chronic Diseases

    Frequency and grade of Serious AEs (SAEs), AEs of Special Interest (AESIs), Medically-Attended AEs (MAAEs), and New-Onset of Chronic Diseases (NOCDs) during the duration of participation in the study.

    Measured: Day 1 to end of study participation (Day 394)

Secondary outcomes (1)
  1. Immunogenicity of HDT-321

    Evaluate the immunogenicity of HDT-321 as measured by IgG ELISA to the CCHFV NP measured 28 and 56 days after each injection. Using geometric mean titers (GMTs) of circulating antibodies against CCHFV NP through Day 57 along with seroconversion rate for anti-NP antibody through Day 57.

    Measured: Day 1 to Day 57

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted29 Jan 2025
  2. Study start10 Jul 2025
  3. Primary completionDec 2026 (estimated)
  4. Study completionJul 2027 (estimated)

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 1
Primary purpose
Prevention
Allocation
Non-randomised
Intervention model
Parallel groups
Model description
Four groups of 12 participants across three dose levels will be sequentially recruited in the study, starting with the lowest dose. The three dose levels and four treatment groups are outlined below. Group 1: 12 participants receive 10 μg vaccinations on Day 1 and Day 29 Group 2: 12 participants receive 25 μg vaccinations on Day 1 and Day 29 Group 3: 12 participants receive 50 μg vaccination on Day 1 Group 4: 12 participants receive 50 μg vaccinations on Day 1 and Day 29
Masking
None (open label)
Enrolment
48 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT06799013
Sponsor's protocol ID
HDT-321-001
Other IDs
W15QKN-16-9-1002 / 23-86397-01
Status last verified
Jul 2025
First submitted
16 Jan 2025
Last updated
28 Jul 2025
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
No

Questions about this trial

What is this clinical trial studying?

A Phase 1 study testing 10 ug HDT 321, 25ug HDT-321 and 50ug HDT-321 in people with Vaccine and Crimean-Congo Hemorrhagic Fever, run by HDT Bio at 1 site in United States.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 10 inclusion and 16 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: looking for participants now, as of the sponsor's last update on 28 Jul 2025. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in United States. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 1 studies test a treatment in a small group of people for the first time or in a new way, mainly to check safety and find the right dose.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

This study is still under way. Results are not available in the source record yet.

How can a doctor refer a patient or contact the research team?

Contact James Keary (206-567-8230, james.keary@hdt.bio), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Solicited local and systemic adverse events (AEs) (time frame: Day 1-7 post administration). The study lists 4 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 28 Jul 2025.

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