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Study on Infectious Mononucleosis in Munich (IMMUC)

The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our disclaimer for details.
 
ClinicalTrials.gov Identifier: NCT06002802
Recruitment Status : Completed
First Posted : August 21, 2023
Last Update Posted : February 7, 2024
Sponsor:
Collaborators:
Helmholtz Zentrum München
German Cancer Research Center
Ludwig-Maximilians - University of Munich
Hannover Medical School
University Hospital Freiburg
German Center for Infection Research
Information provided by (Responsible Party):
Technical University of Munich

Brief Summary:

This observational clinical study aims at the identification of novel biomarkers and causative factors of complicated and/or protracted Epstein-Barr virus-associated infectious mononucleosis (IM).

Clinical, biochemical, and routine virological data were collected from 200 patients with IM, novel analytical tools were implemented, and immunological and virological experimental data were generated using blood samples and mouthwashes. Patients have been investigated within four weeks after the onset of symptoms as well as one month and six months thereafter.


Condition or disease
Infectious Mononucleosis Epstein-Barr Virus Infections

Detailed Description:

EBV-associated diseases are a severe and global health problem, and novel tools and targets for a better pathogenetic understanding, diagnosis, treatment, and prevention are clearly needed. Here we propose to use several novel experimental approaches to investigate immunological, virological, biochemical, and clinical features in an observational study on Munich IM patients.

This study aims at identifying biomarkers and causative factors of protracted and/or complicated IM to facilitate the development of novel approaches to early diagnosis, therapy, and prevention of severe, life-threatening, and chronic EBV-associated diseases, including post-viral syndromes.

Two hundred patients with IM onset within the last four weeks were recruited from Munich health care institutions and were re-investigated at one and six months after the onset of symptoms. A novel diagnostic scoring system was developed to indicate the severity, complexity, and protraction of symptoms.

Investigated clinical parameters, including reported symptoms and physical signs of IM, as well as candidate risk factors in the medical history of patients and family members. Peripheral blood was analysed by established and novel analytical assays to determine the immunological and virological phenotypes of IM, and viral load was determined in mouthwashes.

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Study Type : Observational
Actual Enrollment : 200 participants
Observational Model: Cohort
Time Perspective: Prospective
Official Title: Study on Biomarkers and Causative Factors of Complicated and/or Protracted Epstein-Barr Virus-associated Infectious Mononucleosis
Actual Study Start Date : March 1, 2016
Actual Primary Completion Date : August 31, 2020
Actual Study Completion Date : August 31, 2020

Resource links provided by the National Library of Medicine





Primary Outcome Measures :
  1. Severity [ Time Frame: Six months ]
    Maximal severity of symptoms during the course of IM according the the IMMUC-Score.

  2. Complexity [ Time Frame: Six months ]
    Maximal complexity of symptoms during the course of IM according the the IMMUC-Score

  3. Protraction [ Time Frame: Six months ]
    Maximal protraction of symptoms during the course of IM according the the IMMUC-Score.


Secondary Outcome Measures :
  1. Immune status [ Time Frame: Within four weeks post symptom onset and at one and six months thereafter. ]
    Cellular and humoral immune status, EBV viral load, antibodies against EBV proteome.


Biospecimen Retention:   Samples Without DNA
Blood, mouthwashes


Information from the National Library of Medicine

Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the contacts provided below. For general information, Learn About Clinical Studies.


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Ages Eligible for Study:   0 Years to 39 Years   (Child, Adult)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No
Sampling Method:   Non-Probability Sample
Study Population
200 patients with infectious mononucleosis.
Criteria

Inclusion Criteria:

  • IM onset within the last four weeks
  • with at least one of four typical clinical findings (tonsillopharyngitis, fever, lymphadenopathy, fatigue) - virological findings indicating primary EBV infection (EBV-specific antibodies, EBV DNA).

Exclusion Criteria:

  • Pregnancy
  • transfusion
  • and/or transplantation during the last year
  • and/or no informed consent.

Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT06002802


Locations
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Germany
MRI Chonic Fatigue Center for Young People (MCFC), Children's Hospital, Technical University of Munich & Munich Municipal Hospital
Munich, Bavaria, Germany, 80804
Sponsors and Collaborators
Technical University of Munich
Helmholtz Zentrum München
German Cancer Research Center
Ludwig-Maximilians - University of Munich
Hannover Medical School
University Hospital Freiburg
German Center for Infection Research
Additional Information:
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Responsible Party: Technical University of Munich
ClinicalTrials.gov Identifier: NCT06002802    
Other Study ID Numbers: TTU 07.905/07.909
First Posted: August 21, 2023    Key Record Dates
Last Update Posted: February 7, 2024
Last Verified: August 2023
Individual Participant Data (IPD) Sharing Statement:
Plan to Share IPD: Undecided

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Studies a U.S. FDA-regulated Drug Product: No
Studies a U.S. FDA-regulated Device Product: No
Keywords provided by Technical University of Munich:
EBV
Pfeiffer's glandular fever
Post-viral syndrome
Additional relevant MeSH terms:
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Communicable Diseases
Infections
Epstein-Barr Virus Infections
Infectious Mononucleosis
Virus Diseases
Disease Attributes
Pathologic Processes
Herpesviridae Infections
DNA Virus Infections
Tumor Virus Infections
Leukocyte Disorders
Hematologic Diseases
Lymphoproliferative Disorders
Lymphatic Diseases
Immunoproliferative Disorders
Immune System Diseases