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TerminatedNCT06045923VIRISMAPUpdated May 5, 2026

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

An observational study in Monkeypox, HIV Infections and AIDS, sponsored by Centers for Disease Control and Prevention. Terminated at 1 site in United States. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-05-05.

Sponsored by Centers for Disease Control and Prevention · Observational

Why this study was terminated
Insufficient participant enrollment
Study type
Observational
Model
Cohort
Time perspective
Prospective
Enrollment
100
Ages
18 Years and older
Sex
All
01

Study summary

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.

Read the detailed description

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.
02

Conditions studied

03

In context

Mpox, Monkeypox

72 studies on the registry are indexed under Mpox, Monkeypox; 30 are open to participants now.

This study's enrollment of 100 is below the median of 224 across 34 observational studies indexed under Mpox, Monkeypox.

Browse Mpox, Monkeypox studies →

Lead sponsor

Centers for Disease Control and Prevention is the lead sponsor of 275 studies on the registry; 2 are open to participants now.

Of its 11 completed or terminated interventional studies of FDA-regulated products, 8 (73%) have results posted.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No
Sampling method
Non-probability sample

Study population

Patients who are hospitalized in the United States with probable/confirmed mpox and HIV with CD4 count \< 200 cells/uL.

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Age ≥18 years; AND
  • infection with \< 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

Exclusion Criteria:

  • Inability of the individual or appropriate proxy to provide .
  • 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.
Terms in these criteria, in plain language(3)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

HIV

The human immunodeficiency virus, which weakens the immune system.

Many studies now accept people whose HIV is controlled on treatment, judged by the viral load and the CD4 count. Check the limits this study sets.

CD4 count

The number of CD4 cells, a type of white blood cell, in a given amount of blood. It is used to follow how well the immune system is doing in HIV.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

05

Study design

Observational model
Cohort
Time perspective
Prospective
Enrollment
100 participants (actual)
Patient registry
No

Groups and cohorts

  • Outpatient

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

  • Inpatient

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

06

What researchers measure

Primary outcomes

  1. Monkeypox viral persistence

    Monkeypox virus persistence in different sample types (including lesion, oropharyngeal, and rectal swabs; blood) over the course of illness

    Time frame: While hospitalized, for up to 12 months

  2. Monkeypox viral viability

    Monkeypox virus viability in different sample types (including lesion, oropharyngeal, and rectal swabs; blood) over the course of illness

    Time frame: While hospitalized, for up to 12 months

  3. Immune response

    Cytokine and chemokine profile over the course of illness

    Time frame: While hospitalized, for up to 12 months

Secondary outcomes

  1. Clinical outcome

    Duration of illness from mpox

    Time frame: Up to 12 months

  2. Clinical outcome

    Duration of hospitalization with mpox

    Time frame: Up to 12 months

  3. Clinical outcome

    Duration of critical illness due to mpox

    Time frame: Up to 12 months

  4. Clinical outcome

    Mpox lesion burden

    Time frame: Up to 12 months

  5. Clinical outcome

    Mortality

    Time frame: Up to 12 months

  6. Clinical outcome

    Characterization of co-infections

    Time frame: Up to 12 months

  7. Monkeypox virus resistance

    Assess Monkeypox virus isolates for resistance to available therapeutics over the course of illness

    Time frame: While hospitalized, for up to 12 months

07

Study locations

1 site
  • Centers for Disease Control and Prevention
    Atlanta, Georgia 30333, United States
08

References and documents

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on May 5, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT06045923
Responsible party
Sponsor
First posted
Sep 21, 2023
Start date
Mar 17, 2023
Primary completion
Jan 1, 2026
Completion
Jan 1, 2026
Last update
May 5, 2026

Study contacts

Agam Rao, MD
principal investigator · Centers for Disease Control and Prevention
Irini Sereti, MD
study director · National Institutes of Health (NIH)
Faisal Minhaj, Pharm.D.
study director · Centers for Disease Control and Prevention
Shama Cash-Goldwasser, MD
study director · Centers for Disease Control and Prevention
Jesse OShea, MD
study director · Centers for Disease Control and Prevention
Christine Hughes, PhD
study director · Centers for Disease Control and Prevention
Brian Epling, MD
study director · National Institutes of Health (NIH)
Katy Saliba, PhD
study director · National Institutes of Health (NIH)
Jason Zucker, MD
study director · Columbia University
Sarah Reagan Steiner, MD
study director · Centers for Disease Control and Prevention
Sarah Park, MD
study director · Karius Laboratories

Oversight

FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is terminated, as verified in Apr 2026. You cannot join it, but the record below documents what was studied.

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