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CompletedNCT07267390MOVIE-TRACEUpdated May 1, 2026

Investigating MPXV Viral Clearance in Mpox Cases and Secondary Attack Rate in Contacts

An observational study in Mpox (Monkeypox), sponsored by Fundación FLS de Lucha Contra el Sida, las Enfermedades Infecciosas y la Promoción de la Salud y la Ciencia. Completed at 1 site in Democratic Republic of the Congo. Per ClinicalTrials.gov, last updated 2026-05-01.

Sponsored by Fundación FLS de Lucha Contra el Sida, las Enfermedades Infecciosas y la Promoción de la Salud y la Ciencia · Observational

Study type
Observational
Model
Cohort
Time perspective
Prospective
Enrollment
550
Sex
All
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Study summary

The MOVIE-TRACE project includes two complementary observational studies designed to improve the understanding of Mpox virus infection and its transmission within affected communities. The MOVIE study aims to describe the dynamics of viral clearance in patients with confirmed Mpox. It measures how the viral load changes over time in different biological samples to inform decisions about patient management and isolation guidelines. The TRACE study focuses on understanding how mpox spreads from confirmed cases to their contacts. It will estimate the Secondary Attack Rate (SAR) and identify factors associated with transmission risk. The results will help guide public health strategies for contact tracing, vaccination, and outbreak control.

Read the detailed description

Starting in late 2023, an increasing number of confirmed cases of Mpox caused by clade I Mpox virus (MPXV) were reported across several provinces of the Democratic Republic of the Congo (DRC). In August 2024, the World Health Organization (WHO) declared the ongoing outbreak a Public Health Emergency of International Concern due to its expanding geographic spread and significant public health impact.

Mpox is transmitted through direct contact with skin or mucosal lesions of infected individuals, contaminated materials. MPXV can be detected in multiple biological samples, including skin lesion swabs, blood, throat swabs, and occasionally urine. However, there is still limited information on how long and in which compartments the virus can persist, as well as on how efficiently it spreads between individuals during community outbreaks caused by clade I virus.

The MOVIE-TRACE project includes two complementary observational studies designed to address these critical gaps in knowledge and to strengthen the understanding of clade I MPXV infection in the DRC.

The MOVIE study aims to describe how MPXV is cleared from the body over time among patients with PCR-confirmed Mpox infection. Despite the importance of isolation and infection control in outbreak management, there is limited evidence on how long individuals remain infectious. MOVIE addresses this critical gap by conducting longitudinal follow-up of Mpox-positive patients for up to two months, with several scheduled visits during which multiple biological specimens are collected. These samples will be analyzed to assess viral persistence in different body compartments and to characterize the kinetics of viral clearance. The findings will help refine isolation duration, improve clinical management, and guide infection prevention policies.

The TRACE study seeks to understand how Mpox spreads from confirmed cases to their contacts. By systematically collecting exposure data and testing contacts for infection, TRACE will estimate the Secondary Attack Rate (SAR) and identify factors that increase the likelihood of transmission. This information will support public health measures such as contact tracing, quarantine strategies, and targeted vaccination in endemic regions.

Together, MOVIE and TRACE will generate essential evidence on both viral clearance and transmission of clade I MPXV, providing a comprehensive understanding of the infection and informing data-driven outbreak response strategies in the Democratic Republic of the Congo.

02

Conditions studied

  • Mpox (Monkeypox)

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Keywords

  • viral clearance
  • secondary attack rate
  • DRC
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 550 is above the median of 224 across 34 observational studies indexed under Mpox, Monkeypox.

Browse Mpox, Monkeypox studies →

Lead sponsor

Fundación FLS de Lucha Contra el Sida, las Enfermedades Infecciosas y la Promoción de la Salud y la Ciencia is the lead sponsor of 45 studies on the registry; 4 are open to participants now.

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

04

Who can participate

Ages eligible
Child (0–17), Adult (18–64), Older adult (65+)
Sexes eligible
All
Accepts healthy volunteers
Yes
Sampling method
Non-probability sample

Study population

All individuals with confirmed Mpox infection, regardless of age or sex.

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

  • MOVIE Study:

    • Individuals of any sex and age presenting with lesions clinically suggestive of Mpox, as assessed by a trained health worker.
    • Symptom onset within the 10 days prior to the baseline assessment.
    • Willingness and ability to comply with study procedures and attend scheduled follow-up visits for up to two months.
    • Availability for follow-up throughout the study period.
    • Provision of written by the participant, or consent by a legally authorized representative for minors or individuals unable to provide it themselves.
    • Assent obtained from children aged 12 years or older.
    • For participants who cannot read or write, witnessed consent will be obtained.
  • TRACE Study:

    • Individuals who have had close physical contact with a polymerase chain reaction (PCR)-confirmed Mpox case within 14 days from the onset of symptoms in the index case.
    • Close physical contact is defined as being within 2 meters of an infected person-particularly in enclosed spaces-for at least 5 minutes (based on CDC's 2-meter rule for droplet transmission).
    • Willingness and ability to comply with the study protocol and attend scheduled follow-up assessments.
    • Provision of written informed consent by the participant, or consent by a legally authorized representative for individuals unable to provide it themselves.

Exclusion criteria

Exclusion Criteria:

  • MOVIE Study:

    • Cases of severe Mpox requiring hospitalization.
    • Individuals with a confirmed alternative diagnosis explaining their illness.
    • Prior vaccination against Mpox.
    • Individuals over 40 years of age who report having received smallpox vaccination during infancy.
  • TRACE Study:

    • Prior vaccination against Mpox.
    • Individuals over 40 years of age who report having received smallpox vaccination during infancy.
Terms in these criteria, in plain language(1)

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.

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
550 participants (actual)
Patient registry
No
Biospecimen retention
Samples with dna

Groups and cohorts

  • MOVIE

    Mpox confirmed case

  • TRACE

    Contact of a MOVIE case

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What researchers measure

Primary outcomes

  1. Time to undetectable MPXV DNA in skin lesion swabs measured by quantitative PCR

    Time from enrollment to the first skin lesion swab with undetectable MPXV DNA, defined as cycle threshold (Ct) \>35 by quantitative polymerase chain reaction (qPCR).

    Time frame: From day 1 to day 56

  2. Time to undetectable MPXV DNA in oropharyngeal swabs measured by quantitative PCR

    Time from enrollment to the first oropharyngeal swab with undetectable MPXV DNA, defined as Ct \>35 by qPCR.

    Time frame: From day 1 to day 56

  3. Time to undetectable MPXV DNA in blood measured by quantitative PCR

    Time from enrollment to the first blood sample with undetectable MPXV DNA, defined as Ct \>35 by qPCR.

    Time frame: From day 1 to day 56

  4. Secondary attack rate of mpox among contacts of index cases

    Secondary attack rate (SAR), defined as the proportion of contacts of laboratory-confirmed mpox cases who develop laboratory-confirmed mpox during follow-up, assessed through clinical evaluation and MPXV qPCR testing.

    Time frame: From day 1 to day 14

Secondary outcomes

  1. Epidemiological, clinical, and exposure-related factors associated with mpox transmission

    Transmission-related factors will be assessed using standardized epidemiological questionnaires and clinical case report forms administered to index cases and contacts at baseline and follow-up. Variables assessed will include type and frequency of contact, exposure to skin lesions or bodily fluids, sleeping arrangements, sexual contact, household characteristics, symptoms, lesion burden, and MPXV DNA results by qPCR. Associations with transmission will be evaluated by comparing characteristics of transmitting versus non-transmitting index cases and infected versus non-infected contacts.

    Time frame: From day 1 to day 14

07

Study locations

1 site
  • Univeristy of Kinshasa
    Kinshasa, Democratic Republic of the Congo
08

References and documents

Study documents

PDFs hosted by the registry, ClinicalTrials.gov.

Individual participant data

Plan to share: Undecided — Individual participant data (IPD) will be shared under reasonable request

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Ran from Oct 2025 to primary completion in Feb 2026, 3 months.

Of 23 observational studies under Mpox, Monkeypox, half reached primary completion within 18 months of starting (the median), counting those still running; a quarter within 10 and three quarters within 45. This study's 3 months is below that.

How these figures are worked out, and which studies are left out of them.

Registered
Nov 17, 2025
First posted
Dec 5, 2025
StartActual
Oct 31, 2025
Primary completionActual
Feb 27, 2026
CompletionActual
Feb 27, 2026
Last update
May 1, 2026
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on May 1, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT07267390
Lead sponsor
Fundación FLS de Lucha Contra el Sida, las Enfermedades Infecciosas y la Promoción de la Salud y la Ciencia
Collaborators
University of Kinshasa, London School of Hygiene and Tropical Medicine
Responsible party
Oriol Mitja (Associate Professor, Infectious Diseases and Global Health, Fundación FLS de Lucha Contra el Sida, las Enfermedades Infecciosas y la Promoción de la Salud y la Ciencia) — Principal investigator
First posted
Dec 5, 2025
Start date
Oct 31, 2025
Primary completion
Feb 27, 2026
Completion
Feb 27, 2026
Last update
May 1, 2026

Study contacts

Oriol Mitjà, Professor
principal investigator · Fundación FLS de Lucha Contra el Sida, las Enfermedades Infecciosas y la Promoción de la Salud y la Ciencia

Oversight

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

Not currently enrolling

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

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