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RecruitingNCT07368153IDEPUpdated Aug 25, 2026

Safety and Tolerability of IDO-1 Inhibition in the Prevention of EBV-related Pathology in EBV Negative Kidney Transplant Recipients Receiving an Organ From EBV Positive Donors

A Phase 2 interventional study of indoleamine 2,3-dioxygenase 1 (IDO-1) inhibitor and placebo in EBV Infections and Kidney Transplant, sponsored by University Hospital, Basel, Switzerland. Recruiting at 4 sites in Switzerland. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-08-25.

Sponsored by University Hospital, Basel, Switzerland · Phase 2, Interventional, and Prevention

From the registry’s dates

  • Started Aug 2026; still recruiting 2 months later.

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Phase
Phase 2
Study type
Interventional
Enrollment
9
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

This clinical study will evaluate the safety and tolerability of an IDO-1 inhibitor in patients receiving a kidney transplant. The study includes individuals who have not previously been infected with Epstein-Barr virus (EBV) and who receive a kidney from a donor with prior EBV infection.

Participants will receive the IDO-1 inhibitor or placebo in addition to standard medical care and will be monitored for side effects and other safety-related outcomes throughout the study.

Read the detailed description

This clinical study is being conducted to evaluate the safety and tolerability of an IDO-1 inhibitor in patients receiving a kidney transplant. The study population includes individuals who are Epstein-Barr virus (EBV) seronegative and receive a kidney from an EBV-seropositive donor, a group at increased risk for EBV-related complications following transplantation.

Kidney transplantation requires substantial immunosuppression to maintain graft function. While necessary, this immunosuppression increases susceptibility to infections, including EBV, which may lead to serious clinical consequences in immunocompromised individuals.

In this study, participants will receive the IDO-1 inhibitor or placebo in addition to standard-of-care immunosuppressive therapy. Study treatment will be initiated prior to kidney transplantation or on the day of transplantation, depending on donor availability, and will be administered for a defined treatment period, followed by a safety follow-up phase.

The primary objective of the study is to assess the safety and tolerability of the IDO-1 inhibitor in kidney transplant recipients, including the incidence of adverse events and clinically relevant laboratory abnormalities.

02

Conditions studied

  • EBV Infections
  • Kidney Transplant
03

In context

Epstein-Barr Virus Infections

175 studies on the registry are indexed under Epstein-Barr Virus Infections; 60 are open to participants now.

This study's planned enrollment of 9 is below the median of 28 across 114 interventional studies indexed under Epstein-Barr Virus Infections.

Browse Epstein-Barr Virus Infections studies →

Lead sponsor

University Hospital, Basel, Switzerland is the lead sponsor of 990 studies on the registry; 189 are open to participants now.

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

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

  1. Willing and able to provide
  2. Male or female aged ≥18 years
  3. EBV seronegative at the time of renal transplant
  4. If women of (WOCBP), participants must have a negative serum pregnancy test at screening and inclusion, and must be willing to use a highly effective method of for the duration of the study. Acceptable methods of contraception:

    1. Hormonal contraception associated with inhibition of ovulation
    2. Intrauterine device (IUD)
    3. Intrauterine hormone-releasing system (IUS)
    4. Bilateral tubal occlusion
    5. Vasectomised partner
    6. Condom with spermicide
    7. Sexual abstinence, in line with the preferred and usual lifestyle of the participant. Periodic abstinence (such as calendar, ovulation, symptothermal, post-ovulation methods) and withdrawal are not acceptable methods of contraception.
  5. If male, participants must be prepared to use reliable barrier method contraception and a second method such as spermicide for the duration of the study unless surgically sterile.

Exclusion criteria

Exclusion Criteria:

  1. EBV seropositivity at the time of transplant
  2. Participants with any form of cancer within the last 12 months, or patients continuing to receive chemo or immunotherapy within the last 12 months.
  3. Participants with a history of PTLD
  4. Other active systemic infections requiring treatment prior to and at the time of baseline. Prophylactic agents are permitted.
  5. and CYP2C28 Inhibitors and Inducers (List may be found in Appendix 1)
  6. (AST) or alanine aminotransferase (ALT) ≥3 x
  7. Any condition for which, in the opinion of the investigator, the treatment or participation in the study may pose a health risk to the participant
  8. Planned or active participation in any other study with an medicinal product (IMP).
  9. Have taken an IMP within the last 3 months.
  10. Unwilling or unable to provide fully .
  11. Unwilling or unable to comply with study procedures.
Terms in these criteria, in plain language(7)

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.

Childbearing potential

Able to become pregnant: from the first period until menopause, unless permanently unable to through surgery (removal of the womb, or of both ovaries or both fallopian tubes).

Criteria for people of childbearing potential usually ask for a negative pregnancy test and for contraception during the study and for a time after it.

Contraception

Ways of preventing pregnancy. “Highly effective” methods fail less than 1% of the time a year when used correctly — for example an IUD or an implant.

Criteria usually say which methods count and how long to keep using them after the last dose, sometimes for male participants too. Some studies accept a partner’s vasectomy if it was confirmed successful and that person is the participant’s only sexual partner.

CYP3A (CYP3A4) inhibitors and inducers

CYP3A is a group of enzymes, mainly CYP3A4, in the liver and gut that break down many medicines. Some medicines, supplements and foods (grapefruit, St John’s wort) slow them down or speed them up, which changes how much of a study drug stays in the body.

Studies list them so they can be avoided or switched; bring a list of everything you take, including supplements.

ALT and AST (liver enzymes)

Two enzymes measured in a routine blood test of the liver. Higher levels can mean the liver is under strain or damaged. SGPT and SGOT are older names for ALT and AST.

Criteria usually give a limit as a multiple of the upper limit of normal (ULN), often higher when cancer has spread to the liver.

ULN (upper limit of normal)

The top of the normal range for a blood test, as set by the laboratory that runs it. Each lab prints its own range next to your result.

“≤ 2.5 × ULN” means the result can be up to two and a half times that top value.

Investigational drug or device

A drug or device being studied in a clinical trial.

It may be new, or already approved and being studied for another use, dose or form. Criteria often leave out people who took part in another study of one within a recent period, commonly 30 days or five half-lives.

05

Study design

Phase
Phase 2
Primary purpose
Prevention
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Triple (Participant, Care provider, Investigator)
Enrollment
9 participants (estimated)

Study arms

  • Experimental
    Treatment

    Drug: indoleamine 2,3-dioxygenase 1 (IDO-1) inhibitor

  • Placebo comparator
    Placebo

    Drug: placebo

Interventions

  • Drugindoleamine 2,3-dioxygenase 1 (IDO-1) inhibitor

    Study treatment will be initiated one day prior to kidney transplantation or, for recipients of cadaveric donor organs, on the day of transplantation, and will be administered at a dose of 200 mg once daily for a total duration of 28 days, followed by a safety follow-up phase.

  • Drugplacebo

    A matching placebo will be administered once daily, initiated one day prior to kidney transplantation or, for recipients of cadaveric donor organs, on the day of transplantation, for a total duration of 28 days, followed by a safety follow-up phase.

06

What researchers measure

Primary outcomes

  1. Incidence of adverse events

    Time frame: up to 12 weeks post-treatment

  2. Incidence of serious adverse events

    Time frame: up to 12 weeks post-treatment

  3. Number of participants experiencing adverse events

    Time frame: up to 12 weeks post-treatment

  4. Number of participants experiencing clinically significant changes in safety assessments

    Safety assessments include vital signs (pulse rate, blood pressure, and body temperature), 12-lead electrocardiogram (ECG), and laboratory evaluations (haematology and serum/plasma biochemistry), assessed up to and including 12 weeks post-treatment.

    Time frame: up to 12 weeks post-treatment

Secondary outcomes

  1. Changes in EBV viral load

    Assessment EBV viral load in the event of a primary EBV infection

    Time frame: up to 12 weeks post-treatment

  2. Changes in EBV viral dynamics

    Assessment of EBV viral dynamics in the event of a primary EBV infection

    Time frame: up to 12 weeks post-treatment

  3. Exploratory metabolomic analysis

    including parameters related to the kynurenine pathway

    Time frame: up to 12 weeks post-treatment

  4. Exploratory analysis peripheral blood mononuclear cells (PBMCs)

    Time frame: up to 12 weeks post-treatment

07

Study locations

1 of 4 sites recruiting
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reached

Started Aug 2026 (actual). Primary completion is estimated for Feb 2027, 6 months after the start.

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

Registered
Jan 9, 2026
First posted
Jan 26, 2026
StartActual
Aug 20, 2026
Primary completionEst.
Feb 2027
CompletionEst.
Feb 2027
Last update
Aug 25, 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 Aug 25, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT07368153
Collaborators
Hornet Therapeutics.
Responsible party
Sponsor
First posted
Jan 26, 2026
Start date
Aug 20, 2026
Primary completion
Feb 2027 (estimated)
Completion
Feb 2027 (estimated)
Last update
Aug 25, 2026

Study contacts

Pietro Ernesto Cippà, Prof.
Contact
pietro.cippa@usb.ch
+41 61 32 84848
Matthias Diebold
principal investigator · University Hospital, Basel, Switzerland

Oversight

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

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