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Active, not recruitingNCT07499739MBOTE-TRAXXUpdated Jun 11, 2026

Mpox Biology, Outcome, Transmission and Epidemiology - Tracking the Immune Response After mpoX vaCcination (MBOTE-TRAXX): Clinical Study to Monitor the Immunological Response Following Mpox Vaccination in the City of Kinshasa, Democratic Republic of the Congo

A Phase 4 interventional study of blood sample collection in Mpox, sponsored by Institute of Tropical Medicine, Belgium. Active, not recruiting at 3 sites in Democratic Republic of the Congo. Open to participants aged 18 Years and older, including healthy volunteers. Per ClinicalTrials.gov, last updated 2026-06-11.

Sponsored by Institute of Tropical Medicine, Belgium · Phase 4, Interventional, and Treatment

Phase
Phase 4
Study type
Interventional
Enrollment
300
Allocation
Not applicable
Ages
18 Years and older
Sex
All
01

Study summary

The study Mbote-TRAXX evaluates humoral and cellular immune responses in individuals vaccinated against mpox with the MVA-BN or LC16m8 vaccine administered as part of a routine mpox vaccination campaign in Kinshasa, Democratic Republic of the Congo (DRC). Participants will be followed up at multiple time points after vaccination in order to assess the kinetics and durability of the immune response by collection of blood samples. It is planned to include approximately 150 participants vaccinated with MVA-BN and 150 participants vaccinated with LC16m8.

Read the detailed description

The study Mbote-TRAXX evaluates humoral and cellular immune responses in individuals vaccinated against mpox with the MVA-BN or LC16m8 vaccine administered as part of a routine mpox vaccination campaign in Kinshasa, Democratic Republic of the Congo (DRC). Participants will be followed up at multiple time points after vaccination in order to assess the kinetics and durability of the immune response. It is planned to include approximately 150 participants vaccinated with MVA-BN and 150 participants vaccinated with LC16m8. Participants will be followed up in the clinical trial for a period of 24 months with 6 visits: visit 1 (day 0), visit 2 (day 0 + 28 days), visit 3 (day 0 + 59 days), visit 4 (day 0 + 8 months), visit 5 (day 0 + 16 months) and visit 6 (day 0 + 24 months). The study intervention consists of blood samples. At each visit, 10 mL of blood will be collected, and additional blood samples (20 mL per visit) will be taken from a subgroup of participants.

02

Conditions studied

  • Mpox

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Keywords

  • mpox vaccines
03

In context

Mpox, Monkeypox

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

This study's planned enrollment of 300 is close to the median of 305 across 36 interventional studies indexed under Mpox, Monkeypox.

Browse Mpox, Monkeypox studies →

Lead sponsor

Institute of Tropical Medicine, Belgium is the lead sponsor of 104 studies on the registry; 21 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
Yes

Eligibility criteria

Inclusion Criteria:

  • Any person aged 18 years old or over at the time of giving , of any gender
  • Participant received the MVA-BN or LC16m8 mpox vaccine as part of the national vaccination campaign
  • Participant has the capacity and willingness to give informed written consent
  • Participant agrees to adhere to the study's follow-up schedule
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

Phase
Phase 4
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
300 participants (estimated)

Study arms

  • Other
    MVA-BN or LC16m8 vaccinated

    Participants vaccinated with MVA-BN or LC16m8 vaccine during the national vaccination campaign

    Procedure: blood sample collection

Interventions

  • Procedureblood sample collection

    10 mL of blood will be collected at every visit and additional 20 mL blood samples will be taken from a subgroup of participants at every visit.

06

What researchers measure

Primary outcomes

  1. To estimate the seroconversion rate for neutralising antibodies against the mpox virus (MPXV) 28 days after administration of an mpox vaccine (MVA-BN or LC16m8)

    Seroconversion 28 days after administration of an mpox vaccine, defined as the appearance of an MPXV neutralizing antibody titer (NT50) greater than or equal to the limit of detection in participants who were seronegative at baseline, or at least a two-fold increase in the antibody titer compared to baseline (Day 0) in participants who were seropositive at inclusion

    Time frame: Day 28 after inclusion

Secondary outcomes

  1. To estimate the positivity rate for neutralizing antibodies against MPXV 59 days and 8 months after administration of an mpox vaccine (MVA-BN or LC16m8).

    Positivity rate 59 days and 8 months after administration of an mpox vaccine (MVA-BN or LC16m8), defined as the appearance of an MPXV neutralizing antibody titer (NT50) greater than or equal to the limit of detection for participants who were initially seronegative, or by a two-fold increase or more in antibody titer compared with the value at Day 0 in participants who were seropositive at enrollment.

    Time frame: Day 59 and Month 8

  2. To analyze the longitudinal evolution of neutralizing antibody titers against MPXV between Day 0, Day 28, Day 59, and Month 8 after administration of an mpox vaccine (MVA-BN or LC16m8).

    Neutralizing antibody titers against MPXV measured at Day 0, Day 28, Day 59, and Month 8 after administration of an mpox vaccine (MVA-BN or LC16m8).

    Time frame: Day 0, Day 28, Day 59 and Month 8

  3. To estimate the positivity rate for binding antibodies (IgG) against MPXV at all sampling time points: Day 0, Day 28, Day 59, Month 8, Month 16, and Month 24 after administration of an mpox vaccine (MVA-BN or LC16m8).

    Positivity rate at Day 28, Day 59, Month 8, Month 16, and Month 24 after administration of an mpox vaccine (MVA-BN or LC16m8). The positivity rate is defined by the appearance of median fluorescence intensity (MFI) values greater than the limit of detection for participants who were initially seronegative, or by more than a two-fold increase in antibody titer compared with the value at Day 0 for participants who were seropositive at baseline.

    Time frame: Day 0, Day 28, Day 59, Month 8, Month 16 and Month 24

  4. To analyze the longitudinal evolution of binding antibody (IgG) titers against MPXV between Day 0, Day 28, Day 59, Month 8, Month 16, and Month 24 after administration of an mpox vaccine (MVA-BN or LC16m8).

    Binding antibody (IgG) titers against MPXV measured at Day 28, Day 59, Month 8, Month 16, and Month 24 after administration of an mpox vaccine (MVA-BN or LC16m8), compared with binding antibody (IgG) titers at Day 0.

    Time frame: Day 0, Day 28, Day 59, Month 8, Month 16, and Month 24

  5. To identify factors associated with weak immune responses, measured by the seroconversion rate of neutralizing antibodies at Day 0, Day 28, Day 59, and Month 8 after administration of an mpox vaccine (MVA-BN or LC16m8).

    Seroconversion at Day 0, Day 28, Day 59, and Month 8 after administration of an mpox vaccine (MVA-BN or LC16m8). The association between risk factors and neutralizing antibody titers will be assessed using logistic regression (or mixed-effects logistic regression for the longitudinal analysis).

    Time frame: Day 0, Day 28, Day 59, and Month 8

  6. To identify factors associated with weak immune responses, measured by the seroconversion rate of binding antibodies (IgG) at Day 0, Day 28, Day 59, Month 8, Month 16, and Month 24 after administration of an mpox vaccine (MVA-BN or LC16m8).

    Seroconversion at Day 0, Day 28, Day 59, Month 8, Month 16, and Month 24 after administration of an mpox vaccine (MVA-BN or LC16m8). The association between risk factors and binding antibody (IgG) titers will be assessed using logistic regression (or mixed-effects logistic regression for the longitudinal analysis).

    Time frame: Day 0, Day 28, Day 59, Month 8, Month 16, and Month 24

  7. To evaluate the tolerability of MVA-BN and LC16m8 vaccines in terms of solicited symptoms occurring up to 28 days after vaccination.

    The frequency of solicited local symptoms (pain, redness, swelling, induration, itching, or a distinct mark \[only for the LC16m8 vaccine\] at the injection site) and solicited systemic symptoms (headache, fatigue, nausea, vomiting, generalized muscle pain, chills, and/or fever greater than or equal to 38.0°C) up to Day 28 after vaccination.

    Time frame: Day 28

  8. To document post-vaccination mpox virus infections after administration of an mpox vaccine (MVA-BN or LC16m8).

    Number of post-vaccination mpox infections. Post-vaccination mpox infections are defined as any laboratory-confirmed mpox infection occurring after vaccination (assessed anamnesticly).

    Time frame: Month 24

Other outcomes

  1. To determine, in a subgroup, the T-cell response induced by the MVA-BN or LC16m8 vaccine at Day 0, Day 28, Day 59, Month 8, Month 16, and Month 24.

    Number or frequency of MPXV-specific T lymphocytes at Day 0, Day 28, Day 59, Month 8, Month 16, and Month 24.

    Time frame: Day 0, Day 28, Day 59, Month 8, Month 16, and Month 24

  2. To compare the seroconversion rates of neutralizing antibodies and binding antibodies (IgG) against MPXV, and of vaccine-induced T lymphocytes, between participants vaccinated with MVA-BN versus LC16m8.

    * Difference between the seroconversion rates of binding antibodies (IgG) against MPXV at Day 0, Day 28, Day 59, Month 8, Month 16, and Month 24, between participants vaccinated with MVA-BN and LC16m8 * Difference between the seroconversion rates of neutralizing antibodies against MPXV at Day 0, Day 28, Day 59, and Month 8 between participants vaccinated with MVA-BN and LC16m8 Difference between the number or frequency of MPXV-specific T lymphocytes at Day 0, Day 28, Day 59, Month 8, Month 16, and Month 24 between subjects vaccinated with MVA-BN and LC16m8

    Time frame: Day 0, Day 28, Day 59, Month 8, Month 16, and Month 24

  3. To compare the seroconversion rates of neutralizing antibodies and binding antibodies (IgG) against MPXV, and of vaccine-induced T lymphocytes, between naïve participants and those with a history of smallpox/mpox vaccination or prior mpox infection.

    * Differences between the seroconversion rates of binding antibodies (IgG) against MPXV at Day 0, Day 28, Day 59, Month 8, Month 16, and Month 24, between naïve participants and participants pre-immunized by mpox infection or by prior smallpox/mpox vaccination * Differences between the seroconversion rates of neutralizing antibodies against MPXV at Day 0, Day 28, Day 59, and Month 8 between naïve participants and participants pre-immunized by mpox infection or by prior smallpox/mpox vaccination * Difference between the number or frequency of MPXV-specific T lymphocytes at Day 0, Day 28, Day 59, Month 8, Month 16, and Month 24 between naïve participants and participants pre-immunized by mpox infection or by prior smallpox/mpox vaccination

    Time frame: Day 0, Day 28, Day 59, Month 8, Month 16, and Month 24

07

Study locations

3 sites
  • Centre Convivial Kasa-Vubu
    Kinshasa, Democratic Republic of the Congo
  • Kinoise
    Kinshasa, Democratic Republic of the Congo
  • Kokolo
    Kinshasa, Democratic Republic of the Congo
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 May 2026 (actual). Primary completion is estimated for Dec 2026, 7 months after the start.

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

Registered
Mar 24, 2026
First posted
Mar 30, 2026
StartActual
May 15, 2026
Primary completionEst.
Dec 15, 2026
CompletionEst.
Dec 15, 2028
Last update
Jun 11, 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 Jun 11, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT07499739
Collaborators
Institut National de Recherche Biomédicale. Kinshasa, République Démocratique du Congo, Programme Elargi de Vaccination de République Démocratique du Congo, National Institute of Public Health of the Democratic Republic of the Congo
Responsible party
Sponsor
First posted
Mar 30, 2026
Start date
May 15, 2026
Primary completion
Dec 15, 2026 (estimated)
Completion
Dec 15, 2028 (estimated)
Last update
Jun 11, 2026

Oversight

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

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