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Genital HerpesPhase 1/2NCT06033261

A Study of mRNA-1608, a Herpes Simplex Virus -2 (HSV-2) Therapeutic Candidate Vaccine, in Healthy Adults 18 to 55 Years of Age With Recurrent HSV-2 Genital Herpes

A Phase 1/2 study testing mRNA-1608 and BEXSERO in people with Genital Herpes, run by ModernaTX, Inc. at 23 sites in United States.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

The purpose of this study is to generate safety and immunogenicity data and establish a proof-of-concept of clinical benefit of the mRNA-1608 vaccine candidate. Read more about this study

Who is it for?
Ages 18 to 55 yearsHealthy volunteers can take part
Conditions the study is for
Genital Herpes
What is being tested?
mRNA-1608 and BEXSERO
Could I receive a placebo?
No, everyone receives an active treatment
How many people
303 participants
Where
23 sitesUnited States
Study dates
6 Sep 2023to 25 Apr 2025
Phase
Phase 1/2
Are there results?
Yes, posted in the registrySummary in the doctors' view

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 to 55 years
  • All sexes
  • Healthy volunteers accepted
  • Adult

Who may be able to join

  • Participant has a diagnosis of genital HSV-2 infection for at least 1 year before the Screening Visit.
  • Seropositive for HSV-2 as determined by Western Blot.
  • Participant has a history of recurrent genital herpes defined as at least 3 and no more than 9 reported genital herpes recurrences in the 12 months preceding the Screening Visit, or if currently on suppressive therapy, prior to initiation of suppressive therapy.
  • Willing to refrain from taking suppressive antiviral therapy from the Screening Visit until the end of the study.
  • Willing to refrain from the use of episodic antiviral therapy during the three 28-day anogenital swabbing periods. Episodic therapy may be used outside the three 28-day swabbing periods.
  • For female participants of childbearing potential: negative pregnancy test, adequate contraception, and not currently breastfeeding.

Who cannot join

  • Prior immunization with a vaccine containing HSV antigens.
  • History of any form of ocular HSV infection, HSV-related erythema multiforme, or HSV-related neurological complications.
  • History of genital HSV-1 infection.
  • History of hepatitis B, hepatitis C, or human immunodeficiency virus (HIV) types 1 or 2 (HIV-1, HIV-2).
  • Reported history of anaphylaxis or severe hypersensitivity reaction after receipt of any mRNA vaccine(s) or any components of the mRNA vaccines.
  • Previously received BEXSERO or other vaccine to prevent serogroup B meningococcal disease (also known as meningitis B).
Show all 9Show fewer
  • History of allergic disease or reactions likely to be exacerbated by any component of BEXSERO vaccine.
  • Has received or plans to receive any licensed or authorized vaccine, including COVID-19 vaccines, ≤ 28 days prior to the first study injection (Day 1), or plans to receive a licensed or authorized vaccine within 28 days before or after study injection with the exception of licensed influenza vaccines, which may be received more than 14 days before or after any study injection.
  • Note: Other inclusion and exclusion criteria may apply.

Trial locations and contacts

23 sites in 1 country.

23 sites in 1 country

United States23 sites
  • Velocity Clinical Research Cleveland

    Beachwood, Ohio, 44122

  • Cedars-Sinai Medical Center/Carbon Health

    Beverly Hills, California, 90211

  • Accel Clinical Sites Network - Cahaba Medical Care

    Birmingham, Alabama, 35218

  • Fenway Health

    Boston, Massachusetts, 02215

  • Velocity Clinical Research, Austin

    Cedar Park, Texas, 78613

  • Helios CR, Inc Fort Worth

    Fort Worth, Texas, 76107

  • Velocity Clinical Research

    Grand Island, Nebraska, 68803

  • DM Clinical Research

    Houston, Texas, 77081

  • Multi-Specialty Research Associates, Inc.

    Lake City, Florida, 32055

  • Johnson County Clin-Trials (JCCT)

    Lenexa, Kansas, 66219

  • Suncoast Research Associates, LLC

    Miami, Florida, 33173

  • Research Works

    New Orleans, Louisiana, 70125

  • Health Research of Hampton Roads

    Newport News, Virginia, 23606

  • Alliance for Multispecialty Research, LLC

    Newton, Kansas, 67114

  • Velocity Clinical Research

    Norfolk, Nebraska, 68701

  • M3 Wake Research, Inc.

    Raleigh, North Carolina, 27612

  • Rochester Clinical Research

    Rochester, New York, 14609

  • Sun Research Institute

    San Antonio, Texas, 78215

  • Acclaim Clinical Research

    San Diego, California, 92120

  • University of Washington Virology Research Clinic

    Seattle, Washington, 98104

  • DM Clinical Research

    Southfield, Michigan, 48076

  • DM Clinical Research

    Tomball, Texas, 77064

  • Noble Clinical Research

    Tucson, Arizona, 85704

Other trials in United States

About this study

Official title: A Phase 1/2, Randomized, Observer-Blind, Controlled, Dose-Ranging Study of mRNA-1608, an HSV-2 Therapeutic Candidate Vaccine, in Healthy Adults 18 to 55 Years of Age With Recurrent HSV-2 Genital Herpes

The purpose of this study is to generate safety and immunogenicity data and establish a proof-of-concept of clinical benefit of the mRNA-1608 vaccine candidate.

Read the detailed description

Participants with a history of recurrent genital herpes will be randomly assigned in a 1:1:1:1 ratio to receive mRNA-1608 at 1 of the 3 dose levels or control (BEXSERO) administered as 2 doses at 0 and 2 months (Day 1 and Day 57).

Conditions
Genital Herpes
Being tested
mRNA-1608, BEXSERO
Keywords
HSV-2, Herpes Simplex Virus Type 2, HSV-2 vaccine, Genital Herpes, mRNA-1608
Medical subject headings
Herpes Genitalis

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • mRNA-1608Biological

    Sterile liquid for injection

  • BEXSEROBiological

    A vaccine indicated for active immunization to prevent invasive disease caused by Neisseria meningitidis serogroup B.

Study groups in NCT06033261
Study groupRoleWhat they receive
mRNA-1608 Dose AExperimentalParticipants will receive 2 intramuscular (IM) injections of mRNA-1608 at Dose Level A, each dose administered at 0 and 2 months (Day 1 and Day 57).
Receives: Biological: mRNA-1608
mRNA-1608 Dose BExperimentalParticipants will receive 2 IM injections of mRNA-1608 at Dose Level B, each dose administered at 0 and 2 months (Day 1 and Day 57).
Receives: Biological: mRNA-1608
mRNA-1608 Dose CExperimentalParticipants will receive 2 IM injections of mRNA-1608 at Dose Level C, each dose administered at 0 and 2 months (Day 1 and Day 57).
Receives: Biological: mRNA-1608
BEXSEROOtherParticipants will receive 2 IM injections of BEXSERO, each dose administered at 0 and 2 months (Day 1 and Day 57).
Receives: Biological: BEXSERO

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Number of Participants With Solicited Local and Systemic ARs

    Solicited ARs were collected in an electronic diary (eDiary). Local ARs: injection site pain, erythema (redness), swelling/induration (hardness); and axillary (underarm) swelling or tenderness ipsilateral to the side of injection. Systemic ARs: fever, headache, fatigue, myalgia, arthralgia, nausea/vomiting, and chills. Note, not all solicited ARs were considered adverse events (AEs). Investigator reviewed whether the solicited AR was also to be recorded as an AE. A Summary of serious AEs (SAEs) and nonserious AEs ("Other"), regardless of causality, is located in the "Reported Adverse Events" section.

    Measured: Up to Day 64 (Within 7 days after study vaccination)

  2. Number of Participants With Unsolicited Adverse Events (AEs)

    An AE was defined as any untoward medical occurrence associated with the use of a drug in humans, whether or not considered drug related. Any abnormal laboratory test result (hematology, clinical chemistry, or prothrombin time [PT]/partial thromboplastin time [PTT]) or other safety assessment (for example, electrocardiogram, radiological scan, vital sign measurement), including one that worsened from baseline and was considered clinically significant in the medical and scientific judgment of the Investigator was recorded as an AE. A summary of SAEs and all nonserious AEs ("Other"), regardless of causality, is located in the "Reported Adverse Events" section.

    Measured: Up to Day 85 (Up to 28 days after study vaccination)

  3. Number of Participants With Serious Adverse Events (SAEs), Adverse Events of Special Interest (AESIs), and AEs Leading to Study Discontinuation

    An SAE was defined as any AE that resulted in death, was life-threatening, required inpatient hospitalization or prolongation of existing hospitalization, resulted in disability, was a congenital anomaly/birth defect, or was an important medical event. An AESI was an AE (serious or nonserious) of scientific and medical concern specific to the Sponsor's product or program, for which ongoing monitoring and immediate notification by the Investigator to the Sponsor were required. A summary of SAEs and all nonserious AEs ("Other"), regardless of causality, is located in the "Reported Adverse Events" section.

    Measured: Day 1 through Day 393

  4. Number of Participants With Medically Attended AEs (MAAEs)

    A MAAE is an AE that led to an unscheduled visit to a healthcare practitioner. A summary of SAEs and all nonserious AEs ("Other"), regardless of causality, is located in the "Reported Adverse Events" section.

    Measured: Day 1 through Day 393

Secondary outcomes (9)
  1. Number of Genital Herpes Recurrence Episode Per Participant, Counted Starting 14 Days After the Second Study Injection to 6 Months After Second Study Injection

    An episode of recurrence was defined as one or more consecutive "yes" to the "Do you have genital herpes lesion?" question either from Genital Herpes Signs and Symptoms (GHSS) or daily recurrence eDiary within a 14-day period from the first "yes" response regardless of "no" or missing entries in between. The start date of an episode was the first date of "yes" response, and the end date of an episode was the last date of "yes" within the episode. The recurrence analysis period up to 6 months included the time from 14 days after the second injection until the last GHSS or daily recurrence eDiary collected up to the 1) the Day 225 visit date or 2) if Day 225 visit date is not available, the earliest of study Day 225 or study discontinuation date.

    Measured: Day 71 up to Day 225

  2. Number of Genital Herpes Recurrence Episode Per Participant, Counted Starting 14 Days After the Second Study Injection to 12 Months After Second Study Injection

    An episode of recurrence was defined as one or more consecutive "yes" to the "Do you have genital herpes lesion?" question either from GHSS or daily recurrence eDiary within a 14-day period from the first "yes" response regardless of "no" or missing entries in between. The start date of an episode was the first date of "yes" response, and the end date of an episode was the last date of "yes" within the episode. The recurrence analysis period up to 12 months included the time from 14 days after the second injection until the last GHSS or daily recurrence eDiary collected up to the 1) the Day 393 visit date or 2) if Day 393 visit date is not available, the earliest of study Day 393 or study discontinuation date.

    Measured: Day 71 up to Day 393

  3. Change From Baseline (28 Days Prior to the First Study Injection) to 2 Months After the Second Study Injection in Genital Herpes Lesion Rate (Percentage of Days With Lesions Present)

    Genital herpes lesion rate was defined for each 28-day swabbing period as the number of days with lesion present according to the eDiary divided by the number of days during the 28-day swabbing period.

    Measured: Baseline (Day -27 to Day 1), Day 113

  4. Change From Baseline (28 Days Prior to the First Study Injection) to 6 Months After the Second Study Injection in Genital Herpes Lesion Rate (Percentage of Days With Lesions Present)

    Genital herpes lesion rate was defined for each 28-day swabbing period as the number of days with lesion present according to the eDiary divided by the number of days during the 28-day swabbing period.

    Measured: Baseline (Day -27 to Day 1), Day 225

  5. Change From Baseline (28 Days Prior to the First Study Injection) to 2 Months After the Second Study Injection in HSV-2 Genital Shedding Rate (Percentage of HSV-2 Deoxyribonucleic Acid [DNA] Positive Anogenital Swabs)

    Genital shedding rate was defined for each 28-day swabbing period as the number of anogenital swabs with HSV-2 DNA positive results (that is, positive results per polymerase chain reaction [PCR]) divided by the number of swabs during the swabbing period.

    Measured: Baseline (Day -27 to Day 1), Day 113

  6. Change From Baseline (28 Days Prior to the First Study Injection) to 6 Months After the Second Study Injection in HSV-2 Genital Shedding Rate (Percentage of HSV-2 DNA Positive Anogenital Swabs)

    Genital shedding rate was defined for each 28-day swabbing period as the number of anogenital swabs with HSV-2 DNA positive results (that is, positive results per PCR) divided by the number of swabs during the swabbing period.

    Measured: Baseline (Day -27 to Day 1), Day 225

  7. Geometric Mean (GM) Value of mRNA-1608 Antigen-Specific Binding Antibodies (bAbs)

    Antibody values reported as below the lower limit of quantification (LLOQ) were replaced by 0.5 * LLOQ. Values greater than the upper limit of quantification (ULOQ) were replaced by the ULOQ if actual values were not available. LLOQ was 1220 units (U)/milliliter (mL) and ULOQ was 6890000 U/mL for HSV2 gB. LLOQ was 1230 U/mL and ULOQ was 21300000 U/mL for HSV2 gC. LLOQ was 2220 U/mL and ULOQ was 23900000 U/mL for HSV2 gD. 95% confidence interval (CI) was calculated based on the t-distribution of the log-transformed values for GM, then back transformed to the original scale for presentation.

    Measured: Days 85 and 197

  8. Geometric Mean Fold Rise (GMFR) of mRNA-1608 Antigen-Specific bAbs

    Antibody values reported as below the LLOQ were replaced by 0.5 * LLOQ. Values greater than the ULOQ were replaced by the ULOQ if actual values were not available. LLOQ was 1220 U/mL and ULOQ was 6890000 U/mL for HSV2 gB. LLOQ was 1230 U/mL and ULOQ was 21300000 U/mL for HSV2 gC. LLOQ was 2220 U/mL and ULOQ was 23900000 U/mL for HSV2 gD. 95% CI was calculated based on the t-distribution of the difference in the log-transformed values for GMFR, then back transformed to the original scale for presentation.

    Measured: Days 85 and 197

  9. Percentage of Participants With Vaccine Seroresponse

    Seroresponse was defined as a change from baseline below the LLOQ to equal or above 4 * LLOQ, or at least a 4-fold rise if baseline was equal to or above the LLOQ. LLOQ was 1220 U/mL and ULOQ was 6890000 U/mL for HSV2 gB. LLOQ was 1230 U/mL and ULOQ was 21300000 U/mL for HSV2 gC. LLOQ was 2220 U/mL and ULOQ was 23900000 U/mL for HSV2 gD. 95% CI was calculated using the Clopper-Pearson method.

    Measured: Day 85

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted13 Sep 2023
  2. Study start6 Sep 2023
  3. Primary completion25 Apr 2025
  4. Study completion25 Apr 2025

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 1/2
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Triple blind
Who is masked
Participant, Investigator, Outcomes assessor
Enrolment
303 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT06033261
Sponsor's protocol ID
mRNA-1608-P101
Status last verified
Apr 2026
First submitted
5 Sep 2023
Last updated
8 May 2026
FDA-regulated drug
Yes
FDA-regulated device
No

Questions about this trial

What is this clinical trial studying?

A Phase 1/2 study testing mRNA-1608 and BEXSERO in people with Genital Herpes, run by ModernaTX, Inc. at 23 sites in United States.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 6 inclusion and 9 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 8 May 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 23 sites in United States. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this combined phase mean?

Phase 1 studies test a treatment in a small group of people for the first time or in a new way, mainly to check safety and find the right dose.

Phase 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

Yes. Results are posted in the registry (first posted 8 May 2026). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Number of Participants With Solicited Local and Systemic ARs (time frame: Up to Day 64 (Within 7 days after study vaccination)). The study lists 4 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 8 May 2026.

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