Permanent program record
HDIT101
Experimental anti-HSV glycoprotein B antibody with two negative Phase 2 primary outcomes and no confirmed next development step.
- Developer / organization
- Heidelberg ImmunoTherapeutics GmbH
- Intervention type
- Monoclonal antibody
- Current stage
- Phase 2
Sources last checked
Summary
Bottom line
HDIT101 is an experimental antibody that reached two Phase 2 HSV studies, and neither study met its primary efficacy goal.
In MATCH-2, one intravenous infusion did not show fewer lesion days than valacyclovir taken when a recurrence began in adults with recurrent genital HSV-2; recurrence counts numerically favored HDIT101 in some analyses, but those secondary tests were exploratory and did not establish efficacy.
MATCH-1 tested topical HDIT101 for recurrent oral HSV-1 and stopped early for futility, with a primary result that did not favor HDIT101.
No active next trial or ordinary clinical availability was identified, so the current program status is unclear.
Plain-language overview
What is this?
HDIT101, also written HDIT-101, is a laboratory-made antibody designed to recognize a conserved site on HSV glycoprotein B found on HSV-1 and HSV-2 virus particles and infected cells.
Its laboratory precursor neutralized extracellular HSV-1 and HSV-2 and inhibited cell-to-cell spread in cell-culture models, but those experiments did not establish benefit in people.
Research goal
What were researchers trying to accomplish?
The clinical program tested whether an antibody directed at HSV glycoprotein B could reduce recurrent disease after either intravenous or topical administration.
MATCH-2 compared one intravenous dose with valacyclovir taken for each recurrence of genital HSV-2, while MATCH-1 compared topical HDIT101 with placebo for recurrent oral HSV-1.
Study and program
What happened?
A first-in-human study randomized 24 healthy volunteers across six single intravenous dose levels, with 18 receiving HDIT101 and six receiving placebo.
That four-week study assessed short-term safety and pharmacokinetics rather than efficacy in people with HSV disease.
MATCH-2 then randomized 122 adults with recurrent anogenital HSV-2 and completed without meeting its primary superiority endpoint.
MATCH-1 enrolled 761 people into a longer observation and screening pathway, but the regulatory results record shows that 158 received assigned study treatment before the trial stopped early for futility.
Reported findings
What did the study find?
In the MATCH-2 full analysis set, the mean percentage of days with lesions was 15.6% with HDIT101 and 14.3% with episodic valacyclovir, with p=0.58.
The corresponding per-protocol means were 14.6% and 14.9%, so the trial did not demonstrate superiority on its primary endpoint.
Because that primary analysis was not significant, the study's prespecified testing hierarchy made all secondary statistical comparisons exploratory.
Mean recurrence counts were 3.2 with HDIT101 and 3.8 with valacyclovir in the full analysis set, with p=0.07, and 2.7 versus 3.8 in the per-protocol set, with a nominal p=0.01.
Time to first recurrence was not statistically significant, and the study showed no superiority for HSV-2 shedding or a detected difference in reported quality of life.
In MATCH-1, the mean number of recurrences was 3.1 with topical HDIT101 and 2.3 with placebo, with a prespecified rate ratio of 1.442 and a 95% confidence interval from 1.08 to 1.93, where a lower value would have favored HDIT101.
MATCH-1 therefore did not demonstrate superiority on its primary endpoint, and the disclosed secondary results also did not numerically favor HDIT101.
HSVHQ interpretation
What does that mean?
HDIT101 has controlled human efficacy evidence, but the Phase 2 evidence is mixed and predominantly negative for the regimens tested.
The per-protocol recurrence-rate result in MATCH-2 may be a reason to study another regimen, but it does not overturn the failed primary endpoint or confirm that HDIT101 works.
MATCH-1's result is negative evidence for the tested topical HSV-1 regimen, not proof that every dose, route, or HSV indication would fail.
Neither study showed that HDIT101 cures HSV or prevents transmission to another person.
Evidence gaps
What don't we know?
Program status
Why did or didn't development continue?
The current program status is unclear.
The developer's undated pages still describe the Phase 2 studies as ongoing and HDIT101 as under development, but later records show that MATCH-2 completed and MATCH-1 terminated.
No checked direct source established an active next HDIT101 trial, a commercial development partner, a restart, or a permanent discontinuation decision through September 4, 2026.
The developer has continued laboratory work on a second anti-glycoprotein-B antibody, HDIT102, publishing a full characterization in 2024 and still prosecuting patents on it and on a two-antibody combination in April 2026. That work is laboratory and animal work. HDIT102 has never been given to a person in any study identified through September 9, 2026, so it is not human evidence for HDIT102 and adds no human evidence for HDIT101.
HDIT102 does not appear on the developer's website and is not mentioned in the developer's own 2025 report of the MATCH-2 trial, which instead proposes repeated doses of HDIT101 as a possible future direction. That HDIT102 exists and is still being patented does not establish that it is being developed, and its absence from the developer's public material does not establish that it has been dropped.
The checked sources also did not identify regulatory approval or ordinary clinical availability for HDIT101.
Confirmed next steps
What happens next?
No confirmed development milestone was identified.
This record should be updated if the developer announces a new protocol or program decision, or if fuller MATCH-1 analyses become public.
A registered trial of HDIT102, in combination with HDIT101 or alone, would be the first evidence that the second antibody has entered development. None exists in the checked registries.
Program record
- Organizations
- Heidelberg ImmunoTherapeutics GmbH (Developer (current status unclear), Originator (current), Sponsor (former))
- Goal
- Treat HSV
- Approach
- Humanized monoclonal antibody targeting a conserved HSV glycoprotein B epitope
- Intended HSV scope
- HSV-1 + HSV-2
- Human evidence scope
- HSV-1 + HSV-2
- Studied indication / setting
- Recurrent genital herpes · Recurrent orolabial herpes
- Current stage
- Phase 2
Controlled human efficacy evidence
This describes the strongest research evidence in the sources HSVHQ reviewed. Development stage, regulatory review, and availability are shown separately.
Timeline
Full MATCH-2 report published
The peer-reviewed report confirmed the failed primary endpoint and classified secondary tests as exploratory.
Why it matters: Prevents the recurrence-rate signal from being presented as confirmatory efficacy.
MATCH-1 results disclosed after futility stop
The EU record reported the negative primary result and limited safety data from 158 treated participants.
Why it matters: Made the terminated topical HSV-1 study part of the assessable public evidence.
MATCH-2 results disclosed
The EU results record showed that the trial did not meet its lesion-days superiority endpoint.
Why it matters: Established a negative primary efficacy result for the tested intravenous regimen.
First-in-human report published
The 24-person healthy-volunteer study reported short-term safety and pharmacokinetic findings after single intravenous doses.
Why it matters: Established early human exposure but did not test clinical efficacy.
Technical record
Study details
MATCH-2 compared one 2 g HDIT101 infusion plus placebo tablets at recurrences with a placebo infusion plus valacyclovir 500 mg twice daily for three days at recurrences, with 180 days of follow-up.
This design compared HDIT101 with episodic treatment at recurrences, not with daily suppressive valacyclovir or placebo alone.
The Phase 1 publication reported no serious or severe adverse events, infusion reactions, detected antibodies against HDIT101, or signs of unintended toxicity that limited dosing. It estimated an antibody half-life of about 11 days.
In MATCH-2, most treatment-emergent adverse events were mild or moderate, one severe event occurred in each group, and no event led to study-drug discontinuation or withdrawal.
The MATCH-1 results record reported no serious adverse events or deaths among the 158 treated participants, but early termination meant that many participants did not complete the planned 12 months and not all planned analyses were performed.
DRKS00014678
Completed- Registry
- German Clinical Trials Register
- Phase
- Phase 1
- Enrollment
- 24
- Results
- Available
NCT04165122
Completed- Registry
- ClinicalTrials.gov
- Phase
- Phase 2
- Enrollment
- 122
- Results
- Available
NCT04539483
Terminated- Registry
- ClinicalTrials.gov
- Phase
- Phase 2
- Enrollment
- 761
- Results
- Available
Evidence and sources
Trial registries document study plans and status. Journal articles and conference abstracts report scientific findings. Company reports are listed separately because they come from organizations with a stake in the program.
- Overcoming drug-resistant herpes simplex virus (HSV) infection by a humanized antibody
Krawczyk A; Arndt MA; Grosse-Hovest L; et al. · Proceedings of the National Academy of Sciences
DOI 10.1073/pnas.1220019110 · PMID 23569258
- Monoclonal Antibody Therapy Against Chronic Herpes Simplex Virus 2 Infection
Heidelberg ImmunoTherapeutics GmbH · ClinicalTrials.gov
NCT04165122
- Clinical Trial Results: A Randomized, Double-Blind, Double-Dummy Phase II Study of Single Dose HDIT101 versus Standard of Care Valaciclovir in Patients with Chronic Recurrent Anogenital HSV-2 Infection
Heidelberg ImmunoTherapeutics GmbH · EU Clinical Trials Register
NCT04165122
- openFDA Drugs@FDA exact-name searches
U.S. Food and Drug Administration · openFDA
- Clinical Trial Results: A Randomised, Double-Blind Phase II Trial of Topical HDIT101 versus Placebo in Patients with Chronic Recurrent HSV-1 Infection and Orolabial Lesion
Heidelberg ImmunoTherapeutics GmbH · EU Clinical Trials Register
NCT04539483
- A phase 1 first-in-human, randomized, double-blind, placebo-controlled dose escalation trial of a single intravenous dose of the anti-herpes simplex virus monoclonal antibody HDIT101 in healthy volunteers
Heidelberg ImmunoTherapeutics GmbH · German Clinical Trials Register
DRKS00014678
- Development of a highly effective combination monoclonal antibody therapy against Herpes simplex virus
Heidelberg ImmunoTherapeutics authors; chief executive as corresponding author · Journal of Biomedical Science
DOI 10.1186/s12929-024-01045-2 · PMID 38807208
- First-in-human, randomized, double-blind, placebo-controlled, dose escalation trial of the anti-herpes simplex virus monoclonal antibody HDIT101 in healthy volunteers
Blank A; Hohmann N; Dettmer M; et al. · Clinical and Translational Science
DOI 10.1111/cts.13365 · PMID 35869929 · DRKS00014678
- Monoclonal Antibody Therapy Against Chronic Herpes Simplex Virus 1 Infection
Heidelberg ImmunoTherapeutics GmbH · ClinicalTrials.gov
NCT04539483
- Safety and efficacy of monoclonal antibody therapy in patients with chronic herpes simplex virus-2 genital infections: MATCH-2, a randomized double-blinded, parallel-group phase 2 multi-center trial
Stellbrink H-J; Schaller T; Sturm K; et al. · Pharmacological Research
DOI 10.1016/j.phrs.2025.107999 · PMID 41109488 · NCT04165122
- Products — HDIT101
Heidelberg ImmunoTherapeutics GmbH · Heidelberg ImmunoTherapeutics GmbH
- Trial-registry search audit: no NV-HHV-1, NV-360 or HerpeCide study in any checked registry
ClinicalTrials.gov, WHO ICTRP and EU CTIS
- Clinical Trials
Heidelberg ImmunoTherapeutics GmbH · Heidelberg ImmunoTherapeutics GmbH