EV02: a Phase I trial to compare the safety and immunogenicity of HIV DNA-C prime-NYVAC-C boost to NYVAC-C alone

Vaccine. 2008 Jun 13;26(25):3162-74. doi: 10.1016/j.vaccine.2008.02.072. Epub 2008 May 6.

Abstract

The aim of this randomised controlled trial was to see if the addition of 4 mg/ml DNA-C priming given by the intramuscular route at weeks 0 and 4 to NYVAC-C at weeks 20 and 24, safely increased the proportion of participants with HIV-specific T-cell responses measured by the interferon (IFN)-gamma ELISpot assay at weeks 26 and/or 28 compared to NYVAC-C alone. Although 2 individuals discontinued after the first DNA-C due to adverse events (1 vaso-vagal; 1 transient, asymptomatic elevation in alanine transaminase), the vaccines were well tolerated. Three others failed to complete the regimen (1 changed her mind; 2 lost to follow-up). Of the 35 that completed the regimen 90% (18/20) in the DNA-C group had ELISpot responses compared to 33% (5/15) that received NYVAC-C alone (p=0.001). Responses were to envelope in the majority (21/23). Of the 9 individuals with responses to envelope and other peptides, 8 were in the DNA-C group. These promising results suggest that DNA-C was an effective priming agent, that merits further investigation.

Publication types

  • Clinical Trial, Phase I
  • Randomized Controlled Trial
  • Research Support, Non-U.S. Gov't

MeSH terms

  • AIDS Vaccines / administration & dosage
  • AIDS Vaccines / immunology
  • AIDS Vaccines / therapeutic use*
  • Adult
  • Antigens, Viral / biosynthesis
  • Antigens, Viral / genetics
  • Antigens, Viral / immunology*
  • Drug Design
  • Female
  • HIV Infections / immunology
  • HIV Infections / prevention & control*
  • HIV-1 / classification
  • HIV-1 / genetics
  • HIV-1 / immunology
  • Humans
  • Immunization, Secondary
  • Injections, Intramuscular
  • Male
  • Safety
  • Viral Vaccines / administration & dosage
  • Viral Vaccines / chemistry*
  • Viral Vaccines / immunology*
  • env Gene Products, Human Immunodeficiency Virus / genetics

Substances

  • AIDS Vaccines
  • Antigens, Viral
  • NYVAC vaccine
  • Viral Vaccines
  • env Gene Products, Human Immunodeficiency Virus