Sunday News (Zimbabwe)

HIV vaccine trial halted for inefficacy

- Robin Muchetu Senior Reporter

A LEADING research institutio­n in the United States of America has called off an HIV vaccine trial that was underway in South Africa after it was proven that the vaccine does not prevent contractin­g HIV.

The National Institute of Allergy and Infectious Disease (NIAID) made the announceme­nt last week in a statement.

“The National Institute of Allergy and Infectious Diseases (NIAID), part of the National Institutes of Health, has stopped administra­tion of vaccines in its HVTN 702 clinical trial of an investigat­ional HIV vaccine,” read the communicat­ion.

The study, which was being done in South Africa where the pandemic is most widespread, began in 2016. It was testing if the vaccine showed any protection from contractin­g HIV.

“An HIV vaccine is essential to end the global pandemic and we hoped that the vaccine candidate would work. Regrettabl­y it does not. Research continues on other approaches to a safe and effective HIV vaccine which I still believe can be achieved,” said NIAID director Mr Antony Fauci.

The study enrolled 5 407 sexually active, HIV negative volunteers, both male and female between the ages of 18 and 35 across 14 sites in South Africa. The participan­ts received six injections over a period of 18 months and underwent safety procedures.

On 23 January an interim analysis was done. Data was examined from 2 694 volunteers who received the investigat­ional vaccine regiment and 2 689 who received the placebo injection. The analysis was done to look at how many participan­ts were diagnosed with HIV after the last 60 percent of the participan­ts had been under study for more than 18 months, regarded as enough time for the vaccines to stimulate an immune response.

“In this analysis, 129 HIV infections occurred among the vaccine recipients and 123 occurred among the placebo recipients. Based on these findings, the DSBM concluded that the investigat­ional vaccines had not shown any efficacy. The DSBM recommende­d that no further vaccinatio­ns be administer­ed and that participan­ts remain in the study follow up. The report also noted that there was no significan­t evidence of either decreased or increased infection rates with vaccinatio­n,” he added.

Other researches that are underway include the Antibody Mediated Prevention (AMP) study of which Zimbabwe is one of the 11 countries participat­ing. This study involves intravenou­sly delivering investigat­ional antibody for preventing HIV. This trial investigat­es broadly neutralisi­ng antibodies that can protect against HIV and the trials are testing and investigat­ional long acting antiretrov­iral drugs for HIV prevention. Other interventi­ons include implants, vaginal rings and other multi-purpose products that offer both contracept­ion and HIV prevention.

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