The Star Late Edition

All set for HIV trials

- LISA ISAACS lisa.isaacs@inl.co.za

THE precedent-setting Antibody Mediated Prevention (AMP) Studies – the most advanced clinical trials to test whether an antibody can prevent HIV infection in people – are fully enrolled.

The pair of Phase 2b clinical trials run by the HIV Vaccine Trials Network (HVTN), which is headquarte­red at Fred Hutchinson Cancer Research Centre in the US, and the HIV Prevention Trials Network have enrolled 4625 participan­ts who are at risk for HIV infection from communitie­s in the US, Brazil, Peru, Switzerlan­d, and sub-Saharan Africa.

Complete enrolment will facilitate the timely analysis of the combined data of the AMP studies as well as trial-specific data, enabling researcher­s to answer the study questions efficientl­y.

The US National Institute of Allergy and Infectious Diseases, part of the National Institutes of Health, is sponsoring and funding the trials.

The principal investigat­or of the HVTN, virologist and faculty member at Fred Hutchinson Cancer Research Centre, Dr Larry Corey, said: “We are grateful to each study participan­t and their communitie­s for making a commitment to participat­e in the AMP studies.

Study participan­ts are receiving a ‘broadly neutralisi­ng antibody’ every eight weeks

“Study participan­ts are the heartbeat of our global clinical trials.”

While an experiment­al HIV vaccine aims to prevent infection by stimulatin­g the immune system of an uninfected person to produce protective antibodies, a technique called passive antibody transfer involves giving antibodies directly to an uninfected person by injections or intravenou­s infusions.

The AMP studies are the most advanced human trials to test whether this strategy can prevent HIV infection in humans.

Study participan­ts are receiving a “broadly neutralisi­ng antibody” named VRC01 every eight weeks.

Broadly neutralisi­ng antibodies, or bnAbs, can stop many strains of HIV from infecting human cells in the laboratory.

Roughly 50% of people living with HIV make bnAbs naturally, but only after years of infection, when it is too late for the antibodies to have a protective effect.

Co-principal investigat­or and director of the University of North Carolina at Chapel Hill Institute for Global Health and Infectious Diseases, Dr Myron Cohen, said: “The developmen­t of bnAbs for HIV prevention and to identify targets for HIV vaccine design is a great example of how a concerted basic science programme and important clinical observatio­ns lead to new prevention technologi­es.”

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