HIV Infections Clinical Trial
Official title:
Phase I Study Evaluating the Systemic and Mucosal Safety and Immunogenicity of a Recombinant HIV-1 Gp 160 (MN/LAI) Administered by Transmucosal (Nasal or Vaginal) Routes, Alone or Formulated With DC-Chol, in HIV Negative Volunteers (ANRS VAC14)
It is probable that a mucosal approach is necessary for a prophylactic HIV vaccine protecting against sexually transmitted infection. Mucosal immune responses have been almost non-existent in trials of HIV vaccine candidates in which the antigen was delivered systemically. This study will test the safety and immune response of a recombinant HIV-1gp160 by nasal and mucosal routes alone or formulated with DC-Chol in healthy volunteers.
It’s probable that a mucosal approach is necessary for prophylactic HIV vaccine protecting
against sexually transmitted infection. Although mucosal immune responses have been almost
non-existent in trials of HIV vaccine candidates in which the antigen was delivered
systematically.
Several animal models have also demonstrated the importance or a mucosal IgA response for
protection against viral infections. Mucosal S IgA are essential effectors having different
mechanisms of action agglutination of pathogens, interaction with cellular receptor,
transcytosis of immune complexes, intracellular clearance of virus.
Gp 160 induces the majority of neutralizing Abs activity in patients serum and the
immunogenicity of gp 160 can be improved by using and adjuvant such as DC-chol because of
its properties to increase the permeation of the nasal epithelium and to facilitate systemic
delivery of the vaccine antigen.
Before beginning mucosal vaccine trial, we previously tested and validated procedures to
collect and process secretion fluids on 6 HIV-1 infected women (K. Petitprez et al, 4th
European mucosal immunology group meeting, Lyon France, 8-10 october 2004).
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Allocation: Randomized, Endpoint Classification: Safety/Efficacy Study, Intervention Model: Parallel Assignment, Masking: Open Label, Primary Purpose: Prevention
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