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Early HIV Vaccine Trials Achieve Precise Immune Activation in Humans

Phase one trials of germline-targeting immunogens and mRNA vaccines show promise in priming B cells for broad HIV protection.

Overview

  • The phase one trial of the Env trimer GT1.1 immunogen successfully activated targeted naive B cells with atomic precision in 47 participants across high-dose, low-dose, and placebo groups.
  • Moderna's mRNA-encoded nanoparticle vaccines demonstrated effective priming of germline B cells in trials conducted in the United States, Rwanda, and South Africa.
  • Minor skin reactions were reported among some participants in the mRNA trials, but the approach appears feasible for diverse populations, including those in Africa, where HIV prevalence is highest.
  • The next phase of research will focus on booster immunizations to drive the production of broadly neutralizing antibodies and optimize vaccine safety and efficacy.
  • HIV remains a global health crisis, with no licensed vaccine available despite decades of research into combating the virus's diversity and adaptability.