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. 2012 Sep 7;9:72. doi: 10.1186/1742-4690-9-72

Table 2.

HIV-antigen specific therapeutic vaccinations

a) Non dendritic cell-based
Name Trial
Species
Baseline patients characteristics
Type of immune therapy
Route and frequency of administration
Number of patients
Outcome
References
Uncontrolled clinical trial
Human
Therapy naïve
Remune®
iv
2527
Increased HIV-specific T cell responses. Positive impact on controlling the virus.
[78]
P2101B (thai open label trial)
Human
Therapy naïve
Remune®
iv every 12 weeks for 132 weeks
223
Increasing CD4 and CD8 T cell counts and stable viral load.
[79]
Randomized double blind placebo controlled trial
Human
HAART
ALVAC, ALVAC + Remune, placebo
iv injections Alvac @w 8, 12, 16, 20. Remune@w 0, 4, 12, 20
79
Safe and immunogenic. No difference between the three groups after STI on viral rebound.
[80]
Placebo controlled
Indian rhesus macaque
Chronic SIV HAART
SIV mac239 gag and env DNA vaccine
im 3 injections
23
Increase in HIV specific cellular responses and lower viral rebound in vaccinated animals.
[81]
 
Indian rhesus macaque
Chronic SIV HAART
SIV mac239 gag and env DNA vaccine + IL-15
In vivo electroporation
3
Sustained polyfunctional T cells. One log decrease in VL.
[82]
 
Human
HAART
DNA vaccine consisting of CTL epitopes
im injections w 0, 4, 8, 16
41
Safe and tolerable. In some persons weak responses. Overall no differences with placebo group.
[83]
VRC HIV DNA 009-00-VP double blind placebo controlled
Human
HAART
plasmid DNA encoding subtype B Gag-Pol-Nef and multiclade env
im injections w 0, 4, 8, 24
20
Poorly immunogenic. No effect on viral rebound after ATI.
[84]
 
Human
HAART
Plasmid DNA multiclade
Patch
12
Broader and higher HIV specific T-cell responses. No effect on viral rebound after ATI.
[85]
ANRS 094 single arm open
Human
 
ALVAC vCP1433
im injections w 0, 4, 8, 12
50
Safe and immunogenic. Delay in treatment resumption of ATI.
[86]
ANRS 093
human
HAART
ALVAC + lipo 6T 4 injections followed by 3 cycles sc IL2
im injections of ALVAC w 0, 4, 8, 12. IL-2@w 16, 24, 32
71
Lower viral set point after ATI, correlated with HIV specific CD4 T cell responses.
[87]
ACTG (A5024) randomized partially blinded phase II
Human
HAART
ALVAC ALVAC + sc IL2 sc IL2 alone placebo
im injections of ALVAC w 0, 4, 8, 12. IL-2 sc for5 days in 8 week cycles
19
Lower viral rebound after ATI in ALVAC vaccines. IL-2 + vaccine boosted CD4 T cell count but had no influence on VL.
[88]
Double blind placebo controlled
Human
HAART (acute phase)
ALVAC ALVAC + Remune
iv injection of ALVAC w8, 12, 16, 20. remune w 0, 4, 12, 20
79
No influence on VL after ATI. Increased CD4 and CD8 T cell responses
[80]
CTN173 randomized controlled
Human
HAART
ALVAC, ALVAC + remune, placebo
im injections of ALVAC w8, 12, 16, 20. Remune w0, 12, 20. ATI w24
52
No lower viral setpoint. Tendency towards delay of rebound
[89]
ORVACS
Human
HAART
ALVAC vcp1420 placebo
im injections w 0, 4, 8, 20
65
Higher viral rebound in vaccines
[90]
 
Human
HAART
Fowlpox gag/pol (PC)
3 im injections (w 0,4, 12). ATI w20
35
Lower man viral rebound in FC group and this is associated with IgG2 antibodies to HIVp24
[91][92]
Fowlpox gag/pol IFN-y (FC
placebo
 
Indian rhesus macaque
Chronic SIV HAART
MVA gag pol and MVA env
im injections w10, 16. STI w20
18
Tendency lower viral rebound after ATI but not significant.
[93]
 
Rhesus macaque
Chronic SIV HAART
MVA + Ad5 gag and env
im injection of Ad5/35 on day 74 and MVA-SIV on day 134
 
Vaccinated animals had higher CD4 T cell counts, SIV-specific cell-mediated immunity and anti-SIV-neutralizing antibodies. After ATI there was a sustained reduction in VL and increased CD4 T cell responses.
[94]
 
Human
HAART
MVA nef
sc injections w 0, 4, 16. ATI w 18
14
Well tolerated. Induction HIV specific responses. Lower viral rebound.
[95]
 
Human
HAART
MVA clade A p24/17 + CD8 T cell epitopes
id 4 week interval
18
Amplification and broadening of CD8 and CD4 T cell responses. Induction of CD8 T cell responses with capacity to inhibit viral replication in vitro
[96][97]
 
Indian rhesus macaque
Chronic SIV HAART
Ad5 and Ad35 SIV gag, env, nef + IL15
im injections
15
Increased T cell responses no effect on viral rebound.
[98]
w 16, 22, 36, 42
 
Human
HAART
rAd5 gag
im injections
114
Safe and well tolerated. 0.5 log lower VL 16 weeks after A-STI
[99]
w 0, 4, 26.
ATI w 38 to 54
b) Dendritic cell-based
Species
Number and baseline characteristics
Loading strategy
Antigen
Results
References
Human
6 therapy- naïeve
Pulsing
Recombinant HIV-1 MN gp160 or synthetic peptides corresponding to HLA-A2- restricted cytotoxic epitopes of envelope, Gag, and Pol proteins
Well tolerated and no effect on viral load. HIV specific responses were enhanced.
[100]
Human
4 HAART
Pulsing
Seven CTL peptides with HLA-A*2402 restriction
Well tolerated, discontinuation of HAART after vaccination failed to lower viral set points. CD8 T cell responses induced in 2 out of 4 patients.
[101]
Pigtail macaque
36 HAART
Pulsing of whole blood
Gag proteins or peptides spanning all 9 SIV proteins
SIV-specific CD4 and CD8T cell responses during antiretroviral cover and off treatment. Virus levels were 10-fold lower in immunized animals for 1 year.
[102]
Chinese rhesus macaques
HAART
Pulsing
AT-2 inactivated virus
Effective and durable SIV-specific cellular and humoral immunity is elicited. At week 34 of the study: 50-fold decrease of SIV DNA and a 1,000-fold decrease of SIV RNA.
[103]
Human
18 therapy naieve
Pulsing
AT-2-inactivated virus
Plasma viral load levels were decreased by 80% (median) over the first 112 days following immunization. The suppression of viral load was positively correlated with HIV-1-specific interleukin-2 or IFN-γ expressing CD4 T cells and with HIV-1 gag-specific perforin-expressing CD8 effector cells.
[104]
Human
12 HAART
Pulsing
Heat-inactivated virus
Safe and well tolerated. Partial viral control 24 weeks after ATI .
[105]
Human
24 therapy- naïeve
Pulsing
Heat-inactivated virus
Feasible, safe and well tolerated. Modest decrease in viral load 24 weeks after first vaccination compared to controls.
[106]
Human
29 HAART
Live virus
ALVACvcp1452
Viral load rebounded in both groups no differences in HIV-specific immune responses.
[107]
 
 
 
ALVACvcp1452 + KLH
 
 
 
 
 
 
 
KLH
 
 
 
 
Human
9 HAART
Electroporation
Autologous mRNA encoding Gag, Vpr, Rev and Nef
Mild adverse events. Full or partial HIV-specific immune responses in 7/9 subjects.
[108]
Human
9 HAART
Electroporation
Autologous mRNA encoding Gag, Vpr, Rev and Nef
Partial viral control .
[109]
Human
17 HAART
Electroporation
mRNA encoding tat rev nef
Vaccine was safe, 69 weeks after STI 6/17 patients remains off therapy.
[110]
Human 6 HAART Electroporation mRNA encoding gag and mRNA encoding tat rev nef Vaccine was safe. HIV-specific responses against Gag were broader, higher and polyfunctional after vaccination. CD8 T-cells could inhibit superinfection of CD4 T-cells. [111]