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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.

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Scientific officer Asiphe Besethi works in the research lab at the University of Cape Town's Institute of Infectious Disease and Molecular Medicine, in Cape Town, South Africa February 17, 2025. REUTERS/Esa Alexander/File Photo
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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.