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Long-term follow-up of study participants from prophylactic HIV vaccine clinical trials in Africa.

Identifieur interne : 001438 ( PubMed/Corpus ); précédent : 001437; suivant : 001439

Long-term follow-up of study participants from prophylactic HIV vaccine clinical trials in Africa.

Auteurs : Claudia Schmidt ; Walter Jaoko ; Gloria Omosa-Manyonyi ; Pontiano Kaleebu ; Juliet Mpendo ; Annet Nanvubya ; Etienne Karita ; Roger Bayingana ; Linda-Gail Bekker ; Elwyn Chomba ; William Kilembe ; Maphoshane Nchabeleng ; Julien Nyombayire ; Gwynn Stevens ; Paramesh Chetty ; Jennifer Lehrman ; Josephine Cox ; Susan Allen ; Len Dally ; Carol Smith ; Patricia E. Fast

Source :

RBID : pubmed:24374365

English descriptors

Abstract

Long-term safety is critical for the development and later use of a vaccine to prevent HIV/AIDS. Likewise, the persistence of vaccine-induced antibodies and their impact on HIV testing must be established. IAVI has sponsored several Phase I and IIA HIV vaccine trials enrolling healthy, HIV-seronegative African volunteers. Plasmid DNA and viral vector based vaccines were tested. No vaccine-related serious adverse events were reported. After completion of vaccine trials conducted between 2001-2007, both vaccine and placebo recipients were offered enrolment into an observational long-term follow-up study (LTFU) to monitor potential late health effects and persistence of immune responses. At scheduled 6-monthly clinic visits, a health questionnaire was administered; clinical events were recorded and graded for severity. Blood was drawn for HIV testing and cellular immune assays. 287 volunteers were enrolled; total follow-up after last vaccination was 1463 person years (median: 5.2 years). Ninety-three (93)% of volunteers reported good health at their last LTFU visit. Infectious diseases and injuries accounted for almost 50% of the 175 reported clinical events, of which over 95% were mild or moderate in severity. There were 30 six pregnancies, six incident HIV infections and 14 volunteers reported cases of social harm. Persistence of immune responses was rare. No safety signal was identified. No potentially vaccine-related medical condition, no immune mediated disease, or malignancy was reported. HIV vaccines studied in these trials had a low potential of induction of persisting HIV antibodies.

PubMed: 24374365

Links to Exploration step

pubmed:24374365

Le document en format XML

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<div type="abstract" xml:lang="en">Long-term safety is critical for the development and later use of a vaccine to prevent HIV/AIDS. Likewise, the persistence of vaccine-induced antibodies and their impact on HIV testing must be established. IAVI has sponsored several Phase I and IIA HIV vaccine trials enrolling healthy, HIV-seronegative African volunteers. Plasmid DNA and viral vector based vaccines were tested. No vaccine-related serious adverse events were reported. After completion of vaccine trials conducted between 2001-2007, both vaccine and placebo recipients were offered enrolment into an observational long-term follow-up study (LTFU) to monitor potential late health effects and persistence of immune responses. At scheduled 6-monthly clinic visits, a health questionnaire was administered; clinical events were recorded and graded for severity. Blood was drawn for HIV testing and cellular immune assays. 287 volunteers were enrolled; total follow-up after last vaccination was 1463 person years (median: 5.2 years). Ninety-three (93)% of volunteers reported good health at their last LTFU visit. Infectious diseases and injuries accounted for almost 50% of the 175 reported clinical events, of which over 95% were mild or moderate in severity. There were 30 six pregnancies, six incident HIV infections and 14 volunteers reported cases of social harm. Persistence of immune responses was rare. No safety signal was identified. No potentially vaccine-related medical condition, no immune mediated disease, or malignancy was reported. HIV vaccines studied in these trials had a low potential of induction of persisting HIV antibodies.</div>
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<AbstractText>Long-term safety is critical for the development and later use of a vaccine to prevent HIV/AIDS. Likewise, the persistence of vaccine-induced antibodies and their impact on HIV testing must be established. IAVI has sponsored several Phase I and IIA HIV vaccine trials enrolling healthy, HIV-seronegative African volunteers. Plasmid DNA and viral vector based vaccines were tested. No vaccine-related serious adverse events were reported. After completion of vaccine trials conducted between 2001-2007, both vaccine and placebo recipients were offered enrolment into an observational long-term follow-up study (LTFU) to monitor potential late health effects and persistence of immune responses. At scheduled 6-monthly clinic visits, a health questionnaire was administered; clinical events were recorded and graded for severity. Blood was drawn for HIV testing and cellular immune assays. 287 volunteers were enrolled; total follow-up after last vaccination was 1463 person years (median: 5.2 years). Ninety-three (93)% of volunteers reported good health at their last LTFU visit. Infectious diseases and injuries accounted for almost 50% of the 175 reported clinical events, of which over 95% were mild or moderate in severity. There were 30 six pregnancies, six incident HIV infections and 14 volunteers reported cases of social harm. Persistence of immune responses was rare. No safety signal was identified. No potentially vaccine-related medical condition, no immune mediated disease, or malignancy was reported. HIV vaccines studied in these trials had a low potential of induction of persisting HIV antibodies.</AbstractText>
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<LastName>Omosa-Manyonyi</LastName>
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<Initials>E</Initials>
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<Affiliation>Zambia Emory HIV Research Program (ZEHRP); Lusaka, Zambia.</Affiliation>
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<LastName>Nchabeleng</LastName>
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<CommentsCorrections RefType="Cites">
<RefSource>J Clin Virol. 2011 Apr;50(4):334-7</RefSource>
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<CommentsCorrections RefType="Cites">
<RefSource>PLoS One. 2013;8(1):e54407</RefSource>
<PMID Version="1">23349878</PMID>
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<RefSource>MMWR Morb Mortal Wkly Rep. 2003 Mar 28;52(12):248-50</RefSource>
<PMID Version="1">12680519</PMID>
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<CommentsCorrections RefType="Cites">
<RefSource>Vaccine. 2003 Jun 20;21(21-22):2933-47</RefSource>
<PMID Version="1">12798637</PMID>
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<CommentsCorrections RefType="Cites">
<RefSource>MMWR Morb Mortal Wkly Rep. 2003 May 30;52(21):492-6</RefSource>
<PMID Version="1">12809110</PMID>
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<CommentsCorrections RefType="Cites">
<RefSource>Vaccine. 2007 Mar 1;25(11):2120-7</RefSource>
<PMID Version="1">17250931</PMID>
</CommentsCorrections>
<CommentsCorrections RefType="Cites">
<RefSource>Vaccine. 2008 May 23;26(22):2788-95</RefSource>
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</CommentsCorrections>
<CommentsCorrections RefType="Cites">
<RefSource>Clin Vaccine Immunol. 2009 Feb;16(2):147-55</RefSource>
<PMID Version="1">19091991</PMID>
</CommentsCorrections>
<CommentsCorrections RefType="Cites">
<RefSource>AIDS Res Hum Retroviruses. 2009 Nov;25(11):1107-16</RefSource>
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<CommentsCorrections RefType="Cites">
<RefSource>PLoS One. 2010;5(1):e8816</RefSource>
<PMID Version="1">20111599</PMID>
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<CommentsCorrections RefType="Cites">
<RefSource>JAMA. 2010 Jul 21;304(3):275-83</RefSource>
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<CommentsCorrections RefType="Cites">
<RefSource>AIDS Res Hum Retroviruses. 2010 Aug;26(8):933-42</RefSource>
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<CommentsCorrections RefType="Cites">
<RefSource>PLoS One. 2010;5(9):e12873</RefSource>
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<CommentsCorrections RefType="Cites">
<RefSource>Hum Vaccin Immunother. 2012 May;8(5):630-8</RefSource>
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