High-dose recombinant Canarypox vaccine expressing HIV-1 protein, in seronegative human subjects.

Journal Article (Clinical Trial;Journal Article;Multicenter Study)

BACKGROUND: In clinical trials, canarypox ALVAC-human immunodeficiency virus (HIV) vaccines have been shown to elicit human HIV-specific cytotoxic T lymphocyte (CTL) responses in some but not all healthy uninfected adults.Methods. A clinical trial was conducted to examine whether the vaccine vCP1452 would elicit a greater HIV-specific CTL response when given at a dose of 10(8.0) TCID50 (60 participants) than when given at the regular dose, 10(7.26) TCID50 (40 participants); as a control, a placebo vaccine preparation also was administered (10 participants). RESULTS: Two weeks after the last vaccination in a series, HIV-specific CTL responses were not significantly different when measured by either chromium-release assay (8% and 16% in the high- and regular-dose recipients, respectively) or interferon- gamma ELISpot assay (8% and 15% in the high- and regular-dose recipients, respectively); moreover, recipients of the higher dose had greater local and systemic reactions (P<.001). CONCLUSIONS: High reactogenicity associated with an increased dose of vCP1452 negates the need for further evaluation of this strategy to boost the frequency of HIV-specific CTL response in seronegative human subjects. Development of highly immunogenic canarypox vectors requires further work to optimize vector and insert design, as well as novel ways to increase dosage and to reduce reactogenicity.

Full Text

Duke Authors

Cited Authors

  • Goepfert, PA; Horton, H; McElrath, MJ; Gurunathan, S; Ferrari, G; Tomaras, GD; Montefiori, DC; Allen, M; Chiu, Y-L; Spearman, P; Fuchs, JD; Koblin, BA; Blattner, WA; Frey, S; Keefer, MC; Baden, LR; Corey, L; NIAID HIV Vaccine Trials Network,

Published Date

  • October 1, 2005

Published In

Volume / Issue

  • 192 / 7

Start / End Page

  • 1249 - 1259

PubMed ID

  • 16136469

International Standard Serial Number (ISSN)

  • 0022-1899

Digital Object Identifier (DOI)

  • 10.1086/432915


  • eng

Conference Location

  • United States