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David Charles Montefiori

Professor in Surgery
Surgery, Surgical Sciences
Box 2926 Med Ctr, Durham, NC
Surgical Oncology Res Fac, Durham, NC 27710

Overview


Dr. Montefiori is Professor and Director of the Laboratory for HIV-1 and COVID-19 Vaccine Research & Development in the Department of Surgery, Division of Surgical Sciences at Duke University Medical Center. His major research interests are viral immunology and HIV and COVID-19 vaccine development, with a special emphasis on neutralizing antibodies.

Multiple aspects of HIV-1 neutralizing antibodies are studied in his laboratory, including mechanisms of neutralization and escape, epitope diversity among the different genetic subtypes and geographic distributions of the virus, neutralizing epitopes, requirements to elicit protective neutralizing antibodies by vaccination, optimal combinations of neutralizing antibodies for immunoprophylaxis, and novel vaccine designs for HIV-1. Dr. Montefiori also directs large vaccine immune monitoring programs funded by the NIH and the Foundation that operate in compliance with Good Clinical Laboratory Practices and has served as a national and international resource for standardized assessments of neutralizing antibody responses in preclinical and clinical trials of candidate HIV vaccines since 1988.

At the onset of the COVID-19 pandemic he turned his attention to SARS-CoV-2, with a special interest in emerging variants and how they might impact transmission, vaccines and immunotherapeutics. His rapid response to emerging SARS-CoV-2 variants of concern provided some of the earliest evidence of the potential risk the variants pose to vaccines. In May 2020, his laboratory was recruited by the US Government to lead the national neutralizing antibody laboratory program for COVID-19 vaccines. His laboratory utilizes FDA approved validated assay criteria to facilitate regulatory approvals of COVID-19 vaccines.

He has published over 850 original research papers that have helped shape the scientific rationale for antibody-based vaccines.

Current Duke Appointments & Affiliations


Professor in Surgery · 2021 - Present Surgery, Surgical Sciences, Surgery
Member of the Duke Human Vaccine Institute · 2006 - Present Duke Human Vaccine Institute, Institutes and Centers

Recent News Items


Published December 14, 2022
2022 in Review: Duke Expertise in the Opinion Pages
Published January 27, 2022
Omicron Antibodies Persist 6 Months after Moderna Vaccine Boost But Are 6 Times Lower
Published December 3, 2021
Experts Urge Masking, Caution During Wait for Omicron Intel

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Recent Scholarly Works


Prophylactic treatment with broadly neutralizing antibody VRC01 selects for escape mutants after infection in Antibody-Mediated Prevention trials.

Journal article Nat Microbiol · September 28, 2026 Broadly neutralizing antibodies (bnAbs) show promise in HIV prevention, yet viral escape remains a challenge. In the Antibody-Mediated Prevention (AMP) trials, the CD4 binding site (CD4bs) bnAb VRC01 blocked acquisition by VRC01-sensitive strains. However, ... Full text Link to item Cite

Preferential engagement of the anti-inflammatory ATP/adenosine axis by HIV vaccine candidate with V1-deleted envelope in male rhesus macaques.

Journal article Cell Rep Med · September 15, 2026 We evaluate the efficacy and immunogenicity of HIV clade A/E A244 envelope (Env) immunogens with the 23 amino acids of variable region 1 deleted (ΔV1) or retained (wild-type [WT]) in macaques. Only the ΔV1 regimen significantly reduces the risk of mucosal ... Full text Link to item Cite

VRC01 exerted differential pressure on HIV-1 Env from subtypes B and C that continued in the first weeks post-diagnosis in the AMP trials.

Journal article J Infect Dis · September 8, 2026 BACKGROUND: The Antibody Mediated Prevention trials (HVTN 703 and HVTN 704) demonstrated that infusions of the bnAb VRC01 prevented HIV-1 acquisition with viruses sensitive to VRC01 neutralization. We evaluated how VRC01 epitope distances differed across g ... Full text Link to item Cite
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Recent Grants


Nonhuman Primate Option 1

ResearchCo Investigator · Awarded by National Institutes of Health · 2025 - 2032

Neutralizing antibody response assessment for Moderna mRNA1283-P202 SARS-CoV-2 human clinical trial

ResearchPrincipal Investigator · Awarded by Moderna Therapeutics, Inc. · 2026 - 2029

ABL PGDM14 BIJ93.LS Stability Testing Program (Opt 1)

ResearchPrincipal Investigator · Awarded by Advanced Bioscience Laboratories, Inc. · 2024 - 2028

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Education


Clemson University · 1982 Ph.D.