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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


Safety, pharmacokinetics, and neutralisation activity of PGDM1400LS, VRC07-523LS, and PGT121.414.LS infused intravenously or subcutaneously (HVTN 140/HPTN 101 part B): a phase 1, randomised trial.

Journal article Lancet HIV · July 2026 BACKGROUND: Passive immunisation with a combination of broadly neutralising monoclonal antibodies (mAbs) presents a potential HIV-1 prevention modality. This study (HVTN 140/HPTN 101) sought to evaluate PGDM1400LS (targeting V3-glycan) administered alone ( ... Full text Link to item Cite

mRNA delivery of a class 1/4 SARS-CoV-2 neutralizing antibody protects against diverse sarbecoviruses in a lethal mouse challenge model.

Journal article Proc Natl Acad Sci U S A · June 16, 2026 The unyielding antigenic drift of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), as well as the threat of future zoonotic sarbecovirus spillovers, has prompted the search for broadly neutralizing antibodies (bNAbs) to inform rational therape ... Full text Link to item Cite

A phase 1 randomized controlled trial to evaluate the safety and immunogenicity of a HIV monomeric gp120 protein B-cell lineage targeting HIV vaccine in healthy adults.

Journal article medRxiv · May 27, 2026 BACKGROUND: The isolation of many HIV broadly neutralizing antibodies (bnAbs) from people living with HIV (PLWH) and rigorous characterization of their ontogeny has promoted the goal of reverse engineering their natural development as a strategy for achiev ... 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

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

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

Neutralizing Antibody Assessment to Support bnAb Production

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

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Education


Clemson University · 1982 Ph.D.