Homologous boosting with adenoviral serotype 5 HIV vaccine (rAd5) vector can boost antibody responses despite preexisting vector-specific immunity in a randomized phase I clinical trial

BACKGROUND: Needle-free delivery improves the immunogenicity of DNA vaccines but is also associated with more local reactogenicity. Here we report the first comparison of Biojector and needle administration of a candidate rAd5 HIV vaccine.

METHODS: Thirty-one adults, 18-55 years, 20 naive and 11 prior rAd5 vaccine recipients were randomized to receive single rAd5 vaccine via needle or Biojector IM injection at 1010 PU in a Phase I open label clinical trial. Solicited reactogenicity was collected for 5 days; clinical safety and immunogenicity follow-up was continued for 24 weeks.

RESULTS: Overall, injections by either method were well tolerated. There were no serious adverse events. Frequency of any local reactogenicity was 16/16 (100%) for Biojector compared to 11/15 (73%) for needle injections. There was no difference in HIV Env-specific antibody response between Biojector and needle delivery. Env-specific antibody responses were more than 10-fold higher in subjects receiving a booster dose of rAd5 vaccine than after a single dose delivered by either method regardless of interval between prime and boost.

CONCLUSIONS: Biojector delivery did not improve antibody responses to the rAd5 vaccine compared to needle administration. Homologous boosting with rAd5 gene-based vectors can boost insert-specific antibody responses despite pre-existing vector-specific immunity.

TRIAL REGISTRATION: Clinicaltrials.gov NCT00709605 NCT00709605.

Medienart:

E-Artikel

Erscheinungsjahr:

2014

Erschienen:

2014

Enthalten in:

Zur Gesamtaufnahme - volume:9

Enthalten in:

PloS one - 9(2014), 9 vom: 29., Seite e106240

Sprache:

Englisch

Beteiligte Personen:

Sarwar, Uzma N [VerfasserIn]
Novik, Laura [VerfasserIn]
Enama, Mary E [VerfasserIn]
Plummer, Sarah A [VerfasserIn]
Koup, Richard A [VerfasserIn]
Nason, Martha C [VerfasserIn]
Bailer, Robert T [VerfasserIn]
McDermott, Adrian B [VerfasserIn]
Roederer, Mario [VerfasserIn]
Mascola, John R [VerfasserIn]
Ledgerwood, Julie E [VerfasserIn]
Graham, Barney S [VerfasserIn]
VRC 015 study team [VerfasserIn]

Links:

Volltext

Themen:

AIDS Vaccines
Clinical Trial, Phase I
HIV Antibodies
Journal Article
Randomized Controlled Trial
Research Support, N.I.H., Extramural
Research Support, U.S. Gov't, Non-P.H.S.

Anmerkungen:

Date Completed 15.06.2015

Date Revised 21.10.2021

published: Electronic-eCollection

ClinicalTrials.gov: NCT00709605

Citation Status MEDLINE

doi:

10.1371/journal.pone.0106240

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM242307469