Combination Vaccination and Broadly Neutralising Antibody Therapy in HIV
Summary
There is no cure for HIV infection. Antiretroviral therapy (ART) is widely available but requires daily, life-long intake. This can cause issues around side-effects, resistance, adherence and stigma. A new therapy, broadly neutralising antibodies, (bNAbs), may work as well as ART and may last longer - one dose can last six months. bNAbs appear to first target HIV viruses, then drive a protective immune response conferring long-term control, called the vaccinal effect. AbVax is a clinical trial to understand this effect and how to enhance it to give the strongest possible long-term protection for people living with HIV (PWH). The investigators are studying whether a combination of vaccines that attack HIV, a short period of treatment interruption induced viraemia (TIIV - stopping ART for a few weeks to allow a small amount of virus to return to the bloodstream) and bNABs will produce the most sustained immune protection.
Timeline
- Start
- 2025-09-05
- Primary completion
- 2027-10-31
- Completion
- 2028-06-30
Drugs
| Evaluation | Drug | Modality | Dose | Route |
|---|---|---|---|---|
| Comparator | ChAdOx1.HIVconsv62 | Vaccine | 2.5e+10 unknown | Other |
| Comparator | ChAdOx1.tHIVconsv1 | Vaccine | 2.5e+10 unknown | Other |
| Comparator | MVA.tHIVconsv4 | Vaccine | 1e+08 unknown | Other |
| Comparator | Teropavimab | Monoclonal antibody | 2550 mg | Other |
| Comparator | Zinlirvimab | Monoclonal antibody | 850 mg | Other |