Two double-blinded, randomized, comparative trials of 4 human immunodeficiency virus type 1 (HIV-1) envelope vaccines in HIV-1—infected individuals across a …

RT Schooley, C Spino, D Kuritzkes… - The Journal of …, 2000 - academic.oup.com
RT Schooley, C Spino, D Kuritzkes, BD Walker, FT Valentine, MS Hirsch, E Cooney…
The Journal of infectious diseases, 2000academic.oup.com
The potential role of human immunodeficiency virus type 1 (HIV-1)—specific immune
responses in controlling viral replication in vivo has stimulatedinterest in enhancing virus-
specificimmunity by vaccinating infected individuals with HIV-1 or its components. These
studies were undertaken to define patient populations most likely to respond to vaccination,
with the induction of novel HIV-1—specific cellular immune responses, and to compare the
safety and immunogenicity of several candidate recombinant HIV-1 envelope vaccines and …
Abstract
The potential role of human immunodeficiency virus type 1 (HIV-1)—specific immune responses in controlling viral replication in vivo has stimulatedinterest in enhancing virus-specificimmunity by vaccinating infected individuals with HIV-1 or its components. These studies were undertaken to define patient populations most likely to respond to vaccination, with the induction of novel HIV-1—specific cellular immune responses, and to compare the safety and immunogenicity of several candidate recombinant HIV-1 envelope vaccines and adjuvants. New lymphoproliferative responses (LPRs) developed in <30% of vaccine recipients. LPRs were elicited primarily in study participants with a CD4 cell count >350 cells/mm3 and were usually strain restricted. Responders tended to be more likely than nonresponders to have an undetectable level of HIV-1 RNA at baseline (P = .067). Induction of new cellular immune responses by HIV-1 envelope vaccines is a function of the immunologic stage of disease and baseline plasma HIV-1 RNA level and exhibits considerable vaccine strain specificity.
Oxford University Press