Note to users. If you're seeing this message, it means that your browser cannot find this page's style/presentation instructions -- or possibly that you are using a browser that does not support current Web standards. Find out more about why this message is appearing, and what you can do to make your experience of our site the best it can be.


Science 16 January 2004:
Vol. 303. no. 5656, p. 316
DOI: 10.1126/science.1094620

Policy Forum

PUBLIC HEALTH:
Enhanced: A Sound Rationale Needed for Phase III HIV-1 Vaccine Trials

Dennis R. Burton,1 Ronald C. Desrosiers,2 Robert W. Doms,3 Mark B. Feinberg,4 Robert C. Gallo,5 Beatrice Hahn,6 James A. Hoxie,3 Eric Hunter,6 Bette Korber,7 Alan Landay,8 Michael M. Lederman,9 Judy Lieberman,2 Joseph M. McCune,10 John P. Moore,11 Neal Nathanson,3 Louis Picker,12 Douglas Richman,13 Charles Rinaldo,14 Mario Stevenson,15 David I. Watkins,16 Steven M. Wolinsky,17 Jerome A. Zack18

Concerns are expressed by a group of AIDS researchers about the U.S. government's plans to conduct a phase III trial of a combination HIV-1 vaccine in Thailand despite the cancellation of a trial of a very similar combination vaccine in the U.S.A. last year. One of the vaccine components, recombinant monomeric gp120, has already been shown to be ineffective in phase III trials in Thailand and the United States; the other component, a recombinant canarypox vector, is also poorly immunogenic. The scientific rationale that has been offered for the new trial in Thailand is considered by the authors to be weak.


1The Scripps Research Institute, La Jolla, CA; 2Harvard Medical School, Boston, MA; 3University of Pennsylvania, Philadelphia, PA; 4Emory University, Atlanta, GA; 5Institute of Human Virology, Baltimore, MD; 6University of Alabama at Birmingham; 7Santa Fe Institute, Santa Fe, NM; 8Rush Medical College, Chicago, IL; 9Case-Western Reserve University, Cleveland, OH; 10The Gladstone Institute for Virology and Immunology, San Francisco, CA; 11Weill Medical College of Cornell University, New York, NY; 12Oregon Health and Science University, Portland, OR; 13University of California, San Diego, and San Diego Veterans Affairs Healthcare System; 14University of Pittsburgh, Pittsburgh, PA; 15University of Massachusetts Medical School, Worcester, MA; 16University of Wisconsin, Madison, WI; 17Northwestern University, Chicago, IL; 18University of California, Los Angeles, CA, USA.

Read the Full Text



THIS ARTICLE HAS BEEN CITED BY OTHER ARTICLES:
HIV Vaccine Trial Results -- An Opening for Further Research.
R. Dolin (2009)
N. Engl. J. Med.
   Full Text »    PDF »
T-Cell Vaccine Strategies for Human Immunodeficiency Virus, the Virus with a Thousand Faces.
B. T. Korber, N. L. Letvin, and B. F. Haynes (2009)
J. Virol. 83, 8300-8314
   Full Text »    PDF »
Systemic Immunization with an ALVAC-HIV-1/Protein Boost Vaccine Strategy Protects Rhesus Macaques from CD4+ T-Cell Loss and Reduces both Systemic and Mucosal Simian-Human Immunodeficiency Virus SHIVKU2 RNA Levels..
R. Pal, D. Venzon, S. Santra, V. S. Kalyanaraman, D. C. Montefiori, L. Hocker, L. Hudacik, N. Rose, J. Nacsa, Y. Edghill-Smith, et al. (2006)
J. Virol. 80, 3732-3742
   Abstract »    Full Text »    PDF »
Protection of Rhesus Monkeys against Infection with Minimally Pathogenic Simian-Human Immunodeficiency Virus: Correlations with Neutralizing Antibodies and Cytotoxic T Cells.
G. V. Quinnan Jr., X.-F. Yu, M. G. Lewis, P. F. Zhang, G. Sutter, P. Silvera, M. Dong, A. Choudhary, P. T. N. Sarkis, P. Bouma, et al. (2005)
J. Virol. 79, 3358-3369
   Abstract »    Full Text »    PDF »
CXCR4-Dependent Infection of CD8+, but Not CD4+, Lymphocytes by a Primary Human Immunodeficiency Virus Type 1 Isolate.
B. Zerhouni, J. A. E. Nelson, and K. Saha (2004)
J. Virol. 78, 12288-12296
   Abstract »    Full Text »    PDF »
Evolutionary Dynamics of the Glycan Shield of the Human Immunodeficiency Virus Envelope during Natural Infection and Implications for Exposure of the 2G12 Epitope.
L. Dacheux, A. Moreau, Y. Ataman-Onal, F. Biron, B. Verrier, and F. Barin (2004)
J. Virol. 78, 12625-12637
   Abstract »    Full Text »    PDF »
Development of an AIDS vaccine: perspective from the South African AIDS Vaccine Initiative.
T. J Tucker and G. Mazithulela (2004)
BMJ 329, 454-456
   Full Text »    PDF »
Controversy Over Vaccine Trial.
(2004)
AIDS Clinical Care 2004, 1
   Full Text »



To Advertise     Find Products


Science. ISSN 0036-8075 (print), 1095-9203 (online)