Evidence map›Paper›PMID 21857901›Full record

Trial reportPloS one2011

A phase IIA randomized clinical trial of a multiclade HIV-1 DNA prime followed by a multiclade rAd5 HIV-1 vaccine boost in healthy adults (HVTN204).

Gavin J Churchyard, Cecilia Morgan, Elizabeth Adams, John Hural, Barney S Graham, Zoe Moodie, Doug Grove, Glenda Gray, Linda-Gail Bekker, M Juliana McElrath and 18 more

Registry-linked trialOpen access · goldAbstract readClinical Trial, Phase IIRandomized Controlled Trial
In one paragraph

Trial report in PloS one, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00125970 (HVTN Protocol 204 - A Phase II Clinical Trial to Evaluate the Safety and Immunogenicity of a Multiclade HIV-1 DNA Plasmid Vaccine, VRC-HIVDNA016-00-VP, Followed by a Multiclade Recombinant Adenoviral Vector HIV-1 Vaccine Boost, VRCHIVADV014-00-VP, in HIV-1 Uninfected Adult Participants), which is not on this map. Cited by 97 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
97citing papers in PubMed, 1 pooled it
5.6field-weighted citation impact, top 3% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT00125970 phase2completednot on this map

HVTN Protocol 204 - A Phase II Clinical Trial to Evaluate the Safety and Immunogenicity of a Multiclade HIV-1 DNA Plasmid Vaccine, VRC-HIVDNA016-00-VP, Followed by a Multiclade Recombinant Adenoviral Vector HIV-1 Vaccine Boost, VRCHIVADV014-00-VP, in HIV-1 Uninfected Adult Participants

TypeinterventionalSponsorNational Institute of Allergy and Infectious Diseases (NIAID)Ran2005 to 2010Enrolled480ConditionsHIV InfectionsArmsVRC-HIVDNA016-00-VP, VRC-HIVADV014-00-VP, VRC-HIVDNA016-00-VP placebo, VRC-HIVADV014-00-VP placebo
3 · Its place in the literature

Who cites it

97 citing papers in PubMed, 1 synthesis or guideline pooled it, 137 citations in OpenAlex.

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  6. Antigenic competition in CD4Science translational medicine · 2019
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37 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

28 authors at 17 institutions in 4 countries.

Gavin J ChurchyardAurum Institute for Health Research, Klerksdorp, South Africa.
Cecilia Morgan
Elizabeth Adams
John Hural
Barney S Graham
Zoe Moodie
Doug Grove
Glenda Gray
Linda-Gail Bekker
M Juliana McElrath
Georgia D Tomaras
Paul Goepfert
Spyros Kalams
Lindsey R Baden
Michelle Lally
Raphael Dolin
William Blattner
Artur Kalichman
J Peter Figueroa
Jean Pape
Mauro Schechter
Olivier Defawe
Stephen C De Rosa
David C Montefiori
Gary J Nabel
Lawrence Corey
Michael C Keefer
NIAID HIV Vaccine Trials Network
Fred Hutch Cancer Center · USNational Institutes of Health · USAurum Institute · ZABeth Israel Deaconess Medical Center · USBrigham and Women's Hospital · USCornell University · USDuke Medical Center · USDuke University · USMiriam Hospital · USNational Institute of Allergy and Infectious Diseases · USPerinatal HIV Research Unit · ZAUniversidade Federal do Estado do Rio de Janeiro · BRUniversity of Alabama at Birmingham · USUniversity of Cape Town · ZAUniversity of Maryland, College Park · USUniversity of Rochester · USVanderbilt University · US

Funding

LOC: HIV Vaccine Trials NetworkUM1AI068614 · NIAID · FRED HUTCHINSON CANCER RESEARCH CENTER · PI Dan H. Barouch, Lawrence Corey · 2011 to 2026
$1175.6M
LC: HIV Vaccine Trials NetworkUM1AI068618 · NIAID · FRED HUTCHINSON CANCER RESEARCH CENTER · PI Margaret Juliana McElrath · 2011 to 2026
$483.6M
SDMC: HIV Vaccine Trials NetworkUM1AI068635 · NIAID · FRED HUTCHINSON CANCER RESEARCH CENTER · PI Peter B. Gilbert, Yunda Huang · 2011 to 2026
$385.9M
Leadership Group for a Global HIV Vaccine Clinical Trials NetworkU01AI068614 · NIAID · FRED HUTCHINSON CANCER RESEARCH CENTER · PI COREY, LAWRENCE · 2006 to 2010
$181.5M
HIV VACCINE TRIALS NETWORK LEADERSHIP GROUPU01AI046747 · NIAID · FRED HUTCHINSON CANCER RESEARCH CENTER · PI COREY, LAWRENCE · 1999 to 2005
$124.7M
HIV Vaccine StudiesZIAAI005035 · NIAID · NATIONAL INSTITUTE OF ALLERGY AND INFECTIOUS DISEASES · PI DROPULIC, LESIA K · 2009 to 2025
$89.4M
HVTN Laboratory ProgramU01AI068618 · NIAID · FRED HUTCHINSON CANCER RESEARCH CENTER · PI MCELRATH, MARGARET JULIANA · 2006 to 2010
$82.6M
Harvard Medical School Vaccine Clinical Trials UnitUM1AI069412 · NIAID · BRIGHAM AND WOMEN'S HOSPITAL · PI Lindsey Robert Baden, Daniel R. Kuritzkes · 2012 to 2026
$57.2M
Leadership for HIV/AIDS Clinical Trials Networks; HIV Vaccine Trials NetworkU01AI068635 · NIAID · FRED HUTCHINSON CANCER RESEARCH CENTER · PI SELF, STEVEN G. · 2006 to 2010
$53.8M
CENTRAL LABORATORY FOR THE HIV VACCINES TRIALS NETWORKU01AI046725 · NIAID · DUKE UNIVERSITY · PI WEINHOLD, KENT J. · 2000 to 2005
$45.4M
Soweto Clinical Trials UnitUM1AI069453 · NIAID · WITS HEALTH CONSORTIUM (PTY), LTD · PI Glenda E Gray, Lerato Mohapi · 2012 to 2026
$40.9M
University of KwaZulu-Natal - CAPRISA HIV/AIDS Clinical Trials UnitUM1AI069469 · NIAID · UNIVERSITY OF KWAZULU-NATAL · PI QUARRAISHA ABDOOL KARIM · 2012 to 2026
$36.4M
NIAID NIH HHS 30022/1U01AI069421/U01AI046747NIAID NIH HHS AI046703/AI068635NIAID NIH HHS AI046725/AI068618NIAID NIH HHS AI046747NIAID NIH HHS AI046747/AI068614NIAID NIH HHS AI047980/AI069511NIAID NIH HHS AI047985/AI069439NIAID NIH HHS AI047996/AI069452NIAID NIH HHS AI048001/AI069447NIAID NIH HHS AI048023/AI069412NIAID NIH HHS AI069409NIAID NIH HHS AI069414NIAID NIH HHS AI069420NIAID NIH HHS AI069453NIAID NIH HHS AI069469NIAID NIH HHS AI069519NIAID NIH HHS U01 AI046703NIAID NIH HHS U01 AI046725NIAID NIH HHS U01 AI046747NIAID NIH HHS U01 AI047980NIAID NIH HHS U01 AI047985NIAID NIH HHS U01 AI047996NIAID NIH HHS U01 AI048001NIAID NIH HHS U01 AI048023NIAID NIH HHS U01 AI068614NIAID NIH HHS U01 AI068618NIAID NIH HHS U01 AI068635NIAID NIH HHS U01 AI069409NIAID NIH HHS U01 AI069412NIAID NIH HHS U01 AI069414NIAID NIH HHS U01 AI069420NIAID NIH HHS U01 AI069439NIAID NIH HHS U01 AI069447NIAID NIH HHS U01 AI069452NIAID NIH HHS U01 AI069453NIAID NIH HHS U01 AI069469NIAID NIH HHS U01 AI069511NIAID NIH HHS U01 AI069519NIAID NIH HHS UM1 AI068614NIAID NIH HHS UM1 AI068618NIAID NIH HHS UM1 AI068635NIAID NIH HHS UM1 AI069409NIAID NIH HHS UM1 AI069412NIAID NIH HHS UM1 AI069420NIAID NIH HHS UM1 AI069439NIAID NIH HHS UM1 AI069452NIAID NIH HHS UM1 AI069453NIAID NIH HHS UM1 AI069469NIAID NIH HHS UM1 AI069511NIAID NIH HHS UM1 AI069519
6 · The paper itself

Abstract

backgroundThe safety and immunogenicity of a vaccine regimen consisting of a 6-plasmid HIV-1 DNA prime (envA, envB, envC, gagB, polB, nefB) boosted by a recombinant adenovirus serotype-5 (rAd5) HIV-1 with matching inserts was evaluated in HIV-seronegative participants from South Africa, United States, Latin America and the Caribbean.

methods480 participants were evenly randomized to receive either: DNA (4 mg i.m. by Biojector) at 0, 1 and 2 months, followed by rAd5 (10(10) PU i.m. by needle/syringe) at 6 months; or placebo. Participants were monitored for reactogenicity and adverse events throughout the 12-month study. Peak and duration of HIV-specific humoral and cellular immune responses were evaluated after the prime and boost.

resultsThe vaccine was well tolerated and safe. T-cell responses, detected by interferon-γ (IFN-γ) ELISpot to global potential T-cell epitopes (PTEs) were observed in 70.8% (136/192) of vaccine recipients overall, most frequently to Gag (54.7%) and to Env (54.2%). In U.S. vaccine recipients T-cell responses were less frequent in Ad5 sero-positive versus sero-negative vaccine recipients (62.5% versus 85.7% respectively, p = 0.035). The frequency of HIV-specific CD4+ and CD8+ T-cell responses detected by intracellular cytokine staining were similar (41.8% and 47.2% respectively) and most secreted ≥2 cytokines. The vaccine induced a high frequency (83.7%-94.6%) of binding antibody responses to consensus Group M, and Clades A, B and C gp140 Env oligomers. Antibody responses to Gag were elicited in 46% of vaccine recipients.

conclusionThe vaccine regimen was well-tolerated and induced polyfunctional CD4+ and CD8+ T-cells and multi-clade anti-Env binding antibodies.

trial registrationClinicalTrials.gov NCT00125970.

Indexed as

AdenoviridaeAdolescentAdultAIDS VaccinesAnemiaAntibodies, ViralCohort Studiesenv Gene Products, Human Immunodeficiency VirusEnzyme-Linked Immunosorbent AssayFemalegag Gene Products, Human Immunodeficiency VirusHIV-1Human Immunodeficiency Virus ProteinsHumansImmunizationImmunization, SecondaryAIDS VaccinesAntibodies, Viralenv Gene Products, Human Immunodeficiency Virusgag Gene Products, Human Immunodeficiency VirusHuman Immunodeficiency Virus ProteinsImmunoglobulin GInterferon-gammanef Gene Products, Human Immunodeficiency Virusnef protein, Human immunodeficiency virus 1pol Gene Products, Human Immunodeficiency VirusVaccines, DNA

Identifiers

PMID21857901
PMCPMC3152265
OpenAlexW2031894834

What OpenQuestion holds

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.