Evidence map›Paper›PMID 40189566›Full record

ReviewAIDS research and therapy2025

Clinical trials of broadly neutralizing monoclonal antibodies in people living with HIV - a review.

Sharana Mahomed, Kayla Pillay, Razia Hassan-Moosa, Bruna P G V Galvão, Wendy A Burgers, Penny L Moore, Melissa Rose-Abrahams, Carolyn Williamson, Nigel Garrett

Abstract readReview
In one paragraph

Review in AIDS research and therapy, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed
–field-weighted citation impact
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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

23 citing papers in PubMed.

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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

9 authors.

Sharana MahomedCentre for the AIDS Programme of Research in South Africa (CAPRISA), Durban, 4001, South Africa. Sharana.Mahomed@caprisa.org.ORCID 0009-0005-1449-160X
Kayla PillayCentre for the AIDS Programme of Research in South Africa (CAPRISA), Durban, 4001, South Africa.
Razia Hassan-MoosaCentre for the AIDS Programme of Research in South Africa (CAPRISA), Durban, 4001, South Africa.
Bruna P G V GalvãoDivision of Medical Virology, Institute of Infectious Disease and Molecular Medicine, University of Cape Town, Cape Town, 7925, South Africa.
Wendy A BurgersDivision of Medical Virology, Institute of Infectious Disease and Molecular Medicine, University of Cape Town, Cape Town, 7925, South Africa.
Penny L MooreCentre for the AIDS Programme of Research in South Africa (CAPRISA), Durban, 4001, South Africa.
Melissa Rose-AbrahamsCentre for the AIDS Programme of Research in South Africa (CAPRISA), Durban, 4001, South Africa.
Carolyn WilliamsonCentre for the AIDS Programme of Research in South Africa (CAPRISA), Durban, 4001, South Africa.
Nigel GarrettCentre for the AIDS Programme of Research in South Africa (CAPRISA), Durban, 4001, South Africa.

Funding

VirologyP30AI036214 · NIAID · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI SUSAN JANET LITTLE · 1994 to 2026
$78.4M
Strategies for targeting T follicular helper cells to improve HIV Env vaccine immunogenicity and efficacyP01AI181044 · NIAID · UNIVERSITY OF CALIFORNIA AT DAVIS · PI DENNIS J. HARTIGAN-O'CONNOR · 2025 to 2026
$11.0M
European and Developing Countries Clinical Trials Partnership RIA2017SNational Research Foundation 98341NIAID NIH HHS P01 AI181044NIAID NIH HHS P30 AI036214South African Medical Research Council 96859
6 · The paper itself

Abstract

introductionHIV-1 remains a major global health challenge, impacting approximately 39 million people worldwide. Although antiretroviral therapy has substantially reduced HIV incidence and enhanced the quality of life for those living with HIV, adherence difficulties, limited access, and persistent stigma continue to exacerbate the disease burden. A curative or long-term immunological control strategy without continuous medication would significantly advance pandemic management. In the 2010s, technological progress led to the development of a new generation of broadly neutralizing antibodies (bNAbs) with improved potency and breadth, targeting conserved regions of the HIV-1 envelope and facilitating viral neutralization and clearance.

methodsThis review evaluates the clinical outcomes and potential of bNAbs in people living with HIV, summarizing findings from a review of 154 registered trials, of which 62 met the inclusion criteria focusing on adult PLWH.

resultsEarly trials confirmed bNAbs' safety but revealed transient and limited viral suppression, often due to viral escape. Second-generation bNAbs like VRC01 and 3BNC117, as well as combination therapies such as 3BNC117 with 10-1074, extended viral suppression but continued to face resistance challenges.

conclusionMore recent trials that paired bNAbs with latency-reversing agents or combined multiple bNAbs demonstrated promising results, including delayed viral rebound and enhanced CD8 + T-cell responses. While bNAbs show potential as an adjunct or alternative to ART, obstacles such as viral resistance, high production costs, and scalability must be addressed. Continued research is crucial to developing more potent, durable, and affordable bNAbs for sustainable HIV treatment and potential remission.

Indexed as

Antibodies, NeutralizingBroadly Neutralizing AntibodiesHIV-1HIV AntibodiesHIV InfectionsAnti-HIV AgentsClinical Trials as TopicHumansAntibodies, NeutralizingAnti-HIV AgentsBroadly Neutralizing AntibodiesHIV AntibodiesBroadly neutralizing monoclonal antibodiesClinical trialsCureHuman immunodeficiency virusSafetyTreatment

Identifiers

PMID40189566
PMCPMC11972490

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

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.