Evidence map›Paper›PMID 40388952›Full record

Trial reportThe Lancet. Microbe2025

Safety and broad immunogenicity of HIVconsvX conserved mosaic candidate T-cell vaccines vectored by ChAdOx1 and MVA in HIV-CORE 006: a double-blind, randomised, placebo-controlled phase 1 trial in healthy adults living without HIV-1 in eastern and southern Africa.

Chama Chanda, Freddie Kibengo, Michael Mutua, Fred Ogada, Vincent Muturi-Kioi, Belkis M Akis Yildirim, Mary Amondi, Andrea Baines, Vincent Basajja, Nicola Borthwick and 65 more

Registry-linked trialAbstract readRandomized Controlled TrialClinical Trial, Phase I
In one paragraph

Trial report in The Lancet. Microbe, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04553016 (A Phase 1 Trial of ChAdOx1- and MVA-vectored Conserved Mosaic HIV-1 Vaccines in Healthy, Adult HIV-1-negative Volunteers in Eastern and Southern Africa.), which is not on this map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing 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.

NCT04553016 phase1unknown statusnot on this map

A Phase 1 Trial of ChAdOx1- and MVA-vectored Conserved Mosaic HIV-1 Vaccines in Healthy, Adult HIV-1-negative Volunteers in Eastern and Southern Africa.

TypeinterventionalSponsorUniversity of OxfordRan2021 to 2022Enrolled88ConditionsHIV-1-infectionArmsVaccine, Placebo
3 · Its place in the literature

Who cites it

9 citing papers in PubMed.

  1. Trial
  2. Renaissance of antiviral CD8Nature reviews. Immunology · 2026
    Review
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  4. Article
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  6. Article
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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

75 authors.

Chama ChandaCenter for Family Health Research Zambia (CFHRZ), Lusaka, Zambia.
Freddie KibengoMedical Research Council/Uganda Virus Research Institute and London School of Hygiene & Tropical Medicine Uganda Research Unit, Entebbe, Uganda.
Michael MutuaKAVI Institute of Clinical Research (KAVI-ICR), University of Nairobi, Nairobi, Kenya.
Fred OgadaKEMRI-Wellcome Trust Research Programme, Kilifi, Kenya.
Vincent Muturi-KioiIAVI, New York, NY, USA.
Belkis M Akis YildirimThe Jenner Institute, Nuffield Department of Medicine, Oxford University, Oxford, UK.
Mary AmondiIAVI, New York, NY, USA.
Andrea BainesThe Jenner Institute, Nuffield Department of Medicine, Oxford University, Oxford, UK.
Vincent BasajjaMedical Research Council/Uganda Virus Research Institute and London School of Hygiene & Tropical Medicine Uganda Research Unit, Entebbe, Uganda.
Nicola BorthwickThe Jenner Institute, Nuffield Department of Medicine, Oxford University, Oxford, UK.
Kefa BosireKAVI Institute of Clinical Research (KAVI-ICR), University of Nairobi, Nairobi, Kenya.
Elias ChambulaCenter for Family Health Research Zambia (CFHRZ), Lusaka, Zambia.
Paramesh ChettyIAVI, New York, NY, USA.
Kundai ChinyenzeIAVI, New York, NY, USA.
Oscar ChirroKEMRI-Wellcome Trust Research Programme, Kilifi, Kenya.
Alison CrookThe Jenner Institute, Nuffield Department of Medicine, Oxford University, Oxford, UK.
Jan De BontIAVI, New York, NY, USA.
Natalia FernandezIAVI Human Immunology Laboratory, Imperial College London, London, UK.
Peter EjouMedical Research Council/Uganda Virus Research Institute and London School of Hygiene & Tropical Medicine Uganda Research Unit, Entebbe, Uganda.
Bashir FarahIAVI, New York, NY, USA.
Molly GlazeThe Jenner Institute, Nuffield Department of Medicine, Oxford University, Oxford, UK.
Ben GombeMedical Research Council/Uganda Virus Research Institute and London School of Hygiene & Tropical Medicine Uganda Research Unit, Entebbe, Uganda.
Anne GumbeIAVI, New York, NY, USA.
Peter HayesIAVI Human Immunology Laboratory, Imperial College London, London, UK.
Sally ItwiCenter for Family Health Research Zambia (CFHRZ), Lusaka, Zambia.
Sheba JumaCenter for Family Health Research Zambia (CFHRZ), Lusaka, Zambia.
Anita KabarambiMedical Research Council/Uganda Virus Research Institute and London School of Hygiene & Tropical Medicine Uganda Research Unit, Entebbe, Uganda.
Chishiba KabengeleCenter for Family Health Research Zambia (CFHRZ), Lusaka, Zambia.
Paddy KafeeroMedical Research Council/Uganda Virus Research Institute and London School of Hygiene & Tropical Medicine Uganda Research Unit, Entebbe, Uganda.
Ayoub KakandeMedical Research Council/Uganda Virus Research Institute and London School of Hygiene & Tropical Medicine Uganda Research Unit, Entebbe, Uganda.
Jennifer KanungiKEMRI-Wellcome Trust Research Programme, Kilifi, Kenya.
William KidegaIAVI, New York, NY, USA.
Deborah KingIAVI Human Immunology Laboratory, Imperial College London, London, UK.
Rose MahiraKAVI Institute of Clinical Research (KAVI-ICR), University of Nairobi, Nairobi, Kenya.
Roselyn MalogoKAVI Institute of Clinical Research (KAVI-ICR), University of Nairobi, Nairobi, Kenya.
Mabela MatsosoIAVI, New York, NY, USA.
Clive MicheloCenter for Family Health Research Zambia (CFHRZ), Lusaka, Zambia.
Annie MoyoCenter for Family Health Research Zambia (CFHRZ), Lusaka, Zambia.
Susan MugabaMedical Research Council/Uganda Virus Research Institute and London School of Hygiene & Tropical Medicine Uganda Research Unit, Entebbe, Uganda.
Irene MugenyaKAVI Institute of Clinical Research (KAVI-ICR), University of Nairobi, Nairobi, Kenya.
Patrick MuhumuzaMedical Research Council/Uganda Virus Research Institute and London School of Hygiene & Tropical Medicine Uganda Research Unit, Entebbe, Uganda.
Yama F MujadidiOxus Technologies, Oxford, UK.
Moses MuriukiKAVI Institute of Clinical Research (KAVI-ICR), University of Nairobi, Nairobi, Kenya.
Vernon MusaleCenter for Family Health Research Zambia (CFHRZ), Lusaka, Zambia.
Gaudensia MutuaKAVI Institute of Clinical Research (KAVI-ICR), University of Nairobi, Nairobi, Kenya.
Meya MuwowoCenter for Family Health Research Zambia (CFHRZ), Lusaka, Zambia.
Fatima MwaleCenter for Family Health Research Zambia (CFHRZ), Lusaka, Zambia.
Irene MwangiKAVI Institute of Clinical Research (KAVI-ICR), University of Nairobi, Nairobi, Kenya.
Maria NakimbugweMedical Research Council/Uganda Virus Research Institute and London School of Hygiene & Tropical Medicine Uganda Research Unit, Entebbe, Uganda.
Angella NamuyanjaMedical Research Council/Uganda Virus Research Institute and London School of Hygiene & Tropical Medicine Uganda Research Unit, Entebbe, Uganda.
Eunice NduatiKEMRI-Wellcome Trust Research Programme, Kilifi, Kenya.
Leslie NielsenIAVI, New York, NY, USA.
Jaquelyn NyangeKAVI Institute of Clinical Research (KAVI-ICR), University of Nairobi, Nairobi, Kenya.
Geofrey OinoKAVI Institute of Clinical Research (KAVI-ICR), University of Nairobi, Nairobi, Kenya.
Brenda OkechMedical Research Council/Uganda Virus Research Institute and London School of Hygiene & Tropical Medicine Uganda Research Unit, Entebbe, Uganda; UVRI-IAVI HIV Vaccine Program, Entebbe, Uganda.
Gloria Omosa-ManyonyiKAVI Institute of Clinical Research (KAVI-ICR), University of Nairobi, Nairobi, Kenya.
Dan OtienoKEMRI-Wellcome Trust Research Programme, Kilifi, Kenya.
Shaun PalmerIAVI, New York, NY, USA.
Hilda PhiriCenter for Family Health Research Zambia (CFHRZ), Lusaka, Zambia.
Kelly RamkoKEMRI-Wellcome Trust Research Programme, Kilifi, Kenya.
Rachel L RutishauserDivision of Experimental Medicine, Zuckerberg San Francisco General Hospital, University of California, San Francisco, CA, USA.
Eddy SayeedIAVI, New York, NY, USA.
Rose SajabiKAVI Institute of Clinical Research (KAVI-ICR), University of Nairobi, Nairobi, Kenya.
Jennifer SerwangaMedical Research Council/Uganda Virus Research Institute and London School of Hygiene & Tropical Medicine Uganda Research Unit, Entebbe, Uganda.
Edmund G-T WeeThe Jenner Institute, Nuffield Department of Medicine, Oxford University, Oxford, UK.
Claire WendenIAVI Human Immunology Laboratory, Imperial College London, London, UK.
Paola CicconiThe Jenner Institute, Nuffield Department of Medicine, Oxford University, Oxford, UK.
Patricia FastIAVI, New York, NY, USA.
Jill GilmourIAVI Human Immunology Laboratory, Imperial College London, London, UK.
Walter JaokoKAVI Institute of Clinical Research (KAVI-ICR), University of Nairobi, Nairobi, Kenya.
Pontiano KaleebuMedical Research Council/Uganda Virus Research Institute and London School of Hygiene & Tropical Medicine Uganda Research Unit, Entebbe, Uganda.
William KilembeCenter for Family Health Research Zambia (CFHRZ), Lusaka, Zambia.
Hester KuipersIAVI, New York, NY, USA.
Eduard J SandersKEMRI-Wellcome Trust Research Programme, Kilifi, Kenya.
Tomáš HankeJoint Research Center for Human Retrovirus Infection, Kumamoto University, Kumamoto, Japan; The Jenner Institute, Nuffield Department of Medicine, Oxford University, Oxford, UK. Electronic address: tomas.hanke@ndm.ox.ac.uk.

Funding

European & Developing Countries Clinical Trials Partnership (EDCTP) SRIA2015-1066Gates Foundation INV-046661
6 · The paper itself

Abstract

backgroundEven within the context of antiretroviral treatment and prevention, an HIV-1 vaccine remains the best strategy for ending the HIV/AIDS epidemic. A vaccine is particularly needed in sub-Saharan Africa, where HIV-1 greatly affects people's lives and economy. Here, we aimed to assess the safety and immunogenicity of candidate T-cell vaccines in African populations.

methodsHIV-CORE 006 was a double-blind, randomised, placebo-controlled phase 1 trial conducted across four clinical research centres in Uganda, Kenya, and Zambia. Eligible participants were not pregnant, were living without HIV-1 or HIV-2, had a low likelihood of acquiring HIV-1, were aged 18-50 years, fully comprehended the purpose and details of this study as outlined in the participant information sheet, and passed an assessment of understanding before providing written informed consent. Participants were randomly assigned (9:2) to receive either a vaccine regimen or a placebo. The vaccine was administered as ChAdOx1.tHIVconsv1 (C1) followed by MVA.tHIVconsv3 (M3) and MVA.tHIVconsv4 (M4) in regimen C1-M3M4. The first primary outcome was the vaccines' safety assessment, assessed in all participants who received at least one vaccine or placebo dose. The second primary outcome evaluated the C1-M3M4 regimen's induction of HIVconsvX-specific T-cell responses by assessing the proportion of vaccine recipients who responded to the vaccination, assessed in all participants who received all doses of vaccine or placebo as per protocol. This study is registered with ClinicalTrials.gov, NCT04553016, and the Pan-African Clinical Trials Registry PACTR202006495409011, and is now closed.

findingsBetween July 15, 2021, and Nov 2, 2022, 89 healthy adults living without HIV-1 were randomly assigned, with 88 receiving either the vaccine (n=72) or placebo (n=16). Of these 88 participants, 57 (65%) were male and 31 (35%) were female. The C1, M3, and M4 vaccine components were well tolerated and induced HIVconsvX-specific responses in 70 (99%) of the 71 participants who completed all vaccine doses. Vaccine-elicited T cells peaked at a median of 2310 (IQR 1080-4480) IFN-γ spot-forming units per 10

interpretationResults from key sub-Saharan African populations supported the safety of the vaccine regimen previously shown in the first-in-human trial in the UK. The induction of T cells and their characteristics encourage vaccine integration into HIV-1 cure strategies, which could inform HIV-1 prevention efforts.

fundingThe European and Developing Countries Clinical Trials Partnership.

Indexed as

AIDS VaccinesChAdOx1 nCoV-19HIV InfectionsImmunogenicity, VaccineT-LymphocytesAdolescentAdultDouble-Blind MethodFemaleHealthy VolunteersHIV-1HumansKenyaMaleMiddle AgedUgandaAIDS VaccinesChAdOx1 nCoV-19

Identifiers

PMID40388952
PMCPMC12134052

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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.