Evidence map›Paper›PMID 42084923›Full record

Trial reportThe Journal of clinical investigation2026

MVA.HIVconsvX vaccination-evoked T cell expansion inversely associates with age in people with HIV-1 on antiretroviral therapy.

Cynthia L Gay, Yinyan Xu, Ann Marie K Weideman, Fiona R Shaw, JoAnn D Kuruc, Shayla Z Conrad, Sofia A Mariano, Shahryar Samir, Sallay Kallon, Alexis T Sponaugle and 21 more

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in The Journal of clinical investigation, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

31 authors.

Cynthia L GayDepartment of Medicine.
Yinyan XuUniversity of North Carolina HIV Cure Center.
Ann Marie K WeidemanBiostatistics Core, Center for AIDS Research, and.
Fiona R ShawUniversity of North Carolina HIV Cure Center.
JoAnn D KurucDepartment of Medicine.
Shayla Z ConradUniversity of North Carolina HIV Cure Center.
Sofia A MarianoUniversity of North Carolina HIV Cure Center.
Shahryar SamirUniversity of North Carolina HIV Cure Center.
Sallay KallonUniversity of North Carolina HIV Cure Center.
Alexis T SponaugleUniversity of North Carolina HIV Cure Center.
Joanna A WarrenUniversity of North Carolina HIV Cure Center.
Genevieve T CluttonUniversity of North Carolina HIV Cure Center.
Maria Abad-FernandezUniversity of North Carolina HIV Cure Center.
Carolina KapperBiostatistics Core, Center for AIDS Research, and.
Alex B BradleyDepartment of Medicine.
Caroline E BakerDepartment of Medicine.
Susan M PedersenDepartment of Medicine.
Matthew J MoeserDepartment of Microbiology and Immunology.
Lauren BurkeDepartment of Radiology, University of North Carolina, Chapel Hill, North Carolina, USA.
Edmund G-T WeeThe Jenner Institute, Nuffield Department of Medicine, University of Oxford, Oxford, United Kingdom.
Alison CrookThe Jenner Institute, Nuffield Department of Medicine, University of Oxford, Oxford, United Kingdom.
Gregory M LairdAccelovir Diagnostics, Baltimore, Maryland, USA.
Joshua C CyktorDivision of Infectious Disease, University of Pittsburgh, Pittsburgh, Pennsylvania, USA.
John W MellorsDivision of Infectious Disease, University of Pittsburgh, Pittsburgh, Pennsylvania, USA.
Shuntai ZhouDepartment of Microbiology and Immunology.
Lawrence FoxHIV Research Branch, Division of AIDS, National Institute of Allergy and Infectious Diseases, NIH, Washington, DC, USA.
Joseph J EronDepartment of Medicine.
David M MargolisDepartment of Medicine.
Michael G HudgensBiostatistics Core, Center for AIDS Research, and.
Tomáš HankeThe Jenner Institute, Nuffield Department of Medicine, University of Oxford, Oxford, United Kingdom.
Nilu GoonetillekeDepartment of Medicine.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUNDApproaches to achieving antiretroviral therapy-free (ART-free) remission from HIV-1 must consider that people over 50 years now comprise the majority of people with HIV (PWH) on ART in various regions, including the United States.METHODSWe report a double-blind, randomized trial in which PWH on ART, aged 21-60 years, received modified vaccinia Ankara-vectored (MVA-vectored) vaccines, MVA.tHIVconsv3 (M3) and MVA.tHIVconsv4 (M4), either alone or in combination (n = 7/group), or saline placebo (n = 3). M3 and M4 contain complementary HIVconsvX immunogens that each span the same regions in HIV-1 Gag and Pol but differ by approximately 8% at the amino acid level.RESULTSM3, M4, and M3M4 regimens were well tolerated and all significantly increased both the frequency (peak median increase ~3-fold) and breadth of the HIVconsvX-specific T cell response while redirecting T cells to target conserved regions in HIV-1 for up to 10 weeks after vaccination. We also demonstrated that vaccination increased frequencies of T cells targeting participant autologous HIV-1 sequences. Vaccination mostly expanded preexisting HIV-1-specific T cells and did not impact CD4+ T cell activation, low-level viremia, or integrated HIV-1 provirus. Linear regression indicated that age was independently and negatively associated with the change in T cell frequency at 1, 2, and 10 weeks after vaccination (~1.41-fold decrease per 10 years older). After adjusting for age, years on ART was positively associated with HIVconsvX-specific T cell frequencies at 1 and 2 weeks following vaccination.CONCLUSIONIn PWH receiving ART, MVA.HIVconsvX vaccines significantly increased T cells targeting conserved regions of HIV-1. Novel strategies may be required to enhance anti-HIV-1 immunity in older adults.TRIAL REGISTRATIONClinicalTrials.gov NCT03844386FUNDINGNIH National Institute of Allergy and Infectious Diseases (NIAID) grants U01AI131310, HHSN272201100021I/HHSN27200037 (subcontract OX-14007.004.0037-212), UM1TR004406, P30AI050410, and P30CA016086; International AIDS Vaccine Initiative; European and Developing Countries Clinical Trials Partnership SRIA2015-1066; European Commission's Horizon 2020 Research and Innovation Programme 681137.

Indexed as

AIDS VaccinesHIV-1HIV InfectionsT-LymphocytesAdultAge FactorsDouble-Blind MethodFemaleHumansMaleMiddle AgedVaccinationYoung AdultAIDS VaccinesAgingAIDS/HIVAIDS vaccineClinical trialsImmunologyT cells

Identifiers

PMID42084923
PMCPMC13262733

What OpenQuestion holds

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Registered trials

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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.