HIV Vaccine: FDA Approves Human Trials Of Promising Vaccine, Uses Killed Whole Virus

CP    
First Posted: 12/20/11 11:25 AM ET Updated: 12/20/11 07:22 PM ET

TORONTO - Canadian researchers have been given the green light for human testing of an experimental HIV vaccine, but the initial trial will determine only its safety, not whether the vaccine works to prevent infection with the virus.

The U.S. Food and Drug Administration granted approval for researchers at the University of Western Ontario to test the vaccine, which is based on a genetically modified killed whole virus.

The SAV001 vaccine, developed by the lab of Dr. Chil-Yong Kang with financial support from Sumagen Canada, has been shown to stimulate a strong immune response in preliminary toxicology tests.

"FDA approval for human clinical trials is an extremely significant milestone for our vaccine, which has the potential to save the lives of millions of people around the world by preventing HIV infection," suggested Kang, whose research lab has spent the last 10 years developing the vaccine at a cost of about $10 million.

Kang said his team decided to seek FDA approval for the Phase I clinical trial because testing will be done in the United States, where the candidate vaccine is being produced. He said the stringent requirements of the U.S. regulatory body would also make it easier to seek approval for widespread commercialization of the vaccine in other countries in the future.

To make the vaccine, the researchers start by altering the genetic makeup of the human immunodeficiency virus to make it non-pathogenic — in other words, incapable of causing disease —then further inactivate it with chemicals and radiation.

"We have to make sure the virus is completely safe," Kang said Tuesday from London, Ont.

In Phase I of the clinical trial, set to begin in January, 40 HIV-positive volunteers will be injected with the vaccine to see if they suffer any dangerous side-effects.

If the SAV001 vaccine is found to be safe, it would require two more clinical trials that prove it works before it could be brought to market. Kang estimates it will cost another $100 million to complete those two trials.

"So as long as it doesn't show adverse effects, then we can go on for Phase II human clinical trials, that is to look at the immune responses and see whether they make antibodies against the virus," said Kang, explaining that testing would be performed in about 600 subjects who are HIV-negative but whose lifestyle puts them at high risk of becoming infected.

Phase III would test the effectiveness of the vaccine in a larger group of similarly at-risk individuals. Researchers hope to recruit about 6,000 high-risk volunteers for that final phase of testing, half of whom would be vaccinated and half left unvaccinated.

Kang said participants would be tracked for about three years to see how many in each group become infected with HIV.

"Suppose you have one or two infected individuals from the vaccinated group and then 200 or more from the non-vaccinated group, then you have efficacy," he said. "And that's how we calculate effectiveness of this virus vaccine."

Dr. Alan Bernstein, former executive director of the Global HIV Vaccine Enterprise, said it's important for the public to realize that the vaccine first needs to pass critical testing to make sure it does no harm.

"The only goal of any Phase I trial is to establish safety, so we will not know whether the vaccine is effective in preventing AIDS," said Bernstein, now a visiting professor at St. Michael's Hospital in Toronto. "This will not be a trial that says, 'We've got a vaccine now, guys,' even if it ultimately is."

The SAV001 is not the first experimental HIV vaccine to show promise in pre-clinical testing. A few others have reached this stage and gone beyond, only to fall short in the final analysis.

One of them was a Merck vaccine being tested in the STEP trial, which enrolled 3,000 international participants. The Phase II trial was halted when it found that more subjects who had been vaccinated became infected with HIV than those who received a sham vaccination.

Two years ago, an experimental vaccine studied in a large number of people in Thailand was found to protect against HIV infection in just under a third of those who received it. But the percentage wasn't high enough for researchers to conclude that the vaccine worked, so they are back in the lab trying to improve it.

Developing a vaccine against HIV has been a daunting task for scientists because of the complexity of the virus and the fact that it mutates so quickly.

There are seven major sub-strains of HIV, but the virus can mutate even as it is transmitted from one person to another, then mutate further to escape the infected person's own immune response.

"It's very hard to make one vaccine that can effectively neutralize all the different HIV strains that are found around the world or even amongst individuals in the same city," Bernstein said.

HIV is also a retrovirus, meaning it integrates its own genetic material into the chromosomes of key cells within the body, creating a latent infection that is extremely difficult to eliminate. To be truly preventive, a vaccine would need to be able to stamp out the virus before it reached that point, he said.

Scientists, wary of using a whole-virus vaccine because of the fears it might be able to cause infection, have tried using bits of the virus or genetically altered virus as a basis for their vaccines.

But Kang is confident that using the whole virus — albeit one that's been triply inactivated — may make his more efficacious in preventing HIV infection.

"I feel that I have a better chance to have this vaccine work because it has demonstrated that this strategy works for polio, hepatitis A, flu virus, rabies virus, and Japanese encephalitis," he said. "And there are 16 other animal virus vaccines using the killed whole virus strategy. They work to prevent infection."

Bernstein said it's important for scientists to keep testing different concepts in a bid to come up with a successful vaccine against HIV, which has killed 28 million people worldwide and infected another 35 million.

"I think what's interesting about this study is it's taking a very different approach. And diversity of approaches in science is key, is critical, because we don't know the right approach."

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TORONTO - Canadian researchers have been given the green light for human testing of an experimental HIV vaccine, but the initial trial will determine only its safety, not whether the vaccine works to ...
TORONTO - Canadian researchers have been given the green light for human testing of an experimental HIV vaccine, but the initial trial will determine only its safety, not whether the vaccine works to ...
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HUFFPOST SUPER USER
ProgressivePicon86
A 50th state Progressive.
03:55 PM on 12/21/2011
I was hoping America would be the one to make the breakthrough vaccine, but the Canadians deserve much praise for getting to this point. My only hope is that its successful in its 5 year trail period so it can be massively produced for the populations around the world dealing with HIV soon after. But with Big Pharma having a say in a capitalist world, it makes me worry about that prospect. I only hope compassionate minds win the day in the end. Saving lives is more important than profit.
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butchcliff
The future is unwritten
06:51 AM on 12/21/2011
Hope for a devastating disease
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cimmereo
manu ad ferram
04:34 AM on 12/21/2011
I truly hope the scientific establishment and the federal regulators are not tainted by corporate amorality or corporate lucre in guiding the search for a viable HIV vaccine. Greed and ethics collide into each other at frightening speeds in the medical field, with horrible consequences if the wrong side wins.
03:17 AM on 12/21/2011
Oh, yay! My alma mater representing!
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HUFFPOST SUPER USER
SmartAmerica
Tau Zero: Because I'm leaving this world alive!
02:32 AM on 12/21/2011
According to the article it will cost $100M to run this trial. By comparison the U.S. military was spending $20 billion/year on *air conditioning* at the height of the Iraq War. There is something seriously wrong with the world.

http://www.npr.org/2011/06/25/137414737/among-the-costs-of-war-20b-in-air-conditioning
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HUFFPOST SUPER USER
Scott Stevenson
Bless your heart.
03:03 AM on 12/21/2011
Ya know, I'd I was over in Iraq, I'd probably run around in my boxers, or less from all that heat. And get a killer tan to boot!
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HUFFPOST SUPER USER
johnb123
All I ask..just be reasonable....do things my way
01:49 AM on 12/21/2011
Why don't they do animal testing first? They're injecting the WHOLE virus into a person. There's no telling what will happen...will it create a super strain of HIV? They don't know.
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sam ella
Gee, Brain. What are we going to do tonight?
02:22 AM on 12/21/2011
its like dogs testing chocolate on humans first to make sure it is safe for them.
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HUFFPOST SUPER USER
Scott Stevenson
Bless your heart.
03:07 AM on 12/21/2011
Funny! F&F!
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HUFFPOST SUPER USER
Scott Stevenson
Bless your heart.
03:07 AM on 12/21/2011
Please read the article, c a r e f u l l y. It states phase 1 will be human testing on patients who already are HIV+. And there already has been at least 3 "super strains" found decades ago. People who contract HIV these days will most likely have if not one, but possibly two strains if not more. I suggest you read up on the history of HIV to educate yourself on the disease.
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HUFFPOST SUPER USER
johnb123
All I ask..just be reasonable....do things my way
12:12 AM on 12/21/2011
More proof that America is Canada's pants....they develop a drug in Canada and then test it on Americans!!! LOL http://i.imgur.com/1v59m.jpg
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HUFFPOST COMMUNITY MODERATOR
peegan
Silence like a cancer grows...S/G.
12:36 AM on 12/21/2011
Again, they explain in the article why they are doing this. Take some pride if you must in the fact they seem to feel FDA approval carries extra weight in the world.
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HUFFPOST SUPER USER
johnb123
All I ask..just be reasonable....do things my way
01:38 AM on 12/21/2011
The U.S. Food and Drug Administration granted approval for researchers at the University of Western Ontario to test the vaccine, which is based on a genetically modified killed whole virus. The SAV001 vaccine, developed by the lab of Dr. Chil-Yong Kang with financial support from Sumagen Canada,
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HUFFPOST SUPER USER
feuille derable
La République du Canada
01:07 AM on 12/21/2011
damn right baby!!!!!!!!! next step, we'll make you all socialists!
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HUFFPOST SUPER USER
MsCanuck
Wife, Mother, New Democrat, Pro-Choice, Atheist
12:40 PM on 12/21/2011
Feuille d'erable, we would first have to find an alternative word for socialists, doesn't fly well down there LOL. F&F.
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HUFFPOST SUPER USER
johnb123
All I ask..just be reasonable....do things my way
11:51 PM on 12/20/2011
If it's being developed in CANADA.... why is it being test in AMERICA????
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HUFFPOST COMMUNITY MODERATOR
peegan
Silence like a cancer grows...S/G.
12:27 AM on 12/21/2011
They explain that in the article. The vaccine is being produced in the US and the manufacturer thinks FDA approval will make it easier to market world wide ($$$$$$).
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HUFFPOST SUPER USER
johnb123
All I ask..just be reasonable....do things my way
01:34 AM on 12/21/2011
"Canadian researchers have been given the green light for human testing of an experimental HIV vaccine, "
03:02 AM on 12/21/2011
Calm down there, John. Why does it matter what country they're testing it in?
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HUFFPOST SUPER USER
VanTroi
11:12 PM on 12/20/2011
I wonder how many people will be killed by this vaccine. No thanks!
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HUFFPOST SUPER USER
Russg
12:27 AM on 12/21/2011
Nobody is forcing you to volunteer to test the vaccine to see if it is safe.

Why think of this negatively? Rather than asking yourself how many may be killed, why not ask how many may be saved?
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HUFFPOST SUPER USER
VanTroi
01:20 AM on 12/21/2011
And laws will be passed requiring everyone to get it just like other vaccines.
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HUFFPOST SUPER USER
Lupe Trujillo
11:55 PM on 12/21/2011
Well said russg....
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HUFFPOST COMMUNITY MODERATOR
peegan
Silence like a cancer grows...S/G.
12:32 AM on 12/21/2011
Do you have any idea how many people could be saved by a HIV vaccine? Think world wide. Think the African continent. It would be just short of a miracle.
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HUFFPOST SUPER USER
VanTroi
01:19 AM on 12/21/2011
How long till the government requires we all get it including infants? Its a slippery slope.
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HUFFPOST SUPER USER
mercury613
In the blue TV screen light
01:28 AM on 12/21/2011
Conspiracy theorists aren't concerned with saving lives.
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Demos 0
You have all the weapons you need. Now Fight!
10:32 PM on 12/20/2011
I've had a vaccine for years,

My wife and I have been monogamous for 25 years and counting.

Love, Commitment, Respect and Trust..... Inoculates one against many of life's ills.
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cgautz
Sow the wind, reap the whirlwind
10:57 PM on 12/20/2011
Hopefully you never get a bad blood transfussion.
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Demos 0
You have all the weapons you need. Now Fight!
01:02 AM on 12/21/2011
And the same to you, tragedy can hit anyone. Luckily we have questionnaires and testing. But tragedy can occur to anyone through no fault of their own.
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HUFFPOST SUPER USER
ExUngui
For a pessimist all surprises are on the upside
10:58 PM on 12/20/2011
Unfortunately, monogamy does not inoculate one against smugness...
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HUFFPOST SUPER USER
johnb123
All I ask..just be reasonable....do things my way
11:49 PM on 12/20/2011
He's stating a FACT.
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FZliveson
Beating the Conundrum
11:52 PM on 12/20/2011
It is worthy of touting.  

"The reason the world does not work is; people don't keep their agreements."
Werner Erhard
(see- he told us!)
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HUFFPOST COMMUNITY MODERATOR
BuckyJamesDio
This monkey's going to Heaven
10:11 PM on 12/20/2011
Canada - where health care means innovation rather than profit. Granted, there will always be huge profits to be had, but the most important aspect is finding cures or preventatives.

Keep up the good work.
garystartswithg
el sueno de la razon produce republicans
12:13 AM on 12/21/2011
hiv meds in the usa are around 1200 a month. can't mess with those profits.
09:09 PM on 12/20/2011
It's amazing to see people complaining that this story be tagged with an image of a black person.

Is it only acceptable to tag AIDS related stories with images of white people?

How does that make any sense?
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HUFFPOST SUPER USER
crosshatchaz
The meaning of life is to give life meaning.
09:55 PM on 12/20/2011
(it doesn't. Its not based in sanity, so you will not be able to comprehend)
garystartswithg
el sueno de la razon produce republicans
12:17 AM on 12/21/2011
hiv and minority groups is always going to be a tricky subject, hiv like just about everything in this country is political. just as example do you know the highest rates of infection are poor rural areas in south carolina -- and thats not exactly san francisco.
09:03 PM on 12/20/2011
Absolutely magnificent news.

Here's to humanity!
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caution50
atheist, geologist, humanist
09:02 PM on 12/20/2011
Science is awesome. Soon those who scream that this was a scourge from God will fade into the background.
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HUFFPOST SUPER USER
Russg
12:30 AM on 12/21/2011
Oh, I don't think we'll have to worry about that.

Now the anti-vaccine nutjobs will have yet one more vaccine to spin paranoid yarns about.
03:10 AM on 12/21/2011
They already are (even amongst these comments), and the vaccine is still in clinical trials.
08:58 PM on 12/20/2011
Why is the U.S. granting Canada approval for testing a drug on their own soil?

Canada really is our beach.
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HUFFPOST SUPER USER
crosshatchaz
The meaning of life is to give life meaning.
09:56 PM on 12/20/2011
The betternment of mankind might be a possible reason
03:19 AM on 12/21/2011
Absolutely.
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FZliveson
Beating the Conundrum
11:56 PM on 12/20/2011
The next steps are; 
1) Governor Perry makes it manditory for all school children in Texas
2) The U.S. military is forced to take the immunizations
3) The manufacturing contract goes to Donald Rumsfeld's favorite Gilead Sciences and he makes a few hundred million dollars more from the rise in his stocks there.