Thursday, September 24, 2009

First potential AIDS vaccine

This just came off the press:
A new AIDS vaccine tested on more than 16,000 volunteers in Thailand has protected a significant minority against infection, the first time any vaccine against the disease has even partly succeeded in a clinical trial...Col. Jerome H. Kim, a physician who is manager of the army’s H.I.V. vaccine program, said half the 16,402 volunteers were given six doses of two vaccines in 2006 and half were given placebos. They then got regular tests for the AIDS virus for three years. Of those who got placebos, 74 became infected, while only 51 of those who got the vaccines did. Results of the trial of the vaccine, known as RV 144, were released at 2 a.m. Eastern time Thursday in Thailand by the partners that ran the trial, by far the largest of an AIDS vaccine: the United States Army, the Thai Ministry of Public Health, Dr. Fauci’s institute, and the patent-holders in the two parts of the vaccine, Sanofi-Pasteur and Global Solutions for Infectious Diseases.
However this also came off the same press:
Scientists said they were delighted but puzzled by the result. The vaccine — a combination of two genetically engineered vaccines, neither of which had worked before in humans — protected too few people to be declared an unqualified success. And the researchers do not know why it worked...The most confusing aspect of the trial, Dr. Kim said, was that everyone who did become infected developed roughly the same amount of virus in their blood whether they got the vaccine or a placebo. Normally, any vaccine that gives only partial protection — a mismatched flu shot, for example — at least lowers the viral load.
Nevertheless, after a decade of failures, at least it's a definite starting point scientifically.

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2 Comments:

Blogger Vivek Gupta said...

Good news, sure. But I am puzzled by one aspect of the study. How did they know that it was the vaccine that was the cause for lower infection rate in one group and not a more responsible lifestyle. Seems to me that it is very difficult to guarantee that two groups of different people will behave in exactly the same way, no matter how similar their individual superficial characteristics or circumstances.

9:49 AM  
Blogger Wavefunction said...

Good question. Will have to read the actual study for it. I would think they probably averaged out the other fctors, but as you mentioned, it's not easy to do this.

7:16 PM  

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