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September 25, 2009

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Researchers block HIV for first time

For the first time, an experimental vaccine has prevented infection with the AIDS virus, a watershed event in the deadly epidemic and a surprising result.

Recent failures led many scientists to think such a vaccine might never be possible.

The World Health Organization and the UN agency UNAIDS said the results "instilled new hope" in the field of HIV vaccine research.

The vaccine - a combination of two previously unsuccessful vaccines - cut the risk of becoming infected with HIV by more than 31 percent in the world's largest AIDS vaccine trial, involving more than 16,000 volunteers in Thailand, researchers announced yesterday in Bangkok.

Even though the benefit is modest, "it's the first evidence that we could have a safe and effective preventive vaccine," Colonel Jerome Kim told The Associated Press.

He helped lead the study for the US Army, which sponsored it with the National Institute of Allergy and Infectious Diseases.

The institute's director, Dr Anthony Fauci, warned that this is "not the end of the road" but said he was surprised and very pleased by the outcome.

"It gives me cautious optimism about the possibility of improving this result" and developing a more effective AIDS vaccine, Fauci said.

The Thailand Ministry of Public Health conducted the study, which used strains of HIV common in Thailand. Whether such a vaccine would work against other strains in the US, Africa or elsewhere in the world is unknown, scientists stressed.

Even a marginally helpful vaccine could have a big impact. Every day, 7,500 people worldwide are newly infected with HIV; 2 million died of AIDS in 2007, UNAIDS estimates.

"Today marks a historic milestone," said Mitchell Warren, executive director of the AIDS Vaccine Advocacy Coalition, an international group that has worked toward developing a vaccine. Warren was not involved in the study.

"It will take time and resources to fully analyze and understand the data, but there is little doubt that this finding will energize and redirect the AIDS vaccine field."

The study tested a two-vaccine combination of ALVAC, from Sanofi Pasteur, the vaccine division of French drug maker Sanofi-Aventis; and AIDSVAX, originally developed by VaxGen Inc and now held by Global Solutions for Infectious Diseases, a nonprofit founded by some former VaxGen employees.

ALVAC uses canarypox, a bird virus altered so it can't cause human disease, to ferry synthetic versions of three HIV genes into the body. AIDSVAX contains a genetically engineered version of a protein on HIV's surface. The vaccines are not made from whole virus and cannot cause HIV.





 

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