US scientists have scrapped plans for a large trial of a HIV vaccine due to concerns about its effectiveness, the government’s medical research agency said. The decision on the government-developed vaccine comes less than a year after a trial for a similar vaccine from the pharmaceutical company Merck failed -- marking another setback in the decades-long struggle to develop a successful vaccine to fight the scourge of AIDS.
The National Institute of Allergy and Infectious Diseases (NIAID), part of the government’s National Institutes of Health, said after consulting scientists and advocacy groups it "has determined that it will not conduct the HIV vaccine study known as PAVE 100."
"However, NIAID believes the vaccine developed by its Vaccine Research Center (VRC) is scientifically intriguing and sufficiently different from previously tested HIV vaccines to consider testing it in a smaller, more focused clinical study," the agency said in a statement issued on Thursday.
The smaller-scale study would examine if the vaccine regimen lowers the amount of HIV in the blood of vaccinated individuals, the agency said.
The trial, which was to involve 8,500 volunteers in the United States, South America, the Caribbean and Africa, had been viewed as a test of a promising vaccine that uses virus strains from around the world to prompt immunity.
The failure of Merck’s vaccine influenced the decision to cancel the planned trial of the government’s PAVE vaccine, US media reported on Friday.
Results also indicated that it may have even increased the risk of infection for some patients.
"Show me that the vaccine works by lowering the amount of HIV in the blood," Fauci was quoted as saying by the New York Times.
"Then we will move to a larger trial that will document the link with a particular immune response," he said. Until then, "doing a large trial is not justified."
The agency said it would continue to strive to find an AIDS vaccine, an effort that began more than 20 years ago.
"An HIV vaccine continues to be our best hope for ending the HIV pandemic," it said.
"NIAID is committed to supporting the basic research and vaccine discovery needed to design promising vaccine candidates and testing those candidates when appropriate."