Table 1.
Trial design features of Phase 1 preventive HIV vaccine clinical trials with and without the inclusion of placebo recipients.
Endpoint | Design Feature | Trial Design | |
---|---|---|---|
Both vaccine and placebo recipients included | Only vaccine recipients included | ||
Safety | In-study control group for blinding | Yes | No (but may blind across multiple vaccine groups) |
In study reference group for comparison | Yes (but of limited power) | No (but may use data from other studies in similar populations, with similar vaccine schedules and administration routes) | |
Immunogenicity | In-study control group for blinding | Yes | No (but may use a labeling system to blind with other samples) |
In study reference group for comparison | Yes (but of limited power) | No (but may use within-subject baseline data when available and appropriate) | |
Cost | Within-study cost-saving | No | Yes |
Overall development cost-saving | Variable, depending on the safety/tolerability and immunogenicity of the vaccine candidate |