Table 2.
Immune response identified as a correlate in RV144 | Responses in non-RV144 efficacy trials | Responses in vaccines in current development |
---|---|---|
Total IgG to V1V2 scaffold | Lower in HVTN 505 compared with RV144 | Higher titers in DNA / NYVAC / gp120 than RV144. Correlates of protection in heterologous NHP challenge studies with Ad26/Ad35 and Ad26/MVA studies. |
Serum IgA to gp120 (higher IgA = lower VE) | Higher IgA (including IgA to A1ConEnv) in HVTN 505, compared to RV144 |
|
IgG3 to V1V2 | Lower in HVTN 505 and VAX003 than RV144 | Under evaluation |
ADCC activity | Minimal ADCC in HVTN 505 | ADCC correlates with protection in NHP using Ad26 +/− trimeric gp120 High ADCC in DNA/MVA regimen |
Tier 1 nAbs | Higher frequency in RV144 compared with HVTN 505 | Clade C regions under study |
High avidity to gp120 | Not measured in HVTN 505 program Env IgG avidity with low IgA correlated with decreased risk of infection |
DNA / MVA containing regimens have high avidity. Other products under study. |
CD4+ T cells with polyfunctional response | Different cytokine profile in HVTN 505 vs. RV144 | DNA / NYVAC and Ad26/MVA increase prevalence and magnitude of Env specific CD4+ T cells |