Early childhood vaccination to the HIV response: Promises and challenges
Co-Chairs
Glenda GRAY, South African Medical Research Council, South Africa
Jean-Daniel LELIEVRE, IAS, France
Organizer
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With recent HIV vaccine efficacy trials showing no efficacy, the difficulties in developing a vaccine have been highlighted, leading to an opportunity to rethink future trials and research directions. While different strategies are underway, an important point of reflection is the definition of target populations. Indeed, clinical trials of HIV vaccination are almost exclusively carried out in adult populations. However, data from other vaccine trials highlights that the effectiveness of vaccination could be much higher in younger populations. Monitoring data from populations of children living with HIV show that neutralization breadth and potency are higher in children living with HIV than in adults living with HIV. In children living with HIV in these studies, the functions mediated by the constant fragment (Fc) fraction of antibodies are also more effective than in adults. Furthermore, experiments performed in non-human primates (NHP) models indicate that younger animals respond better to vaccination suggesting that younger subjects may be the optimal target for future HIV vaccination. Join the IAS Global HIV Vaccine Enterprise (GHVE) in this satellite to describe i) recent data on HIV immune response in young children (cohort study) ii) results of vaccination strategies for young individuals in the NHP model iii) available data on ongoing HIV vaccination trials in children but also to discuss the ethical and regulatory challenges of including children in clinical trials with a focus on discovery medicine and the future acceptance of vaccination in children. This session is addressed at the pharmaceutical industry, academic researchers, community representatives, advocacy organizations, funders, policymakers, and regulatory authorities.
18:30
2 min
Introduction
IAS, France
18:32
7 min
Immunological rationale for early childhood immunization against HIV
New York-Presbyterian/Weill Cornell Medical Center, United States
18:39
7 min
Early childhood immunization against HIV: Current state of knowledge in the NHP model
UNC School of Medicine, United States
18:46
7 min
Adjuvants for an HIV vaccine during childhood: an essential tool?
Harvard Medical School, United States
18:53
10 min
Q&A
IAS, France
19:03
6 min
Early childhood immunization against HIV: Current state of ongoing human clinical trials
Perinatal HIV Research Unit, South Africa
19:09
6 min
Discovery medicine studies- IAVI Experience with HIV mRNA Vaccine trials
International AIDS Vaccine Initiative, South Africa
19:17
40 min
Panel discussion
South African Medical Research Council, South Africa
Elizabeth Glaser Pediatric AIDS Foundation, United States
South African Health Products Regulatory Authority Clinical Trials Committee, South Africa
Desmond Tutu Health Foundation, South Africa
19:57
3 min
Closing
South African Medical Research Council, South Africa