Publications by authors named "W Fulp"

Article Synopsis
  • - Vaccine priming using germline-targeting immunogens could enhance the development of precision vaccines for serious human diseases, as shown in a clinical trial of eOD-GT8 60mer.
  • - The trial found that participants receiving a higher vaccine dose had more VRC01-class bnAb-precursor B cells compared to those receiving a lower dose, but the differences were primarily linked to their IGHV1-2 genotypes.
  • - The study highlights the importance of understanding genetic variations in immune response (specifically immunoglobulin alleles) when creating and testing new vaccines in clinical settings.
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The engineered outer domain germline targeting version 8 (eOD-GT8) 60-mer nanoparticle was designed to prime VRC01-class HIV-specific B cells that would need to be matured, through additional heterologous immunizations, into B cells that are able to produce broadly neutralizing antibodies. CD4 T cell help will be critical for the development of such high-affinity neutralizing antibody responses. Thus, we assessed the induction and epitope specificities of the vaccine-specific T cells from the IAVI G001 phase 1 clinical trial that tested immunization with eOD-GT8 60-mer adjuvanted with AS01.

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Article Synopsis
  • Vaccine priming immunogens that target specific immune responses show potential for creating effective vaccines against major diseases.
  • A clinical trial of the eOD-GT8 60mer found that participants receiving a higher dose had more B cells related to broadly neutralizing antibodies (bnAbs) than those on a lower dose.
  • The differences in response were more linked to genetic variations in immunoglobulin alleles among participants than to the vaccine dose, highlighting the importance of considering genetic diversity in vaccine design and testing.
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Broadly neutralizing antibodies (bnAbs) can protect against HIV infection but have not been induced by human vaccination. A key barrier to bnAb induction is vaccine priming of rare bnAb-precursor B cells. In a randomized, double-blind, placebo-controlled phase 1 clinical trial, the HIV vaccine-priming candidate eOD-GT8 60mer adjuvanted with AS01 had a favorable safety profile and induced VRC01-class bnAb precursors in 97% of vaccine recipients with median frequencies reaching 0.

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To control HIV infection there is a need for vaccines to induce broad, potent and long-term B and T cell immune responses. With the objective to accelerate and maintain the induction of substantial levels of HIV-1 Env-specific antibodies and, at the same time, to enhance balanced CD4 and CD8 T cell responses, we evaluated the effect of concurrent administration of MF59-adjuvanted Env protein together with DNA or NYVAC vectors at priming to establish if early administration of Env leads to early induction of antibody responses. The primary goal was to assess the immunogenicity endpoint at week 26.

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