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Preliminary evaluation of human immunodeficiency virus type 1 (HIV-1) immunogen in children with HIV-1 infection

Sei Shizuko, Susan L. Sandelli, Georgia Theofan, Silvia Ratto-Kim, Mutsuko Kumagai, Lawrence D. Loomis-Price, Josephine H. Cox, Paul Jarosinski, Claire M. Walsek, Pim Brouwers, David J. Venzon, Jing Xu, Philip A. Pizzo, Ronald B. Moss, Merlin L. Robb, Lauren V. Wood

Research output: Contribution to journalArticlepeer-review

16 Scopus citations

Abstract

The safety and preliminary activity of human immunodeficiency virus type 1 (HIV-1) immunogen were evaluated in 10 HIV-1-infected children with disease stage N1,2 or A1,2. Multiple inoculations of 2.5 or 10 units (U) of HIV-1 immunogen were safe and well tolerated without an acceleration of disease progression. When antiretroviral agents were coadministered, the 10 U dose appeared to be associated with more sustained reduction in plasma HIV-1 RNA than the 2.5 U dose (median log10 HIV-1 RNA at month 18, 3.07 vs. 4.01 copies/mL in 10 U [n = 4] vs. 2.5 U [n = 3], respectively; P = .034). Levels of regulated-on-activation, normal T cell-expressed and -secreted chemokine produced from HIV-1 immunogen-stimulated lymphocytes in vitro were increased in the children who had HIV-1 immunogen-specific antibody responses (P < .02) and appeared to be inversely correlated with levels of plasma HIV-1 RNA (P < .01). These preliminary data warrant larger studies to determine the effectiveness of adjunctive therapy with HIV-1 immunogen in children with HIV-1 infection.

Original languageEnglish
Pages (from-to)626-640
Number of pages15
JournalJournal of Infectious Diseases
Volume180
Issue number3
DOIs
StatePublished - 8 Sep 1999

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