out in thousands of volunteers. The following presents a summary of the
development of clinical trials with vaccine candidate products.
Development of Vaccine Candidate Products
Pre-clinical phase: The safety and immunogenicity of the vaccine product are
evaluated in
animal trials. This phase must always precede clinical trials in human subjects.
Clinical phase: Clinical trials will determine the safety, immunogenicity and eventually
the
effectiveness of the product tested. There are three mandatory phases before a vaccine
is licensed by the relevant health authorities:
Phase I:
Initial trials of safety (innocuity), immunogenicity and dosing in a limited number of
volunteers
(10 to 30 individuals). These studies usually involve healthy adults at low risk for HIV
infection, for periods varying between 6 months and one year;
Phase II:
Continuation of the safety and immunogenicity trials The vaccine capacity to stimulate
certain immunological responses which might indicate possible protection is evaluated in
a larger (around 200) number of individuals. Different doses and schedules are tested,
as well as different adjuvants. This phase can last from 6 to 24 months;
Phase III:
In the third and last phase before the possible license for marketing, the efficacy of the
vaccine product is tested in a large number of volunteers (thousands of subjects). The
number of volunteers will vary inversely to the incidence of infection and/or the expected
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