3.
GOALS OF AN AIDS VACCINE
Primarily, the goal of vaccines is to prime the immune system to recognize and
protect against a disease caused by a virus or other infectious agent. To have a
significant public health impact on the AIDS pandemic a vaccine must be both
effective against the wide diversity of global HIV isolates and useful in the
developing world, where the need is greatest.
The second potential goal is to significantly suppress viral load and slow the
progression to AIDS in vaccines if they become infected by HIV.
It is important to note that while developing an AIDS vaccine that meets the goals
outlined above is a scientific challenge, the resources required to do so—funding,
technical, and human resources—will only be available if political will supports it.
An enabling political environment is necessary to provide the mobilization of
resources required to conquer this pandemic.
4. VACCINE EVALUATION PROCESS
Before an HIV vaccine candidate product is evaluated in human subjects, trials to
determine the vaccine safety, toxicity and immunogenicity are conducted in small
animals and later in non-human primates. After these pre-clinical phases, and if the
vaccine products are safe and capable of stimulating the immunological system, they
can enter the human phase of clinical trials. Phase I and Phase II trials of safety and
immunogenicity of vaccine candidate products are usually conducted in
approximately 40 to 200 human volunteers, and the effectiveness in human subjects
is determined in Phase III studies, randomized and with appropriate controls, carried
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