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FRIMED-Klinisk medisin og folkehelse

Basic and clinical studies of peptide-based immunotherapy in chronic HIV-1 infection

Awarded: NOK 0.76 mill.

Immune based therapies represent new, promising approaches to the treatment of chronic HIV infection, aiming to enhance the patients own specific immune response against HIV and delay the immune impairment caused by the HIV-infection. The basis for this a pplication is two patient cohorts that have been immunized with two immunotherapy candidates (Vacc-4x and Vacc-5q) mimicking HIV consensus peptides. Promising results have already been published, including documentation of strong immune responses related with improved viral control. The present application represents a logical continuation of our promising preliminary results and addresses questions relevant to immune modulation in chronic HIV-infection in general, and imperative for future clinical trial s with Vacc-4x and Vacc-5q. The main objective of this application is to prepare the foundation for future clinical trials by in depth studies of these unique immunized cohorts in terms of: - immunological and clinical follow-up - whether immunization ca used genetic selection of immune-escape mutant viral strains - how viral and host genetics relate to immune responses - infectivity and function of dendritic cells - development of regulatory T cells These plans are scientifically original and can be r ealized: Most of the relevant assays have been established and described in recent scientific papers. Moreover, expertise in molecular medicine (Biotechnology centre, University of Oslo) is already part of the project through our newly formed Strategic cl inical HIV platform for translational research, bridging molecular and clinical medicine in order to facilitate research on new treatment strategies in HIV, which is supported by the Norwegian Research Council, Health Region East, and strategically also b y Ullevål University Hospital. The project builds on partnerships and networks involving nationally and internationally renowned scientists, contributing to network building and translational research.

Funding scheme:

FRIMED-Klinisk medisin og folkehelse