The Monday Press

July 2024 

HIV Prevention News Around The Globe

HIV Breakthrough: Drug Trial Shows Injection Twice A Year Is 100% Effective Against Infection

A large clinical trial in South Africa and Uganda has shown that a twice-yearly injection of a new pre-exposure prophylaxis drug gives young women total protection from HIV infection. The trial tested whether the six-month injection of lenacapavir would provide better protection against HIV infection than two other drugs, both daily pills. All three medications are pre-exposure prophylaxis (or PrEP) drug.

The Purpose 1 trial with 5,000 participants took place at three sites in Uganda and 25 sites in South Africa to test the efficacy of lenacapavir and two other drugs. Lenacapavir (Len LA) is a fusion capside inhibitor. It interferes with the HIV capsid, a protein shell that protects HIV’s genetic material and enzymes needed for replication. It is administered just under the skin, once every six months.

The randomised controlled trial, sponsored by the drug developers Gilead Sciences, tested several things. The first was whether a six-monthly injection of lenacapavir was safe and would provide better protection against HIV infection as PrEP for women between the ages of 16 and 25 years than Truvada F/TDF, a daily PrEP pill in wide use that has been available for more than a decade.

You can read more about the update here

A new way to prevent HIV delivers dramatic results in trial

For over a decade, taking a pill like Truvada every day has been the standard of care for HIV prevention efforts.

In clinical trials, this type of preventive drug, called pre-exposure prophylaxis (PrEP), can be 99% effective in stopping new HIV infections from sex. In the real world, however, that is not always the case. People don’t always take their pills. In a study in South Africa, women said they felt there was a stigma to the pill —- a sexual partner might assume they’re taking it because they already have HIV or because they have other partners. Now a new trial called PURPOSE 1 points the way to a new preventive strategy. a twice yearly injection of a drug called lenacapavir. The trial was sponsored by Gilead Sciences, the California-based maker of the drug.

In this double-blind, randomized study of 5,300 cisgender women in South Africa and Uganda, 2,134 got the injection and the others took one of two types of daily PrEP pills. The trial began in August 2021 and, so far, not a single woman who received the injections has contracted HIV. The participants who received either of the oral PrEP options, Truvada and Descovy, had infection rates of about 2% — consistent with the infection rates of oral PrEP in other clinical trials.

You can read more about the trial results here

New Lab Test to Detect Persistent HIV Strains in Africa May Aid Search for Cure

A multinational team led by Weill Cornell Medicine investigators developed a test that will help measure the persistence of HIV in people affected by viral strains found predominantly in Africa, a vital tool in the search for an HIV cure that will benefit patients around the world.

The study, published in Nature Communications on July 2, helps fill a major gap in human immunodeficiency virus (HIV) research. Most HIV studies have focused on strains circulating in Western countries, predominantly in men who have sex with men affected by subtype B. Few studies have examined strains circulating in Africa, where women are disproportionately affected. HIV cure research tends to focus on viral strains circulating in developed countries, but to achieve a cure that is globally applicable, we must study viral strains that are affecting other regions of the world,” said lead author Dr. Guinevere Lee, assistant professor of virology in medicine in the Division of Infectious Diseases and assistant professor of microbiology and immunology at Weill Cornell Medicine.

The findings show—like other studies in developed countries—that HIV strains circulating in Africa establish viral reservoirs in the human body. Although antiretroviral therapy can reduce HIV in the blood to an undetectable level, these dormant reservoirs continue to survive. They contain a large number of defective proviral DNA genomes which can’t produce new infectious viruses, but a small number of proviruses remain genetically intact and ready to produce active viruses if antiretroviral treatment is interrupted.

More info about the publication can be found here

Hookipa's HIV vaccine enters Phase 1b trial, achieves milestone

NEW YORK and VIENNA - HOOKIPA Pharma Inc. (NASDAQ: HOOK), a biopharmaceutical company, announced today that the first participant has been dosed in a Phase 1b clinical trial for HB-500, a potential therapeutic vaccine for HIV. This development marks a milestone in the company's collaboration with Gilead Sciences, Inc. (NASDAQ:GILD), resulting in a $5 million payment to HOOKIPA.

The trial aims to assess the safety and immune response of HB-500 in individuals with HIV who are on suppressive antiretroviral treatment. The study design includes escalating doses and a placebo-controlled group. The dosing of the initial participant commenced today, and the trial is actively enrolling additional participants.

HB-500 uses two genetically engineered arenaviruses to deliver HIV antigens, targeting conserved elements of the virus to potentially cover over 80% of circulating HIV-1 variants. This therapeutic approach is part of a broader effort to find a curative treatment for HIV, which currently has no known cure and affects over 38 million people globally.

Under the terms of the agreement with Gilead, HOOKIPA is responsible for advancing the HIV program through the completion of this early-stage trial. Gilead holds exclusive rights to further develop the program after this phase.

You can read more about the update here

A new HIV vaccine protocol and gene-profiled cancer treatments are in development at Philadelphia’s Wistar Institute. (The nonprofit research center brings scientists from around the world to the University City’s biotech hub.)

Escolano is working on a technique for an effective HIV vaccine and Srivastava is researching computational biology in his hybrid lab. They’re both purposely doing that advanced medical research in Philadelphia.

The Wistar Institute, a private nonprofit biomedical research institution, is nestled right next to the University of Pennsylvania campus and hospital complex. The center is home to 40 labs working on various solutions, primarily around cancer and infectious diseases, with projects mostly funded by grants and contracts from federal agencies.

Researchers at Wistar come from around the world, but what they all have in common is creativity and curiosity for discovery science, said Dario Altieri, the institute’s president and CEO.

“We don’t tell them what to work on,” Altieri told Technical.ly. “They come here with their ideas, with aspirations or dreams. And the goal is for us to really provide the infrastructure and resources that are needed to pursue those dreams.”

Both Escolano and Srivastava are passionate about the human impact their research could have. They came to Wistar because of the welcoming and supportive environment the institution offers.

You can read more about the updates here

What Is the Dapivirine Ring, and How Does It Work to Prevent HIV?

Dapivirine is an antimicrobial agent—a drug that is used at a place in the body where you might get HIV—to prevent the virus from entering or reproducing. The drug is currently available in some countries, but not in the U.S., in the form of a vaginal ring that is replaced by the user every 28 days.

People who are not living with HIV have a number of options available to them when it comes to HIV prevention. For instance, pre-exposure prophylaxis (PrEP) requires taking a daily pill or visiting a clinic for an injection every one to two months. Consistent use of a condom works well also, but condoms require a partner’s cooperation.

By contrast, the vaginal ring is under the control of the wearer. This can be especially helpful for women, transgender men, and other vagina-having people in situations where condoms, pills, or frequent clinic visits might be questioned by partners or family members.

You can read more about dapivirine ring here

Advocates Spotlight 

WACI Health's youth leadership and advocacy program recently onboarded a new cohort of mentees. This program aims at creating a cadre of high quality and impact youth advocates. Our current cohort has young people from different African countries who meet online twice a week for mentorship. The program involves regularly bringing in mentors and experts to speak on and share their experiences. Meet Enock Lupikisha who is an HIV prevention advocate based in Zambia.

Enock Lupikisha, a dedicated volunteer from Zambia, is actively engaged with The Youth Platform Zambia (TYP). With four years of experience in the field of HIV prevention, Enock has primarily focused on sexual and reproductive health and rights (SRHR). He collaborates with organizations like Marie Stopes Zambia and TYP to advocate for comprehensive SRHR services and champion HIV prevention efforts. Enock's expertise includes advocacy, policy, and community mobilization. He serves as a youth representative in the Ministry of Health's Technical Working Group (TWG) for adolescent health, contributing to policy and program development aimed at improving health outcomes for young people. These roles have solidified his commitment to driving positive change in the health sector.

Enock is motivated by a desire to learn, grow, and gain a broader perspective on health. His interest in the AfNHi Mentorship Program centers on deepening his understanding of Universal Health Coverage (UHC) and exploring its intersection with HIV prevention. He brings valuable skills to the mentorship program, such as leadership, mentoring, and capacity building. Enock is also proficient in program design and adept at using social media for advocacy.

Upcoming Events

The 25th International AIDS Conference

AIDS 2024, the 25th International AIDS Conference, will take place in Munich, Germany, and virtually from 22 to 26 July 2024. Pre-conferences will be held on 20 and 21 July. The Global Village (free entry) opens its gates on Sunday 21 July.

AIDS 2024 will provide a powerful platform to strategically align around a unified and equitable response to the pandemic. It will signal to the world that the HIV response is united behind an evidence-based approach that puts people first.

Some Global Village sessions and activities to expect at AIDS 2024:

Film screenings, sessions and workshops:

  • Addressing HIV stigma, inside and out: Sharing UK approaches and learning from each other

  • Bridging the gap: From childhood to adolescence with HIV

  • Denied, discriminated against and deported: The global realities of migration, mobility and health equity for people living with HIV

  • DoxyPEP in poorly regulated settings: The standpoints

  • It's more than money: Funding for HIV and AIDS advocacy with key populations

  • Mind your language! Why words matter and why the community must lead

  • Putting people first: Re-engaging communities in HIV care

  • The Legend of the Underground

If interested, please mark your calendars and register your attendance here.

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