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HIVPhase 2AbVaxNCT07054931

Combination Vaccination and Broadly Neutralising Antibody Therapy in HIV

A Phase 2 study testing ChAdOx1.tHIVconsv1, ChAdOx1.HIVconsv62 and MVA.tHIVconsv4 in people with HIV, run by University of Oxford at 3 sites in United Kingdom.

Recruiting

Looking for participants now. Contact the study team or a site below to ask about taking part.

Sites and contacts
Official record
Search all trials

Trial summary

There is no cure for HIV infection. Antiretroviral therapy (ART) is widely available but requires daily, life-long intake. This can cause issues around side-effects, resistance, adherence and stigma. Read more about this study

Who is it for?
Ages 18 to 64 years
Conditions the study is for
HIV
What is being tested?
ChAdOx1.tHIVconsv1, ChAdOx1.HIVconsv62 and MVA.tHIVconsv4
Could I receive a placebo?
No, everyone receives an active treatment
How many people
48 participants
Where
3 sitesUnited Kingdom
Study dates
5 Sep 2025to 30 Jun 2028
Phase
Phase 2
Are there results?
Not yet: the study is under way

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 to 64 years
  • All sexes
  • No healthy volunteers
  • Adult

Who may be able to join

  • PWH aged ≥18 to ≤64 years old at screening
  • Able to give informed written consent including consent to long-term follow-up
  • Willing and able to comply with visit schedule and provide blood sampling
  • Willing to consent to their HIV care team being informed of their participation and sharing relevant clinical information
  • Stable on oral ART with suppressed undetectable HIV pVL 'target not detected' (TND) using local assays for ≥ 1 years (a single viral load measurement >50 but <500 copies/ml during this time period is allowable)
  • No evidence of viral insensitivity to GS-2872 based on proviral sequencing
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  • No significant co-morbidities according to the investigator's opinion
  • Nadir CD4 >200 cells/µl unless treatment commenced during documented acute seroconversion
  • Current CD4 count >500 cells/µl or CD4:CD8 ratio >1.0
  • On integrase inhibitor (INSTI) or boosted protease inhibitor (bPI) based regimen at time of randomisation. If previously on non-nucleoside reverse transcriptase inhibitor (NNRTI) must have switched at least 4 weeks prior to randomisation
  • Adequate haemoglobin (Hb ≥12 g/dL for males, ≥11 g/dL for females)
  • Weight ≥ 50kg
  • Has received at least 3 doses of vaccination against coronavirus (COVID-19), at least 4 weeks prior to randomisation
  • Has received current seasonal vaccination against Influenza*
  • People of childbearing potential must agree to use hormonal contraception, intrauterine device, intrauterine hormone-releasing system, or otherwise practice complete abstinence* from at least two weeks before the first Investigational Medicinal Product (IMP) administration, for at least 20 months after the last IMP administration, and until undetectable viral load on ART
  • All participants must agree to take precautions to prevent onward transmission of HIV (such as condoms or PrEP) whilst they are off ART and/or have a detectable viral load * Applicable during Influenza season (September-April inclusive). **Individuals capable of becoming pregnant are defined as those who are fertile, with childbearing reproductive organs, following menarche and until becoming post-menopausal unless permanently sterile. Permanent sterilisation methods include hysterectomy, bilateral salpingectomy and bilateral oophorectomy. Permanent sterilisation of the participant's sole partner (e.g. vasectomy) is also accepted.
  • A postmenopausal state is defined as no menses for 12 months without an alternative medical cause. A high follicle stimulating hormone (FSH) level in the postmenopausal range may be used to confirm a post-menopausal state in those not using hormonal contraception or hormonal replacement therapy. However, in the absence of 12 months of amenorrhea, a single FSH measurement is insufficient.
  • Complete abstinence (defined as refraining from heterosexual intercourse) must be in line with the preferred and usual lifestyle of the participant. Barrier contraception, periodic abstinence (e.g. calendar, ovulation, symptothermal, post ovulation methods), withdrawal and progestogen-only oral hormonal contraception where inhibition of ovulation is not the primary mode of action are not acceptable methods of contraception.

Who cannot join

  • • Previous ischaemic heart disease (ST or non-ST myocardial infarction, Q3-risk >20, stable angina, unstable angina, stroke)
  • Any current or past history of malignancy, excluding squamous cell skin cancers
  • Concurrent opportunistic infection or other co-morbidity likely to occur during the trial e.g.
  • malabsorption syndromes, autoimmune disease
  • Any contraindication to receipt of BHIVA recommended combination antiretrovirals
  • Current treatment with injectable ART
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  • HTLV-1 co-infection
  • Any evidence of major antiretroviral resistance mutations
  • Evidence of HBV infection requiring treatment (HBsAg+, or HBcAb+ without HBsAb+)
  • Evidence of HCV infection (HCVAg+ and/or HCV RNA detected)
  • Individuals at high risk from severe Covid-19 disease who may be defined in accordance with NHSE guidance as vulnerable and shielded (as per the view of participant's physician)
  • Current or planned systemic immunosuppressive therapy (inhaled and topical corticosteroids are allowed)
  • Participation in another research study involving receipt of an investigational medicinal product (IMP) in the 3 months preceding enrolment or 5 half-lives of the investigational medicinal product, whichever is longer, or planned participation during the study period (concurrent observational studies are allowed)
  • History of anaphylaxis or severe adverse reaction to antibody infusions, or hypersensitivity to GS-2872 or GS-5423 or to any constituent products or excipients thereof
  • History of anaphylaxis or severe adverse reaction to any previous vaccine
  • A history of thrombosis with thrombocytopaenia syndrome (TTS) following vaccination with any adenoviral vector vaccines
  • A history of anti-phospholipid syndrome
  • A history of heparin-induced thrombocytopenia
  • A history of cerebral venous sinus thrombosis
  • Any history of other bleeding or clotting disorders of clinical significance according to the investigator's discretion
  • Known anti-PF4 antibody positivity
  • Treatment with IV immunoglobulin or other monoclonal antibody treatments planned during the duration of the trial
  • Clinically significant abnormal blood test results at screening including
  • Moderate to severe hepatic impairment as defined by significant liver impairment with evidence of advanced fibrosis or cirrhosis with decompensation
  • ALT >5 x ULN
  • eGFR <601
  • uPCR >30 mg/mmol
  • INR >1.5
  • Evidence of organ dysfunction or any clinically significant deviation from normal in medical history, physical examination and/or vital signs that the investigator believes is a preclusion from enrolment into the study
  • Active alcohol or substance use that, in the investigator's opinion, will prevent adequate adherence with study requirements
  • Insufficient venous access that will allow scheduled blood draws as per protocol
  • Concern regarding likelihood of participant not taking precautions to prevent HIV transmission during treatment interruption period
  • Pregnancy, lactation or intending to become pregnant
  • Participants unable to be followed closely for geographic, social or psychological reasons
  • Participants unable to adequately understand written or verbal English to appropriately consent to the study

Trial locations and contacts

3 sites in 1 country. Contact the study team or a site near you to ask about taking part.

John Frater, MD, PhD contact

0000

john.frater@ndm.ox.ac.uk

United Kingdom3 sites, 3 recruiting
  • Guys and St Thomas' NHS Trust

    London, SE1 7EH

    Julie Fox, BSc, MBChB, MRCP, MD, 00000, julie.fox@kcl.ac.uk

    Recruiting
  • St Mary's Clinical Trial Unit

    London, W2 1NY

    Sarah Fidler, BSc, MBBS, FRCP, PhD, 00000, s.fidler@imperial.ac.uk

    Recruiting
  • Centre for Clinical Vaccinology and Tropical Medicine (CCVTM)

    Oxford, OX3 7LJ

    Paola Cicconi, MD, 00 44 1865 611425, paola.cicconi@ndm.ox.ac.uk

    Recruiting

Other trials in United Kingdom

About this study

Official title: AbVax: Combination Vaccination and Broadly Neutralising Antibody Therapy in HIV to Induce a Protective T-cell 'Vaccinal Effect' - a Randomised Phase II Clinical Trial

There is no cure for HIV infection. Antiretroviral therapy (ART) is widely available but requires daily, life-long intake. This can cause issues around side-effects, resistance, adherence and stigma. A new therapy, broadly neutralising antibodies, (bNAbs), may work as well as ART and may last longer - one dose can last six months. bNAbs appear to first target HIV viruses, then drive a protective immune response conferring long-term control, called the vaccinal effect. AbVax is a clinical trial to understand this effect and how to enhance it to give the strongest possible long-term protection for people living with HIV (PWH). The investigators are studying whether a combination of vaccines that attack HIV, a short period of treatment interruption induced viraemia (TIIV - stopping ART for a few weeks to allow a small amount of virus to return to the bloodstream) and bNABs will produce the most sustained immune protection.

Read the detailed description

AbVax will recruit 48 otherwise healthy PWH aged 18-64. Participants will be randomised across three groups (arms) to determine the best combination of treatment. In Arm A, participants will undergo a period of TIIV, then receive two bNAb infusions. In Arm B, participants receive a combination of three HIV vaccines (one prime dose followed by two booster doses after 4 and 16 weeks), then are given two bNAb infusions. In Arm C, participants will undergo a period of TIIV, then receive the same vaccination combinations as Arm B, then receive two bNAb infusions. All participants then stop ART for an analytical treatment interruption (ATI) to determine the clinical impact and measure how long before any HIV returns to the blood. This allows the investigators to see if vaccines and TIIV add to the protection provided by bNAbs and by how much.

Conditions
HIV
Being tested
ChAdOx1.tHIVconsv1, ChAdOx1.HIVconsv62, MVA.tHIVconsv4, GS-5423, GS-2872
Keywords
vaccination, broadly neutralising antibodies, HIV treatment

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • ChAdOx1.tHIVconsv1Biological

    solution for injection one dose of 2.5 x 10^10 vp/ml Arm B and Arm C

  • ChAdOx1.HIVconsv62Biological

    solution for injection one dose of 2.5 x 10^10 vp/ml Arm B and Arm C

  • MVA.tHIVconsv4Biological

    suspension for injection two doses of 1 x 10^8 vpu/ml Arm B and Arm C

  • GS-5423Biological

    Solution for infusion 2550 mg Arm A, Arm B and Arm C

  • GS-2872Biological

    Solution for infusion 850 mg Arm A, Arm B and Arm C

  • Treatment interruption induced viraemiaOther

    Participants pause ART before receiving vaccines and/or bNAbs Arm A and Arm C

Study groups in NCT07054931
Study groupRoleWhat they receive
Arm AActive comparatorParticipants in Arm A will undergo a period of treatment interruption induced viraemia followed by two infusions of broadly neutralising antibodies (GS-5423 and GS-2872). They will then stop ART for an analytical treatment interruption period to determine the clinical impact and to measure how long before any HIV virus returns to the blood.
Receives: Biological: GS-5423; Biological: GS-2872; Other: Treatment interruption induced viraemia
Arm BActive comparatorParticipants in Arm B will receive a combination of three HIV vaccines (one prime dose (ChAdOx1.tHIVconsv1 and ChAdOx1.HIVconsv62) followed by two booster doses of MVA.tHIVconsv4 at 4 weeks and 16 weeks), followed by two infusions of broadly neutralising antibodies, GS-5423 and GS-2872. They will then stop ART for an analytical treatment interruption period to determine the clinical impact and to measure how long before any HIV virus returns to the blood.
Receives: Biological: ChAdOx1.tHIVconsv1; Biological: ChAdOx1.HIVconsv62; Biological: MVA.tHIVconsv4; Biological: GS-5423; Biological: GS-2872
Arm CActive comparatorParticipants in Arm C will undergo a period of treatment interruption induced viraemia followed by a combination of three HIV vaccines (one prime dose (ChAdOx1.tHIVconsv1 and ChAdOx1.HIVconsv62) followed by two booster doses of MVA.tHIVconsv4 at 4 weeks and 16 weeks), followed by two infusions of broadly neutralising antibodies, GS-5423 and GS-2872. They will then stop ART for an analytical treatment interruption period to determine the clinical impact and to measure how long before any HIV virus returns to the blood.
Receives: Biological: ChAdOx1.tHIVconsv1; Biological: ChAdOx1.HIVconsv62; Biological: MVA.tHIVconsv4; Biological: GS-5423; Biological: GS-2872; Other: Treatment interruption induced viraemia

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Fold change in T cell immune response to the HIV Gag protein

    The geometric mean of the fold-change (GMFC) will be compared between Arm C compared to Arm A; and Arm C compared to Arm B.

    Measured: Baseline and 12 weeks after ATI

Secondary outcomes (11)
  1. Safety Assessment

    Occurrence of Serious Adverse Events for the whole study duration.

    Measured: From enrollment until 16 weeks after restarting ART after ATI

  2. Safety Assessment

    Number of participants with adverse events (not including SAEs)

    Measured: From enrollment until 16 weeks after ART restart after ATI

  3. HIV viral control

    % of participants with undetectable plasma viral load

    Measured: Weeks 12 and weeks 24 after ATI

  4. Immunological correlation of virological remission

    CD4 T cell counts and CD8:CD4 ratios

    Measured: Week 12 and week 24 after ATI

  5. Immunological correlates of virological remission

    HIV specific T cell immune response using multiple assays

    Measured: Weeks 12 and 24 after ATI

  6. BNAb plasma concentration

    bNAb maximum plasma concentration (Cmax)

    Measured: Weeks 12 and 24 after ATI

  7. ART plasma concentration

    Maximum plasma concentration (Cmax) of ART

    Measured: Week 12 and week 24 after ATI

  8. Vaccine specific response

    Proportion of participants that develop T cell response to HIVconsv immunogens

    Measured: Weeks 12 and 24 after ATI

  9. HIV reservoir assessment

    Measures of HIV reservoirs

    Measured: Weeks 12 and 24 after ATI

  10. bNAb escape

    Proportion of participants with bNAb resistance

    Measured: Weeks 12 and 24 after ATI

  11. T cell escape

    Proportion of participants with T cell escape mutations

    Measured: Weeks 12 and 24 after ATI

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted8 Jul 2025
  2. Study start5 Sep 2025
  3. Primary completion31 Oct 2027 (estimated)
  4. Study completion30 Jun 2028 (estimated)

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 2
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Model description
Participants are randomised to one of three arms. Participants in Arm A undergo a period of treatment interruption induced viraemia, followed by two bNAB infusions (GS-5423 and GS-2872). Participants in Arm B receive three HIV vaccines (one prime dose of two vaccines, ChAdOx1.tHIVconsv1 and ChAdOx2.HIVconsv62 and two booster doses of MVA.tHIVconsv4 after 4 and 16 weeks), followed by two bNAb infusions (GS-5423 and GS-2872). Participants in Arm C undergo a period of treatment interruption induced viraemia, followed by three HIV vaccines (one prime dose of two vaccines, ChAdOx1.tHIVconsv1 and ChAdOx2.HIVconsv62 and two booster doses of MVA.tHIVconsv4 after 4 and 16 weeks), followed by two bNAb infusions (GS-5423 and GS-2872). All participants then undergo a period of analytical treatment interruption where there responses to the interventions are measured.
Masking
None (open label)
Enrolment
48 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT07054931
Sponsor's protocol ID
AbVax
Other IDs
MR/Y008847/1
Acronym
AbVax
Status last verified
Jun 2026
First submitted
16 May 2025
Last updated
7 Jul 2026
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No: The aim is to provide a summary of the results or a link to summary results within the trial registration record. Fully anonymised results will be published in peer reviewed papers and presented at conferences

Questions about this trial

What is this clinical trial studying?

A Phase 2 study testing ChAdOx1.tHIVconsv1, ChAdOx1.HIVconsv62 and MVA.tHIVconsv4 in people with HIV, run by University of Oxford at 3 sites in United Kingdom.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 18 inclusion and 35 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: looking for participants now, as of the sponsor's last update on 7 Jul 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 3 sites in United Kingdom. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

This study is still under way. Results are not available in the source record yet.

How can a doctor refer a patient or contact the research team?

Contact Paola Cicconi, MD, PhD (00 44 1865 611425, paola.cicconi@paediatrics.ox.ac.uk), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Fold change in T cell immune response to the HIV Gag protein (time frame: Baseline and 12 weeks after ATI). It is what the study was designed to measure, not a finding.

Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 7 Jul 2026.

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