The Vaccine Trials Clinical Process
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Vaccines must be thoroughly tested before they can be called "safe and effective" for human use. The process by which this testing is carried-out is called a "Clinical Trials Process." The first tests are called pre-clincal. After preclinical testing, the clinical trials process may be broken down into 3 distinct steps or phases called "Phase I," "Phase II" and "Phase III."

The picture below gives a simple idea of what the clinical trials process looks like for testing the ALVAC vaccine in Protocol 014. HPTU's 014 study was a Phase-II study. This means that the vaccine tested in Protocol 014 had already successfully completed preclinical testing and Phase-I testing. That is, the vaccine had been tested on very few people and appeared to be safe and give at least some immune response. Whether the vaccine actually worked to prevent HIV infection was not known and will not be learned in Phase II. The purpose of Phase II is to learn more about safety, dosing (how much vaccine to give and when) and more about the immune response.

If the vaccine looks hopeful after Phase-II testing, it would then proceed to the next level: Phase III. In Phase III, "Does the vaccine work?" would be the study question. The VAXGEN study is a phase III trial designed to test the effectiveness of the vaccine.

If you are interested in participating in HIV prevention research, please explore our Research page

 

 
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