Multi-stakeholder consensus on a target product profile for an HIV cure.


Journal

The lancet. HIV
ISSN: 2352-3018
Titre abrégé: Lancet HIV
Pays: Netherlands
ID NLM: 101645355

Informations de publication

Date de publication:
01 2021
Historique:
received: 14 06 2020
revised: 09 08 2020
accepted: 11 08 2020
pubmed: 4 12 2020
medline: 26 1 2021
entrez: 3 12 2020
Statut: ppublish

Résumé

Developing a cure for HIV is a global priority. Target product profiles are a tool commonly used throughout the drug development process to align interested parties around a clear set of goals or requirements for a potential product. Three distinct therapeutic modalities (combination therapies, ex-vivo gene therapy, and in-vivo gene therapy) for a target product profile for an HIV cure were identified. Using a process of expert face-to-face consultation and an online Delphi consultation, we found a high degree of agreement regarding the criteria for the optimum target product profile. Although the minimum attributes for a cure were debated, the broad consensus was that an acceptable cure need not be as safe and effective as optimally delivered antiretroviral therapy. An intervention that successfully cured a reasonable fraction of adults would be sufficient to advance to the clinic. These target product profiles will require further discussion and ongoing revisions as the field matures.

Identifiants

pubmed: 33271125
pii: S2352-3018(20)30234-4
doi: 10.1016/S2352-3018(20)30234-4
pmc: PMC7773628
pii:
doi:

Types de publication

Journal Article Research Support, Non-U.S. Gov't Review

Langues

eng

Sous-ensembles de citation

IM

Pagination

e42-e50

Subventions

Organisme : NIMH NIH HHS
ID : R25 MH067127
Pays : United States

Informations de copyright

Copyright © 2021 The Author(s). Published by Elsevier Ltd. This is an Open Access article under the CC BY 4.0 license. Published by Elsevier Ltd.. All rights reserved.

Auteurs

Sharon R Lewin (SR)

The Peter Doherty Institute for Infection and Immunity, The University of Melbourne and Royal Melbourne Hospital, Melbourne, Australia; Department of Infectious Diseases, Alfred Health and Monash University, Melbourne, VIC, Australia; Victorian Infectious Diseases Service, Royal Melbourne Hospital, Melbourne, VIC, Australia. Electronic address: sharon.lewin@unimelb.edu.au.

Timothy Attoye (T)

Department of Global Health, University of Washington, The Bill & Melinda Gates Foundation, Seattle, WA, USA.

Cathy Bansbach (C)

Bill & Melinda Gates Foundation, Seattle, WA, USA.

Brian Doehle (B)

HIV Frontiers, Global Health Innovative Technology Solutions, The Bill & Melinda Gates Foundation, Seattle, WA, USA.

Karine Dubé (K)

University North Carolina Gillings School of Global Public Health, Chapel Hill, NC, USA.

Mark Dybul (M)

Center for Global Health Practice and Impact, Georgetown University, Washington, DC, USA.

Devi SenGupta (D)

Gilead Sciences, Foster City, CA, USA.

Adam Jiang (A)

McKinsey & Company Secondee at The Bill & Melinda Gates Foundation, Seattle, WA, USA.

Rowena Johnston (R)

amfAR, The Foundation for AIDS Research, New York City, NY, USA.

Rosanne Lamplough (R)

International AIDS Society, Geneva, Switzerland.

Joseph M McCune (JM)

HIV Frontiers, Global Health Innovative Technology Solutions, The Bill & Melinda Gates Foundation, Seattle, WA, USA.

Gary J Nabel (GJ)

Sanofi Global Research and Development, Cambridge, MA, USA.

Thumbi Ndung'u (T)

Africa Health Research Institute, Durban, South Africa; HIV Pathogenesis Programme, The Doris Duke Medical Research Institute, University of KwaZulu-Natal, Durban, South Africa; Max Planck Institute for Infection Biology, Berlin, Germany; Ragon Institute of Massachusetts General Hospital, Massachusetts Institute of Technology and Harvard University, Cambridge, MA, USA; Division of Infection and Immunity, University College London, London, UK.

John Pottage (J)

ViiV Healthcare, Brentford, UK.

David Ripin (D)

Clinton Health Access Initiative, Boston, MA, USA.

James F Rooney (JF)

Gilead Sciences, Foster City, CA, USA.

Izukanji Sikazwe (I)

Centre for Infectious Disease Research in Zambia, Lusaka, Zambia.

Moses Nsubuga (M)

Joint Adherent Brothers & Sisters against AIDS, Kampala, Uganda.

Mitchell Warren (M)

AVAC, New York, NY, USA.

Steven G Deeks (SG)

University of California, San Francisco, CA, USA.

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Classifications MeSH