Document 0090 DOCN M94A0090 TI Phase I/II vaccination study of recombinant peptide F46 corresponding to the HIV-1 transmembrane protein coupled with 2.4 dinitrophenyl (DNP) Ficoll. DT 9412 AU Schwander S; Opravil M; Luthy R; Hanson DG; Schindler J; Dawson A; Letwin B; Dietrich M; Case Western Reserve University, School of Medicine, Cleveland,; Ohio 44106. SO Infection. 1994 Mar-Apr;22(2):86-91. Unique Identifier : AIDSLINE MED/94350512 AB In order to evaluate tolerance, toxicity, and in vivo antigenicity, 29 HIV-1-infected patients (eight with ARC and 21 with AIDS) were vaccinated with a synthetic peptide derived from the gp41 transmembrane protein of the HIV-1. This peptide had been coupled with 2.4 dinitrophenyl-Ficoll (F46), a T-cell independent adjuvant. The patients received a single intradeltoid injection of either 0.1 or 0.3 mg of F46. Five of the individuals with AIDS were boostered, four of them twice. Anti-F46 antibody titers were measured before vaccination, and on days 7, 14, 21, 28, 90, 180 and 270 after vaccination. Anti-F46 titers rose at least twofold over prestudy values in 10/21 individuals with AIDS and in 1/8 individuals with ARC at least once during the observation period. The overall response, however, consisted of only weak antibody production that was independent of the dose or patient characteristics. No signs of toxicity or of clinical progression related to the vaccination were observed in this phase I/II trial of a T-cell independent therapeutic vaccine. DE Acquired Immunodeficiency Syndrome/BLOOD/IMMUNOLOGY/*THERAPY Adjuvants, Immunologic/*THERAPEUTIC USE Adult Antigens/*IMMUNOLOGY AIDS Vaccines/*THERAPEUTIC USE AIDS-Related Complex/BLOOD/IMMUNOLOGY/*THERAPY Female Ficoll/*ANALOGS & DERIVATIVES/IMMUNOLOGY Human HIV Antibodies/BLOOD HIV Envelope Protein gp41/*IMMUNOLOGY *HIV-1/IMMUNOLOGY Immunization, Secondary/METHODS Injections, Intramuscular Leukocyte Count Male Middle Age Recombinant Proteins/*THERAPEUTIC USE Support, Non-U.S. Gov't *T4 Lymphocytes Vaccines, Synthetic/*THERAPEUTIC USE CLINICAL TRIAL CLINICAL TRIAL, PHASE I CLINICAL TRIAL, PHASE II JOURNAL ARTICLE SOURCE: National Library of Medicine. NOTICE: This material may be protected by Copyright Law (Title 17, U.S.Code).