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Roger Tatoud, Ph.D
UK HIV Vaccine
Consortium (UK HVC)
Imperial College
London

1
AHPN, June 2010

AHPN, November 2013

34 33.4 million of people
•
living with HIV
2.5 2.7 million new
•
7.0 infections
• 9.5 million of people in
53%need of treatment
• 42% had access to
1.7 treatment
• 2.0 million AIDSrelated death

0
•
•
•
•

Cure
Vaccine
Microbicide
Changes in behaviour
or technology that
works 100% of the
time
2
3
4
1
Basic
research

Prototype
Discovery &
Design

Pre-clinical
Development

3
Early clinical
trials (I/II)

Late clinical
trials (III/IV)

Regulatory
approval

Marketing

Post
marketing
compliance

Patient

32 years and counting
1-2 years 2
Product
Manufactur
e

Time taken from discovery
of the pathogen to
existence of the vaccine:

2-5 years

1-2 years
Product
Manufactur
e
3-10
years

• Typhoid: 105 years
• Whooping cough: 89
years
• Polio: 47 years
• Measles: 42 years
HIV: 35-55 years?

5
Commercialisation

Industry

Acad.

1

Partners
Case for
support

IP

Contract

Tox

Funding

Product

GMP

Lab
Dissemination

Trial

ICH-GCP

QP

PPI

Stats

CTU

NHS

Phase II?
6
2

http://www.vaccineenterprise.org/Benchtoclinic

7
3

http://www.ct-toolkit.ac.uk/

8
Structur
e&
function

Cat
“HIV”

Basic
research

Prototype
Discovery &
Design

STEP &
HVTN505

Louis
Picker
CMV

UK HVC
Spoke
003

Pre-clinical
Development

RV144
(Thai
Trial)

Early clinical
trials (I/II)

32 years and counting

Late clinical
trials (III/IV)

CAPRISA

Regulatory
approval

Marketing

Post
marketing
compliance

Patient

PrEP
(USA)

iPrEX

1-2 years
Product
Manufactur
e
2-5 years

1-2 years
Product
Manufactur
e
3-10
years

9
• Long, complex, slow
process
• A range of expertise
that are not always at
hand
• Collaborations
• Trials & Errors
• Reasons to be hopeful
• Beware of the hype
• Involving the public
10

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Where are We in the Search for an HIV Vaccine?