AIDS vaccine volunteers press their case
September 25, 1997
Web posted at: 10:10 p.m. EDT (2210 GMT)
BETHESDA, Maryland (CNN) -- Health care workers who have
volunteered to be injected with an experimental AIDS vaccine
met Thursday with experts at the National Institutes of
Health in their campaign to get approval for the
controversial clinical trial.
The vaccine contains a live, though weakened, strain of HIV,
prompting concerns about an experiment in which healthy
people would be injected with the virus that could cause
AIDS. But those pushing for the trial say it would be the
most effective way to advance vaccine research.
"There are going to be risks in a human trial," says Gordon
Nary of the International Association of Physicians in AIDS
Care, which is coordinating the volunteer effort. "We don't
know what the risks are. We can make some assumptions of what
they are in looking at animal data.
"But we could be experimenting with animals for the next
five, 10, 15 or 20 years, which sometimes is the focus of
pure science."
Dr. Charles Farthing, director of the AIDS Healthcare
Foundation and one of the volunteers, said IAPAC hoped to
present a trial plan to the Food and Drug Administration by
mid-November.
Jose Zuniga, deputy director of IAPAC, said 300 people --
doctors, nurses and ordinary citizens -- have volunteered
since the group called for health care professionals to take
part. Zuniga is among the volunteers.
The vaccine was developed by Dr. Ronald Desrosiers of Harvard
Medical School, who has had promising results with
chimpanzees.
Most effective vaccines either use a weakened version of the
infectious agent or a close relative. Examples include the
vaccines against measles, mumps and, most successful of all,
smallpox.
But HIV, or human immunodeficiency virus, presents a special
case because it mutates into different strains quickly and
because it attacks the immune system, which is what a vaccine
is supposed to stimulate.
"The safety issues are so compelling that you have to be
extra special careful before you even think about deciding
about going into humans," said Dr. Anthony Fauci of the NIH.
Farthing said he believes the Desrosiers vaccine is the best
hope for averting more HIV infections because it strips the
virus of the genetic information known to cause the most
mutations.
Farthing said many people in less developed countries where
AIDS is rampant would choose the risks of the live AIDS
vaccine over no available drug therapy. New drugs that have
proven effective against HIV in the industrialized world,
such as protease inhibitors, are scarce in Africa and Asia.
Medical Correspondent Al Hinman and Reuters contributed to
this report.