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Ad26.Mos4.HIV

Phase 1

HIV | Monoclonal antibody | Other |Harvard Bioscience, Inc.|Last Updated: May 29, 2026

Success Probability
Approval Probability 71%
TA Base Rate26%
Adjusted LOA41%
ML RiskLOW_RISK
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Market & Valuation
rNPV $3.2B
Market Size $9.4B
Revenue Basis $1.6B
Competitors 6
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Trial Design
RandomizedDouble-BlindACTIVE_CONTROLLEDDMCBiomarker
Total Trials1
Total Enrollment28
FDA Designations
No designations recorded
Clinical Trials (1)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT04983030Safety, Immunogenicity, Efficacy of Ad26.Mos4.HIV, MVA-BN-HIV and PGT121, PGDM1400, and VRC07-523LS in HIV-1-Infected AdultsPHASE1 COMPLETED 28Apr 1, 2022Feb 23, 2026May 29, 20266 United States
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Study Endpoints
Primary Endpoints
Percentage of Participants With Solicited Local Adverse Events (AEs) as a Measure of Safety and Tolerability
7 days post-investigational product administration

Solicited local AEs: erythema, swelling/induration, and pain/tenderness will be assessed.

Percentage of Participants With Solicited Systemic AEs as a Measure of Safety and Tolerability
7 days post-investigational product administration

Solicited systemic AEs: fever (temperature measurement), fatigue, headache, nausea, myalgia, and chills will be assessed.

Percentage of Participants With Unsolicited AEs as a Measure of Safety and Tolerability
Approximately up to 72 weeks

An Unsolicited AE is any untoward medical event that occurs in a participant administered an investigational product, and it does not necessarily indicate only events with clear causal relationship with the relevant investigational product.

Percentage of Participants With Adverse Events of Special Interest (AESIs)
From first vaccination until 6 months after last vaccination.

AESIs and potential AESIs are judged to be of special interest because of clinical importance, known or suspected class effects and include thrombotic events and symptomatic thrombocytopenia.

Frequency of Epitope Recognition by Enzyme-Linked Immunospot (ELISPOT)
Up to post-vaccination follow-up period until Week 72

Assays of peptide pool sets covering the Gag, Env or Pol will be evaluated by standard enzyme linked immunospot assay (ELISPOT).

Total IgG and Subclass Specific Antibody Titer
Up to post-vaccination follow-up period until Week 72 ]

Total immunoglobulin G (IgG) and subclass (IgG1-4) specific antibody titers (binding antibody) to envelope (Env) proteins representing Clades A, B, and C, as well as Mosaic antigens.

Antiviral activity - Percentage of participants who maintain plasma HIV RNA <1000 copies/mL
Time between week 24 and week 72 week

Proportion of participants who remain off ART and maintaining plasma HIV RNA \<1000 copies/mL for at least two thirds of the time between 24 and 72 weeks of analytical treatment interruption (ATI).

Secondary Endpoints
Measurement of the HIV-1 reservoir (dQVOA)
At baseline, Week 24 and Week 32
Measurement of intact proviral DNA
At baseline, Week 24 and Week 32
Compare the time to viral rebound (defined as confirmed plasma HIV RNA levels ≥1,000 copies/mL) following Ad26.Mos4.HIV, MVA-BN-HIV and placebo with the results of the rates of viral rebound as observed in historical controls.
Week 48
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Study Design & Arms
AllocationRANDOMIZED
MaskingDOUBLE
ModelPARALLEL
PurposeTREATMENT
Treatment Arms
ArmTypeDescription
Ad26.Mos4.HIV, MVA-BN-HIV Vaccine Plus PGT121, PGDM1400, and VRC07-523LS bNAbsEXPERIMENTALParticipants will receive Ad26.Mos4.HIV vaccine at week 0 and MVA-BN-HIV vaccine at week 12. The bNAbs PGT121, PGDM1400, and VRC07-523LS will be administered at week 24, and the bNAbs PGT121 and PGDM1400 will be administered at week 28.
Ad26.Mos4.HIV, MVA-BN-HIV Vaccine Plus PlaceboACTIVE_COMPARATORParticipants will receive Ad26.Mos4.HIV vaccine at week 0 and MVA-BN-HIV vaccine at week 12. Placebo will be administered at week 24, and at week 28.
Placebo Plus PGT121, PGDM1400, and VRC07-523LS bNAbsACTIVE_COMPARATORParticipants will receive Placebo at week 0 and 12. The bNAbs PGT121, PGDM1400, and VRC07-523LS will be administered at week 24, and the bNAbs PGT121 and PGDM1400 will be administered at week 28.
Interventions
NameTypeDescription
Ad26.Mos4.HIVBIOLOGICALAd26.Mos4.HIV is a tetravalent vaccine containing Mos1.Env, Mos2S.Env, Mos1.Gag-Pol, and Mos2.Gag-Pol HIV-1 proteins.
MVA-BN-HIVBIOLOGICALMVA-BN-HIV is a monovalent vaccine comprising a single Modified Vaccinia Ankara - Bavarian Nordic (MVA-BN®) vector encoding Mos1.Env, Mos2S.Env, Mos1.Gag-Pol, and Mos2.Gag-Pol HIV-1 proteins.
PGT121BIOLOGICALPGT121 is a human mAb that targets the HIV-1 V3 glycan, centered on N332.
PGDM1400BIOLOGICALPGDM1400 is a human mAb that targets the HIV-1 V2 glycan, centered on N160.
VRC07-523LSBIOLOGICALVRC-HIVMAB075-00-AB (VRC07-523LS) is a human monoclonal antibody (mAb) that targets the HIV-1 CD4 binding site.
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Eligibility Criteria
Age Range18 Years — 70 Years
SexALL
Healthy VolunteersNo
Study Sites6

Inclusion Criteria: 1. Each potential study participant must pass the Test of Understanding (TOU), indicating that he or she understands the purpose of, and procedures required for the study, after reading the informed consent and after the investigator or designee has provided detailed information...

Countries:United States
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