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ALVAC-HIV

Phase 2

HIV Infections | Monoclonal antibody | Infectious Disease |Sanofi|Last Updated: May 4, 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 Trials2
Total Enrollment5,536
FDA Designations
No designations recorded
Clinical Trials (2)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT02968849Pivotal Phase 2b/3 ALVAC/Bivalent gp120/MF59 HIV Vaccine Prevention Safety and Efficacy Study in South AfricaPHASE2 COMPLETED 5,404Oct 26, 2016Nov 16, 2021May 4, 202614 South Africa
NCT03284710Safety and Immunogenicity of Clade C ALVAC and gp120 HIV VaccinePHASE1 COMPLETED 132Jun 19, 2017Dec 12, 2019May 4, 20266 Mozambique, South Africa +1
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Study Endpoints
Primary Endpoints
Incidence Rate of HIV-1 Infection Diagnosed After Enrollment (Concurrent With First Vaccination) Through 24 Months After Enrollment
Measured through 24 months after first vaccination

Vaccine efficacy was calculated as 1 minus the hazard ratio for HIV-1 infection, which was estimated using a sex-stratified Cox proportional-hazards (Cox PH) model and tested using a sex-stratified log-rank test. Vaccine efficacy was also measured using a ratio of cumulative incidences (CIR) of HIV-1 infection in the vaccine group as compared with the placebo group, which was calculated using Nelson-Aalen cumulative hazard estimates and tested using a Wald test.

Number of Participants Reporting Local Reactogenicity Signs and Symptoms: Pain and/or Tenderness
Measured through 3 full days following each vaccination

Graded according to the Division of AIDS (DAIDS) Table for Grading the Severity of Adult and Pediatric Adverse Events, Version 2.1 \[July 2017\]. The maximum grade observed for each symptom over the time frame is presented.

Number of Participants Reporting Local Reactogenicity Signs and Symptoms: Erythema and/or Induration
Measured through 3 full days following each vaccination

Graded according to the Division of AIDS (DAIDS) Table for Grading the Severity of Adult and Pediatric Adverse Events, Version 2.1 \[July 2017\]. The maximum grade observed for each symptom over the time frame is presented.

Number of Participants Reporting Systemic Reactogenicity Signs and Symptoms
Measured through 3 full days following each vaccination

Graded according to the Division of AIDS (DAIDS) Table for Grading the Severity of Adult and Pediatric Adverse Events, Version 2.1 \[July 2017\]. The maximum grade observed for each symptom over the time frame is presented.

Number of Participants Reporting Adverse Events (AEs), by Relationship to Study Product
Measured through 30 days after each vaccination

For participants reporting multiple AEs over the time frame, the maximum relationship is counted.

Number of Participants Reporting Adverse Events (AEs), by Severity Grade
Measured through 30 days after each vaccination

For participants reporting multiple AEs over the time frame, the maximum severity grade is counted.

Number of Participants Reporting Serious Adverse Events (SAEs)
Measured through 12 months after last vaccination

Measured as outlined in Version 2.0 (January 2010) of the Manual for Expedited Reporting of Adverse Events to DAIDS (DAIDS EAE Manual).

Number of Participants Reporting Adverse Events of Special Interest (AESIs)
Measured through 12 months after last vaccination

Adverse events of special interest (AESI) were described in Appendix J of the protocol. AESI for this protocol include but are not limited to potential immune-mediated diseases.

Number of Participants Reporting New Chronic Medical Conditions
Measured through 12 months after last vaccination

A new chronic medical condition is defined as a new onset or exacerbation of medical condition requiring 2 or more visits to a medical provider during a period of at least 30 days.

Number of Participants With Early Study Termination Associated With an AE or Reactogenicity
Measured through study completion (through 6 months after confirmation of HIV-1 diagnosis for participants who acquired HIV and through 12 months after last vaccination for the rest)

From the termination form, early study termination associated with an AE or reactogenicity reasons are tabulated by treatment group.

Number of Participants With Study Product Discontinuation Associated With an AE or Reactogenicity
Measured through study completion (through 6 months after confirmation of HIV-1 diagnosis for participants who acquired HIV and through 12 months after last vaccination for the rest)

From the study product discontinuation form, study product discontinuation reasons are tabulated by treatment group.

Incidence Rate of HIV-1 Infections Diagnosed Following Enrollment and Throughout All Participant Follow-Up
Measured through 36 months after first vaccination

Per the 23 January 2020 DSMB finding that monitoring boundaries for non-efficacy have been met, Primary outcome 1 has been superseded by this primary outcome. Vaccine efficacy was calculated as 1 minus the hazard ratio for HIV-1 infection, which was estimated using a sex-stratified Cox proportional-hazards (Cox PH) model and tested using a sex-stratified log-rank test. Vaccine efficacy was also measured using a ratio of cumulative incidences (CIR) of HIV-1 infection in the vaccine group as compared with the placebo group, which was calculated using Nelson-Aalen cumulative hazard estimates and tested using a Wald test.

Occurrence of Vaccine-induced Systemic IgG Ab Binding to the 3 gp120 Env Proteins Contained in the Vaccine Regimen (ZM96, TV1.C, and 1086.C) in Group 1 and Group 2
Measured at Month 6.5

Serum IgG responses were measured on a Bio-Plex instrument using a standardized custom Luminex assay, run at 1:50 dilution. The readout is background-subtracted mean fluorescent intensity (MFI), with background adjustment for an antigen-specific plate level control. For each sample, response magnitude is net MFI, defined as experimental antigen MFI minus reference antigen MFI. Net MFI \< 1 is set to 1, and net MFI \> 22,000 is set to 22,000. Data are excluded if blood draw date was outside the allowable window, a participant was HIV-infected, reference antigen \> 5,000 MFI, or baseline net MFI \> 6,500. Samples from post-enrollment visits have positive responses if they meet three criteria: (1) net MFI greater than or equal to an antigen-specific response threshold (defined as the maximum of 100 and the 95th percentile of baseline net MFI), (2) net MFI values are greater than 3 times baseline net MFI, and (3) experimental antigen MFI values are greater than 3 times baseline MFI.

Level of Vaccine-induced Systemic IgG Ab Binding to the 3 gp120 Env Proteins Contained in the Vaccine Regimen (ZM96, TV1.C, and 1086.C) in Group 1 and Group 2
Measured at Month 6.5

Serum IgG responses were measured on a Bio-Plex instrument using a standardized custom Luminex assay, run at 1:50 dilution. The readout is background-subtracted mean fluorescent intensity (MFI), with background adjustment for an antigen-specific plate level control. For each sample, response magnitude is net MFI, defined as experimental antigen MFI minus reference antigen MFI. Net MFI \< 1 is set to 1, and net MFI \> 22,000 is set to 22,000. Data are excluded if blood draw date was outside the allowable window, a participant was HIV-infected, reference antigen \> 5,000 MFI, or baseline net MFI \> 6,500. Comparisons were performed among positive responders only (positivity criteria are described in Outcome 1).

Occurrence of Vaccine-induced Serum IgA Ab Binding to the 3 gp120 Env Proteins Contained in the Vaccine Regimen (ZM96, TV1.C, and 1086.C) in Group 1 and Group 3
Measured at Month 6.5

Serum IgA responses were measured on a Bio-Plex instrument using a standardized custom Luminex assay, run at 1:10 dilution. The readout is background-subtracted mean fluorescent intensity (MFI), with background adjustment for an antigen-specific plate level control. For each sample, response magnitude is net MFI, defined as experimental antigen MFI minus reference antigen MFI. Net MFI \< 1 is set to 1, and net MFI \> 22,000 is set to 22,000. Data are excluded if blood draw date was outside the allowable window, a participant was HIV-infected, reference antigen \> 5,000 MFI, or baseline net MFI \> 6,500. Samples from post-enrollment visits have positive responses if they meet three criteria: (1) net MFI greater than or equal to an antigen-specific response threshold (defined as the maximum of 100 and the 95th percentile of baseline net MFI), (2) net MFI values are greater than 3 times baseline net MFI, and (3) experimental antigen MFI values are greater than 3 times baseline MFI.

Level of Vaccine-induced Serum IgA Ab Binding to the 3 gp120 Env Proteins Contained in the Vaccine Regimen (ZM96, TV1.C, and 1086.C) in Group 1 and Group 3
Measured at Month 6.5

Serum IgA responses were measured on a Bio-Plex instrument using a standardized custom Luminex assay, run at 1:10 dilution. The readout is background-subtracted mean fluorescent intensity (MFI), with background adjustment for an antigen-specific plate level control. For each sample, response magnitude is net MFI, defined as experimental antigen MFI minus reference antigen MFI. Net MFI \< 1 is set to 1, and net MFI \> 22,000 is set to 22,000. Data are excluded if blood draw date was outside the allowable window, a participant was HIV-infected, reference antigen \> 5,000 MFI, or baseline net MFI \> 6,500. Comparisons were performed among positive responders only (positivity criteria are described in Outcome 1).

Number of Participants Reporting New Chronic Conditions (Requiring Medical Intervention for >= 30 Days)
Measured through Month 18

New chronic conditions are adverse events that require medical intervention for \>= 30 days.

Chemistry and Hematology Laboratory Measures - ALT (SGPT), AST, Alkaline Phosphatase
Measured during screening, Days 7, 42, 98, 182, 378, and 455

For each local laboratory measure, summary statistics were presented by treatment group and timepoint for the overall population.

Chemistry and Hematology Laboratory Measures - Creatinine
Measured during screening, Days 7, 42, 98, 182, 378, and 455

For each local laboratory measure, summary statistics were presented by treatment group and timepoint for the overall population.

Chemistry and Hematology Laboratory Measures - Hemoglobin
Measured during screening, Days 7, 42, 98, 182, 378, and 455

For each local laboratory measure, summary statistics were presented by treatment group and timepoint for the overall population.

Chemistry and Hematology Laboratory Measures - Lymphocytes, Neutrophils
Measured during screening, Days 0, 1, 3, 7, 42, 84, 85, 87, 91, 98, 182, 378, and 455

For each local laboratory measure, summary statistics were presented by treatment group and timepoint for the overall population.

Chemistry and Hematology Laboratory Measures - Platelets, WBC
Measured during screening, Days 0, 1, 3, 7, 42, 84, 85, 87, 91, 98, 182, 378, and 455

For each local laboratory measure, summary statistics were presented by treatment group and timepoint for the overall population.

Numbers of Participants With Grade 1 or Higher Local Laboratory Results
Measured during screening, Days 0, 1, 3, 7, 42, 84, 85, 87, 91, 98, 182, 378, and 455

The number (percentage) of participants with local laboratory values recorded as meeting Grade 1 AE criteria or above as specified in the DAIDS AE Grading Table were tabulated by treatment arm for each post-vaccination time point.

Secondary Endpoints
Incidence Rate of HIV-1 Infection Diagnosed After Enrollment Through 36 Months Post Enrollment
Measured through 36 months after first vaccination
Incidence Rate of HIV-1 Infection Diagnosed After Month 6.5 Through 24 Months Post Enrollment
Measured after Month 6.5 through 24 months after first vaccination
Number of Participants With Occurrence of CD4+ and CD8+ T-Cells Expressing IFN-g and/or IL-2 in Response to HIV Proteins Included in the Vaccine at Month 6.5
Measured at Month 6.5
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Study Design & Arms
AllocationRANDOMIZED
MaskingQUADRUPLE
ModelPARALLEL
PurposePREVENTION
Treatment Arms
ArmTypeDescription
ALVAC-HIV + subtype C gp120/MF59ACTIVE_COMPARATOR2700 participants will receive an IM injection of ALVAC-HIV (vCP2438) at months 0 and 1, and an IM injection of ALVAC-HIV (vCP2438) + Bivalent Subtype C gp120/MF59 at months 3, 6, and 12.
PlaceboPLACEBO_COMPARATOR2700 participants will receive Sodium Chloride for injection, 0.9% at months 0, 1, 3, 6, and 12.
Group 1: ALVAC-HIV + gp120/MF59ACTIVE_COMPARATORParticipants will receive the ALVAC-HIV (vCP2438) vaccine in the left deltoid at months 0, 1, 3, 6, and 12, and Bivalent Subtype C gp120/MF59 in the right deltoid at months 3, 6, and 12. All injections are via needle and syringe.
Group 2: ALVAC-HIV + gp120/Al(OH)3ACTIVE_COMPARATORParticipants will receive the ALVAC-HIV (vCP2438) vaccine in the left deltoid at months 0, 1, 3, 6, and 12, and Bivalent Subtype C gp120 admixed with Al(OH)3 Suspension in the right deltoid at months 3, 6, and 12. All injections are via needle and syringe.
Group 3: ALVAC-HIV + gp120/MF59ACTIVE_COMPARATORParticipants will receive the ALVAC-HIV (vCP2438) vaccine in the left deltoid and Bivalent Subtype C gp120/MF59 in the right deltoid at months 0, 1, 6, and 12. All injections are via needle and syringe.
Group 4: ALVAC-HIV + gp120ACTIVE_COMPARATORParticipants will receive the ALVAC-HIV (vCP2438) vaccine in the left deltoid at months 0, 1, 3, 6, and 12, and Bivalent Subtype C gp120 in the right deltoid at months 3, 6, and 12. All injections are via needle and syringe.
Interventions
NameTypeDescription
ALVAC-HIV (vCP2438)BIOLOGICALExpresses the gene products ZM96 gp120 (clade C strain) linked to the sequences encoding the HIV-1 transmembrane anchor (TM) sequence of gp41 (28 amino acids clade B LAI strain) and gag and pro (clade B LAI strain). It is formulated as a lyophilized vaccine for injection at a dose \> 10\^6 cell culture infectious dose 50% (CCIDv50) and \< 1 × 10\^8 CCIDv50 (nominal dose of 10\^7 CCIDv50) and is reconstituted with 1 mL of sterile sodium chloride solution (NaCl 0.4%) delivered IM
Bivalent Subtype C gp120/MF59BIOLOGICALSubtype C TV1.C gp120 Env and 1086.C gp120 Env proteins, each at a dose of 100 mcg, mixed with MF59 adjuvant (an oil-in-water emulsion) and delivered IM
PlaceboBIOLOGICALSodium Chloride for injection, 0.9% delivered IM
Bivalent Subtype C gp120 admixed with Al(OH)3 SuspensionBIOLOGICALConsists of 2 subtype C recombinant monomeric proteins, TV1.C gp120 Env and 1086.C gp120 Env, each at a dose of 100 mcg, admixed with Aluminum Hydroxide Suspension (\~625 mcg aluminum content); delivered as a 0.5 mL IM injection
Bivalent Subtype C gp120BIOLOGICALConsists of 2 subtype C recombinant monomeric proteins, TV1.C gp120 Env and 1086.C gp120 Env, each at a dose of 100 mcg, mixed with sodium chloride for injection, 0.9%; delivered as a 0.5 mL IM injection
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Eligibility Criteria
Age Range18 Years — 35 Years
SexALL
Healthy VolunteersYes
Study Sites14

Inclusion Criteria * Age of 18 to 35 years * Sexually active, defined as having had sexual intercourse at least twice in the past 30 days prior to screening, and is considered by the site staff to be at risk for HIV infection. * Access to a participating HVTN CRS and willingness to be followed for ...

Countries:South AfricaMozambiqueZimbabwe
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Recent Changes (Last 90 Days)
MEDIUMJun 4, 2026NCT02968849TRIAL_REMOVED: changed
MEDIUMJun 4, 2026NCT03284710TRIAL_REMOVED: changed
MEDIUMJun 4, 2026NCT02968849TRIAL_REMOVED: changed
MEDIUMJun 4, 2026NCT03284710TRIAL_REMOVED: changed
MEDIUMJun 4, 2026NCT02968849TRIAL_REMOVED: changed
MEDIUMJun 4, 2026NCT03284710TRIAL_REMOVED: changed
MEDIUMJun 4, 2026NCT02968849TRIAL_REMOVED: changed
MEDIUMJun 4, 2026NCT03284710TRIAL_REMOVED: changed
MEDIUMJun 4, 2026NCT02968849TRIAL_REMOVED: changed
MEDIUMJun 4, 2026NCT03284710TRIAL_REMOVED: changed
LOWMay 24, 2026NCT02968849studyFirstPostDate: changed
LOWMay 24, 2026NCT03284710studyFirstPostDate: changed