Lewin Sharon R, Bansbach Cathy, Kemps Dominic, Mathae Lauren, Das Kumitaa Theva, McCune Joseph M, Deeks Steven G, Ndung'u Thumbi
Department of Infectious Diseases, The University of Melbourne at the Peter Doherty Institute for Infection and Immunity, Melbourne, VIC, Australia.
ChinaCat Enterprises, Gig Harbor, WA, USA.
Lancet HIV. 2025 Feb;12(2):e154-e162. doi: 10.1016/S2352-3018(24)00277-7. Epub 2025 Jan 3.
This target product profile (TPP) highlights the minimal and optimal characteristics for ex-vivo and in-vivo cell and gene therapy-based products aimed at achieving an HIV cure (ie, durable antiretroviral-free viral control). The need for an effective, safe, scalable, affordable, accessible, and acceptable cure for HIV infection remains a major global priority. The possibilities for cell and gene therapy-based products for an HIV cure are rapidly expanding. In a multi-stakeholder consensus process of clinical experts and civil society, including representatives from low-income and middle-income countries, participants generally agreed on the optimal targets, whereas consensus on the minimal targets was not reached on every parameter. There was less agreement on the minimal targets for ex-vivo than in-vivo therapies given the complexity of ex-vivo interventions. The TPP is planned to be updated at regular intervals. Building a TPP, such as this one, is an important process for stakeholder engagement and aligning ambitions for the development of products that are acceptable to both clinicians and civil society.
本目标产品简介(TPP)重点介绍了旨在实现治愈人类免疫缺陷病毒(HIV)(即持久的无抗逆转录病毒病毒控制)的体外和体内细胞及基因疗法产品的最低和最佳特性。对于HIV感染,需要一种有效、安全、可扩展、可负担、可及且可接受的治愈方法,这仍然是全球的一项重大优先事项。基于细胞和基因疗法的HIV治愈产品的可能性正在迅速扩大。在包括低收入和中等收入国家代表在内的临床专家和民间社会的多利益相关方共识过程中,参与者普遍就最佳目标达成了一致,但并非在每个参数上都就最低目标达成了共识。鉴于体外干预的复杂性,对于体外疗法的最低目标,达成的共识比体内疗法要少。本TPP计划定期更新。制定这样一个TPP是让利益相关方参与并使临床医生和民间社会都能接受的产品开发目标保持一致的重要过程。