Affiliations 

  • 1 Department of Infectious Diseases, The University of Melbourne at the Peter Doherty Institute for Infection and Immunity, Melbourne, VIC, Australia. Electronic address: sharon.lewin@unimelb.edu.au
  • 2 ChinaCat Enterprises, Gig Harbor, WA, USA
  • 3 Sommartel, London, UK
  • 4 Center for Global Health Practice and Impact, Georgetown University, Washington, DC, USA
  • 5 Advanced Medical and Dental Institute, Universiti Sains Malaysia, Penang, Malaysia
  • 6 HIV Frontiers, Global Health Accelerator, Bill & Melinda Gates Foundation, Seattle, WA, USA
  • 7 Division of HIV, Infectious Diseases and Global Medicine, University of California, San Francisco, CA, USA
  • 8 Africa Health Research Institute, Durban, South Africa; HIV Pathogenesis Programme, Doris Duke Medical Research Institute, University of KwaZulu-Natal, Durban, South Africa; Ragon Institute of Massachusetts General Hospital, Massachusetts Institute of Technology and Harvard University, Cambridge, MA, USA; University College London, London, UK
Lancet HIV, 2025 Jan 03.
PMID: 39761679 DOI: 10.1016/S2352-3018(24)00277-7

Abstract

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 TTP is planned to be updated at regular intervals. Building a TTP, 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.

* Title and MeSH Headings from MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine.

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