A Phase 1 interventional study of DV901-NP and DV902-NP in HIV, sponsored by National Institute of Allergy and Infectious Diseases (NIAID). Not yet recruiting at 8 sites in United States. Open to participants aged 18 Years to 55 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2026-08-11.
Sponsored by National Institute of Allergy and Infectious Diseases (NIAID) · Phase 1, Interventional, and Prevention
This Phase 1 study will evaluate the safety, tolerability, and immune responses of investigational CH505 HIV vaccine regimens in adults in overall good health without HIV. Participants will receive CH505 protein nanoparticle vaccines (DV901-NP) formulated with the investigational adjuvant ACU-026-001-1, followed by either CH505 protein nanoparticle (DV902-NP) or CH505 mRNA vaccine boosters. The study will assess the ability of these regimens to induce HIV-specific immune responses, including B-cell responses associated with the development of broadly neutralizing antibodies. An immunology cohort will also evaluate how the location of booster vaccination affects immune responses.
Hemoglobin (Hgb):
Negative HIV test results by one of the following options:
For US volunteers:
For women of pregnancy potential:
Note: Women who have had a total hysterectomy, bilateral oophorectomy, or bilateral salpingectomy (verified by medical records), tubal ligation, or menopause (no menses for ≥1 year) are not required to undergo pregnancy testing.
Exclusion Criteria:
Receipt of any of the following within 4 weeks prior to enrollment:
Asthma is excluded if the volunteer meets any of the following criteria:
Participants receive DV901-NP (100 mcg) adjuvanted with ACU-026-001-1 (2 mg) by bilateral intramuscular (IM) injection at Weeks 0 and 8, followed by DV902-NP (100 mcg) adjuvanted with ACU-026-001-1 (2 mg) at Weeks 16 and 24.
Biological: DV901-NP · Biological: DV902-NP · Biological: ACU-026-001-1
Participants receive DV901-NP (300 mcg) adjuvanted with ACU-026-001-1 (2 mg) by bilateral IM injection at Weeks 0 and 8, followed by DV902-NP (300 mcg) adjuvanted with ACU-026-001-1 (2 mg) at Weeks 16 and 24.
Biological: DV901-NP · Biological: DV902-NP · Biological: ACU-026-001-1
Participants receive DV901-NP (300 mcg) adjuvanted with ACU-026-001-1 (2 mg) by bilateral IM injection at Weeks 0 and 8, followed by CH505 TF mRNA-gp160 (100 mcg) at Weeks 16 and 24 and CH505 w24 mRNA-gp160 (100 mcg) at Week 32.
Biological: DV901-NP · Biological: CH505 TF mRNA-gp160 · Biological: CH505 w24 mRNA-gp160 · Biological: ACU-026-001-1
Participants receive DV901-NP (150 mcg) adjuvanted with ACU-026-001-1 (1 mg) by IM injection at Weeks 0, 4, and 28. The Week 0 and Week 4 vaccinations are administered in the same deltoid (ipsilateral), and the Week 28 vaccination is administered in the opposite deltoid (contralateral).
Biological: DV901-NP · Biological: ACU-026-001-1
Participants receive DV901-NP (150 mcg) adjuvanted with ACU-026-001-1 (1 mg) by IM injection at Weeks 0, 4, and 28, with all vaccinations administered in the same deltoid (ipsilateral).
Biological: DV901-NP · Biological: ACU-026-001-1
CH505 HIV-1 envelope protein nanoparticle vaccine administered intramuscularly at doses of 100 mcg, 150 mcg, or 300 mcg, depending on study group. Administered with ACU-026-001-1 adjuvant.
CH505 HIV-1 envelope protein nanoparticle booster vaccine administered intramuscularly at doses of 100 mcg or 300 mcg with ACU-026-001-1 adjuvant.
CH505 HIV-1 envelope mRNA vaccine administered intramuscularly as a 100 mcg booster at Weeks 16 and 24.
CH505 HIV-1 envelope mRNA vaccine administered intramuscularly as a 100 mcg booster at Week 32.
Investigational lipid nanoparticle adjuvant administered in combination with DV901-NP or DV902-NP. Dose is 2 mg for Groups 1-3 and 1 mg for Groups 4-5.
Incidence of solicited local reactogenicity
Incidence and severity of solicited local reactogenicity following study vaccination.
Time frame: Through 14 days after each study vaccination
Incidence of solicited systemic reactogenicity
Incidence and severity of solicited systemic reactogenicity following study vaccination.
Time frame: Through 14 days after each study vaccination
Incidence of adverse events
Incidence of adverse events following study vaccination.
Time frame: Through 30 days after each study vaccination
Incidence of serious adverse events
Incidence of serious adverse events (SAEs).
Time frame: Through 52 weeks after the last study vaccination
Incidence of medically attended adverse events
Incidence of medically attended adverse events (MAAEs).
Time frame: Through 52 weeks after the last study vaccination
Incidence of adverse events of special interest
Incidence of adverse events of special interest (AESIs)
Time frame: Through 52 weeks after the last study vaccination
Incidence of adverse events leading to permanent discontinuation of study product or participant withdrawal
Incidence of adverse events resulting in permanent discontinuation of study product administration or participant withdrawal.
Time frame: Through 52 weeks after the last study vaccination
Frequency of CH505M5.G458Y/GnT1neg-specific IgG+ memory B cells
Frequency of CH505M5.G458Y/GnT1neg-specific IgG+ memory B cells measured by flow cytometry.
Time frame: Baseline and 2 weeks after the second and fourth vaccinations (Groups 1 and 2); baseline and 2 weeks after the second, fourth, and fifth vaccinations (Group 3)
Response rate of precursor-specific serum neutralizing antibodies
Response rate of differential serum neutralizing antibody activity against precursor detection viruses and corresponding epitope knockout viruses measured by TZM-bl assay.
Time frame: Baseline and 2 weeks after the second and fourth vaccinations (Groups 1 and 2); baseline and 2 weeks after the second, fourth, and fifth vaccinations (Group 3)
Magnitude of precursor-specific serum neutralizing antibodies
Magnitude of differential serum neutralizing antibody activity against precursor detection viruses and corresponding epitope knockout viruses measured by TZM-bl assay.
Time frame: Baseline and 2 weeks after the second and fourth vaccinations (Groups 1 and 2); baseline and 2 weeks after the second, fourth, and fifth vaccinations (Group 3)
Response rate of HIV Env-specific serum IgG binding antibodies
Time frame: Baseline and 2 weeks after the second and fourth vaccinations (Groups 1 and 2); baseline and 2 weeks after the second, fourth, and fifth vaccinations (Group 3)
Magnitude of HIV Env-specific serum IgG binding antibodies as measured by binding Ab multiplex assay (BAMA)
Time frame: Baseline and 2 weeks after the second and fourth vaccinations (Groups 1 and 2); baseline and 2 weeks after the second, fourth, and fifth vaccinations (Group 3)
Epitope specificity of HIV Env-specific serum IgG binding antibodies
Time frame: Baseline and 2 weeks after the second and fourth vaccinations (Groups 1 and 2); baseline and 2 weeks after the second, fourth, and fifth vaccinations (Group 3)
Response rate of ferritin-specific serum IgG binding antibodies
Time frame: Baseline and 2 weeks after the second and fourth vaccinations (Groups 1 and 2); baseline and 2 weeks after the second, fourth, and fifth vaccinations (Group 3)
Magnitude of ferritin-specific serum IgG binding antibodies as measured by binding Ab multiplex assay (BAMA)
Time frame: Baseline and 2 weeks after the second and fourth vaccinations (Groups 1 and 2); baseline and 2 weeks after the second, fourth, and fifth vaccinations (Group 3)
Epitope specificity of ferritin-specific serum IgG binding antibodies
Time frame: Baseline and 2 weeks after the second and fourth vaccinations (Groups 1 and 2); baseline and 2 weeks after the second, fourth, and fifth vaccinations (Group 3)
Epitope-specific antibody responses measured by EMPEM
Time frame: Two weeks after the second and fourth vaccinations (Groups 1 and 2); two weeks after the second, fourth, and fifth vaccinations (Group 3)
Response rate of antibodies blocking soluble CD4 binding to HIV Env
Time frame: Two weeks after the second and fourth vaccinations (Groups 1 and 2); two weeks after the second, fourth, and fifth vaccinations (Group 3)
Magnitude of antibodies blocking soluble CD4 binding to HIV Env as measured by competition ELISA
Time frame: Two weeks after the second and fourth vaccinations (Groups 1 and 2); two weeks after the second, fourth, and fifth vaccinations (Group 3)
Response rate of antibodies blocking CH235.12 binding to HIV Env
Time frame: Two weeks after the second and fourth vaccinations (Groups 1 and 2); two weeks after the second, fourth, and fifth vaccinations (Group 3)
Magnitude of antibodies blocking CH235.12 binding to HIV Env as measured by competition ELISA
Time frame: Two weeks after the second and fourth vaccinations (Groups 1 and 2); two weeks after the second, fourth, and fifth vaccinations (Group 3)
Response rate of serum neutralization against the broadly neutralizing antibody maturation panel
Time frame: Baseline and 2 weeks after the second and fourth vaccinations (Groups 1 and 2); two weeks after the second, fourth, and fifth vaccinations (Group 3)
Magnitude of serum neutralization against the broadly neutralizing antibody maturation panel as measured by TZM-bl assay
Time frame: Baseline and 2 weeks after the second and fourth vaccinations (Groups 1 and 2); two weeks after the second, fourth, and fifth vaccinations (Group 3)
Response rate of serum neutralization against heterologous Tier 2 HIV-1 strains
Time frame: Two weeks after the fourth vaccination (Groups 1 and 2); two weeks after the fourth and fifth vaccinations (Group 3)
Magnitude of serum neutralization against heterologous Tier 2 HIV-1 strains
Time frame: Two weeks after the fourth vaccination (Groups 1 and 2); two weeks after the fourth and fifth vaccinations (Group 3)
Frequency of CH235-like B-cell receptor sequences
Time frame: Two weeks after the second and fourth vaccinations (Groups 1 and 2); two weeks after the second, fourth, and fifth vaccinations (Group 3)
Frequency of other CD4 binding site-like B-cell receptor sequences
Time frame: Two weeks after the second and fourth vaccinations (Groups 1 and 2); two weeks after the second, fourth, and fifth vaccinations (Group 3)
Response rate of heterologous CD4 binding site Env-specific IgG+ B cells
Time frame: Baseline and 2 weeks after the second and fourth vaccinations (Groups 1 and 2); two weeks after the second, fourth, and fifth vaccinations (Group 3)
Response rate of antibodies blocking DH1029 binding to HIV Env
Time frame: Two weeks after the second and fourth vaccinations (Groups 1 and 2); two weeks after the second, fourth, and fifth vaccinations (Group 3)
Magnitude of antibodies blocking DH1029 binding to HIV Env as measured by competition ELISA
Time frame: Two weeks after the second and fourth vaccinations (Groups 1 and 2); two weeks after the second, fourth, and fifth vaccinations (Group 3)
Response rate of antibodies blocking RM19R binding to HIV Env
Time frame: Two weeks after the second and fourth vaccinations (Groups 1 and 2); two weeks after the second, fourth, and fifth vaccinations (Group 3)
Magnitude of antibodies blocking RM19R binding to HIV Env as measured by competition ELISA
Time frame: Two weeks after the second and fourth vaccinations (Groups 1 and 2); two weeks after the second, fourth, and fifth vaccinations (Group 3)
Plasmablast response using B-cell sorting, single-cell RT-PCR, 10x genomics RNA sequencing
Time frame: One week after the second and third vaccinations (Groups 4 and 5)
Vaccine-specific Germinal center B-cell clonality using single cell sorting against vaccine antigen and determination of BCR sequences
Time frame: One week after the second vaccination and 3 weeks after the third vaccination (Groups 4 and 5)
Vaccine-specific Germinal center relative B-cell receptor somatic hypermutation using single cell sorting against vaccine antigen and determination of BCR sequences
Time frame: One week after the second vaccination and 3 weeks after the third vaccination (Groups 4 and 5)
Vaccine-specific Peripheral B-cell clonal diversity using single-cell sorting against vaccine antigen and determination of BCR sequences via NGS
Time frame: Prior to and 9 weeks after the third vaccination (Groups 4 and 5)
Vaccine-specific Peripheral relative B-cell receptor somatic hypermutation using single-cell sorting against vaccine antigen and determination of BCR sequences via NGS
Time frame: Prior to and 9 weeks after the third vaccination (Groups 4 and 5)
Response rate of HIV Env-specific serum IgG binding antibodies following homologous boosting
Time frame: Baseline and 2 weeks after the second and third vaccinations (Groups 4 and 5)
Magnitude of HIV Env-specific serum IgG binding antibodies following homologous boosting as measured by BAMA
Time frame: Baseline and 2 weeks after the second and third vaccinations (Groups 4 and 5)
Epitope specificity of HIV Env-specific serum IgG binding antibodies following homologous boosting
Time frame: Baseline and 2 weeks after the second and third vaccinations (Groups 4 and 5)
Response rate of ferritin-specific serum IgG binding antibodies following homologous boosting
Time frame: Baseline and 2 weeks after the second and third vaccinations (Groups 4 and 5)
Magnitude of ferritin-specific serum IgG binding antibodies following homologous boosting as measured by BAMA
Time frame: Baseline and 2 weeks after the second and third vaccinations (Groups 4 and 5)
Epitope specificity of ferritin-specific serum IgG binding antibodies following homologous boosting
Time frame: Baseline and 2 weeks after the second and third vaccinations (Groups 4 and 5)
Response rate of precursor-specific serum neutralizing antibodies following homologous boosting
Time frame: Baseline and 2 weeks after the second and third vaccinations (Groups 4 and 5)
Magnitude of precursor-specific serum neutralizing antibodies following homologous boosting as measured by TZM-bl assay
Time frame: Baseline and 2 weeks after the second and third vaccinations (Groups 4 and 5)
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National Institute of Allergy and Infectious Diseases (NIAID)