TI "Urgency Spurs AIDS Vaccine Testing" AU Signor, Roger SO St. Louis Post-Dispatch (12/27/93) P. 1B AB The urgency of testing new AIDS vaccines has heightened in recent months, primarily due to obstacles facing the first generation of candidate vaccines. After five years of preliminary trials, laboratories are finding that the vaccines are safe, but may be ineffective. The problem is that the vaccines are failing a final lab test that they must undergo before they can be used in large trials. In this test, the vaccine is mixed in a test tube with viruses taken from AIDS patients, as well as cells that can make antibodies to kill the virus at a cue from the vaccine. The failure of a vaccine to kill the "wild" viruses is a warning to researchers that it may be ineffective. Scientists are checking to determine whether the test or the vaccine is flawed. A conclusion that the vaccines are ineffective could jeopardize a large, $10-million nationwide field trial of the first-generation vaccines by the National Institutes of Health. While some AIDS authorities say that the first generation of vaccines still may work, others believe that throwing out the vaccines and starting over may be best. "The virus strain used to make the first generation of vaccines is probably not the major strain of virus now involved in infecting people," said Dr. William G. Powderly, director of the AIDS Clinical Trial Unit at Washington University's School of Medicine. "If you want to prevent AIDS you have to hit the virus that's predominant in the early stages of infection." Dr. Margaret Johnston, director of the division of AIDS research at NIH says that, after more tests, her agency will decide whether or not to abandon the trial. Copyright (c) 1993 - Information, Inc., Bethesda, MD. This information is provided by the Centers for Disease Control & Prevention (CDC), National AIDS Clearinghouse as a public service. Non-profit reproduction is encouraged. * Origin: AEGIS/San Juan Capistrano 714.248.2836 (CASAN) (1:103/927) * Provided as a service of THE BACKROOM - NYC * 718-951-8256