of 4
nature portfolio
Double
-blind
peer review submissions:
write
DBPR
and your manuscript number
here
Corresponding
author(s):
J
oseph P.
C
asa
zz
a
Last updated
by author(s): 2022-02-2
5
_
_
_
_________
_
Reporting
Summary
Nature
Portfolio
wishes
to improve
the reproducibility
of the work
that
we publish.
This
form
provides
structure
for consistency
and
transparency
in reporting.
For further
information
on Nature
Portfolio
policies,
see our
Editorial
Policies
and
the
Editorial
Policy Checklis
t.
Statistics
For all statistical
analyses,
confirm
that
the following
items
are present
in the figure
legend,
table
legend,
main
text,
or Methods
section.
n
/
a Confirmed
D �
The
exact
sample
size
(n)
for each
experimental
group
/
condition,
given
as a discrete
number
and
unit
of measurement
D �
A statement
on whether
measurements
were
taken
from
distinct
samples
or whether
the same
sample
was
measured
repeatedly
D �
The
statistical
test(s)
used
AND
whether
they
are one-
or two-sided
Only common
tests
should
be described
solely
by name;
describe
more
complex
techniques
in the Methods
section.
� D
A description
of all covariates
tested
� D
A description
of any
assumptions
or corrections,
such
as tests
of normality
and
adjustment
for multiple
comparisons
D �
A full description
of the statistical
parameters
including
central
tendency
(e.g.
means)
or other
basic
estimates
(e.g.
regression
coefficient)
AND
variation
(e.g.
standard
deviation)
or associated
estimates
of uncertainty
(e.g.
confidence
intervals)
For null
hypothesis
testing,
the test
statistic
(e.g.
F, t, r)
with
confidence
intervals,
effect
sizes,
degrees
of freedom
and
P
value
noted
Give P values
as exact
values
whenever
suitable.
For Bayesian
analysis,
information
on the choice
of priors
and
Markov
chain
Monte
Carlo
settings
For hierarchical
and
complex
designs,
identification
of the appropriate
level
for tests
and
full reporting
of outcomes
Estimates
of effect
sizes
(e.g.
Cohen's
d,
Pearson's
r),
indicating
how
they
were
calculated
Our web collection
on statistics for biologists
contains articles on many of the paints above.
Software and code
Policy
information
about
availability
of computer
code
Data
collection
Flow
cytometry
data
collected
by BD FACSDiva
software,
V8.0;
VRC07
concentrations
read
on a Singulex
Erenna
or SMCxPRO
(Singulex,
Alameda,
CA);
AAV8
capsid
Ab data
collected
on a Spectra
Max
microplate
spectrophotometer
using
proprietary
software
(Molecular
Devices,
Sunnyvale,
CA);
Tier 1 and Tier 2 VRC07
ADA
assay
data
collected
on MSD
600plate
reader
using
MSD
Workbench
software
(Rockville,
MD),
Tier 3 luminescence
dterminations,
Molecular
Devices
Paradigm
Multimode
Reader
wish
Software
Pro software
(San
Jose,
CA),
AAV8-VRC07
DNA
RT PCR data
was acquired
on an Applied
Biosystems
7900
HT (Waltham,MA).
lgGl
allotype
RT PCR data
was aquired
using
a CFX96
Touch
Real-Time
PCR detection
system
(CHAI,
Santa
Clara,
CA).
Pseudoviral
Neutralization
data
was acquired
on a Spectramax
L luminometer
(Molecular
Devices).
Data
analysis
Flow
cytometry
data
analysis,
FlowJo
software
(FlowJo,
Ashland,
OR),
Vl0.6.
Singulex
VRC07
determinations
analyzed
with
Sgx link or
SMCxPro(Singulex,
Alameda,
CA).
RT PCR data
for AAV8-VRC07
DNA
concentration
was analyzed
using
SDS 2.4.1
software
(Applied
Biosystems,
Foster
City,
CA).
Tier 3 VRC07
ADA
was analyzed
using
Labkey
Neutalization
Analysis
Tool
(LabKey,
San Diego,
CA)
For manuscripts
utilizing
custom
algorithms
or software
that are central
to the research
but not yet described
in published
literature,
software
must
be made
available
to editors
and
reviewers.
We strongly
encourage
code
deposition
in a community repository
(e.g. GitHub).
See the Nature Portfolio
guidelines
for submitting
code
& software
for further
information.
J
α
γ
B27), mouse
anti-human
CD107a
BV650
(Biolegend
Catalog
#328638,
clone
H4A3)
and mouse
anti-human
CD3 H7APC
(BD
Bioscience
Cat # 641406,
clone
ASR) were used for flow cytometric analysis.
Mouse
anti-Human
lgG Fe unconjugated
secondary
antibody
used in the Singluex
VRC07
assay
was from ThermoFisher
(Cat # MH1015,
clone
HP6070).
For anti-AAV8
antibody
determinations
anti-human
lgG/A/M
was obtained
from two different
sources
(KPL Cat# #16-10-07
or more
recently
Jackson
lmmuno
Research
Cat# 309-065-064).
VRC07,
VRC 13 and 5C9 were produced
in house.
.....
Validation
All the antibodies
used in the study
were tested
for their reactivity
and specificity
prior to the use in the study,
but not further
validation
unless
noted.
Eukaryotic
cell lines
Policy
information
about
cell lines
Cell line source(s)
Authentication
Mycoplasma
contamination
Commonly
misidentified
lines
(See ICLAC
register)
TZM-bl
cells were obtained
from the National
Institutes
of Health
AIDS Reagent
Repository
These
cells were not authenticated
Cell lines used for Tier 3 ADA responses
were tested
for mycoplasma,
and cells used for Ab neutralization
were not tested
for
mycoplasma.
No commonly
misidentified
lines were used.
Human research participants
Policy
information
about
studies
involving
human
research
participants
Population
characteristics
Recruitment
Ethics
oversight
Eight HIV-infected
individuals,
2 women
and 6 men, all on effective
ARV therapy
with vial loads
of <50, and CD4 counts
of
>300 between
the ages of 30-65
were enrolled in VRC603.
Exclusionary
criteria included
prior receipt
of monoclonal
anti­
bodies
or gene therpy products,
active drug or alcohol
abuse,
anti-AAv8
antibody
levels of >1:90, active liver disease,
poorly
controlled
hypertension,
weight >115 kg, a history
of severe allergic response
within the preceding
2 years, pregnancy
and
any chronic
or clinically
significant
medical condition that in the opinion of the investi
gator would jeopardize
the safety or
rights
of the participant.
Volunteers
were recruited
from the greater
Washington,
DC, area by I RB-approved
written
and electronic
media.
This
included
fliers and advertisements
on the NIH campus
and Clinical
Center,
referrals
from the Office
of Patient
Recruitment
at
the NIH, contacting
previous
participants
from previous
VRC trials,
fliers at local colleges
and universities,
HIV medical
provider
offices,
coffee
shops,
restaurants,
bars and grocery
stores,
gay pride
events,
advertisements
in the Washington
Post,
and posts
on ResearchMatch.org.
The study
protocol,
informed
consent
and recruitment
materials
was reviewed
and approved
by the NIAID
IRB, Bethesda
MD.
Written
informed
consent
was obtained
for each participant.
Prior to approval
all volunteers
were given
a test to assess
understanding
of the risks of participating
in the trial. Participants
were provided
compensation
for time and travel.
Note that full information
on the approval
of the study
protocol
must also be provided
in the manuscript.
Clinical data
Policy
information
about
clinical
studies
I
I
I
I
I
All manuscripts
should
comply
with the ICMJE
guidelines
for publication
of clinical
research
and a completed
CONSORT
checklist
must be included
with all submissions.
Clinical
trial registration
ClinicalTrials.gov.
NCT03374202
(https://clinicaltrials.gov/ct2/show/NCT03
374202)
Study
protocol
Data collection
Outcomes
The full trial protocol
will be available
of https://clinicaltrials.gov/ct2/show/NCT03374202
within
1 year of the final partcipant
reaching
the final preliminary
endpoint
(1 year after product
administration).
The eight participants
presented
in this report
were enrolled
into this trial from January
11, 2018 through
October
21,2019.
Data
presented
was obtained
between
January
11, 2018 until November
1, 2021.
All data collection,
blood
draws
and product
administration
was done at the NIH Clinical
Center
on the NIH campus
in Bethesda,
MD.
Solicited
adverse
reactions
including
unusual
fatigue/malaise,
muscles
ache,
headache,
chills,
nausea,
and joint pain were recorded
daily by participants
on electronic
diary cards
for the first seven
days after enrollment.
Subjects
also recorded
their highest
measured
daily temperature.
Local reactogenicity
parameters
including
pain/tenderness,
swelling,
and redness
at the injection
site
or other
sites were
also recorded.
All adverse
events
were recorded
for the first eight weeks
of this study,
after that only serious
adverse
events
are recorded.
Individuals
will be followed
for 5 years
after product
administration.
Viral loads
and CD4 counts
were done by CUA certified
labs. VRC07
measurement
were done using
a previously
published
singulex
method
(Prabhakaran,
Met al. (2021)
J. lmmunol.
Methods
479:112995).
Anti-drug
antibodies
were determined
by a 3 tier approach.
Tier 1 assays
quantitatatively
measured
binding
of serum
protein
to VRC07.
Tier 2 assays
were qualitative
competition
assays
in
which
exogenously
added
VRC07
displaced
VRC07
binding.
Tier 3 assays
were qualitative
assays
which
assessed
the capability
of
anti-VRC
antibodies
to prevent
infection
of TZM-bl
cells by ARV resistant
DU156
pseudovirus.
Viral loads,
CD4 counts,
serum
VRC07
concentration
and ADA will be followed
for 5 years.