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Ad26.Mos4.HIV + CH505 TF chTrimer + ALFQ is an experimental HIV vaccine regimen designed to prevent HIV-1 infection. It is being developed by the U.S. Army Medical Research and Development Command (USAMRDC) in collaboration with Janssen Vaccines & Prevention B.V. and Duke University. The regimen utilizes a heterologous prime-boost strategy: Ad26.Mos4.HIV is a replication-incompetent adenovirus serotype 26 vector expressing mosaic HIV-1 antigens; CH505 TF chTrimer is a stabilized, soluble HIV-1 envelope (Env) protein trimer derived from a transmitted/founder virus; and ALFQ (Army Liposomal Formulation containing QS-21) is a potent adjuvant containing monophosphoryl lipid A (MPLA) and QS-21. The combination aims to induce both robust cellular immune responses and broadly neutralizing antibodies (bNAbs) against the HIV-1 envelope protein. It is currently being evaluated in the Phase I RV591 trial to compare standard versus rapid dose-escalating schedules.
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