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INNOVATORS Gold Award - New Orleans City Business

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ON THE BRINK<br />

HIV Research<br />

Tulane University National<br />

Primate Research Center<br />

Key innovation: development of a gel to prevent<br />

transmission of HIV in women<br />

Biggest client: patients in developing countries<br />

Where they’re based: Covington<br />

Top executive: Andrew Lackner, director<br />

Year introduced: in development<br />

PHOTO BY SHANNON DIECIDUE<br />

THE STATISTICS ARE staggering: Since the discovery<br />

of AIDS in 1981, 25 million people have died of the disease<br />

worldwide, according to Avert.org.<br />

Since that time, doctors and researchers have worked<br />

to control and someday eradicate what has become one of<br />

the world’s greatest epidemics.<br />

Dr. Ronald Veazey, an AIDS researcher since 1994, is<br />

testing a potential breakthrough in the prevention of HIV<br />

designed specifically for women at the Tulane University<br />

National Primate Research Center in Covington.<br />

Macaque monkeys are being used to test a microbicide gel<br />

called a fusion inhibitor that could be applied topically to<br />

the vagina.<br />

Veazey said a fusion inhibitor is a drug that prevents<br />

the virus from attaching to or entering human cells.<br />

“HIV attaches to and enters cells through a two-step<br />

process that involves the binding of very specific molecules<br />

on the virus with molecules on the host cell, kind of<br />

like a ‘lock and key’ mechanism,” Veazey said. “This is<br />

why HIV only infects primates and not mice, rabbits or<br />

other animals.”<br />

He said that is why the macaques are necessary to<br />

study the interactions of the virus with the vagina and<br />

other tissues.<br />

“Only the molecules on the cells of primates have the<br />

correct molecular structure allowing HIV to attach to<br />

them,” Veazey said.<br />

Public health officials have long called for an HIV prevention<br />

method that would be completely under a<br />

woman’s control.<br />

“We are targeting patients in developing countries,<br />

where the HIV epidemic is spreading the fastest,” Veazey<br />

said. “There are areas where condom use is either discouraged<br />

or not an option due to male-dominated societies,<br />

religious beliefs or other reasons.”<br />

But the gel won’t be on the market for at least five years,<br />

maybe longer, Veazey said.<br />

“We simply performed a preclinical study showing<br />

that it protects monkeys from HIV transmission. Now it<br />

has to get in line with a number of other compounds for<br />

approval to perform clinical safety trials in humans, or<br />

Phase 1 and 2 trials, and then after it is proven safe, there<br />

will be large-scale Phase 3 trials, which usually take years<br />

to complete.”•<br />

— Lisa Bacques<br />

Dr. Ronald Veazey, an AIDS researcher with Tulane University’s National Primate Research Center in Covington, is working on a gel that<br />

could prevent the virus from attaching to or attacking human cells.<br />

54A 2008 Innovator of the Year

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