Deep Dive · rNPV Rank 10Grant / non-commercial

Antibodies associated with HIV control

Generated by an autonomous AI research agent — Anthropic Claude Opus 4.7 or OpenAI GPT-5.5, max reasoning effort. Sources cited inline. Full disclosure at /methodology/jhtv-deep-dive.

Indication

HIV infection / viral load control

Modality

Monoclonal Antibody

Mechanism

HIV-control antibody

Target

rNPV Envelope

Low

-$19.2M

costs +25% · peak −25%

Base

-$15.2M

cumulative PoS 0.3%

High

-$11.2M

costs −25% · peak +25%

This is an explicitly hypothetical illustrative profile shown only for cohort-envelope consistency — the asset is a discovery-stage epitope/antibody correlate, not a development candidate, so no real stage profile exists. Costs and durations are anchored to the HIV-prevention-vaccine archetype (HVTN 133 Phase 1 immunogen scale; HVTN-run efficacy trials are large and long with low per-patient cost but very large enrollment), with an extended ~48-month preclinical phase reflecting the deep gap between a VirScan correlate (Grant-McAuley 2023) and a defined GMP immunogen with a credible protective mechanism. PoS is deliberately depressed far below generic vaccine medians because the only completed efficacy precedents for Env-targeted HIV immunization (Imbokodo, Mosaico) both failed and there is no approved HIV vaccine in ~40 years; cumulative LoA ≈ 0.27% reflects that the entire efficacy case is a single n=13-controller observational association, not a demonstrated protective immunogen.

01

Composite score breakdown

Locked rubric — 40/30/30 weights

Clinical relevance · 40%

0.70

Modality fit · 30%

0.51

Whitespace · 30%

0.50

Composite 0.584 — composite-score rank #36 of 50 top-tier inventions in the jhtv-portfolio@2026-Q2 cohort. The page header uses rNPV rank (#10) to match the index ordering.

02

Comparators

Real programs anchoring the engine inputs

HVTN 133 MPER peptide-liposome HIV vaccine (Duke/Haynes; NCT03934541) — gp41-epitope immunogen

The single closest mechanism-true precedent for what this asset's listing actually proposes: immunize HIV-seronegative people against a defined gp41 epitope to elicit a protective antibody response. HVTN 133 immunized 24 seronegative adults against the gp41 MPER bnAb epitope; it induced MPER-specific serum antibodies in 95% of vaccinees but only low-titer tier-2 neutralization in 2 of 5 after three doses, and was halted early for a PEG-attributed anaphylaxis. It is an ARCHETYPE / CAUTIONARY anchor (a Phase 1 immunogen study that did not advance, not a launched product) and it frames both the development logic and the central translational difficulty of converting a gp41-epitope correlate into a vaccine that drives functional control.

Indication: HIV-1 prevention (active immunization, HIV-seronegative adults)
Modality: Vaccine (peptide-liposome immunogen)
Approval:
Peak revenue:

Criteria 1 and 3: same mechanism class (immunize against a single Env/gp41 epitope to induce a protective Ab response) and same regulatory/clinical archetype (HIV-prevention vaccine, NIAID/HVTN-run). Not a product comparator — a Phase 1 immunogen that did not advance; used as the mechanism-true development and difficulty anchor.

Imbokodo (HVTN 705/HPX2008, Janssen mosaic Ad26 + gp140) — Phase 2b HIV vaccine, discontinued 2021

Cautionary efficacy precedent for the entire 'immunize against HIV Env to prevent acquisition / reduce disease' thesis class. A fully resourced Phase 2b mosaic-Env vaccine in ~2,600 sub-Saharan African women showed ~25% efficacy (not significantly above zero) and was discontinued in 2021. It is NOT a live anchor; it bounds the field reality — even validated Env-containing immunogens with full Gates/NIH/industry backing have repeatedly failed at efficacy, and there is no approved HIV vaccine after ~40 years.

Indication: HIV-1 prevention (Phase 2b, southern African women)
Modality: Vaccine (Ad26 mosaic prime + gp140 boost)
Approval:
Peak revenue:

Criteria 3 and 4: same regulatory pathway (HIV-prevention vaccine efficacy trial) and same field-failure-rate context. Discontinued — retained only as a labelled cautionary precedent, never as a live anchor.

Mosaico (HVTN 706/HPX3002, Janssen mosaic Ad26 + gp140) — Phase 3 HIV vaccine, stopped 2023 for futility

Second cautionary efficacy precedent: the companion Phase 3 mosaic-Env regimen in men who have sex with men and transgender people was stopped in January 2023 at interim analysis for no prospect of demonstrating efficacy. Together with Imbokodo it establishes that the prophylactic-immunization approach this asset proposes has a documented late-stage failure mode independent of the specific epitope chosen — the load-bearing risk a CMO will raise first.

Indication: HIV-1 prevention (Phase 3)
Modality: Vaccine (Ad26 mosaic prime + gp140 boost)
Approval:
Peak revenue:

Criteria 3 and 4: same HIV-prevention-vaccine regulatory pathway and field failure-rate context. Discontinued/futility — cautionary precedent only, not a live anchor.

VRC01-class / PGT121-class passive HIV broadly neutralizing antibodies (NIAID AMP HVTN 704/HPTN 085; A5388 NCT05719441) — disambiguation anchor

Included to disambiguate the pinned 'monoclonal_antibody' bucket from what this asset actually is. The bucket implies a passive engineered bNAb product (the VRC01/PGT121/VRC07-523LS line: AMP showed VRC01 prevented acquisition only of antibody-sensitive strains; A5388 combines VRC07-523LS + PGT121.414.LS for remission). This asset is NOT one of those — it is a discovery of a naturally occurring pre-infection antibody correlate plus a proposed active-immunization path. The passive-bNAb class is the wrong mechanism for this asset and is cited only to make the bucket-vs-reality distinction explicit and to anchor mAb-program cost/duration ranges if a licensee ever pursued a passive route.

Indication: HIV-1 prevention / remission (passive bNAb administration)
Modality: Monoclonal Antibody (passive broadly neutralizing antibody)
Approval:
Peak revenue:

Criteria 4 disambiguation anchor only: nominal same modality bucket but DIFFERENT mechanism (passive engineered bNAb vs naturally occurring correlate + active immunization). Explicitly NOT a product comparator — no launched HIV bNAb exists and the mechanisms do not match.

03

Stage profile

Asset-specific cost, duration, and PoS by stage

StageCostDurationPoSCitations
Preclinical$14.0M48 mo18.0%[0] [3] [4]
Phase I$35.0M18 mo55.0%[0] [4]
Phase II$90.0M30 mo20.0%[1] [2] [4]
Phase III$180.0M42 mo18.0%[1] [2] [4]
NDA/BLA Review$12.0M12 mo75.0%[1] [2]

Multiplier handling: No multipliers eligible for this asset under the locked methodology. See methodology for the rule.

04

Peak revenue and discount rate

$500.0M peak · WACC 20.0%

Peak revenue. This peak is an explicitly hypothetical illustrative figure for cohort-envelope consistency only — it is NOT a forecast. The asset is a discovery-stage correlate; JHU's realizable value is licensing the epitope/immunogen IP to a vaccine developer or a public-health consortium (Gates/NIH/HVTN/IAVI), or non-exclusive research use — not product revenue. HIV-prevention vaccines are overwhelmingly procured at public-health/tiered pricing in the highest-burden settings, so even a hypothetical successful prophylactic immunogen would not behave like a blockbuster Western mAb; $500M is a conservative placeholder anchored to a public-health-priced prophylactic addressing community viral-load reduction, deliberately set well below commercial-mAb figures and not implying a fundable standalone product.

WACC. A 20% rate reflects discovery-stage risk in the single hardest vaccine indication in modern medicine: no lead immunogen, the sole efficacy basis is an n=13 observational correlate, and the two completed Env-targeted HIV-vaccine efficacy trials (Imbokodo, Mosaico) both failed — risk far above a standard 12–14% biotech rate.

05

Sensitivity (tornado)

Top drivers of rNPV variance

Cost: Preclinical
$10M$18M
-$12.2M
-$18.1M
$5.8M
WACC
17%23%
-$16.4M
-$14.0M
+$2.4M
PoS: Preclinical
14%22%
-$14.1M
-$16.2M
$2.2M
Cost: Phase I
$25M$46M
-$14.4M
-$16.0M
$1.6M
Cost: Phase II
$63M$117M
-$14.4M
-$15.9M
$1.6M
PoS: Phase I
44%66%
-$14.6M
-$15.7M
$1.1M

Drivers ranked by absolute rNPV swing. The vertical tick inside each bar marks the base rNPV (-$15.2M); each bar spans the rNPV range produced by flexing one input between its low and high values. Gold = the input pushes rNPV up when increased; red = the input pushes rNPV down when increased.

06

Monte Carlo distribution

1,000 trials · rpNPV mode

Failure cluster · 99.5% of paths
$0 ↓
Success tail · 0.5% of paths
$0P50 medianBase rNPV (mean)-$143.1MeNPV outcome bin (sqrt-scaled height)$140.1M

This is a bimodal distribution by construction, not a Gaussian. Most paths terminate in clinical failure (red cluster — accumulated cost only); a minority succeed and capture full peak revenue (green tail). Bar heights are square-root-scaled so the success tail stays visible alongside the much taller failure cluster; exact counts are preserved in the percentiles below. Gold line = median (P50). Navy dashed = base rNPV (mean) — the probability-weighted expected value, which can sit above the median when the upper tail is strong enough to outweigh the failure cluster (and close to the median when it isn’t).

P5

-$46.8M

P25

-$15.1M

P50 (median)

-$9.3M

P75

-$6.3M

P95

-$3.8M

Prob ≥ 0

0.5%

07

Evidence register

6 per-assumption citations

AssumptionSourceDateConfidence
Asset identity: a VirScan pre-infection antibody profiling study (13 controllers) identifying a gp41-HR2 epitope correlate of viremic control — a discovery, not a therapeutic candidate
cmo_findings.asset_class_reality
Comprehensive profiling of pre-infection antibodies identifies HIV targets associated with viremic control and viral load (Grant-McAuley et al., Front Immunol 2023)
peer_review
2023-09-06high
JHU's own listing states the technology is at the discovery stage and proposes active immunization against the epitope (a vaccine concept), not a passive monoclonal-antibody product
funding_path_archetype
JHU Technology Ventures listing — Antibodies associated with HIV control (Case C17688 / objectID 53710)
regulatory
2024-03-21high
Mechanism-true archetype: a Phase 1 vaccine immunizing seronegative adults against a gp41 epitope induced antibodies but only low-titer neutralization and did not advance — supports depressed PoS
stage_profile.phase_2.pos
A HIV-1 Gp41 Peptide-Liposome Vaccine Elicits Neutralizing Epitope-Targeted Antibody Responses in Healthy Individuals (HVTN 133; Williams et al., 2024)
trial_disclosure
2024-04-01high
Cautionary efficacy precedent: a Phase 2b mosaic-Env HIV vaccine in ~2,600 women showed ~25% efficacy (not significant) and was discontinued — bounds the field failure rate
comparators[1]
Johnson & Johnson and Global Partners Announce Results from Phase 2b Imbokodo HIV Vaccine Clinical Trial
news
2021-08-31high
Cautionary efficacy precedent: the companion Phase 3 mosaic-Env HIV vaccine (Mosaico) was stopped at interim for futility — reinforces the late-stage failure mode of Env immunization
comparators[2]
Phase 3 Mosaico HIV vaccine efficacy trial stopped early due to lack of benefit (HVTN 706/HPX3002)
news
2023-01-20high
Disambiguation anchor: passive HIV bNAbs (VRC01 AMP / PGT121 / VRC07-523LS) are the OTHER reading of the mAb bucket and are mechanistically different from this correlate-discovery asset
comparators[3]
Clinical trials of broadly neutralizing monoclonal antibodies in people living with HIV — a review
peer_review
2025-04-01high
08

Thesis

Why this asset earns its rank

This asset is not a therapeutic antibody. It is a discovery-stage immuno-epidemiologic finding: using the VirScan massively-multiplexed antibody-profiling platform on samples from the HPTN 071 (PopART) HIV-prevention trial, Grant-McAuley et al. (Frontiers in Immunology, 2023) found that pre-infection antibody reactivity to an epitope in the HR2 domain of gp41 was associated with HIV-controller status and lower post-infection viral load (with a C2-gp120 epitope associated with the opposite). JHU's own listing is explicit that the technology is 'in the discovery stage' and that the proposed forward path is 'immunization against this epitope' in uninfected people — i.e. a prophylactic vaccine concept, not a passive monoclonal-antibody drug. The pinned 'monoclonal_antibody' modality bucket is therefore a label-vs-reality mismatch: the natural antibody is a correlate, and the disclosed development path is active immunization. The entire efficacy basis is an association observed in just 13 controllers — hypothesis-generating, not a validated protective immunogen, and with no lead candidate, no defined immunogen, and no IND.

Because this is a basic-science discovery rather than a therapeutic asset, the rNPV is not the decision criterion here, which is why the asset is classified as grant_non_commercial; the engine envelope is shown only for cohort consistency. The honest comparators are mechanism-true archetypes and cautionary precedents, not product anchors. HVTN 133 (NCT03934541) is the closest: a Phase 1 vaccine that immunized seronegative adults against a gp41 epitope, induced binding antibodies broadly but only low-titer neutralization in 2 of 5, and did not advance. Imbokodo (HVTN 705) and Mosaico (HVTN 706) are the field reality — fully resourced Env-targeted HIV vaccines that failed at Phase 2b/3, in a field with no approved vaccine after roughly 40 years. Anchored to that archetype and failure rate, the engine result is -$19.2M to -$11.2M, with a base rNPV of -$15.2M and cumulative PoS of 0.3%; that spread is illustrative only — JHU's realizable value is licensing the epitope/immunogen IP into a public-health vaccine effort (NIH/Gates/HVTN/IAVI), not equity-funded product development.

Verdict: scientifically interesting correlate, not a fundable standalone product. It earns rank 32 on the rubric's clinical-relevance signal (HIV functional-cure / community-viral-load unmet need), a high antibody/modality_pos score, and high IRA exposure plus a neutral 'other'-indication whitespace — not on being an investable asset. Hence grant_non_commercial: the value path is IP licensing into the publicly funded HIV-prevention pipeline, where a CMO would judge it as an early target-discovery lead, not a product.

09

Key risks

Asset-specific, not generic biotech risks

  • Asset-class risk (dominant): this is a discovery-stage antibody/epitope correlate from a VirScan profiling study with only 13 controllers — there is no lead immunogen, defined candidate, IND, or trial population, so any 'rNPV' is an illustrative cohort placeholder, not an investable forecast.
  • Modality bucket vs reality: the pinned 'monoclonal_antibody' classification implies a passive engineered bNAb product (VRC01/PGT121 class), but the disclosed path is ACTIVE IMMUNIZATION against the gp41-HR2 epitope (a vaccine). The bucket is left pinned per methodology, but a CMO will immediately flag that the asset's economics, regulatory path, and risk profile are those of an HIV vaccine, not a therapeutic mAb.
  • Translational gap: a pre-infection antibody being ASSOCIATED with controller status (correlation in n=13) is far from demonstrating that immunizing to elicit that antibody CAUSES protection or functional control — immune correlates of HIV control have repeatedly failed to translate into protective immunogens.
  • Field failure rate: HIV-prevention vaccines targeting Env have a documented late-stage failure mode — Imbokodo (HVTN 705, ~25% non-significant efficacy, discontinued) and Mosaico (HVTN 706, stopped for futility) — and there is no approved HIV vaccine after ~40 years; gp41-epitope immunization specifically (HVTN 133) achieved only low-titer neutralization and did not advance.
  • Funding-path risk: realizable value is licensing the epitope/immunogen IP into the publicly funded HIV-prevention pipeline (NIH/Gates/HVTN/IAVI), with public-health/tiered pricing in the highest-burden settings — a VC modeling this as a commercial standalone mAb product is making a category error.