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Discovery and intranasal administration of a SARS-CoV-2 broadly acting neutralizing antibody with activity against multiple Omicron subvariants.


ABSTRACT:

Background

The continual emergence of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) variants of concern, in particular the newly emerged Omicron (B.1.1.529) variant and its BA.X lineages, has rendered ineffective a number of previously FDA emergency use authorized SARS-CoV-2 neutralizing antibody therapies. Furthermore, those approved antibodies with neutralizing activity against Omicron BA.1 are reportedly ineffective against the subset of Omicron subvariants that contain a R346K substitution, BA.1.1, and the more recently emergent BA.2, demonstrating the continued need for discovery and characterization of candidate therapeutic antibodies with the breadth and potency of neutralizing activity required to treat newly diagnosed COVID-19 linked to recently emerged variants of concern.

Methods

Following a campaign of antibody discovery based on the vaccination of Harbor H2L2 mice with defined SARS-CoV-2 spike domains, we have characterized the activity of a large collection of spike-binding antibodies and identified a lead neutralizing human IgG1 LALA antibody, STI-9167.

Findings

STI-9167 has potent, broad-spectrum neutralizing activity against the current SARS-COV-2 variants of concern and retained activity against each of the tested Omicron subvariants in both pseudotype and live virus neutralization assays. Furthermore, STI-9167 nAb administered intranasally or intravenously provided protection against weight loss and reduced virus lung titers to levels below the limit of quantitation in Omicron-infected K18-hACE2 transgenic mice.

Conclusions

With this established activity profile, a cGMP cell line has been developed and used to produce cGMP drug product intended for intravenous or intranasal use in human clinical trials.

Funding

Funded by CRIPT (no. 75N93021R00014), DARPA (HR0011-19-2-0020), and NCI Seronet (U54CA260560).

SUBMITTER: Duty JA 

PROVIDER: S-EPMC9359501 | biostudies-literature | 2022 Oct

REPOSITORIES: biostudies-literature

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Publications

Discovery and intranasal administration of a SARS-CoV-2 broadly acting neutralizing antibody with activity against multiple Omicron subvariants.

Duty J Andrew JA   Kraus Thomas T   Zhou Heyue H   Zhang Yanliang Y   Shaabani Namir N   Yildiz Soner S   Du Na N   Singh Alok A   Miorin Lisa L   Li Donghui D   Stegman Karen K   Ophir Sabrina S   Cao Xia X   Atanasoff Kristina K   Lim Reyna R   Mena Ignacio I   Bouvier Nicole M NM   Kowdle Shreyas S   Carreño Juan Manuel JM   Rivero-Nava Laura L   Raskin Ariel A   Moreno Elena E   Johnson Sachi S   Rathnasinghe Raveen R   Pai Chin I CI   Kehrer Thomas T   Cabral Elizabeth Paz EP   Jangra Sonia S   Healy Laura L   Singh Gagandeep G   Warang Prajakta P   Simon Viviana V   Sordillo Emilia Mia EM   van Bakel Harm H   Liu Yonghong Y   Sun Weina W   Kerwin Lisa L   Teijaro John J   Schotsaert Michael M   Krammer Florian F   Bresson Damien D   García-Sastre Adolfo A   Fu Yanwen Y   Lee Benhur B   Powers Colin C   Moran Thomas T   Ji Henry H   Tortorella Domenico D   Allen Robert R  

Med (New York, N.Y.) 20220808 10


<h4>Background</h4>The continual emergence of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) variants of concern, in particular the newly emerged Omicron (B.1.1.529) variant and its BA.X lineages, has rendered ineffective a number of previously FDA emergency use authorized SARS-CoV-2 neutralizing antibody therapies. Furthermore, those approved antibodies with neutralizing activity against Omicron BA.1 are reportedly ineffective against the subset of Omicron subvariants that contain  ...[more]

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