Efficacy, Pharmacokinetics, and Toxicity Profiles of a Broad Anti-SARS-CoV-2 Neutralizing Antibody

Viruses. 2023 Aug 14;15(8):1733. doi: 10.3390/v15081733.

Abstract

We recently reported the isolation and characterization of an anti-SARS-CoV-2 antibody, called IgG-A7, that protects transgenic mice expressing the human angiotensin-converting enzyme 2 (hACE-2) from an infection with SARS-CoV-2 Wuhan. We show here that IgG-A7 protected 100% of the transgenic mice infected with Delta (B.1.617.2) and Omicron (B.1.1.529) at doses of 0.5 and 5 mg/kg, respectively. In addition, we studied the pharmacokinetic (PK) profile and toxicology (Tox) of IgG-A7 in CD-1 mice at single doses of 100 and 200 mg/kg. The PK parameters at these high doses were proportional to the doses, with serum half-life of ~10.5 days. IgG-A7 was well tolerated with no signs of toxicity in urine and blood samples, nor in histopathology analyses. Tissue cross-reactivity (TCR) with a panel of mouse and human tissues showed no evidence of IgG-A7 interaction with the tissues of these species, supporting the PK/Tox results and suggesting that, while IgG-A7 has a broad efficacy profile, it is not toxic in humans. Thus, the information generated in the CD-1 mice as a PK/Tox model complemented with the mouse and human TCR, could be of relevance as an alternative to Non-Human Primates (NHPs) in rapidly emerging viral diseases and/or quickly evolving viruses such as SARS-CoV-2.

Keywords: COVID-19; SARS-CoV-2 Delta; SARS-CoV-2 Omicron; therapeutic antibody; toxicology.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Animals
  • Antibodies, Neutralizing
  • Antibodies, Viral
  • COVID-19*
  • Immunoglobulin G
  • Mice
  • Mice, Transgenic
  • Receptors, Antigen, T-Cell
  • SARS-CoV-2

Substances

  • Antibodies, Viral
  • Antibodies, Neutralizing
  • Immunoglobulin G
  • Receptors, Antigen, T-Cell

Supplementary concepts

  • SARS-CoV-2 variants

Grants and funding

This work was supported in part by a grant from AMEXID—Secretaría de Relaciones Exteriores Fondo México-Chile (CH05-Anticuerpos neutralizantes para SARS-CoV-2 MEX-CHI). Part of the work was conducted with equipment from the “Laboratorios Nacional para Servicios Especializados de Investigación, Desarrollo e Innovación (I + D + I) para Farmoquímicos y Biotecnológicos”, LANSEIDIFarBiotec-CONACyT.