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REGN-COV2 antibody cocktail prevents and treats SARS-CoV-2 infection in rhesus macaques and hamsters

Alina Baum, Richard Copin, Dharani Ajithdoss, Anbo Zhou, Kathryn Lanza, Nicole Negron, Min Ni, Yi Wei, Gurinder S. Atwal, Adelekan Oyejide, Yenny Goez-Gazi, John Dutton, Elizabeth Clemmons, Hilary M. Staples, Carmen Bartley, Benjamin Klaffke, Kendra Alfson, Michal Gazi, Olga Gonzales, Edward Dick, Ricardo Carrion Jr, Laurent Pessaint, Maciel Porto, Anthony Cook, Renita Brown, Vaneesha Ali, Jack Greenhouse, Tammy Taylor, Hanne Andersen, Mark G. Lewis, Neil Stahl, Andrew J. Murphy, George D. Yancopoulos, View ORCID ProfileChristos A. Kyratsous
doi: https://doi.org/10.1101/2020.08.02.233320
Alina Baum
1Regeneron Pharmaceuticals, Inc., Tarrytown, NY 10591
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Richard Copin
1Regeneron Pharmaceuticals, Inc., Tarrytown, NY 10591
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Dharani Ajithdoss
1Regeneron Pharmaceuticals, Inc., Tarrytown, NY 10591
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Anbo Zhou
1Regeneron Pharmaceuticals, Inc., Tarrytown, NY 10591
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Kathryn Lanza
1Regeneron Pharmaceuticals, Inc., Tarrytown, NY 10591
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Nicole Negron
1Regeneron Pharmaceuticals, Inc., Tarrytown, NY 10591
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Min Ni
1Regeneron Pharmaceuticals, Inc., Tarrytown, NY 10591
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Yi Wei
1Regeneron Pharmaceuticals, Inc., Tarrytown, NY 10591
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Gurinder S. Atwal
1Regeneron Pharmaceuticals, Inc., Tarrytown, NY 10591
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Adelekan Oyejide
1Regeneron Pharmaceuticals, Inc., Tarrytown, NY 10591
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Yenny Goez-Gazi
2Southwest National Primate Research Center, Texas Biomedical Research Institute, San Antonio, TX 78245
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John Dutton
2Southwest National Primate Research Center, Texas Biomedical Research Institute, San Antonio, TX 78245
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Elizabeth Clemmons
2Southwest National Primate Research Center, Texas Biomedical Research Institute, San Antonio, TX 78245
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Hilary M. Staples
2Southwest National Primate Research Center, Texas Biomedical Research Institute, San Antonio, TX 78245
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Carmen Bartley
2Southwest National Primate Research Center, Texas Biomedical Research Institute, San Antonio, TX 78245
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Benjamin Klaffke
2Southwest National Primate Research Center, Texas Biomedical Research Institute, San Antonio, TX 78245
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Kendra Alfson
2Southwest National Primate Research Center, Texas Biomedical Research Institute, San Antonio, TX 78245
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Michal Gazi
2Southwest National Primate Research Center, Texas Biomedical Research Institute, San Antonio, TX 78245
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Olga Gonzales
2Southwest National Primate Research Center, Texas Biomedical Research Institute, San Antonio, TX 78245
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Edward Dick
2Southwest National Primate Research Center, Texas Biomedical Research Institute, San Antonio, TX 78245
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Ricardo Carrion Jr
2Southwest National Primate Research Center, Texas Biomedical Research Institute, San Antonio, TX 78245
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Laurent Pessaint
3BIOQUAL, Rockville, MD 20850
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Maciel Porto
3BIOQUAL, Rockville, MD 20850
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Anthony Cook
3BIOQUAL, Rockville, MD 20850
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Renita Brown
3BIOQUAL, Rockville, MD 20850
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Vaneesha Ali
3BIOQUAL, Rockville, MD 20850
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Jack Greenhouse
3BIOQUAL, Rockville, MD 20850
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Tammy Taylor
3BIOQUAL, Rockville, MD 20850
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Hanne Andersen
3BIOQUAL, Rockville, MD 20850
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Mark G. Lewis
3BIOQUAL, Rockville, MD 20850
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Neil Stahl
1Regeneron Pharmaceuticals, Inc., Tarrytown, NY 10591
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Andrew J. Murphy
1Regeneron Pharmaceuticals, Inc., Tarrytown, NY 10591
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George D. Yancopoulos
1Regeneron Pharmaceuticals, Inc., Tarrytown, NY 10591
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Christos A. Kyratsous
1Regeneron Pharmaceuticals, Inc., Tarrytown, NY 10591
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  • ORCID record for Christos A. Kyratsous
  • For correspondence: christos.kyratsous@regeneron.com
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Abstract

An urgent global quest for effective therapies to prevent and treat COVID-19 disease is ongoing. We previously described REGN-COV2, a cocktail of two potent neutralizing antibodies (REGN10987+REGN10933) targeting non-overlapping epitopes on the SARS-CoV-2 spike protein. In this report, we evaluate the in vivo efficacy of this antibody cocktail in both rhesus macaques and golden hamsters and demonstrate that REGN-COV-2 can greatly reduce virus load in lower and upper airway and decrease virus induced pathological sequalae when administered prophylactically or therapeutically. Our results provide evidence of the therapeutic potential of this antibody cocktail.

Competing Interest Statement

Regeneron authors own options and/or stock of the company. This work has been described in one or more pending provisional patent applications. N.S, A.J.M., G.D.Y. and C.A.K. are officers of Regeneron.

Copyright 
The copyright holder for this preprint is the author/funder, who has granted bioRxiv a license to display the preprint in perpetuity. It is made available under a CC-BY-NC-ND 4.0 International license.
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Posted August 03, 2020.
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REGN-COV2 antibody cocktail prevents and treats SARS-CoV-2 infection in rhesus macaques and hamsters
Alina Baum, Richard Copin, Dharani Ajithdoss, Anbo Zhou, Kathryn Lanza, Nicole Negron, Min Ni, Yi Wei, Gurinder S. Atwal, Adelekan Oyejide, Yenny Goez-Gazi, John Dutton, Elizabeth Clemmons, Hilary M. Staples, Carmen Bartley, Benjamin Klaffke, Kendra Alfson, Michal Gazi, Olga Gonzales, Edward Dick, Ricardo Carrion Jr, Laurent Pessaint, Maciel Porto, Anthony Cook, Renita Brown, Vaneesha Ali, Jack Greenhouse, Tammy Taylor, Hanne Andersen, Mark G. Lewis, Neil Stahl, Andrew J. Murphy, George D. Yancopoulos, Christos A. Kyratsous
bioRxiv 2020.08.02.233320; doi: https://doi.org/10.1101/2020.08.02.233320
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REGN-COV2 antibody cocktail prevents and treats SARS-CoV-2 infection in rhesus macaques and hamsters
Alina Baum, Richard Copin, Dharani Ajithdoss, Anbo Zhou, Kathryn Lanza, Nicole Negron, Min Ni, Yi Wei, Gurinder S. Atwal, Adelekan Oyejide, Yenny Goez-Gazi, John Dutton, Elizabeth Clemmons, Hilary M. Staples, Carmen Bartley, Benjamin Klaffke, Kendra Alfson, Michal Gazi, Olga Gonzales, Edward Dick, Ricardo Carrion Jr, Laurent Pessaint, Maciel Porto, Anthony Cook, Renita Brown, Vaneesha Ali, Jack Greenhouse, Tammy Taylor, Hanne Andersen, Mark G. Lewis, Neil Stahl, Andrew J. Murphy, George D. Yancopoulos, Christos A. Kyratsous
bioRxiv 2020.08.02.233320; doi: https://doi.org/10.1101/2020.08.02.233320

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