PT - JOURNAL ARTICLE AU - Liang, Joshua G. AU - Su, Danmei AU - Song, Tian-Zhang AU - Zeng, Yilan AU - Huang, Weijin AU - Wu, Jinhua AU - Xu, Rong AU - Luo, Peiwen AU - Yang, Xiaofang AU - Zhang, Xiaodong AU - Luo, Shuangru AU - Liang, Ying AU - Li, Xinglin AU - Huang, Jiaju AU - Wang, Qiang AU - Huang, Xueqin AU - Xu, Qingsong AU - Luo, Mei AU - Huang, Anliang AU - Luo, Dongxia AU - Zhao, Chenyan AU - Yang, Fan AU - Han, Jian-Bao AU - Zheng, Yong-Tang AU - Liang, Peng TI - S-Trimer, a COVID-19 subunit vaccine candidate, induces protective immunity in nonhuman primates AID - 10.1101/2020.09.24.311027 DP - 2020 Jan 01 TA - bioRxiv PG - 2020.09.24.311027 4099 - http://biorxiv.org/content/early/2020/09/24/2020.09.24.311027.short 4100 - http://biorxiv.org/content/early/2020/09/24/2020.09.24.311027.full AB - SARS-CoV-2 is the underlying cause for the COVID-19 pandemic. Like most enveloped RNA viruses, SARS-CoV-2 uses a homotrimeric surface antigen to gain entry into host cells. Here we describe S-Trimer, a native-like trimeric subunit vaccine candidate for COVID-19 based on Trimer-Tag technology. Immunization of S-Trimer with either AS03 (oil-in-water emulsion) or CpG 1018 (TLR9 agonist) plus alum adjuvants induced high-levels of neutralizing antibodies and Th1-biased cellular immune responses in animal models. Moreover, rhesus macaques immunized with adjuvanted S-Trimer were protected from SARS-CoV-2 challenge compared to vehicle controls, based on clinical observations and reduction of viral loads in lungs. Trimer-Tag may be an important new platform technology for scalable production and rapid development of safe and effective subunit vaccines against current and future emerging RNA viruses.Competing Interest StatementJ.G.L. and P.L. have ownership interest in Clover Biopharmaceuticals. All other authors have no competing interests.