RT Journal Article SR Electronic T1 S-Trimer, a COVID-19 subunit vaccine candidate, induces protective immunity in nonhuman primates JF bioRxiv FD Cold Spring Harbor Laboratory SP 2020.09.24.311027 DO 10.1101/2020.09.24.311027 A1 Liang, Joshua G. A1 Su, Danmei A1 Song, Tian-Zhang A1 Zeng, Yilan A1 Huang, Weijin A1 Wu, Jinhua A1 Xu, Rong A1 Luo, Peiwen A1 Yang, Xiaofang A1 Zhang, Xiaodong A1 Luo, Shuangru A1 Liang, Ying A1 Li, Xinglin A1 Huang, Jiaju A1 Wang, Qiang A1 Huang, Xueqin A1 Xu, Qingsong A1 Luo, Mei A1 Huang, Anliang A1 Luo, Dongxia A1 Zhao, Chenyan A1 Yang, Fan A1 Han, Jian-Bao A1 Zheng, Yong-Tang A1 Liang, Peng YR 2020 UL http://biorxiv.org/content/early/2020/09/24/2020.09.24.311027.abstract 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.