PT - JOURNAL ARTICLE AU - Farshad Guirakhoo AU - Lucy Kuo AU - James Peng AU - Juin Hua Huang AU - Ben Kuo AU - Feng Lin AU - Kevin Liu AU - Zhi Liu AU - Grace Wu AU - Shuang Ding AU - Lou-Liang Hou AU - Jennifer Cheng AU - Vicky Yang AU - Hank Jiang AU - Jason Wang AU - Tony Chen AU - WeiGuo Xia AU - Ed Lin AU - Chung Ho Hung AU - Kate Chen AU - Zhonghao Shih AU - Yilin Lin AU - Brandon T. Schurter AU - Mei Mei Hu AU - Gray Heppner AU - Delphine C. Malherbe AU - Alexander Bukreyev AU - Michael Hellerstein AU - Thomas Monath AU - Chang Yi Wang TI - A Novel SARS-CoV-2 Multitope Protein/Peptide Vaccine Candidate is Highly Immunogenic and Prevents Lung Infection in an Adeno Associated Virus Human Angiotensin-Converting Enzyme 2 (AAV hACE2) Mouse Model AID - 10.1101/2020.11.30.399154 DP - 2020 Jan 01 TA - bioRxiv PG - 2020.11.30.399154 4099 - http://biorxiv.org/content/early/2020/11/30/2020.11.30.399154.short 4100 - http://biorxiv.org/content/early/2020/11/30/2020.11.30.399154.full AB - In this report, we describe the initial development and proof-of-concept studies for UB-612, the first multitope protein-peptide vaccine against Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2), the pathogen responsible for the Coronavirus Disease of 2019 (COVID-19). UB-612 consists of eight components rationally designed for induction of high neutralizing antibodies and broad T cell responses against SARS-CoV-2: the S1-RBD-sFc fusion protein, six synthetic peptides (one universal peptide and five SARS-CoV-2-derived peptides), a proprietary CpG TLR-9 agonist, and aluminum phosphate adjuvant. Through immunogenicity studies in guinea pigs and rats, we optimized the design of protein/peptide immunogens and selected an adjuvant system, yielding a vaccine that provided excellent S1-RBD binding and high neutralizing antibody responses, robust cellular responses, and a Th1-oriented response at low doses of the vaccine. Our candidate vaccine was then advanced into challenge studies, in which it reduced viral load and prevented development of disease in a mouse challenge model and in nonhuman primates (NHP, immunogenicity part is completed, challenge is ongoing). A GLP-compliant toxicity study has shown a favorable safety profile for the vaccine. With the Phase 1 trial ongoing in Taiwan and additional trials planned worldwide, UB-612 is a highly promising and differentiated vaccine candidate for prevention of SARS-CoV-2 transmission and COVID-19 disease.Competing Interest StatementThe authors have declared no competing interest.