PT - JOURNAL ARTICLE AU - Guirakhoo, Farshad AU - Kuo, Lucy AU - Peng, James AU - Huang, Juin Hua AU - Kuo, Ben AU - Lin, Feng AU - Liu, Kevin AU - Liu, Zhi AU - Wu, Grace AU - Ding, Shuang AU - Hou, Lou-Liang AU - Cheng, Jennifer AU - Yang, Vicky AU - Jiang, Hank AU - Wang, Jason AU - Chen, Tony AU - Xia, WeiGuo AU - Lin, Ed AU - Hung, Chung Ho AU - Chen, Kate AU - Shih, Zhonghao AU - Lin, Yilin AU - Schurter, Brandon T. AU - Hu, Mei Mei AU - Heppner, Gray AU - Malherbe, Delphine C. AU - Bukreyev, Alexander AU - Hellerstein, Michael AU - Monath, Thomas AU - Wang, Chang Yi 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.