RT Journal Article SR Electronic T1 Vaccination with SARS-CoV-2 Spike Protein and AS03 Adjuvant Induces Rapid Anamnestic Antibodies in the Lung and Protects Against Virus Challenge in Nonhuman Primates JF bioRxiv FD Cold Spring Harbor Laboratory SP 2021.03.02.433390 DO 10.1101/2021.03.02.433390 A1 Joseph R. Francica A1 Barbara J. Flynn A1 Kathryn E. Foulds A1 Amy T. Noe A1 Anne P. Werner A1 Ian N. Moore A1 Matthew Gagne A1 Timothy S. Johnston A1 Courtney Tucker A1 Rachel L. Davis A1 Britta Flach A1 Sarah O’Connell A1 Shayne F. Andrew A1 Evan Lamb A1 Dillon R. Flebbe A1 Saule T. Nurmukhambetova A1 Mitzi M. Donaldson A1 John-Paul M. Todd A1 Alex Lee Zhu A1 Caroline Atyeo A1 Stephanie Fischinger A1 Matthew J Gorman A1 Sally Shin A1 Venkata Viswanadh Edara A1 Katharine Floyd A1 Lilin Lai A1 Alida Tylor A1 Elizabeth McCarthy A1 Valerie Lecouturier A1 Sophie Ruiz A1 Catherine Berry A1 Timothy Tibbitts A1 Hanne Andersen A1 Anthony Cook A1 Alan Dodson A1 Laurent Pessaint A1 Alex Van Ry A1 Marguerite Koutsoukos A1 Cindy Gutzeit A1 I-Ting Teng A1 Tongqing Zhou A1 Dapeng Li A1 Barton F. Haynes A1 Peter D. Kwong A1 Adrian McDermott A1 Mark G. Lewis A1 Tong Ming Fu A1 Roman Chicz A1 Robbert van der Most A1 Kizzmekia S. Corbett A1 Mehul S. Suthar A1 Galit Alter A1 Mario Roederer A1 Nancy J. Sullivan A1 Daniel C. Douek A1 Barney S. Graham A1 Danilo Casimiro A1 Robert A. Seder YR 2021 UL http://biorxiv.org/content/early/2021/03/02/2021.03.02.433390.abstract AB Adjuvanted soluble protein vaccines have been used extensively in humans for protection against various viral infections based on their robust induction of antibody responses. Here, soluble prefusion-stabilized spike trimers (preS dTM) from the severe acute respiratory syndrome coronavirus (SARS-CoV-2) were formulated with the adjuvant AS03 and administered twice to nonhuman primates (NHP). Binding and functional neutralization assays and systems serology revealed that NHP developed AS03-dependent multi-functional humoral responses that targeted multiple spike domains and bound to a variety of antibody FC receptors mediating effector functions in vitro. Pseudovirus and live virus neutralizing IC50 titers were on average greater than 1000 and significantly higher than a panel of human convalescent sera. NHP were challenged intranasally and intratracheally with a high dose (3×106 PFU) of SARS-CoV-2 (USA-WA1/2020 isolate). Two days post-challenge, vaccinated NHP showed rapid control of viral replication in both the upper and lower airways. Notably, vaccinated NHP also had increased spike-specific IgG antibody responses in the lung as early as 2 days post challenge. Moreover, vaccine-induced IgG mediated protection from SARS-CoV-2 challenge following passive transfer to hamsters. These data show that antibodies induced by the AS03-adjuvanted preS dTM vaccine are sufficient to mediate protection against SARS-CoV-2 and support the evaluation of this vaccine in human clinical trials.Competing Interest StatementAll authors have declared the following interests: VL, TB, CB, SR, TMF, DC, RC are Sanofi Pasteur employees and may hold stock. MK, RvdM, and CG are employees of the GSK group of companies and report ownership of GSK shares.