RT Journal Article SR Electronic T1 Bispecific antibody neutralizes circulating SARS-CoV-2 variants, prevents escape and protects mice from disease JF bioRxiv FD Cold Spring Harbor Laboratory SP 2021.01.22.427567 DO 10.1101/2021.01.22.427567 A1 Raoul De Gasparo A1 Mattia Pedotti A1 Luca Simonelli A1 Petr Nickl A1 Frauke Muecksch A1 Irene Cassaniti A1 Elena Percivalle A1 Julio C. C. Lorenzi A1 Federica Mazzola A1 Davide Magrì A1 Tereza Michalcikova A1 Jan Haviernik A1 Vaclav Honig A1 Blanka Mrazkova A1 Natalie Polakova A1 Andrea Fortova A1 Jolana Tureckova A1 Veronika Iatsiuk A1 Salvatore Di Girolamo A1 Martin Palus A1 Dagmar Zudova A1 Petr Bednar A1 Ivana Bukova A1 Filippo Bianchini A1 Dora Mehn A1 Radim Nencka A1 Petra Strakova A1 Oto Pavlis A1 Jan Rozman A1 Sabrina Gioria A1 Josè Camilla Sammartino A1 Federica Giardina A1 Stefano Gaiarsa A1 Qiang Pan Hammarström A1 Christopher O. Barnes A1 Pamela J. Bjorkman A1 Luigi Calzolai A1 Antonio Piralla A1 Fausto Baldanti A1 Michel C. Nussenzweig A1 Paul D. Bieniasz A1 Theodora Hatziioannou A1 Jan Prochazka A1 Radislav Sedlacek A1 Davide F. Robbiani A1 Daniel Ruzek A1 Luca Varani YR 2021 UL http://biorxiv.org/content/early/2021/03/05/2021.01.22.427567.abstract AB Neutralizing antibodies targeting the receptor binding domain (RBD) of the SARS-CoV-2 Spike (S) are among the most promising approaches against coronavirus disease 2019 (COVID-19)1,2. We developed a bispecific, IgG1-like molecule (CoV-X2) based on two antibodies derived from COVID-19 convalescent donors, C121 and C1353. CoV-X2 simultaneously binds two independent sites on the RBD and, unlike its parental antibodies, prevents detectable S binding to Angiotensin-Converting Enzyme 2 (ACE2), the virus cellular receptor. Furthermore, CoV-X2 neutralizes SARS-CoV-2 and its variants of concern, as well as the escape mutants generated by the parental monoclonals. In a novel animal model of SARS-CoV-2 infection with lung inflammation, CoV-X2 protects mice from disease and suppresses viral escape. Thus, simultaneous targeting of non-overlapping RBD epitopes by IgG-like bispecific antibodies is feasible and effective, combining into a single molecule the advantages of antibody cocktails.Competing Interest StatementIn connection with this work the Institute for Research in Biomedicine has filed a provisional patent application on which L.V. is inventor (PCT/EP2020/085342). The Rockefeller University has filed a provisional patent application on which D.F.R. and M.C.N. are inventors.