RT Journal Article SR Electronic T1 Preclinical efficacy, safety, and immunogenicity of PHH-1V, a second-generation COVID-19 vaccine candidate based on a novel recombinant RBD fusion heterodimer of SARS-CoV-2 JF bioRxiv FD Cold Spring Harbor Laboratory SP 2021.11.22.469117 DO 10.1101/2021.11.22.469117 A1 Antonio Barreiro A1 Antoni Prenafeta A1 Gregori Bech-Sabat A1 Mercè Roca A1 Eva Perozo A1 Ricard March A1 Luis González A1 Laia Madrenas A1 Júlia Corominas A1 Àlex Fernández A1 Mercè Molas A1 Thais Pentinat A1 Clara Panosa A1 Alberto Moreno A1 Ester Puigvert A1 Eva Pol A1 Jordi Palmada A1 Carme Garriga A1 Teresa Prat A1 Júlia Vergara-Alert A1 Cristina Lorca-Oró A1 Núria Roca A1 Leira Fernández-Bastit A1 Jordi Rodon A1 Mònica Pérez A1 Joaquim Segalés A1 Edwards Pradenas A1 Silvia Marfil A1 Benjamin Trinité A1 Raquel Ortiz A1 Bonaventura Clotet A1 Julià Blanco A1 Jorge Díaz Pedroza A1 Rosa Ampudia Carrasco A1 Yaiza Rosales Salgado A1 Jordina Loubat-Casanovas A1 Sara Capdevila Larripa A1 Julia Garcia Prado A1 Jordi Barretina A1 Marta Sisteré-Oró A1 Paula Cebollada Rica A1 Andreas Meyerhans A1 Laura Ferrer YR 2021 UL http://biorxiv.org/content/early/2021/12/04/2021.11.22.469117.abstract AB Since the genetic sequence of SARS-CoV-2 became available in January 2020, new vaccines have been developed at an unprecedented speed. The current vaccines have been directly associated with a decline in new infection rates, prevention of severe disease and an outstanding decrease in mortality rates. However, the pandemic is still far from being over. New Variants of Concern (VoCs) are continuously evolving. Thus, it is essential to develop accessible second-generation COVID-19 vaccines against known and future VoCs to mitigate the current pandemic. Here, we provide preclinical data showing the immunogenicity, efficacy, and safety results in mice of a receptor-binding domain (RBD)-based recombinant protein vaccine candidate (PHH-1V) which consists of a novel RBD fusion heterodimer containing the B.1.1.7 (alpha) and B.1.351 (beta) variants of SARS-CoV-2, formulated with an oil-based adjuvant equivalent to MF59C.1. BALB/c and K18-hACE2 mice were immunized with different doses of recombinant RBD fusion heterodimer, following a two-dose prime-and-boost schedule. Upon 20 μg RBD fusion heterodimer/dose immunization, BALB/c mice produced RBD-binding antibodies with neutralising activity against the alpha, beta, gamma, and delta variants. Furthermore, vaccination elicited robust activation of CD4+ and CD8+ T cells with early expression of Th1 cytokines upon in vitro restimulation, along with a good tolerability profile. Importantly, vaccination with 10 μg or 20 μg RBD fusion heterodimer/dose conferred 100% efficacy preventing mortality and bodyweight loss upon SARS-CoV-2 challenge in K18-hACE2 mice. These findings demonstrate the feasibility of this novel recombinant vaccine strategy, allowing the inclusion of up to 2 different RBD proteins in the same vaccine. Most importantly, this new platform is easy to adapt to future VoCs and has a good stability profile, thus ensuring its global distribution.Competing Interest StatementAuthors indicated as 1 are employees of HIPRA, a private pharmaceutical company that develops and manufactures vaccines. CReSA, IrsiCaixa, CMCiB-IGTP, UPF and ICREA have received financial support from HIPRA.