RT Journal Article SR Electronic T1 In vitro evaluation of therapeutic antibodies against a SARS-CoV-2 Omicron B.1.1.529 isolate JF bioRxiv FD Cold Spring Harbor Laboratory SP 2022.01.01.474639 DO 10.1101/2022.01.01.474639 A1 Touret, Franck A1 Baronti, Cécile A1 Bouzidi, Hawa Sophia A1 de Lamballerie, Xavier YR 2022 UL http://biorxiv.org/content/early/2022/01/03/2022.01.01.474639.abstract AB The emergence and rapid spread of the Omicron variant of SARS-CoV-2, which has more than 30 substitutions in the spike glycoprotein, compromises the efficacy of currently available vaccines and therapeutic antibodies. Using a clinical strain of the Omicron variant, we analyzed the neutralizing power of eight currently used monoclonal antibodies compared to the ancestral B.1 BavPat1 D614G strain. We observed that six of these antibodies have lost their ability to neutralize the Omicron variant. Of the antibodies still having neutralizing activity, Sotrovimab/Vir-7831 shows the smallest reduction in activity, with a factor change of 3.1. Cilgavimab/AZD1061 alone shows a reduction in efficacy of 15.8, resulting in a significant loss of activity for the Evusheld cocktail (42.6 fold reduction) in which the other antibody, Tixagevimab, does not retain significant activity against Omicron. Our results suggest that the clinical efficacy of the initially proposed doses should be rapidly evaluated and the possible need to modify doses or propose combination therapies should be considered.Competing Interest StatementThe authors have declared no competing interest.