RT Journal Article SR Electronic T1 Discovery of a SARS-CoV-2 Broadly-Acting Neutralizing Antibody with Activity against Omicron and Omicron + R346K Variants JF bioRxiv FD Cold Spring Harbor Laboratory SP 2022.01.19.476998 DO 10.1101/2022.01.19.476998 A1 J. Andrew Duty A1 Thomas Kraus A1 Heyue Zhou A1 Yanliang Zhang A1 Namir Shaabani A1 Soner Yildiz A1 Na Du A1 Alok Singh A1 Lisa Miorin A1 Donghui Li A1 Karen Stegman A1 Sabrina Ophir A1 Xia Cao A1 Kristina Atanasoff A1 Reyna Lim A1 Shreyas Kowdle A1 Juan Manuel Carreño A1 Laura Rivero-Nava A1 Ariel Raskin A1 Elena Moreno A1 Sachi Johnson A1 Raveen Rathnasinghe A1 Chin I Pai A1 Thomas Kehrer A1 Elizabeth Paz Cabral A1 Sonia Jangra A1 Laura Healy A1 Gagandeep Singh A1 Prajakta Warang A1 Viviana Simon A1 Mia Emilia Sordillo A1 Harm van Bakel A1 Yonghong Liu A1 Weina Sun A1 Lisa Kerwin A1 Peter Palese A1 John Teijaro A1 Michael Schotsaert A1 Florian Krammer A1 Damien Bresson A1 Adolfo García-Sastre A1 Yanwen Fu A1 Benhur Lee A1 Colin Powers A1 Thomas Moran A1 Henry Ji A1 Domenico Tortorella A1 Robert Allen YR 2022 UL http://biorxiv.org/content/early/2022/01/20/2022.01.19.476998.abstract AB The continual emergence of SARS-CoV-2 variants of concern, in particular the newly emerged Omicron (B.1.1.529) variant, has rendered ineffective a number of previously EUA approved SARS-CoV-2 neutralizing antibody therapies. Furthermore, even those approved antibodies with neutralizing activity against Omicron are reportedly ineffective against the subset of Omicron variants that contain a R346K substitution, demonstrating the continued need for discovery and characterization of candidate therapeutic antibodies with the breadth and potency of neutralizing activity required to treat newly diagnosed COVID-19 linked to recently emerged variants of concern. Following a campaign of antibody discovery based on the vaccination of Harbour H2L2 mice with defined SARS-CoV-2 spike domains, we have characterized the activity of a large collection of Spike-binding antibodies and identified a lead neutralizing human IgG1 LALA antibody, STI-9167. STI-9167 has potent, broad-spectrum neutralizing activity against the current SARS-COV-2 variants of concern and retained activity against the Omicron and Omicron + R346K variants in both pseudotype and live virus neutralization assays. Furthermore, STI-9167 nAb administered intranasally or intravenously provided protection against weight loss and reduced virus lung titers to levels below the limit of quantitation in Omicron-infected K18-hACE2 transgenic mice. With this established activity profile, a cGMP cell line has been developed and used to produce cGMP drug product intended for use in human clinical trials.Competing Interest StatementThe A.G.-S. laboratory has received research support from Pfizer, Senhwa Biosciences, Kenall Manufacturing, Avimex, Johnson & Johnson, Dynavax, 7Hills Pharma, Pharmamar, ImmunityBio, Accurius, Nanocomposix, Hexamer, N-fold LLC, Model Medicines, Atea Pharma and Merck, outside of the reported work. A.G.-S. has consulting agreements for the following companies involving cash and/or stock: Vivaldi Biosciences, Contrafect, 7Hills Pharma, Avimex, Vaxalto, Pagoda, Accurius, Esperovax, Farmak, Applied Biological Laboratories, Pharmamar, Paratus, CureLab Oncology, CureLab Veterinary and Pfizer, outside of the reported work. A.G.-S. is inventor on patents and patent applications on the use of antivirals and vaccines for the treatment and prevention of virus infections and cancer, owned by the Icahn School of Medicine at Mount Sinai, New York, outside of the reported work.