PT - JOURNAL ARTICLE AU - Sara C. Johnston AU - Keersten M. Ricks AU - Ines Lakhal-Naouar AU - Alexandra Jay AU - Caroline Subra AU - Jo Lynne Raymond AU - Hannah A. D. King AU - Franco Rossi AU - Tamara L. Clements AU - David Fetterer AU - Samantha Tostenson AU - Camila Macedo Cincotta AU - Holly R. Hack AU - Caitlin Kuklis AU - Sandrine Soman AU - Jocelyn King AU - Kristina K. Peachman AU - Dohoon Kim AU - Wei-Hung Chen AU - Rajeshwer S. Sankhala AU - Elizabeth J. Martinez AU - Agnes Hajduczki AU - William C. Chang AU - Misook Choe AU - Paul V. Thomas AU - Caroline E. Peterson AU - Alexander Anderson AU - Isabella Swafford AU - Jeffrey R. Currier AU - Dominic Paquin-Proulx AU - Linda L. Jagodzinski AU - Gary R. Matyas AU - Mangala Rao AU - Gregory D. Gromowski AU - Sheila A. Peel AU - Lauren White AU - Jeffrey M. Smith AU - Jay W. Hooper AU - Nelson L. Michael AU - Kayvon Modjarrad AU - M. Gordon Joyce AU - Aysegul Nalca AU - Diane L. Bolton AU - Margaret LM Pitt TI - A SARS-CoV-2 Spike Ferritin Nanoparticle Vaccine is Protective and Promotes a Strong Immunological Response in the Cynomolgus Macaque Coronavirus Disease 2019 (COVID-19) Model AID - 10.1101/2022.03.25.485832 DP - 2022 Jan 01 TA - bioRxiv PG - 2022.03.25.485832 4099 - http://biorxiv.org/content/early/2022/03/28/2022.03.25.485832.short 4100 - http://biorxiv.org/content/early/2022/03/28/2022.03.25.485832.full AB - The COVID-19 pandemic has had a staggering impact on social, economic, and public health systems worldwide. Vaccine development and mobilization against SARS-CoV-2 (the etiologic agent of COVID-19) has been rapid. However, novel strategies are still necessary to slow the pandemic, and this includes new approaches to vaccine development and/or delivery, which improve vaccination compliance and demonstrate efficacy against emerging variants. Here we report on the immunogenicity and efficacy of a SARS-CoV-2 vaccine comprised of stabilized, pre-fusion Spike protein trimers displayed on a ferritin nanoparticle (SpFN) adjuvanted with either conventional aluminum hydroxide or the Army Liposomal Formulation QS-21 (ALFQ) in a cynomolgus macaque COVID-19 model. Vaccination resulted in robust cell-mediated and humoral responses and a significant reduction of lung lesions following SARS-CoV-2 infection. The strength of the immune response suggests that dose sparing through reduced or single dosing in primates may be possible with this vaccine. Overall, the data support further evaluation of SpFN as a SARS-CoV-2 protein-based vaccine candidate with attention to fractional dosing and schedule optimization.Competing Interest StatementThe authors have declared no competing interest.