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  • The monoclonal antibody com...
    Copin, Richard; Baum, Alina; Wloga, Elzbieta; Pascal, Kristen E.; Giordano, Stephanie; Fulton, Benjamin O.; Zhou, Anbo; Negron, Nicole; Lanza, Kathryn; Chan, Newton; Coppola, Angel; Chiu, Joyce; Ni, Min; Wei, Yi; Atwal, Gurinder S.; Hernandez, Annabel Romero; Saotome, Kei; Zhou, Yi; Franklin, Matthew C.; Hooper, Andrea T.; McCarthy, Shane; Hamon, Sara; Hamilton, Jennifer D.; Staples, Hilary M.; Alfson, Kendra; Carrion, Ricardo; Ali, Shazia; Norton, Thomas; Somersan-Karakaya, Selin; Sivapalasingam, Sumathi; Herman, Gary A.; Weinreich, David M.; Lipsich, Leah; Stahl, Neil; Murphy, Andrew J.; Yancopoulos, George D.; Kyratsous, Christos A.

    Cell, 07/2021, Letnik: 184, Številka: 15
    Journal Article

    Monoclonal antibodies against SARS-CoV-2 are a clinically validated therapeutic option against COVID-19. Because rapidly emerging virus mutants are becoming the next major concern in the fight against the global pandemic, it is imperative that these therapeutic treatments provide coverage against circulating variants and do not contribute to development of treatment-induced emergent resistance. To this end, we investigated the sequence diversity of the spike protein and monitored emergence of virus variants in SARS-COV-2 isolates found in COVID-19 patients treated with the two-antibody combination REGEN-COV, as well as in preclinical in vitro studies using single, dual, or triple antibody combinations, and in hamster in vivo studies using REGEN-COV or single monoclonal antibody treatments. Our study demonstrates that the combination of non-competing antibodies in REGEN-COV provides protection against all current SARS-CoV-2 variants of concern/interest and also protects against emergence of new variants and their potential seeding into the population in a clinical setting. Display omitted •REGEN-COV retains neutralization potency against current variants of concern/interest•In vitro escape studies can predict emergence of viral variants in animals and humans•3 noncompeting mAb in combination reduce variant risk compared to a combination of 2•Treatment with REGEN-COV in humans does not lead to emergence of viral variants Treatment with monoclonal antibody combinations limits generation of SARS-CoV-2 escape variants in humans and model animals and protects against current variants of concern.