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Escape of SARS-CoV-2 Variants KP.1.1, LB.1, and KP.3.3 From Approved Monoclonal Antibodies

Planas et al., Pathogens and Immunity, doi:10.20411/pai.v10i1.752
Sep 2024  
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In Vitro study showing significant escape of SARS-CoV-2 variants KP.1.1, LB.1, and KP.3.3 with monoclonal antibodies pemivibart (VYD222) and sipavibart (AZD3152). Sipavibart lost antiviral efficacy, while pemivibart maintained reduced activity. The mAb SA55 remained highly active against these variants. These results raise concerns about the clinical efficacy of pemivibart and sipavibart against JN.1 sublineages circulating in mid-2024.
Study covers pemivibart and sipavibart.
Planas et al., 30 Sep 2024, France, peer-reviewed, 14 authors, study period 1 January, 2024 - 4 August, 2024. Contact: olivier.schwartz@pasteur.fr.
In Vitro studies are an important part of preclinical research, however results may be very different in vivo.
This PaperSipavibartAll
Escape of SARS-CoV-2 Variants KP.1.1, LB.1, and KP.3.3 From Approved Monoclonal Antibodies
Delphine Planas, Isabelle Staropoli, Cyril Planchais, Emilie Yab, Banujaa Jeyarajah, Yannis Rahou, Matthieu Prot, Florence Guivel-Benhassine, Frederic Lemoine, Vincent Enouf, Etienne Simon-Loriere, Hugo Mouquet, Marie-Anne Rameix-Welti, Olivier Schwartz
Pathogens and Immunity, doi:10.20411/pai.v10i1.752
Background: First-generation anti-SARS-CoV-2 monoclonal antibodies (mAbs) used for prophylaxis or therapeutic purposes in immunocompromised patients have been withdrawn because of the emergence of resistant Omicron variants. In 2024, 2 novel mAbs, VYD222/Pemivibart and AZD3152/Sipavibart, were approved by health authorities, but their activity against contemporary JN.1 sublineages is poorly characterized. Methods: We isolated authentic JN.1.1, KP.1.1, LB.1, and KP.3.3 viruses and evaluated their sensitivity to neutralization by these mAbs in 2 target cell lines. Results: Compared to ancestral strains, VYD222/Pemivibart remained moderately active against JN.1 subvariants, with a strong increase of 50% Inhibitory Concentration (IC50), reaching up to 3 to 15 µg/mL for KP.3.3. AZD3152/Sipavibart neutralized JN.1.1 but lost antiviral efficacy against KP.1.1, LB.1, and KP.3.3. Conclusions: Our results highlight the need for a close clinical monitoring of VYD222/Pemivibart and raise concerns about the clinical efficacy of AZD3152/Sipavibart.
AUTHOR CONTRIBUTIONS Experimental strategy design, experiments: DP, IS, CP, FG-B, ES-L, HM, M-ARW, OS. Vital materials: CP, EY, BJ, YR, VE, HM, M-ARW. Phylogenetic analysis: ES-L. Viral sequencing: EY, BJ, YR, VE, MP, FL, ES-L, M-ARW. Manuscript writing and editing: DP, ES-L, HM, M-ARW, OS.
References
Astrazeneca, Sipavibart EMA regulatory submission accepted under accelerated assessment for COVID-19 prevention
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Buchrieser, Dufloo, Hubert, Monel, Planas et al., Syncytia formation by SARS-CoV-2-infected cells, EMBO J, doi:10.15252/embj.2020106267
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Yang, Yu, Xu, Jian, Song et al., Fast evolution of SARS-CoV-2 BA.2.86 to JN.1 under heavy immune pressure, Lancet Infect Dis, doi:10.1016/S1473-3099(23)00744-2
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' '2024:2024.08.12.607496. doi: <a ' 'href="http://dx.doi.org/10.1101/2024.08.12.607496" ' 'target="_blank"><span>10.1101/2024.08.12.607496</span></a>.</p>'}], 'container-title': 'Pathogens and Immunity', 'original-title': [], 'link': [ { 'URL': 'https://www.paijournal.com/index.php/paijournal/article/download/752/833', 'content-type': 'text/html', 'content-version': 'vor', 'intended-application': 'text-mining'}, { 'URL': 'https://www.paijournal.com/index.php/paijournal/article/download/752/830', 'content-type': 'application/pdf', 'content-version': 'vor', 'intended-application': 'text-mining'}, { 'URL': 'https://www.paijournal.com/index.php/paijournal/article/download/752/830', 'content-type': 'unspecified', 'content-version': 'vor', 'intended-application': 'similarity-checking'}], 'deposited': { 'date-parts': [[2024, 10, 2]], 'date-time': '2024-10-02T18:02:01Z', 'timestamp': 1727892121000}, 'score': 1, 'resource': {'primary': {'URL': 'https://www.paijournal.com/index.php/paijournal/article/view/752'}}, 'subtitle': [], 'short-title': [], 'issued': {'date-parts': [[2024, 9, 30]]}, 'references-count': 19, 'journal-issue': {'issue': '1', 'published-online': {'date-parts': [[2024, 9, 30]]}}, 'URL': 'http://dx.doi.org/10.20411/pai.v10i1.752', 'relation': {}, 'ISSN': ['2469-2964'], 'subject': [], 'container-title-short': 'PAI', 'published': {'date-parts': [[2024, 9, 30]]}}
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