학술논문

Prevention and therapy of SARS-CoV-2 and the B.1.351 variant in mice
Document Type
article
Source
Cell Reports, Vol 36, Iss 4, Pp 109450- (2021)
Subject
SARS-CoV-2
B.1.351
variants
remdesivir
RDV
monoclonal antibodies
Biology (General)
QH301-705.5
Language
English
ISSN
2211-1247
Abstract
Summary: Improving clinical care for individuals infected with SARS-CoV-2 variants is a global health priority. Small-molecule antivirals like remdesivir (RDV) and biologics such as human monoclonal antibodies (mAbs) have demonstrated therapeutic efficacy against SARS-CoV-2, the causative agent of coronavirus disease 2019 (COVID-19). It is not known whether combination RDV/mAb will improve outcomes over single-agent therapies or whether antibody therapies will remain efficacious against variants. Here, we show that a combination of two mAbs in clinical trials, C144 and C135, have potent antiviral effects against even when initiated 48 h after infection and have therapeutic efficacy in vivo against the B.1.351 variant of concern (VOC). Combining RDV and antibodies provided a modest improvement in outcomes compared with single agents. These data support the continued use of RDV to treat SARS-CoV-2 infections and the continued clinical development of the C144 and C135 antibody combination to treat patients infected with SARS-CoV-2 variants.