The trispecific DARPin ensovibep inhibits diverse SARS-CoV-2 variants.

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info:eu-repo/semantics/altIdentifier/doi/10.1038/s41587-022-01382-3

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info:eu-repo/semantics/altIdentifier/urn/urn:nbn:ch:serval-BIB_AD493D8193DB0

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S. Rothenberger et al., « The trispecific DARPin ensovibep inhibits diverse SARS-CoV-2 variants. », Serveur académique Lausannois, ID : 10.1038/s41587-022-01382-3


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The emergence of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) variants with potential resistance to existing drugs emphasizes the need for new therapeutic modalities with broad variant activity. Here we show that ensovibep, a trispecific DARPin (designed ankyrin repeat protein) clinical candidate, can engage the three units of the spike protein trimer of SARS-CoV-2 and inhibit ACE2 binding with high potency, as revealed by cryo-electron microscopy analysis. The cooperative binding together with the complementarity of the three DARPin modules enable ensovibep to inhibit frequent SARS-CoV-2 variants, including Omicron sublineages BA.1 and BA.2. In Roborovski dwarf hamsters infected with SARS-CoV-2, ensovibep reduced fatality similarly to a standard-of-care monoclonal antibody (mAb) cocktail. When used as a single agent in viral passaging experiments in vitro, ensovibep reduced the emergence of escape mutations in a similar fashion to the same mAb cocktail. These results support further clinical evaluation of ensovibep as a broad variant alternative to existing targeted therapies for Coronavirus Disease 2019 (COVID-19).

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