Evidence map›Paper›PMID 35780162›Full record

ArticleNature communications2022

Resilience of S309 and AZD7442 monoclonal antibody treatments against infection by SARS-CoV-2 Omicron lineage strains.

James Brett Case, Samantha Mackin, John M Errico, Zhenlu Chong, Emily A Madden, Bradley Whitener, Barbara Guarino, Michael A Schmid, Kim Rosenthal, Kuishu Ren and 15 more

2 registry-linked trialsOpen access · goldAbstract read
In one paragraph

Article in Nature communications, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 101 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
101citing papers in PubMed, 2 pooled it
15.2field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT05305651 phase4completednot on this map

Prospective Cohort Study to Monitor the Emergence of SARS-CoV-2 Spike Viral Variants in Immunocompromised Non-hospitalized Patients Exposed to Sotrovimab in Great Britain: LUNAR Study

TypeinterventionalSponsorGlaxoSmithKlineRan2022 to 2023Enrolled217ConditionsCOVID-19ArmsSotrovimab
NCT05648110 phase2 / phase3completednot on this map

A Phase I/III Randomized, Double-blind Study to Evaluate the Safety, Efficacy and Neutralizing Activity of AZD5156/AZD3152 for Pre-exposure Prophylaxis of COVID-19 in Participants With Conditions Causing Immune Impairment. Sub-study: Phase II Open Label Sub-study to Evaluate the Safety, PK, and Neutralizing Activity of AZD3152 for Pre-exposure Prophylaxis of COVID-19

TypeinterventionalSponsorAstraZenecaRan2022 to 2025Enrolled3,882ConditionsCOVID-19, SARS-CoV-2ArmsAZD5156 (Parent study Sentinel Safety Cohort), Placebo (Parent study Sentinel Safety Cohort), EVUSHELD™ (Parent study Main Cohort), AZD3152 (Parent study Main Cohort), Placebo (Parent study Main Cohort)
3 · Its place in the literature

Who cites it

101 citing papers in PubMed, 2 syntheses or guidelines pooled it, 152 citations in OpenAlex.

  1. Pooled it
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  10. Artificial intelligence directed computational protein design: lessons from COVID-19 for pandemic-ready vaccines and antibody therapeutics.Journal of pharmacy & pharmaceutical sciences : a publication of the Canadian Society for Pharmaceutical Sciences, Societe canadienne des sciences pharmaceutiques · 2026
    Review
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  18. Impact of SARS-CoV-2 variant mutations on susceptibility to monoclonal antibodies and antiviral drugs: a non-systematic review, April 2022 to October 2024.Euro surveillance : bulletin Europeen sur les maladies transmissibles = European communicable disease bulletin · 2025
    Review
  19. Review
  20. Affinity maturation endows potent activity onto class 6 SARS-CoV-2 broadly neutralizing antibodies.Proceedings of the National Academy of Sciences of the United States of America · 2025
    Article

41 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

25 authors at 6 institutions in 3 countries.

James Brett CaseDepartment of Medicine, Washington University School of Medicine, St. Louis, MO, USA.ORCID 0000-0001-7331-5511
Samantha MackinDepartment of Medicine, Washington University School of Medicine, St. Louis, MO, USA.
John M ErricoDepartment of Pathology & Immunology, Washington University School of Medicine, St. Louis, MO, USA.ORCID 0000-0002-4452-8152
Zhenlu ChongDepartment of Medicine, Washington University School of Medicine, St. Louis, MO, USA.
Emily A MaddenDepartment of Medicine, Washington University School of Medicine, St. Louis, MO, USA.ORCID 0000-0003-0209-914X
Bradley WhitenerDepartment of Medicine, Washington University School of Medicine, St. Louis, MO, USA.
Barbara GuarinoHumabs BioMed SA, a subsidiary of Vir Biotechnology, Bellinzona, Switzerland.
Michael A SchmidHumabs BioMed SA, a subsidiary of Vir Biotechnology, Bellinzona, Switzerland.ORCID 0000-0002-1137-9322
Kim RosenthalVaccines and Immune Therapies, BioPharmaceuticals R&D, AstraZeneca, Gaithersburg, MD, USA.
Kuishu RenVaccines and Immune Therapies, BioPharmaceuticals R&D, AstraZeneca, Gaithersburg, MD, USA.
Ha V DangVir Biotechnology, San Francisco, CA, USA.ORCID 0000-0003-1173-9241
Gyorgy SnellVir Biotechnology, San Francisco, CA, USA.
Ana JungDepartment of Pathology & Immunology, Washington University School of Medicine, St. Louis, MO, USA.
Lindsay DroitDepartment of Pathology & Immunology, Washington University School of Medicine, St. Louis, MO, USA.
Scott A HandleyDepartment of Pathology & Immunology, Washington University School of Medicine, St. Louis, MO, USA.ORCID 0000-0002-2143-6570
Peter J HalfmannInfluenza Research Institute, Department of Pathobiological Sciences, School of Veterinary Medicine, University of Wisconsin-Madison, Madison, WI, USA.ORCID 0000-0002-1648-1625
Yoshihiro KawaokaInfluenza Research Institute, Department of Pathobiological Sciences, School of Veterinary Medicine, University of Wisconsin-Madison, Madison, WI, USA.ORCID 0000-0001-5061-8296
James E CroweVanderbilt Vaccine Center, Vanderbilt University Medical Center, Nashville, TN, USA.ORCID 0000-0002-0049-1079
Daved H FremontDepartment of Pathology & Immunology, Washington University School of Medicine, St. Louis, MO, USA.ORCID 0000-0002-8544-2689
Herbert W VirginDepartment of Pathology & Immunology, Washington University School of Medicine, St. Louis, MO, USA.ORCID 0000-0001-8580-7628
Yueh-Ming LooVaccines and Immune Therapies, BioPharmaceuticals R&D, AstraZeneca, Gaithersburg, MD, USA.ORCID 0000-0001-6294-7273
Mark T EsserVaccines and Immune Therapies, BioPharmaceuticals R&D, AstraZeneca, Gaithersburg, MD, USA.ORCID 0000-0003-1689-3475
Lisa A PurcellVir Biotechnology, San Francisco, CA, USA.
Davide CortiHumabs BioMed SA, a subsidiary of Vir Biotechnology, Bellinzona, Switzerland.ORCID 0000-0002-5797-1364
Michael S DiamondDepartment of Medicine, Washington University School of Medicine, St. Louis, MO, USA. mdiamond@wustl.edu.ORCID 0000-0002-8791-3165
Washington University in St. Louis · USAstraZeneca (United States) · USVir Biotechnology (Switzerland) · CHVIR Biotechnology (United States) · USUniversity of Wisconsin–Madison · USVanderbilt University Medical Center · US

Funding

COLLABORATIVE INFLUENZA VACCINE INNOVATION CENTER: UNIVERSAL INFLUENZA VACCINE RESEARCH75N93019C00051 · NIAID · ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI · PI KRAMMER, FLORIAN · 2019 to 2025
$105.4M
Emerging infections: surveillance, epidemiology and pathogenesisU01AI151810 · NIAID · WASHINGTON UNIVERSITY · PI Adrianus CM Boon, DAVID WANG · 2020 to 2026
$10.0M
Human antibody-based countermeasures against the Wuhan Coronavirus SARS-CoV-2R01AI157155 · NIAID · WASHINGTON UNIVERSITY · PI BARIC, RALPH S, CROWE, JAMES E · 2020 to 2024
$6.0M
NIAID NIH HHS 75N93019C00051NIAID NIH HHS R01 AI157155NIAID NIH HHS U01 AI151810
6 · The paper itself

Abstract

Omicron variant strains encode large numbers of changes in the spike protein compared to historical SARS-CoV-2 isolates. Although in vitro studies have suggested that several monoclonal antibody therapies lose neutralizing activity against Omicron variants, the effects in vivo remain largely unknown. Here, we report on the protective efficacy against three SARS-CoV-2 Omicron lineage strains (BA.1, BA.1.1, and BA.2) of two monoclonal antibody therapeutics (S309 [Vir Biotechnology] monotherapy and AZD7442 [AstraZeneca] combination), which correspond to ones used to treat or prevent SARS-CoV-2 infections in humans. Despite losses in neutralization potency in cell culture, S309 or AZD7442 treatments reduced BA.1, BA.1.1, and BA.2 lung infection in susceptible mice that express human ACE2 (K18-hACE2) in prophylactic and therapeutic settings. Correlation analyses between in vitro neutralizing activity and reductions in viral burden in K18-hACE2 or human FcγR transgenic mice suggest that S309 and AZD7442 have different mechanisms of protection against Omicron variants, with S309 utilizing Fc effector function interactions and AZD7442 acting principally by direct neutralization. Our data in mice demonstrate the resilience of S309 and AZD7442 mAbs against emerging SARS-CoV-2 variant strains and provide insight into the relationship between loss of antibody neutralization potency and retained protection in vivo.

Indexed as

COVID-19 Drug TreatmentSARS-CoV-2AnimalsAntibodies, MonoclonalAntibodies, NeutralizingAntibodies, ViralDrug CombinationsHumansMembrane GlycoproteinsMiceNeutralization TestsSpike Glycoprotein, CoronavirusViral Envelope ProteinsAntibodies, MonoclonalAntibodies, NeutralizingAntibodies, Viralcilgavimab and tixagevimab drug combinationDrug CombinationsMembrane GlycoproteinsSpike Glycoprotein, Coronavirusspike protein, SARS-CoV-2Viral Envelope Proteins

Identifiers

PMID35780162
PMCPMC9250508
OpenAlexW4283779466

What OpenQuestion holds

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LicenceCC BY
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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.