Evidence map›Paper›PMID 37229608›Full record

ArticlemAbs

Multivalent IgM scaffold enhances the therapeutic potential of variant-agnostic ACE2 decoys against SARS-CoV-2.

Meghan M Verstraete, Florian Heinkel, Janessa Li, Siran Cao, Anh Tran, Elizabeth C Halverson, Robert Gene, Elizabeth Stangle, Begonia Silva-Moreno, Sifa Arrafi and 10 more

Open access · goldAbstract read
In one paragraph

Article in mAbs. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
1.9field-weighted citation impact, top 14% 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed, 10 citations in OpenAlex.

  1. Article
  2. Understanding IgM Structure and Biology to Engineer New Antibody Therapeutics.BioDrugs : clinical immunotherapeutics, biopharmaceuticals and gene therapy · 2025
    Review
  3. Review
  4. Article
  5. Article
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

20 authors at 2 institutions in 1 country.

Meghan M VerstraeteZymeworks Inc, Vancouver, Canada.ORCID 0000-0003-0422-2826
Florian HeinkelZymeworks Inc, Vancouver, Canada.ORCID 0000-0002-2383-9330
Janessa LiZymeworks Inc, Vancouver, Canada.
Siran CaoZymeworks Inc, Vancouver, Canada.
Anh TranDepartment of Human Health Therapeutics, National Research Council Canada, Ottawa, Canada.ORCID 0000-0003-0644-6014
Elizabeth C HalversonZymeworks Inc, Vancouver, Canada.
Robert GeneZymeworks Inc, Vancouver, Canada.
Elizabeth StangleZymeworks Inc, Vancouver, Canada.
Begonia Silva-MorenoZymeworks Inc, Vancouver, Canada.
Sifa ArrafiZymeworks Inc, Vancouver, Canada.
Jegarubee BavananthasivamDepartment of Human Health Therapeutics, National Research Council Canada, Ottawa, Canada.ORCID 0000-0002-0332-4823
Madeline FungZymeworks Inc, Vancouver, Canada.
Mariam Eji-LasisiZymeworks Inc, Vancouver, Canada.
Stephanie MastermanZymeworks Inc, Vancouver, Canada.
Steve XanthoudakisZymeworks Inc, Vancouver, Canada.
Surjit DixitZymeworks Inc, Vancouver, Canada.
John BabcookZymeworks Inc, Vancouver, Canada.
Brandon ClavetteZymeworks Inc, Vancouver, Canada.
Mark FoggZymeworks Inc, Vancouver, Canada.
Eric Escobar-CabreraZymeworks Inc, Vancouver, Canada.ORCID 0000-0002-2749-8860
Zymeworks (Canada) · CANational Research Council Canada · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

As immunological selection for escape mutants continues to give rise to future SARS-CoV-2 variants, novel universal therapeutic strategies against ACE2-dependent viruses are needed. Here we present an IgM-based decavalent ACE2 decoy that has variant-agnostic efficacy. In immuno-, pseudovirus, and live virus assays, IgM ACE2 decoy had potency comparable or superior to leading SARS-CoV-2 IgG-based mAb therapeutics evaluated in the clinic, which were variant-sensitive in their potency. We found that increased ACE2 valency translated into increased apparent affinity for spike protein and superior potency in biological assays when decavalent IgM ACE2 was compared to tetravalent, bivalent, and monovalent ACE2 decoys. Furthermore, a single intranasal dose of IgM ACE2 decoy at 1 mg/kg conferred therapeutic benefit against SARS-CoV-2 Delta variant infection in a hamster model. Taken together, this engineered IgM ACE2 decoy represents a SARS-CoV-2 variant-agnostic therapeutic that leverages avidity to drive enhanced target binding, viral neutralization, and

Indexed as

Angiotensin-Converting Enzyme 2COVID-19AnimalsCricetinaeHumansImmunoglobulin MProtein BindingSARS-CoV-2Angiotensin-Converting Enzyme 2Immunoglobulin MACE2antibody engineeringCOVID-19IgMmultivalent scaffoldreceptor decoysSARS-CoV-2

Identifiers

PMID37229608
PMCPMC10215022
OpenAlexW4378193861

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

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.