PMID- 37370000 OWN - NLM STAT- MEDLINE DCOM- 20230704 LR - 20230704 IS - 1471-2334 (Electronic) IS - 1471-2334 (Linking) VI - 23 IP - 1 DP - 2023 Jun 27 TI - Safety, tolerability, pharmacokinetics, and immunogenicity of JMB2002-an antibody against COVID-19: a phase 1 clinical trial in healthy Chinese adults. PG - 437 LID - 10.1186/s12879-023-08341-6 [doi] LID - 437 AB - BACKGROUND: The emergence of Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2) and subsequent Coronavirus Disease 2019 (COVID-19) pandemic has resulted in a significant global public health burden, leading to an urgent need for effective therapeutic strategies. Monoclonal antibodies (mAbs) are a potentially effective therapeutic option. We identified a potent antibody JMB2002 against the SARS-CoV-2 receptor binding domain. JMB2002 has demonstrated therapeutic efficacy in a SARS-CoV-2 infected rhesus macaque model. METHODS: We conducted a randomized, double-blind, phase 1 trial to evaluate the JMB2002's safety, tolerability, pharmacokinetics, and immunogenicity in healthy Chinese adults. Participants were randomly assigned to one of four cohorts with sequential dose, administrated intravenously with JMB2002 or placebo, and followed up for 85 +/- 5 days. RESULTS: 40 participants were recruited and completed in the study. Eight (25.0%) participants experienced 13 treatment emergent adverse events (TEAEs) that were drug-related. No serious adverse events (SAEs), dose limiting events (DLTs), or adverse events of special interest (AESIs), such as infusion related/allergic reactions, were observed, and no drop out due to adverse events (AEs) occurred. There was no significant safety difference observed between JMB2002 and the placebo, suggesting it was well tolerated. The AUC(0-infinity), AUC(0 - t) of JMB2002 infusion increased dose-dependently from 5 mg/kg to 50 mg/kg while there is also a linear trend between doses and C(max). CONCLUSION: Therefore, JMB2002 was well tolerated after administration of a single dose in the range of 5 mg/kg to 50 mg/kg in healthy Chinese adults. TRIAL REGISTRATION: ChiCTR2100042150 at https://www.chictr.org.cn/searchproj.aspx (14/01/2021). CI - (c) 2023. The Author(s). FAU - Chen, Guiling AU - Chen G AD - Institute of Pharmacology and Toxicology, College of Pharmaceutical Sciences, Zhejiang University, Hangzhou, China. AD - Shulan (Hangzhou) Hospital Affiliated to Zhejiang Shuren University Shulan International Medical College, Hangzhou, China. FAU - Zhang, Ying AU - Zhang Y AD - Shanghai Jemincare Pharmaceutical Co., Ltd., Shanghai, China. FAU - Wu, Kaiqi AU - Wu K AD - Shulan (Hangzhou) Hospital Affiliated to Zhejiang Shuren University Shulan International Medical College, Hangzhou, China. FAU - Jin, Tinghan AU - Jin T AD - Shulan (Hangzhou) Hospital Affiliated to Zhejiang Shuren University Shulan International Medical College, Hangzhou, China. FAU - Peng, Conggao AU - Peng C AD - Shulan (Hangzhou) Hospital Affiliated to Zhejiang Shuren University Shulan International Medical College, Hangzhou, China. FAU - Jiang, Qi AU - Jiang Q AD - Shulan (Hangzhou) Hospital Affiliated to Zhejiang Shuren University Shulan International Medical College, Hangzhou, China. FAU - Tian, Wenjuan AU - Tian W AD - Shanghai Jemincare Pharmaceutical Co., Ltd., Shanghai, China. FAU - Chen, Zhong AU - Chen Z AD - Institute of Pharmacology and Toxicology, College of Pharmaceutical Sciences, Zhejiang University, Hangzhou, China. chenzhong@zju.edu.com. FAU - Shen, Zhenwei AU - Shen Z AD - Zhejiang Shuren University, Hangzhou, China. shenlin7818@126.com. FAU - Sheng, Guoping AU - Sheng G AD - Shulan (Hangzhou) Hospital Affiliated to Zhejiang Shuren University Shulan International Medical College, Hangzhou, China. guoping.sheng@shulan.com. LA - eng PT - Clinical Trial, Phase I PT - Journal Article PT - Randomized Controlled Trial DEP - 20230627 PL - England TA - BMC Infect Dis JT - BMC infectious diseases JID - 100968551 RN - 0 (Antibodies, Viral) RN - 0 (JMB2002) SB - IM MH - Animals MH - Humans MH - Antibodies, Viral MH - *COVID-19 MH - Double-Blind Method MH - East Asian People MH - Immunogenicity, Vaccine MH - Macaca mulatta MH - SARS-CoV-2 MH - Healthy Volunteers PMC - PMC10304326 OTO - NOTNLM OT - COVID-19 OT - JMB2002 OT - SARS-CoV-2 COIS- The authors declare no competing interests. EDAT- 2023/06/28 01:06 MHDA- 2023/06/29 06:43 PMCR- 2023/06/27 CRDT- 2023/06/27 23:35 PHST- 2023/03/09 00:00 [received] PHST- 2023/05/22 00:00 [accepted] PHST- 2023/06/29 06:43 [medline] PHST- 2023/06/28 01:06 [pubmed] PHST- 2023/06/27 23:35 [entrez] PHST- 2023/06/27 00:00 [pmc-release] AID - 10.1186/s12879-023-08341-6 [pii] AID - 8341 [pii] AID - 10.1186/s12879-023-08341-6 [doi] PST - epublish SO - BMC Infect Dis. 2023 Jun 27;23(1):437. doi: 10.1186/s12879-023-08341-6.