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Drug information

Drug's link(s)
Generic name

VRS07-523LS; VRC-HIVMAB075-00-AB; TMB-380

Brand names

Not applicable (investigational; no brand name assigned)

Compound type

Biotherapeutic

Drug class/category

bNAb targeting gp120 on HIV-1 virus envelope

Summary

VRC07-523LS (VRC-HIVMAB075-00-AB; TMB-380) is a broadly neutralizing antibody (bNAb) engineered to target the CD4 binding site on HIV’s envelope protein gp120. It is a modified version of VRC01, with an LS mutation that extends its half-life, allowing less frequent dosing. Administered via IV, IM, SC, it has shown safety and tolerability in clinical trials. TaiMed develops TMB-380 as part of the antibody-only TMB-365/TMB-380 regimen at 4,800 mg IV every 8 weeks. VRC07-523LS is an engineered VRC01-class antibody with the LS Fc modification, neutralising 96% of strains at IC50 below 50 microgram/mL and 92% below 1 microgram/mL, with 5- to 8-fold greater potency than VRC01.

Approval status

Not yet approved

Regulatory authorities

Not yet approved

Therapeutic area(s)

  • HIV
Use case(s)
  • Pre-Exposure Prophylaxis (PrEP)
  • Treatment

Administration route

Intravenous, Subcutaneous, Intramuscular

Associated long-acting platforms

Monoclonal antibodies and antibody drug conjugates

Use of drug

Ease of administration
  • Administered by a nurse
  • Administered by a specialty health worker
Frequency of administration
  • Every 3 months
  • Every 6 months
  • Every 2 months
  • Every 4 months
User acceptance

To be determined. In CAPRISA 012A (with PGT121), 86.7% of African women found two to three subcutaneous administrations per year acceptable for HIV prevention. Generally safe and well tolerated across phase 1 studies.

Dosage

Available dose and strength

Investigational: weight-based 5 to 40 mg/kg (5 mg/kg; 20mg/kg; 40mg/kg) IV or SC; fixed doses 400 mg to 3,200 mg IV; 1.2 g SC (CAPRISA 012C); 2,400, 3,200 and 4,800 mg IV (TaiMed programme).

Maximum dose

40 mg/kg IV (phase 1); 4,800 mg IV fixed dose (as TMB-380)

Recommended dosing regimen

No approved regimen. Examples: with CAB-LA (ACTG A5357); 1.2 g SC every 6 months with CAP256V2LS (CAPRISA 012C part B); 4,800 mg IV every 8 weeks with TMB-365 4,800 mg IV. ; VRC07-523LS 20 mg/kg IV Q12W- 3 doses ; VRC07-523LS 5 mg/kg SC Q12W- 3 doses

Additional comments

Not provided

Dosage link(s)

Not provided

Related entries

Compounds
Compare

Main compound
VRC01 (mAb)

Related compounds
VRC07-523LS (mAb) (TMB-380)

Additional information

Not provided

Developer(s)

Vaccine Research Center, National Institute of Allergy and Infectious Diseases (NIAID)
Originator
United States of America

Vaccine Research Center, National Institute of Allergy and Infectious Diseases (NIAID)

The National Institute of Allergy and Infectious Diseases (NIAID) is a key institute within the National Institutes of Health (NIH) dedicated to advancing research on infectious, immunologic, and allergic diseases. Established over 60 years ago, NIAID conducts both basic and applied research aimed at improving understanding, diagnosis, treatment, and prevention of these diseases.

TaiMed Biologics
Originator

TaiMed Biologics

Drug structure

Scale-up and manufacturing prospects

Scale-up prospects

Not provided

Tentative equipment list for manufacturing

Bioreactors, incubators, filtration units, lyophilizers, and formulation vessels.

Manufacturing

VRC07-5LS is a monoclonal antibody, and its production involves several key steps: VRC07-523LS is produced in a Chinese Hamster Ovary (CHO) DG44 cell line. Further information is not disclosed yet.

Specific analytical instrument required for characterization of formulation

1. Bio-Plex Instrument (Bio-Rad) 2. Beckman Biomek Automation Platform 3. Surface-Plasmon-Resonance-(SPR)-Systeme 4. Dynamic Light Scattering, 5. Differential Scanning Calorimetry 6. Circular dichroism and isothermal chemical denaturation

Excipients & delivery device(s)

Proprietary excipients used

No proprietary excipient used

Novel excipients or existing excipients at a concentration above Inactive Ingredient Database (IID) for the specified route of administration

No novel excipient or existing excipient used

Residual solvents used

No residual solvent used

Delivery device(s)

No delivery device

Safety, Efficacy and Evidence Summary

Safety

Not provided

Efficacy

Not provided

Evidence Summary

Not provided

References and relevant studies

Not provided

Description

VRC07-523LS antibody

Brief description

Antibodies and antigen binding fragments that specifically bind to HIV-1 Env and neutralize HIV-1 are disclosed. Nucleic acids encoding these antibodies, vectors and host cells are also provided. Methods for detecting HIV-1 using these antibodies are disclosed. In addition, the use of these antibodies, antigen binding fragment, nucleic acids and vectors to prevent and/or treat an HIV-1 infection is disclosed.

Representative patent

WO2019165122

Category

Compound

Patent holder

The United States of America

Exclusivity

Not provided

Expiration date

February 21, 2039

Status

Granted: US Pending: AU, CA, CN, EP, IN