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Drug information

Drug's link(s)

Not provided

Generic name

L9LS

Brand names

Not provided

Compound type

Biotherapeutic

Drug class/category

Not provided

Summary

L9LS (VRC-MALMAB0114-00-AB) is a long-acting monoclonal antibody currently in clinical development as P. falciparum malaria prophylaxis. The Fc region of L9LS contains two site-directed mutagenesis substitutions (termed “LS”) which enhance neonatal Fc receptor binding affinity and extend its effective half-life to ~56 days. L9LS functions by targeting the highly conserved minor NVDP motifs present on the P. falciparum circumsporozoite protein, thereby disrupting malarial hepatocyte infection and parasite motility. The original L9 antibody was initially isolated from a CHMI study participant who displayed high antibody titres against a junctional epitope mimic (S02). Recent studies have indicated that L9LS may be administered subcutaneously rather than intravenously due to its high potency.

Approval status

Unknown

Regulatory authorities

Unknown

Therapeutic area(s)

  • Malaria
Use case(s)
  • Pre-Exposure Prophylaxis (PrEP)

Administration route

Subcutaneous, Intravenous

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

Not provided

User acceptance
Not provided

Dosage

Available dose and strength

investigational

Maximum dose

Not provided

Recommended dosing regimen

Not provided

Additional comments

Not provided

Dosage link(s)

Not provided

Associated compounds, formulations and regimens

Not provided

Associated technologies

Not provided

Additional information

Not provided

Developer(s)

Leidos Biomedical Research
Originator
United States

Leidos Biomedical Research

Leidos Biomedical Research, Inc. is a research company that operates the Frederick National Laboratory for Cancer Research on behalf of the National Cancer Institute. Based in Frederick, Maryland, the laboratory develops technological solutions for HIV/AIDs, emerging infectious diseases and oncology, in addition to providing scientific support to several national institutes including the NIAID.

Drug structure

Scale-up and manufacturing prospects

Scale-up prospects

L9LS has been manufactured as a clinical trial product by Leidos Biomedical Research following good manufacturing practices and vialled at a concentration of 150mg/mL within a buffered solution. General manufacturing requirements and production scale-up for therapeutic monoclonal antibody (mAb) products is primarily focused on pharmacokinetic suitability, formulation stability and the overall maintenance of product quality. Industrial bioprocessing steps can also potentially introduce additional challenges regarding mAb formulation viscosity and aggregation propensity.

Tentative equipment list for manufacturing

Industrial bioreactor vessel with a production volume capacity of between 5-25kL. Continuous disc stack centrifuges for bioreactor harvesting with subsequent membrane and depth filtration for supernatant clarification. Recombinant protein-A chromatography or other suitable affinity capture apparatus followed by two chromatographic polishing steps such as cation- and anion-exchange. Ultrafiltration membrane system to concentrate and formulate the final product.

Manufacturing

MAbs are highly dependent on their structural, chemical and conformational stability for biological activity. Chemical degradation of mAbs during manufacture can lead to the generation of product variants and complex impurity profiles resulting from a wide range of processes, including: N-linked glycosylation, isomerisation, fragmentation, deamidation, oxidation and C-terminal lysine clipping. Additionally prior to packaging, the final product requires close monitoring for the presence of residual contaminants such as endotoxins and pro-inflammatory peptidoglycans.

Specific analytical instrument required for characterization of formulation

Formulation characterisation steps for therapeutic mAb products include (but are not limited to): (1) Identification of post-translational modifications using ion-exchange chromatography and capillary isoelectric focusing, (2) Measurement of concentration dependent aggregation rates via thermal differential scanning calorimetry, sub-visible particle quantitation and size-exclusion chromatography, and (3) Antibody clipping and fragmentation detection by capillary electrophoresis.

Excipients & delivery device(s)

Proprietary excipients used

Not provided

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

Not provided

Residual solvents used

Not provided

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

L9 antibody and M428L and N434S mutations (L9LS)

Brief description

Antibodies and antigen binding fragments that specifically bind to P. falciparum circumsporozoite protein are disclosed. Nucleic acids encoding these antibodies, vectors and host cells are also provided. The disclosed antibodies, antigen binding fragments, nucleic acids and vectors can be used, for example, to inhibit a P. falciparum infection.

Representative patent

WO2020227228

Category

Compound

Patent holder

THE UNITED STATES OF AMERICA, AS REPRESENTED BY THE SECRETARY, DEPARTMENT OF HEALTH AND HUMAN SERVICES

Exclusivity

Not provided

Expiration date

May 4, 2040

Status

Granted in US, pending in EPO member states