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High Efficacy of Therapeutic Equine Hyperimmune Antibodies Against SARS-CoV-2 Variants of Concern

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Moreira Soto, Andrés

Gutiérrez, José María

Alape Girón, Alberto

Drexler, Jan Felix

Arguedas Gómez, Mauricio

Brenes Porras, Hebleen

Buján Boza, Willem Aart

Corrales Aguilar, Eugenia

Díaz Oreiro, Cecilia

Echeverri McCandless, Ann

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SARS-CoV-2 variants of concern show reduced neutralization by vaccine-induced and therapeutic monoclonal antibodies; therefore, treatment alternatives are needed. We tested therapeutic equine polyclonal antibodies (pAbs) that are being assessed in clinical trials in Costa Rica against five globally circulating variants of concern: alpha, beta, epsilon, gamma and delta, using plaque reduction neutralization assays. We show that equine pAbs efficiently neutralize the variants of concern, with inhibitory concentrations in the range of 0.146–1.078µg/mL, which correspond to extremely low concentrations when compared to pAbs doses used in clinical trials. Equine pAbs are an effective, broad coverage, low-cost and a scalable COVID-19 treatment.

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