A candidate antibody drug for prevention of malaria

Katherine L Williams1, Steve Guerrero2, Yevel Flores-Garcia3

  • 1Atreca, Inc., San Carlos, CA, USA. kwilliams@atreca.com.

Nature Medicine
|January 3, 2024
PubMed

Insights

New monoclonal antibodies offer improved malaria protection for young children. Researchers identified promising antibody candidates to complement existing vaccines, aiming for low-cost, scalable production for global pediatric use against malaria.

Area of Science:

  • Immunology and Infectious Diseases
  • Vaccinology and Antibody Therapeutics

Background:

  • Malaria causes a high mortality rate in children under 5, with current vaccines showing modest efficacy.
  • Complementary strategies, such as monoclonal antibodies, are crucial for malaria eradication efforts.
  • The RTS,S/AS01 (Mosquirix) vaccine targets the Plasmodium falciparum circumsporozoite protein.

Purpose of the Study:

  • To characterize B cell repertoires in RTS,S/AS01 vaccinees.
  • To discover and develop novel monoclonal antibodies as potential malaria therapeutics.
  • To identify antibodies suitable for low-cost, scalable manufacturing for pediatric populations.

Main Methods:

  • Sequencing of over 28,000 antibody variable domains from 45 RTS,S/AS01 vaccinees.
  • In vitro binding assays and in vivo antimalaria activity testing in mouse models.
  • Biomanufacturing assessments and protein stability assays for antibody optimization.

Main Results:

  • Identified correlations between Plasmodium falciparum circumsporozoite protein responses and antibody efficacy.
  • Discovered and selected two lead monoclonal antibodies, AB-000224 and AB-007088, for further development.
  • Engineered an optimal clone (MAM01) with favorable manufacturing and drug properties for clinical advancement.

Conclusions:

  • Monoclonal antibodies can be developed to enhance malaria protection, particularly for vulnerable pediatric populations.
  • The identified antibodies and engineered clone MAM01 show promise as scalable, cost-effective malaria therapeutics.
  • Further clinical development of MAM01 aligns with WHO guidelines for global distribution and malaria control.