2014 October 2 | Xiangguo Qiu, Gary Wong, Jonathan Audet, Alexander Bello, Lisa Fernando, Judie B. Alimonti, Hugues Fausther-Bovendo, Haiyan Wei, Jenna Aviles, Ernie Hiatt, Ashley Johnson, Josh Morton, Kelsi Swope, Ognian Bohorov, Natasha Bohorova, Charles Goodman, Do Kim, Michael H. Pauly, Jesus Velasco, James Pettitt, Gene G. Olinger, Kevin Whaley, Bianli Xu, James E. Strong, Larry Zeitlin, and Gary P. Kobinger
This study demonstrates the effectiveness of a monoclonal antibody cocktail (ZMapp™) in treating advanced Ebola virus (EBOV) disease in nonhuman primates (NHPs). ZMapp™, derived from two previous antibody cocktails (MB-003 and ZMAb), was found to be 100% effective in rescuing rhesus macaques when treatment was initiated up to 5 days post-challenge. High fever, viremia, and abnormalities in blood counts and chemistry were evident in many animals before ZMapp™ intervention. Advanced disease, characterized by elevated liver enzymes, mucosal hemorrhages, and generalized petechia, could be reversed, leading to full recovery. ELISA and neutralizing antibody assays indicate that ZMapp™ is cross-reactive with the Guinean variant of EBOV. The results suggest that ZMapp™ currently exceeds all previous descriptions of efficacy with other therapeutics and warrant further development for clinical use.This study demonstrates the effectiveness of a monoclonal antibody cocktail (ZMapp™) in treating advanced Ebola virus (EBOV) disease in nonhuman primates (NHPs). ZMapp™, derived from two previous antibody cocktails (MB-003 and ZMAb), was found to be 100% effective in rescuing rhesus macaques when treatment was initiated up to 5 days post-challenge. High fever, viremia, and abnormalities in blood counts and chemistry were evident in many animals before ZMapp™ intervention. Advanced disease, characterized by elevated liver enzymes, mucosal hemorrhages, and generalized petechia, could be reversed, leading to full recovery. ELISA and neutralizing antibody assays indicate that ZMapp™ is cross-reactive with the Guinean variant of EBOV. The results suggest that ZMapp™ currently exceeds all previous descriptions of efficacy with other therapeutics and warrant further development for clinical use.