# In vivo dose finding for an antibody based nonhormonal contraceptive intravaginal ring

> **NIH NIH R44** · MUCOMMUNE, LLC · 2020 · $972,804

## Abstract

Summary
 Nearly half of all pregnancies in the U.S. are unintended, and most occur in women who are not using
contraceptives. There are diverse reasons for not using contraceptives; one common reason is that many
women have a strong aversion to using exogenous hormones due to real and perceived side effects. It is likely
that contraceptive use and satisfaction would substantially increase if there were a non-hormonal, user-
controlled contraceptive method that does not require coitally-timed actions nor daily dosing. Such product
does not currently exist. We believe we can create such a non-hormonal contraceptive based on an
intravaginal ring (IVR) releasing an anti-sperm monoclonal antibody (mAb) that agglutinates and traps
sperm in mucus, thereby preventing sperm from reaching the egg. Topical passive immunization based on
vaginal delivery of anti-sperm Ab was validated in animal models in the 80's-90's, and directly overcomes
the variable intensity and uncertain reversibility of contraceptive vaccines. However, this strategy was not
practical until recently due to the high costs of mAb production, and modest agglutination potencies of IgG.
Given the remarkable advances in bioprocessing that have greatly reduced the manufacturing costs of
mAb, we believe the time is now ripe to develop an IVR for sustained passive immunization of the vagina
with a potent anti-sperm mAb. We are targeting a well characterized and validated antigen target present on
human sperm, and we have a fully human mAb that binds this antigen and agglutinates within seconds all
human sperm, and does so in over 100 semen samples from diverse semen donors. We have further
increased the sperm-agglutination potency >50-fold by engineering a novel high-valency mAb construct
comprised of ten Fab domains (i.e. 8 additional Fabs linked to the parent IgG molecule); we termed this
construct MM008. The greatly increased potency is expected to directly translate to markedly-reduced dose
and costs, supporting a commercially viable product. Indeed, MM008 reduced progressively motile sperm
by 99.9% in the sheep vagina in 2 mins at a dose of just 33 ug per sheep. We have enhanced the safety
profile by incorporating Fc mutations that reduce binding to FcgR, mitigating the likelihood of developing
immunity against sperm. MM008 possess comparable thermal stability and production and purification yield
as IgG. Based on these promising attributes, in Aim 1, we will produce MM008 and formulate capsule-IVRs
offering sustained release of MM008 with different release rates for at least 25 days, in support of the dose-
finding studies. In Aim 2, we will evaluate the pharmacokinetics, efficacy and safety of different MM008-
IVRs to determine if we can sustain contraceptive concentrations in the sheep vagina, which is anatomically
similar to the human vagina, for at least 25 days. If successful, the work will strongly support further preclinical
and clinical evaluation of our non-hormonal contraceptive...

## Key facts

- **NIH application ID:** 10081772
- **Project number:** 1R44HD100231-01A1
- **Recipient organization:** MUCOMMUNE, LLC
- **Principal Investigator:** RICHARD CONE
- **Activity code:** R44 (R01, R21, SBIR, etc.)
- **Funding institute:** NIH
- **Fiscal year:** 2020
- **Award amount:** $972,804
- **Award type:** 1
- **Project period:** 2020-09-15 → 2022-08-31

## Primary source

NIH RePORTER: https://reporter.nih.gov/project-details/10081772

## Citation

> US National Institutes of Health, RePORTER application 10081772, In vivo dose finding for an antibody based nonhormonal contraceptive intravaginal ring (1R44HD100231-01A1). Retrieved via AI Analytics 2026-05-23 from https://api.ai-analytics.org/grant/nih/10081772. Licensed CC0.

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