# Project 3:  Hyperimmune globulin prophylaxis and treatment of ZIKV in pregnancy

> **NIH NIH P01** · UNIVERSITY OF WISCONSIN-MADISON · 2021 · $721,231

## Abstract

Project 3 - Project Summary/Abstract
Thousands of babies have been born with congenital Zika syndrome as a result of the emergence of Zika
virus (ZIKV) that has spread across the Americas and will continue to reach new ZIKV naive populations
in the future. There are currently no available treatments or medical prophylaxis options. Furthermore,
some women and macaques infected with Zika virus during pregnancy experience extended virus rep-
lication in the blood for a longer duration than nonpregnant individuals. This project seeks to test the
hypothesis that hyperimmune globulin and monoclonal antibody treatment administered shortly after
ZIKV infection can effectively control viral replication in both the mother and fetus and reduce the impact
of congenital Zika syndrome. This hypothesis will be tested in the following three specific aims:
 Aim 1: Define highly potent ZIKV-specific second-generation monoclonal antibodies from macaques
 with and without prolonged plasma viremia.
 Aim 2: Evaluate the efficacy of post-exposure hyperimmune globulin (HIG) treatment to clear maternal
 viremia and limit fetal transmission and neonatal injury.
 Aim 3: Evaluate the efficacy of potently-neutralizing anti-ZIKV monoclonal antibodies to clear maternal
 viremia and limit fetal transmission and neonatal injury.
Specifically, in Aim 1 antibodies will be isolated from pregnant and nonpregnant ZIKV infected macaques
and will be characterized to determine what may make one antibody response better at controlling in-
fection than another antibody response. Secondly, HIG purified from infected rhesus macaques (Aim
2) or potently neutralizing mAbs isolated in Aim 1 (Aim 3), will be administered 5 days after infection to
pregnant macaques infected at ~6 weeks gestation. The impact of treatment on the duration of maternal
viremia, fetal transmission, tissue damage and congenital birth defects will be compared to untreated
pregnant animals. The results from these experiments will define effective ZIKV antibody responses
important for treatment and vaccine design and test two viable and translatable treatment options for
pregnant women.

## Key facts

- **NIH application ID:** 10220704
- **Project number:** 5P01AI132132-04
- **Recipient organization:** UNIVERSITY OF WISCONSIN-MADISON
- **Principal Investigator:** David H. O'Connor
- **Activity code:** P01 (R01, R21, SBIR, etc.)
- **Funding institute:** NIH
- **Fiscal year:** 2021
- **Award amount:** $721,231
- **Award type:** 5
- **Project period:** 2018-08-01 → 2023-07-31

## Primary source

NIH RePORTER: https://reporter.nih.gov/project-details/10220704

## Citation

> US National Institutes of Health, RePORTER application 10220704, Project 3:  Hyperimmune globulin prophylaxis and treatment of ZIKV in pregnancy (5P01AI132132-04). Retrieved via AI Analytics 2026-05-22 from https://api.ai-analytics.org/grant/nih/10220704. Licensed CC0.

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