# MAb Passive Vaccination against Acinetobacter baumannii

> **NIH NIH R01** · UNIVERSITY OF SOUTHERN CALIFORNIA · 2023 · $788,017

## Abstract

PROJECT SUMMARY/ABSTRACT
In contrast to other resistant bacteria, virtually no antibiotics are in the pipeline to deal with XDR A. baumannii.
There is a critical need for new strategies to prevent and treat these infections. We spent the first grant period
raising MAbs to A. baumannii capsule, and have now identified 4 anti-capsular MAbs (2 of which were used to
generate a bi-specific MAb, leaving us with 3 MAb molecules) that collectively bind to 80-90% of US clinical
isolates and protect mice from lethal infection. These 3 lead candidates are all highly potent, achieving 100%
protection in bacteremia models at single doses of ≤ 50 µg. They are also protective in pneumonia models of
infection, and synergize with antibacterials. Furthermore, the bi-specific MAb has increased potency compared
to each of its individual MAbs, and retains binding for all target strains, and efficacy in vivo. This lead three-
MAb therapeutic has begun translation into full GMP and toxicity, planning for a future Phase I clinical trial.
 Our goals for the renewal are to enhance feasibility of clinical development and deployment of the
MAbs by closing any coverage gaps against international strains, defining surrogate efficacy markers, and
validating key assays to support clinical trials and future clinical deployment. We have obtained a new global
strain collection, and entered into key partnerships to further these aims, including experts at multi-valent MAb
synthesis, clinical microbiology laboratory operations, and statistics. Our Aims are to:
Specific Aim 1: Define and optimize strain coverage and surrogate efficacy markers for international
clinical strains of A. baumannii. We have collected 50 strains each from Taiwan, Southeast Asia, China,
Europe, and South America. We will survey our 3 MAbs against all acquired strains, assessing flow binding
and macrophage uptake, and will assess efficacy in our IV bacteremia model for representative strains. We
will raise news MAbs as needed to close international strain coverage gaps.
Specific Aim 2: Validate bioassays to enable clinical trials of the MAbs, including potency and human
surrogate efficacy markers. We will validate LC-MS/MS for the specific amino acid sequences of our
variable regions to quantify our MAbs when spiked into human blood, distinct from background antibodies. We
will adapt our well-established HL-60 assays to quantify opsonic activity of MAb in human plasma. Finally, we
will use multiplex Luminex assays to quantify cytokine modulation of fresh human leukocytes.
Specific Aim 3: Optimize a rapid in vitro binding assay as a “susceptibility testing”-equivalent to
support clinical trials and deployment of the MAbs. We will validate rapid, high throughput flow binding
assays to correlate with protection in mice as a “susceptibility-test equivalent”.
Novel solutions for A. baumannii infections are a critical unmet need. We have developed a promising MAb
regimen that improves outcomes during blood and lung...

## Key facts

- **NIH application ID:** 10634737
- **Project number:** 5R01AI130060-07
- **Recipient organization:** UNIVERSITY OF SOUTHERN CALIFORNIA
- **Principal Investigator:** BRAD J SPELLBERG
- **Activity code:** R01 (R01, R21, SBIR, etc.)
- **Funding institute:** NIH
- **Fiscal year:** 2023
- **Award amount:** $788,017
- **Award type:** 5
- **Project period:** 2017-09-25 → 2027-08-31

## Primary source

NIH RePORTER: https://reporter.nih.gov/project-details/10634737

## Citation

> US National Institutes of Health, RePORTER application 10634737, MAb Passive Vaccination against Acinetobacter baumannii (5R01AI130060-07). Retrieved via AI Analytics 2026-05-26 from https://api.ai-analytics.org/grant/nih/10634737. Licensed CC0.

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