# Pharmacokinetics analysis from first-in-human study of IN-002, a potent inhaled muco-trapping antibody therapy for RSV

> **NIH NIH R44** · INHALON BIOPHARMA, INC. · 2024 · $1,024,926

## Abstract

Project Summary
Respiratory Syncytial Virus (RSV) is the leading cause of viral hospitalization and death in infants and young
children, and also a major cause of respiratory illness in immunocompromised and elderly. Unfortunately, for
the millions infected with RSV each year, there is no currently no treatment option available.
 Like many respiratory pathogens, RSV spreads in the lungs by shedding daughter virions from infected
cells exclusively back into the airways. From there, RSV must traverse the airway mucus (AM) before
infecting other neighboring cells, remaining restricted to the airways with little-to-no systemic viremia. This
important mechanism of spread makes RSV difficult to target by systemically dosed therapies; the antiviral
drugs need to make their way to the airway mucus in order to inactivate virions and halt infection. We believe
an RSV-specific, safe, and effective antiviral therapy that can be inhaled directly into the respiratory tract using
a hand-held device at home would provide a powerful treatment option.
 To meet this goal, Inhalon has been advancing IN-002, a mAb that binds and neutralizes RSV F protein
with picomolar affinity, and has minimal risks of viral escape. Importantly, in addition to the well-established
IgG Fc effector functions, IN-002 is also engineered to possess Fc N-glycans optimized to trap RSV in AM.
Once trapped, RSV virions are quickly purged from the airways via natural mucociliary clearance mechanisms.
We have further formulated IN-002 to be stably nebulized using a portable vibrating mesh nebulizer. In a
neonatal lamb model of RSV infection, nebulized IN-002 reduced RSV viral load in the lungs and BALF to
almost non-detectible levels within just 3 days. Inhalon has already manufactured clinical trial materials, and
completed the full range of IND-enabling studies including GLP inhalation tox, tissue cross-reactivity and
nebulization characterization studies. Inhalon is thus in position to execute a Phase 1 study for IN-002 in 2024.
Inhalon has strong experience carrying out clinical studies with its inhaled mAb pipeline, being the first
company to successfully complete a Phase 1 study for an inhaled mAb therapy for COVID (IN-006), and more
recently executed a Phase 1b study to directly compare pulmonary distribution of the same mAb given by IV
vs. by inhalation. This makes Inhalon exceptionally well positioned to execute a Phase 1 study for IN-002.
 In this proposal, we seek to obtain support to complete the non-clinical activities associated with the
Phase 1 study, including processing of collected clinical trial biospecimens to determine drug levels in nasal
swabs and serum, perform biostatistics calculations and PK modeling, and perform the medical writing to
complete the clinical study report. These activities would in turn put Inhalon in a position to initiate a Phase 2
study to determine the efficacy of IN-002 in RSV-infected individuals. The work will further aid the development
of futu...

## Key facts

- **NIH application ID:** 11008243
- **Project number:** 1R44AI186834-01
- **Recipient organization:** INHALON BIOPHARMA, INC.
- **Principal Investigator:** JEFF T HUTCHINS
- **Activity code:** R44 (R01, R21, SBIR, etc.)
- **Funding institute:** NIH
- **Fiscal year:** 2024
- **Award amount:** $1,024,926
- **Award type:** 1
- **Project period:** 2024-06-21 → 2026-05-31

## Primary source

NIH RePORTER: https://reporter.nih.gov/project-details/11008243

## Citation

> US National Institutes of Health, RePORTER application 11008243, Pharmacokinetics analysis from first-in-human study of IN-002, a potent inhaled muco-trapping antibody therapy for RSV (1R44AI186834-01). Retrieved via AI Analytics 2026-05-24 from https://api.ai-analytics.org/grant/nih/11008243. Licensed CC0.

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