H4

An anti-SARS-CoV-2 monoclonal antibody.

Phase of research

Potential treatment - pre-clinical evidence

How it helps

Antiviral

Drug status

Experimental

2
Supporting references
0
Contradictory references
13
AI-suggested references
1
Clinical trials

General information

H4 is a human anti-SARS-CoV2 monoclonal antibody. It was isolated from a memory B cell from a serum sample of a COVID-19 convalescent patient. It was selected for its affinity for Spike protein RBD. It neutralized SARS-CoV-2 in vitro. The antibody acted synergistically with B38. It reduced viral titres and reduced lung pathology in mice after a challenge (Wu et al., 2020). The antibody’s tertiary structure and interaction with Spike RBD has been described by Rapp et al. (2021). H4 can be produced in a Nicotiana benthamiana plant expression system (Shanmugaraj et al., 2020).

 


Supporting references

Link Tested on Impact factor Notes Publication date
Monoclonal Antibodies B38 and H4 Produced in Nicotiana benthamiana Neutralize SARS-CoV-2 in vitro
Spike protein In vitro Antibody
in vitro binding assay; Vero E6 cells; SARS-CoV-2 strain SARS-CoV-2/01/human/Jan2020/Thailand 4.40

The antibody experimentally produced using a plant expression system bound SARS-CoV-2 Spike RBD in vitro and neutralised SARS-CoV-2 live virus in Vero E6 cells. It was more potent than

Nov/27/2020
A noncompeting pair of human neutralizing antibodies block COVID-19 virus binding to its receptor ACE2
Spike protein Biophysical assay Animal model In vitro Antibody Screening
in vitro biophysical assay; crystallization; Vero cells; hACE2 mice; SARS-CoV-2 strain BetaCoV/Shenzhen/SZTH-003/2020 41.85

The antibody neutralized SARS-CoV-2 with an IC50 of 0.896 μg/mL in vitro. It acted synergistically with <a href=

Jun/12/2020

AI-suggested references

Clinical trials

ID Title Status Phase Start date Completion date
NCT05173441 Human COVID-19 Immunoglobulin (COVID-HIG) Therapy for COVID-19 Patients Not yet recruiting Phase 2 Dec/30/2021 Nov/30/2023
  • Alternative id - COVID-19-IVIG-201
  • Interventions - Biological: Human COVID-19 immunoglobulin (pH4) for intravenous injection|Drug: Placebo
  • Study type - Interventional
  • Study results - No Results Available
  • Locations - Al Rahba Hospital, Abu Dhabi, United Arab Emirates
  • Study designs - Allocation: Randomized|Intervention Model: Parallel Assignment|Masking: Quadruple (Participant, Care Provider, Investigator, Outcomes Assessor)|Primary Purpose: Treatment
  • Enrollment - 180
  • Age - 18 Years to 65 Years   (Adult, Older Adult)
  • Outcome measures - Time to clinical improvement|Changes of 7-point ordinal scale for COVID-19 clinical improvement|COVID-19-Related Symptoms|Discharge Status|Length of hospital stay|All-cause Mortality|Negativization rate of SARS-CoV-2 nucleic acid|Changes of leukocyte count, lymphocyte count, C-reactive protein, IL-6 and SARS-CoV-2 nucleic acid (quantitative)|Treatment in ICU|SARS-CoV-2 Neutralizing Antibody Level|Glucocorticoid therapy|Rate of worsening|Finger oxygen saturation