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Case study of

#00131 Replace animal-derived antivenom with broadly-neutralizing recombinant human antibody cocktails

South San Francisco, California, USA

#00132

OngoingGlobal

Implementer

Centivax, Inc.; Columbia University; NIAID (US National Institute of Allergy and Infectious Diseases)

Location

South San Francisco, California, USA37.6547, -122.4076

Description

Researchers isolated broadly-neutralizing IgG antibodies from the memory B-cells of a human donor (Tim Friede) who had self-immunized with escalating venom doses from 16 lethal elapid species over ~18 years. Two antibodies — one targeting long-chain and one short-chain three-finger neurotoxins — were combined with the small-molecule PLA2 inhibitor varespladib into a three-component cocktail and tested in mouse models against a panel of 19 elapid venoms. Results were published in Cell (2 May 2025). The work remains preclinical; no human efficacy trial has yet been run, and the cocktail does not address viper (hemotoxic) venoms.

Metrics

4
Elapid species with full protection (mouse model)13 of 19
Elapid species with partial protection (mouse model)6 of 19
Viper (hemotoxic) species covered0
Broadly-neutralizing antibodies in cocktail2 (plus varespladib)

Lessons learned

  • A human hyper-immune donor can yield antibodies that cross-neutralize many elapid species at once, validating the conserved-epitope premise of broad-spectrum antivenom.
  • Antibodies alone were insufficient; a small-molecule inhibitor (varespladib) was needed to complete coverage, suggesting hybrid antibody + small-molecule products are a more viable design.
  • The approach so far covers only elapid neurotoxins — vipers require a separate SVMP/SVSP-targeting antibody set before coverage is truly universal.

Documented Jul 8, 2026

Author AvatarArnaud Gissinger

History

· 1
Createdapproved

Arnaud Gissinger · 1h ago · approved by Arnaud Gissinger 1h ago


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