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June 13, 2023; 100 (24) AAN Annual Meeting Abstracts

2023 Emerging Science Abstracts

First published June 12, 2023, DOI: https://doi.org/10.1212/WNL.0000000000207496
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2023 Emerging Science Abstracts
Neurology Jun 2023, 100 (24) e2504-e2520; DOI: 10.1212/WNL.0000000000207496

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This article requires a subscription to view the full text. If you have a subscription you may use the login form below to view the article. Access to this article can also be purchased.

The Science Committee is committed to presenting the best neuroscientific research at the Annual Meeting and is pleased to share the following Emerging Science abstracts, which qualified by having key aspects of research conducted after the October 11, 2022, abstract submission deadline. They are new and of sufficient scientific importance to warrant expedited presentation and publication.

Abstracts were featured in data blitz format during the Emerging Science sessions at the Annual Meeting in Boston. There were also 2 abstracts presented as part of the Clinical Trials Plenary Session.

UB-313, an Investigational CGRP Vaccine for the Prevention of Migraine

Jean-Cosme Dodart, Hui-jing Yu, Justin Boyd, Eric Hsieh, Hanxin Lu, Shixia Wang, Martina Ramos, Alanis Sun, Matthew Longo, Madeline Vroom, Shuang Ding, Brett Thibodeaux, Jeanne Brooks, Jaya Sahni, Jonathan Wiggins, Dario Mirski

Objective

The aim of this study was to obtain preclinical characterization of UB-313 in support of clinical development.

Background

Monoclonal antibodies against calcitonin gene-related peptide (CGRP) have demonstrated efficacy for the prevention of migraine. UB-313, a vaccine designed to stimulate the production of endogenous antibodies against CGRP, might provide an attractive new option to prevent migraine.

Design/Methods

Immunogenicity studies were conducted in rodents and monkeys. Vaccine-induced serum antibodies were characterized for their binding and functional properties. Efficacy was assessed in a rat capsaicin model, and toxicity was evaluated in a repeat-dose good laboratory practice study.

Results

Studies in rodents and monkeys demonstrated that immunization with UB-313 induces robust anti-CGRP antibodies across species. Affinity-purified antibodies from immunized animals were shown to bind human CGRP with high affinity (KD in the low pM range) and demonstrated a dose-dependent functional inhibition of CGRP (EC50 in the low nM range) in cell-based assays, indicating antibody properties comparable with marketed monoclonal antibodies. Off-target analyses indicated very high specificity of the anti-CGRP antibodies for human CGRP. It is of interest that antibodies induced by UB-313 demonstrate a stronger …

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