Cited by 749SARS-CoV-2 and COVID-19 ResearchAnimal Virus Infections StudiesViral Infectious Diseases and Gene Expression in Insects

The DOI matches its Crossref record; 26 of the 26 references it cites were found in a registry or an index; 6 of the 10 sources its claims cite were checked for support.

Development of an Inactivated Vaccine Candidate, BBIBP-CorV, with Potent Protection against SARS-CoV-2

Open access

Abstract

The coronavirus disease 2019 (COVID-19) pandemic caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) threatens global public health. The development of a vaccine is urgently needed for the prevention and control of COVID-19. Here, we report the pilot-scale production of an inactivated SARS-CoV-2 vaccine candidate (BBIBP-CorV) that induces high levels of neutralizing antibodies titers in mice, rats, guinea pigs, rabbits, and nonhuman primates (cynomolgus monkeys and rhesus macaques) to provide protection against SARS-CoV-2. Two-dose immunizations using 2 μg/dose of BBIBP-CorV provided highly efficient protection against SARS-CoV-2 intratracheal challenge in rhesus macaques, without detectable antibody-dependent enhancement of infection. In addition, BBIBP-CorV exhibits efficient productivity and good genetic stability for vaccine manufacture. These results support the further evaluation of BBIBP-CorV in a clinical trial.

Overview

AI snapshot

Written from the paper’s full text.

TL;DR

BBIBP-CorV is an inactivated SARS-CoV-2 vaccine candidate that induced neutralizing antibodies across six mammalian species and protected rhesus macaques against intratracheal SARS-CoV-2 challenge. Two-dose immunization with 2 μg/dose provided highly efficient protection without detectable antibody-dependent enhancement of infection.

Key findings

  • The HB02 strain was selected for BBIBP-CorV; it reached peak titers over 7.0 log10 CCID50 at 48–72 hpi in Vero cells, and the P10 stock showed >99.95% whole-genome sequence homology to HB02 with no amino acid variation.
  • BBIBP-CorV induced 100% seroconversion in mice, rats, guinea pigs, rabbits, and nonhuman primates; in rhesus macaques before challenge, geometric mean neutralizing antibody titers were 215 in the 2 μg/dose group and 256 in the 8 μg/dose group.
  • After intratracheal challenge, low-dose macaques had throat viral load peak at 5.33 log10 copies/mL at 5 dpi and fall to 1.12 log10 copies/mL at 7 dpi; all high-dose macaques had negative throat swabs, and no macaque in either vaccinated group had detectable viral load in any lung lobe.
  • Safety studies reported a rat maximum tolerated dose of 24 μg/rat, equivalent to 900 times the human dose, and a no observed adverse effect level of 8 μg/dose in cynomolgus monkeys; no ADE was observed in vaccinated macaques.

Methods

  • Three SARS-CoV-2 strains were isolated from patient bronchoalveolar lavage or throat swabs; HB02 was adapted in Vero cells, produced in a basket reactor, inactivated with β-propiolactone at 1:4,000 at 2°C–8°C, and formulated with aluminum hydroxide adjuvant.
  • Immunogenicity was tested in mice, rats, guinea pigs, rabbits, and cynomolgus monkeys with 2, 4, or 8 μg/dose using one-, two-, or three-dose regimens; neutralizing antibody levels were measured by microtitration CPE assay.
  • Rhesus macaques received two intramuscular immunizations on days 0 and 14 with placebo (n = 2), 2 μg/dose (n = 4), or 8 μg/dose (n = 4), then were intratracheally challenged with 10^6 TCID50 SARS-CoV-2 on day 24; viral loads were measured by RT-PCR in throat and anal swabs and lung lobes, with histopathology at 7 dpi.

Limitations

  • The paper states that protection effects on the upper respiratory tract were not assessed and warrant further evaluation.
  • Evident from the text: this is preclinical animal data only; clinical efficacy and human safety were not yet established, with Phase I in progress and Phase II recently initiated.
  • Evident from the text: nonhuman primate challenge groups were small (n = 2 placebo; n = 4 per vaccinated group) and follow-up after challenge was short (euthanasia at 7 dpi), limiting assessment of durability and late outcomes.

Model-written summary. Check it against the paper before relying on it.

Integrity signals

Registry

Crossref · 10.1016/j.cell.2020.06.008

Cites

26 of 26 references verified0 citation errors · 0 not checkable

Statistics

Nothing to recompute.

Verification

Claims the paper makes

6 of 10 cited sources checked · 4 supported · 1 flagged · accuracy not yet measured

Show all 51 claims

  • Probably not a substantial claim. 23
  • It may state two separate claims as one. 26
  • The quote only partly states this claim. 1
41 of 41
  • The paper relies on this without support.

    The immunogenicity and protective efficacy observed in animal models predict immunogenicity and protection in humans.

    “These results support the further evaluation of BBIBP-CorV in a clinical trial.”
    “indicating the potential good safety of BBIBP-CorV in humans.”
  • The paper relies on this without support.

    The rhesus macaque intratracheal challenge model with 10^6 TCID50 SARS-CoV-2 reproduces human COVID-19 disease sufficiently to assess vaccine protection.

    “At D24 (10 days after the second immunization), all macaques were intratracheally challenged with l06 TCID50 of SARS-CoV-2 per monkey under anesthesia.”
    “demonstrating the BBIBP-CorV vaccination could efficiently block the infection of SARS-CoV-2 and COVID-19 disease in monkey.”
  • The paper relies on this without support.

    Absence of detectable antibody-dependent enhancement in rhesus macaques indicates absence of ADE in humans.

    “without detectable antibody-dependent enhancement of infection.”
    “without observed antibody-dependent enhancement of infection.”
  • The paper relies on this without support.

    The Vero cells used for virus isolation and vaccine production are certified by WHO for vaccine production.

    “Notably, all of these strains were isolated from Vero cells, which have been certified by WHO for vaccine production.”
  • The paper relies on this without support.

    No effective antiviral drug against SARS-CoV-2 exists.

    “In the absence of an effective antiviral drug against SARS-CoV-2, vaccines with good potency and safety will be needed to effectively establish immunity in population.”
5 of 5

Claims other papers make about this one

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Self-check

Percentages, sums and reported differences re-computed from the paper’s own numbers.

Each contradiction between two passages listed here was confirmed by an independent check.

  • Local inflammation is both present and absent at two weeks

    Major

    Granulomatous inflammation is said to remain on day 36, which is two weeks after the final injection on day 22. The next sentence says that this injection-site reaction was absent two weeks after injection.

  • Day 25 is misidentified as three days after the third vaccination

    Minor

    The stated vaccination days make day 25 three days after the fourth vaccination on day 22, not the third vaccination on day 15.

2 of 2

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Metadata

Authors
Wang, H., Zhang, Y., Huang, B., Deng, W., Quan, Y., Wang, W., Xu, W., Zhao, Y., Li, N., Zhang, J., Liang, H., Bao, L., Xu, Y., Ding, L., Zhou, W., Gao, H., Liu, J., Niu, P., Zhao, L., Zhen, W., Fu, H., Yu, S., Zhang, Z., Xu, G., Li, C., Lou, Z., Xu, M., Qin, C., Wu, G., Gao, G. F., Tan, W., & Yang, X.
Affiliations
  • National Vaccine and Serum Institute (CN)
  • Chinese Center For Disease Control and Prevention (CN)
  • Chinese Academy of Medical Sciences & Peking Union Medical College (CN)
  • National Institutes for Food and Drug Control (CN)
  • Tsinghua University (CN)
  • China National Pharmaceutical Group Corporation (China) (CN)
Corresponding author
  • Li, Changgui
  • Lou, Zhiyong
  • Xu, Miao
  • Qin, Chuan
  • Wu, Guizhen
  • Gao, George Fu
  • Tan, Wenjie
  • Yang, Xiaoming
Venue
Cell
Publisher
Elsevier BV
Published
2020-08
Volume
182
Issue
3
Pages
713-721.e9
ISSN
0092-8674 (ISSN-L)
OpenAlex
W3034173374
Cited by
748
References
26
Citations by year
2026: 12 · 2025: 37 · 2024: 55 · 2023: 83 · 2022: 212 · 2021: 270 · 2020: 78
FWCI
21.16
Type
journal article
Language
en
Open access
Locations
  • Cell (publishedVersion)
  • PubMed Central (publishedVersion)
  • PubMed (publishedVersion)
Funders
  • National Natural Science Foundation of China
  • Beijing Science and Technology Planning Project
Topics
  • Health Sciences › Medicine › Infectious Diseases › SARS-CoV-2 and COVID-19 Research
  • Life Sciences › Agricultural and Biological Sciences › Animal Science and Zoology › Animal Virus Infections Studies
  • Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Viral Infectious Diseases and Gene Expression in Insects
Keywords
BBIBP-CorV, inactivated vaccine, SARS-CoV-2, COVID-19 vaccines, neutralizing antibodies, vaccine production, genetic stability, antibody-dependent enhancement, rhesus monkeys, Macaca fascicularis, intratracheal challenge, vaccine safety
MeSH terms
Immunogenicity, Vaccine, Betacoronavirus, COVID-19, SARS-CoV-2, COVID-19 Vaccines, Animals, Antibodies, Viral, Chlorocebus aethiops, Disease Models, Animal, Drug Evaluation, Preclinical, Female, Guinea Pigs, Macaca fascicularis, Macaca mulatta, Male, Mice, Inbred BALB C, Phylogeny, Pneumonia, Viral, Rabbits, Vero Cells, Viral Vaccines, Vaccines, Inactivated, Rats, Wistar, Coronavirus Infections, Mice, Rats, Antibodies, Neutralizing, Pandemics

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