Table 1. Bacillus anthracis toxin-directed agents available for or close to clinical use.
Agent designation | Description | Manufacturer | Stage of development |
---|---|---|---|
AIG [37] | pAb Inhibits PA binding domain |
Emergent Biosolutions | Undergoing FDA review Included in SNS |
Raxibacumab (Abthrax) [39] | Humanized mAb Inhibits PA binding domain |
GlaxoSmithKline | FDA approved Included in SNS |
ETI-204 (Anthium) [43] | Humanized mAb Inhibits PA binding domain |
Elusys Therapeutics | Reportedly completed Phase I testing Fast-track and orphan drug status by the FDA |
IQNPA [45] | Human mAb Inhibits PA binding domain and LF |
IQ Corporation | Reportedly undergoing Phase I testing |
AVP-21D9 [71,73-75] | Human mAb Interferes with oligomer formation |
Avanir Pharmaceuticals | Reportedly completed Phase I testing Published data available |
MDX 1303 (Valortim) [76-78] | Human mAb Interferes with oligomer formation |
Emergent Biosolutions | Reportedly completed Phase I testing Fast-track and orphan drug status by the FDA |
AIG: Anthrax Immune Globulin; AVA: anthrax vaccine adsorbed; FDA: Food and Drug Administration; LF: Lethal factor; PA: Protective antigen; pAb: Polyclonal antibody; SNS: Strategic National Stockpile.