An exciting new development in the fight against flu has emerged with the introduction of an antibody nasal spray. This innovative approach has shown promising results in preliminary human trials, following successful validation in animal models. The nasal spray targets flu viruses at their main point of entry into the body, offering potential protection against a wide range of influenza strains, including those originating from non-human animals.
Traditionally, the annual flu vaccine has been our primary defense against influenza. However, due to the constant evolution of the virus, vaccines are only moderately effective at preventing infection. In response to this challenge, pharmaceutical company Johnson & Johnson developed a specialized antibody known as CR9114. This antibody has the unique ability to neutralize a broad spectrum of influenza strains by targeting a conserved region of the virus that remains unchanged despite genetic variations.
Initially, CR9114 was administered via injection but proved ineffective in providing adequate protection against flu. The limited efficacy was attributed to the small amount of the antibody reaching the nasal passages, where the virus typically enters the body. In a significant breakthrough, Leyden Labs licensed CR9114 and developed a nasal spray formulation, enabling the direct delivery of the antibody to the nasal mucosa.
Animal studies involving mice and macaques demonstrated the efficacy of the nasal spray in preventing flu infection caused by various influenza A and B strains, including historical strains dating back to 1933. Subsequent human trials involving 143 participants aged 18 to 55 revealed that twice-daily administration of the spray maintained consistent levels of the antibody in the nasal passages without causing significant side effects. Nasal mucus samples collected from participants showed neutralization activity against a range of influenza strains, including a bird flu strain that crossed over to humans in 2013.
While the nasal spray may not offer 100% protection against flu, as the virus can enter the body through alternative routes, such as the mouth, it still represents a significant advancement in flu prevention. According to Dr. Linda Wakim from the University of Melbourne, Australia, blocking nasal entry can intercept the virus at a crucial point of infection. Although the nasal spray may require more frequent administration compared to the flu vaccine, it could be particularly beneficial for high-risk groups, such as immunocompromised individuals and healthcare workers, as well as during pandemics where rapid population protection is essential.
The next phase of research will involve exposing individuals who have used the nasal spray to a variety of influenza viruses to confirm its effectiveness in preventing illness. Overall, the antibody nasal spray presents a promising alternative to traditional flu prevention methods and has the potential to significantly impact future flu outbreaks and pandemics.

