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Botulism A-E monoclonal antibody is an experimental anti-toxin therapeutic being developed by Mapp Biopharmaceutical and its commercial arm, LeafBio. The drug is designed as a cocktail of monoclonal antibodies intended for both the prophylaxis and treatment of botulism caused by Clostridium botulinum neurotoxin (BoNT) serotypes A, B, C, D, and E. Its mechanism of action involves the high-affinity binding and neutralization of these neurotoxins in the systemic circulation, thereby preventing the toxins from interacting with neuronal receptors and entering nerve terminals. By blocking toxin entry, the antibody cocktail prevents the cleavage of SNARE proteins and the subsequent inhibition of acetylcholine release, which otherwise leads to the characteristic flaccid paralysis of botulism. The program is currently in the IND-enabling stage of development.
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