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MBP134
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MBP134

Experimental cross-species Ebola antibody cocktail; first authorised therapeutic intervention in the 2026 outbreak.

Last refreshed: 5 July 2026 · Appears in 1 active topic

Key Question

Does MBP134's first human trial in the 2026 outbreak signal the end of the MCM gap for non-Zaire Ebola?

Timeline for MBP134

#92 Jul

Formed one of four randomised treatment arms alongside remdesivir

Pandemics and Biosecurity: Ebola trial doses its first patient
#712 Jun

Entered first authorised clinical trial as two-antibody treatment arm for Bundibugyo Ebola

Pandemics and Biosecurity: First Ebola treatment trial goes live
#61 Jun
#51 Jun

Remained unauthorised to dose any patient as of 29 May

Pandemics and Biosecurity: Only Ebola treatment still cannot dose
View full timeline →
Common Questions
What is MBP134 and how is it different from ZMapp?
MBP134 is a newer monoclonal antibody cocktail from Mapp Biopharmaceutical that neutralises multiple Ebola species including Bundibugyo, whereas ZMapp was effective only against Zaire ebolavirus.Source: WHO Disease Outbreak News / Mapp Biopharmaceutical
Has MBP134 been tested in humans yet?
Not yet. The WHO-sponsored trial in the current Bundibugyo outbreak is awaiting regulatory approval from the DRC and Uganda before dosing begins.Source: WHO
How effective was MBP134 in animal studies?
In non-human primate studies, MBP134 provided 100% protection when administered up to eight days after infection — a significantly wider treatment window than earlier antibody therapies. The studies covered Bundibugyo, Zaire, and Sudan ebolavirus strains.Source: Mapp Biopharmaceutical / published NHP studies

Background

MBP134 is a monoclonal antibody cocktail developed by Mapp Biopharmaceutical, a small San Diego-based biotech. It is designed to neutralise multiple ebolavirus species, including Bundibugyo, Zaire, and Sudan strains. This breadth addresses a core limitation of the licensed treatments REGN-EB3 (Inmazeb) and mAb114 (Ebanga), both validated in the 2018-2020 DRC outbreak but restricted to Zaire ebolavirus. In non-human primate studies, MBP134 provided 100% protection when administered up to eight days after infection, a significantly wider treatment window than earlier antibody therapies. Broadly neutralising antibody cocktails that span multiple ebolavirus species represent the current frontier of Filovirus therapeutics: a confirmed multi-species agent would, if licensed, allow responders to deploy a single treatment without first identifying the exact Ebola species in each outbreak.

WHO is sponsoring therapeutic and prophylactic trials in the current Bundibugyo ebolavirus outbreak affecting DRC and Uganda. The trial protocol evolved from the initial WHO expert advisory (which proposed MBP134 plus remdesivir) to a revised design using MBP134 plus REGN3479 (a Regeneron monoclonal antibody) for treatment, and obeldesivir (an oral prodrug of GS-441524) for post-exposure prophylaxis. As of WHO DON605 (29 May 2026), the trial had not dosed a single patient; regulatory applications to both governments had been pending since 20 May .

The trial became the first authorised therapeutic intervention in the outbreak on 16 June 2026, weeks after the first cases were reported . The delay reflects a structural countermeasure gap: there is no licensed treatment or vaccine for Bundibugyo ebolavirus. All available licensed Ebola products, Inmazeb (REGN-EB3), Ebanga (mAb114) and Ervebo, were developed exclusively against Zaire ebolavirus during the 2018-2020 DRC outbreak. MBP134's cross-species design addresses this gap; in non-human primate studies it provided 100% protection up to 8 days post-infection .

The trial dosed its first patient on 2 July 2026 after DRC and Uganda regulators cleared the protocol , ending the six weeks the drugs sat pending signoff. By WHO's DON612 (3 July 2026), the outbreak had reached 1,481 confirmed cases and 454 deaths, with patient isolation near 44 percent, still well below the 70 percent threshold the CDC model treats as the point of collapse . A ChAdOx-platform Bundibugyo vaccine candidate remained several months from trial dosing as of late May; a second rVSV-platform candidate sat further behind. Neither has human safety data.

More questions
Why does the Bundibugyo outbreak need a different treatment from the 2018 Congo outbreak?
The 2018-2020 DRC outbreak was caused by Zaire ebolavirus, for which Inmazeb and Ebanga were validated. The 2026 outbreak is Bundibugyo ebolavirus — a distinct species with a different glycoprotein that the Zaire-specific antibodies cannot neutralise. MBP134 was designed precisely to bridge this gap.Source: WHO R&D Blueprint
What is MBP134 and why has it not been used in the Ebola outbreak yet?
MBP134 is a monoclonal antibody cocktail from Mapp Biopharmaceutical designed to neutralise multiple Ebola species including Bundibugyo. As of 29 May 2026, a WHO-sponsored trial pairing it with remdesivir had not yet begun dosing because DRC and Uganda regulatory approvals were still pending after nine days.Source: event
Is there a licensed treatment for Bundibugyo Ebola?
No. All licensed Ebola treatments — Inmazeb (REGN-EB3) and Ebanga (mAb114) — and the Ervebo vaccine target only Zaire ebolavirus. MBP134 is the lead experimental candidate designed to work across multiple Ebola species, but it is not yet licensed.Source: WHO / FDA
How is MBP134 different from ZMapp?
ZMapp, the earlier Mapp Biopharmaceutical treatment used in the 2014 West Africa outbreak, targeted only Zaire ebolavirus. MBP134 is designed to neutralise multiple species, including Bundibugyo, Zaire, and Sudan, and showed 100% animal protection up to eight days post-infection versus ZMapp's narrower species coverage and shorter treatment window.Source: event
When will MBP134 start dosing patients in the DRC?
Regulatory applications from DRC and Uganda had been pending since 20 May 2026. As of WHO DON605 (29 May), no authorisation had been granted and no patient had been dosed. Neither government has set a public timeline.Source: event
Has MBP134 started dosing patients in the DRC Ebola outbreak?
Yes. A WHO-sponsored trial using MBP134 plus REGN3479 (for treatment) and obeldesivir (for post-exposure prophylaxis) became the first authorised therapeutic intervention in the Bundibugyo outbreak, authorised on 16 June 2026 (DON607). Dosing had not begun as of WHO DON605 on 29 May 2026 when regulatory approval was still pending.Source: WHO DON607
What is obeldesivir and why is it being used in the Ebola trial?
obeldesivir is an oral prodrug of GS-441524, related to remdesivir but designed to be taken by mouth rather than intravenously. In the 2026 Bundibugyo trial it is being used as a post-exposure prophylactic for healthcare workers and contacts, rather than as a treatment — it differs from the initial 28 May WHO expert advisory recommendations.Source: WHO DON607
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