Assessing the Reliability of SARS-CoV-2 Neutralization Studies That Use Post-Vaccination Sera

Assessing COVID-19 vaccine effectiveness against emerging SARS-CoV-2 variants is crucial for determining future vaccination strategies and other public health strategies. When clinical effectiveness data are unavailable, a common method of assessing vaccine performance is to utilize neutralization a...

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Main Authors: Henning Jacobsen, Ioannis Sitaras, Marley Jurgensmeyer, Mick N. Mulders, David Goldblatt, Daniel R. Feikin, Naor Bar-Zeev, Melissa M. Higdon, Maria Deloria Knoll
Format: Article
Language:English
Published: MDPI AG 2022-05-01
Series:Vaccines
Subjects:
Online Access:https://www.mdpi.com/2076-393X/10/6/850
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author Henning Jacobsen
Ioannis Sitaras
Marley Jurgensmeyer
Mick N. Mulders
David Goldblatt
Daniel R. Feikin
Naor Bar-Zeev
Melissa M. Higdon
Maria Deloria Knoll
author_facet Henning Jacobsen
Ioannis Sitaras
Marley Jurgensmeyer
Mick N. Mulders
David Goldblatt
Daniel R. Feikin
Naor Bar-Zeev
Melissa M. Higdon
Maria Deloria Knoll
author_sort Henning Jacobsen
collection DOAJ
description Assessing COVID-19 vaccine effectiveness against emerging SARS-CoV-2 variants is crucial for determining future vaccination strategies and other public health strategies. When clinical effectiveness data are unavailable, a common method of assessing vaccine performance is to utilize neutralization assays using post-vaccination sera. Neutralization studies are typically performed across a wide array of settings, populations and vaccination strategies, and using different methodologies. For any comparison and meta-analysis to be meaningful, the design and methodology of the studies used must at minimum address aspects that confer a certain degree of reliability and comparability. We identified and characterized three important categories in which studies differ (cohort details, assay details and data reporting details) and that can affect the overall reliability and/or usefulness of neutralization assay results. We define reliability as a measure of methodological accuracy, proper study setting concerning subjects, samples and viruses, and reporting quality. Each category comprises a set of several relevant key parameters. To each parameter, we assigned a possible impact (ranging from low to high) on overall study reliability depending on its potential to influence the results. We then developed a reliability assessment tool that assesses the aggregate reliability of a study across all parameters. The reliability assessment tool provides explicit selection criteria for inclusion of comparable studies in meta-analyses of neutralization activity of SARS-CoV-2 variants in post-vaccination sera and can also both guide the design of future neutralization studies and serve as a checklist for including important details on key parameters in publications.
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spelling doaj.art-3065f4b2fcff4dbdaec73ab65e3bda632023-11-23T19:20:17ZengMDPI AGVaccines2076-393X2022-05-0110685010.3390/vaccines10060850Assessing the Reliability of SARS-CoV-2 Neutralization Studies That Use Post-Vaccination SeraHenning Jacobsen0Ioannis Sitaras1Marley Jurgensmeyer2Mick N. Mulders3David Goldblatt4Daniel R. Feikin5Naor Bar-Zeev6Melissa M. Higdon7Maria Deloria Knoll8Department of Viral Immunology, Helmholtz Centre for Infection Research, 38124 Braunschweig, GermanyW. Harry Feinstone Department of Molecular Microbiology and Immunology, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD 21205, USAInternational Vaccine Access Center, Department of International Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD 21205, USADepartment of Immunizations, Vaccines and Biologicals, World Health Organization, 1211 Geneva, SwitzerlandGreat Ormond Street Institute of Child Health, NIHR Biomedical Research Centre, University College London, London WC1E 6BT, UKDepartment of Immunizations, Vaccines and Biologicals, World Health Organization, 1211 Geneva, SwitzerlandInternational Vaccine Access Center, Department of International Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD 21205, USAInternational Vaccine Access Center, Department of International Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD 21205, USAInternational Vaccine Access Center, Department of International Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD 21205, USAAssessing COVID-19 vaccine effectiveness against emerging SARS-CoV-2 variants is crucial for determining future vaccination strategies and other public health strategies. When clinical effectiveness data are unavailable, a common method of assessing vaccine performance is to utilize neutralization assays using post-vaccination sera. Neutralization studies are typically performed across a wide array of settings, populations and vaccination strategies, and using different methodologies. For any comparison and meta-analysis to be meaningful, the design and methodology of the studies used must at minimum address aspects that confer a certain degree of reliability and comparability. We identified and characterized three important categories in which studies differ (cohort details, assay details and data reporting details) and that can affect the overall reliability and/or usefulness of neutralization assay results. We define reliability as a measure of methodological accuracy, proper study setting concerning subjects, samples and viruses, and reporting quality. Each category comprises a set of several relevant key parameters. To each parameter, we assigned a possible impact (ranging from low to high) on overall study reliability depending on its potential to influence the results. We then developed a reliability assessment tool that assesses the aggregate reliability of a study across all parameters. The reliability assessment tool provides explicit selection criteria for inclusion of comparable studies in meta-analyses of neutralization activity of SARS-CoV-2 variants in post-vaccination sera and can also both guide the design of future neutralization studies and serve as a checklist for including important details on key parameters in publications.https://www.mdpi.com/2076-393X/10/6/850COVID-19vaccineserologyantibody neutralizationSARS-CoV-2
spellingShingle Henning Jacobsen
Ioannis Sitaras
Marley Jurgensmeyer
Mick N. Mulders
David Goldblatt
Daniel R. Feikin
Naor Bar-Zeev
Melissa M. Higdon
Maria Deloria Knoll
Assessing the Reliability of SARS-CoV-2 Neutralization Studies That Use Post-Vaccination Sera
Vaccines
COVID-19
vaccine
serology
antibody neutralization
SARS-CoV-2
title Assessing the Reliability of SARS-CoV-2 Neutralization Studies That Use Post-Vaccination Sera
title_full Assessing the Reliability of SARS-CoV-2 Neutralization Studies That Use Post-Vaccination Sera
title_fullStr Assessing the Reliability of SARS-CoV-2 Neutralization Studies That Use Post-Vaccination Sera
title_full_unstemmed Assessing the Reliability of SARS-CoV-2 Neutralization Studies That Use Post-Vaccination Sera
title_short Assessing the Reliability of SARS-CoV-2 Neutralization Studies That Use Post-Vaccination Sera
title_sort assessing the reliability of sars cov 2 neutralization studies that use post vaccination sera
topic COVID-19
vaccine
serology
antibody neutralization
SARS-CoV-2
url https://www.mdpi.com/2076-393X/10/6/850
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