Development and Validation of Two Optimized Multiplexed Serologic Assays for the 9-Valent Human Papillomavirus Vaccine Types

ABSTRACT Two multiplex immunoassays are routinely used to assess antibody responses in clinical trials of the 9-valent human papillomavirus (9vHPV) vaccine. The HPV6/11/16/18/31/33/45/52/58 competitive Luminex immunoassay (HPV-9 cLIA) and HPV6/11/16/18/31/33/45/52/58 total immunoglobulin G Luminex i...

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Main Authors: Katrina M. Nolan, Brent Seaton, Joseph Antonello, Yuhua Zhang, Lauren Cook, Krystyn Delfino, Leonard J. Rubinstein, Kyeongmi Cheon, Thomas Group, Alain Luxembourg, Sheri Dubey
Format: Article
Language:English
Published: American Society for Microbiology 2023-04-01
Series:mSphere
Subjects:
Online Access:https://journals.asm.org/doi/10.1128/msphere.00962-21
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author Katrina M. Nolan
Brent Seaton
Joseph Antonello
Yuhua Zhang
Lauren Cook
Krystyn Delfino
Leonard J. Rubinstein
Kyeongmi Cheon
Thomas Group
Alain Luxembourg
Sheri Dubey
author_facet Katrina M. Nolan
Brent Seaton
Joseph Antonello
Yuhua Zhang
Lauren Cook
Krystyn Delfino
Leonard J. Rubinstein
Kyeongmi Cheon
Thomas Group
Alain Luxembourg
Sheri Dubey
author_sort Katrina M. Nolan
collection DOAJ
description ABSTRACT Two multiplex immunoassays are routinely used to assess antibody responses in clinical trials of the 9-valent human papillomavirus (9vHPV) vaccine. The HPV6/11/16/18/31/33/45/52/58 competitive Luminex immunoassay (HPV-9 cLIA) and HPV6/11/16/18/31/33/45/52/58 total immunoglobulin G Luminex immunoassay are used for measurements of immunogenicity. Following their initial validation in 2010, both assays were redeveloped, and several parameters were optimized, including the coating concentration of virus-like particles, type of Luminex microspheres, serum sample and reference standard diluent, reference standard starting dilution and titration series, and vendor and concentration of the phycoerythrin-labeled antibodies. Validation studies evaluated the assay performance parameters, including the intra-assay precision (repeatability), intermediate precision, linearity, relative accuracy, and limits of quantitation. In addition, since maintaining a link to the original assays that were used in trials supporting vaccine licensure is critical, the assays were formally bridged to the previous assay versions by using individual patient sera from a 9vHPV vaccine clinical trial (n = 150 day 1 [prevaccination] samples; n = 100 month 7 [1 month post-last vaccine dose] and n = 100 month 36 [30 months post-last vaccine dose; antibody persistence] samples). The results of the validation studies indicate that both optimized assays are accurate, specific, and precise over their respective quantifiable ranges. There was a strong linear association between the new and previous versions of both assays. Assay serostatus cutoffs for the redeveloped assays were established based on the bridging studies and, for the HPV-9 cLIA, further refined, based on additional data from HPV vaccine clinical studies so as to align the seropositivity rates between assay versions. IMPORTANCE Assay modernization is a key aspect of vaccine life cycle management. Thus, new, reoptimized versions of two 9vHPV immunoassays have been developed and validated for use in ongoing and future HPV vaccine clinical trials. These assays are suitable for use in high-throughput testing for HPV antibodies in serum samples. Bridging to previous versions of the assays allows for the continuous monitoring of immune responses across assay versions, including in immunogenicity studies that involve new populations as well as long-term follow-up studies.
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spelling doaj.art-fc915b5b917b4300a7a5ca8400155d0e2023-04-20T13:01:45ZengAmerican Society for MicrobiologymSphere2379-50422023-04-018210.1128/msphere.00962-21Development and Validation of Two Optimized Multiplexed Serologic Assays for the 9-Valent Human Papillomavirus Vaccine TypesKatrina M. Nolan0Brent Seaton1Joseph Antonello2Yuhua Zhang3Lauren Cook4Krystyn Delfino5Leonard J. Rubinstein6Kyeongmi Cheon7Thomas Group8Alain Luxembourg9Sheri Dubey10Merck & Co., Inc., Rahway, New Jersey, USAQ2 Solutions Vaccines, San Juan Capistrano, California, USAMerck & Co., Inc., Rahway, New Jersey, USAMerck & Co., Inc., Rahway, New Jersey, USAMerck & Co., Inc., Rahway, New Jersey, USAMerck & Co., Inc., Rahway, New Jersey, USAMerck & Co., Inc., Rahway, New Jersey, USAMerck & Co., Inc., Rahway, New Jersey, USAMerck & Co., Inc., Rahway, New Jersey, USAMerck & Co., Inc., Rahway, New Jersey, USAMerck & Co., Inc., Rahway, New Jersey, USAABSTRACT Two multiplex immunoassays are routinely used to assess antibody responses in clinical trials of the 9-valent human papillomavirus (9vHPV) vaccine. The HPV6/11/16/18/31/33/45/52/58 competitive Luminex immunoassay (HPV-9 cLIA) and HPV6/11/16/18/31/33/45/52/58 total immunoglobulin G Luminex immunoassay are used for measurements of immunogenicity. Following their initial validation in 2010, both assays were redeveloped, and several parameters were optimized, including the coating concentration of virus-like particles, type of Luminex microspheres, serum sample and reference standard diluent, reference standard starting dilution and titration series, and vendor and concentration of the phycoerythrin-labeled antibodies. Validation studies evaluated the assay performance parameters, including the intra-assay precision (repeatability), intermediate precision, linearity, relative accuracy, and limits of quantitation. In addition, since maintaining a link to the original assays that were used in trials supporting vaccine licensure is critical, the assays were formally bridged to the previous assay versions by using individual patient sera from a 9vHPV vaccine clinical trial (n = 150 day 1 [prevaccination] samples; n = 100 month 7 [1 month post-last vaccine dose] and n = 100 month 36 [30 months post-last vaccine dose; antibody persistence] samples). The results of the validation studies indicate that both optimized assays are accurate, specific, and precise over their respective quantifiable ranges. There was a strong linear association between the new and previous versions of both assays. Assay serostatus cutoffs for the redeveloped assays were established based on the bridging studies and, for the HPV-9 cLIA, further refined, based on additional data from HPV vaccine clinical studies so as to align the seropositivity rates between assay versions. IMPORTANCE Assay modernization is a key aspect of vaccine life cycle management. Thus, new, reoptimized versions of two 9vHPV immunoassays have been developed and validated for use in ongoing and future HPV vaccine clinical trials. These assays are suitable for use in high-throughput testing for HPV antibodies in serum samples. Bridging to previous versions of the assays allows for the continuous monitoring of immune responses across assay versions, including in immunogenicity studies that involve new populations as well as long-term follow-up studies.https://journals.asm.org/doi/10.1128/msphere.00962-219-valent human papillomavirus vaccinecompetitive Luminex immunoassayhuman papillomavirusimmunogenicitytotal immunoglobulin G immunoassay
spellingShingle Katrina M. Nolan
Brent Seaton
Joseph Antonello
Yuhua Zhang
Lauren Cook
Krystyn Delfino
Leonard J. Rubinstein
Kyeongmi Cheon
Thomas Group
Alain Luxembourg
Sheri Dubey
Development and Validation of Two Optimized Multiplexed Serologic Assays for the 9-Valent Human Papillomavirus Vaccine Types
mSphere
9-valent human papillomavirus vaccine
competitive Luminex immunoassay
human papillomavirus
immunogenicity
total immunoglobulin G immunoassay
title Development and Validation of Two Optimized Multiplexed Serologic Assays for the 9-Valent Human Papillomavirus Vaccine Types
title_full Development and Validation of Two Optimized Multiplexed Serologic Assays for the 9-Valent Human Papillomavirus Vaccine Types
title_fullStr Development and Validation of Two Optimized Multiplexed Serologic Assays for the 9-Valent Human Papillomavirus Vaccine Types
title_full_unstemmed Development and Validation of Two Optimized Multiplexed Serologic Assays for the 9-Valent Human Papillomavirus Vaccine Types
title_short Development and Validation of Two Optimized Multiplexed Serologic Assays for the 9-Valent Human Papillomavirus Vaccine Types
title_sort development and validation of two optimized multiplexed serologic assays for the 9 valent human papillomavirus vaccine types
topic 9-valent human papillomavirus vaccine
competitive Luminex immunoassay
human papillomavirus
immunogenicity
total immunoglobulin G immunoassay
url https://journals.asm.org/doi/10.1128/msphere.00962-21
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