Qualification of the Hemagglutination Inhibition Assay in Support of Pandemic Influenza Vaccine Licensure

Publication Type
Journal Article
Year of Publication
2009
Authors
Noah, DL; Hill, H; Hines, D; White, EL; Wolff, MC
Secondary
Clin Vaccine Immunol
Volume
16
Start Page
558
Pagination
558-566
Date Published
04/2009
Keywords
Animals; Antibodies; Drug Approval; Erythrocytes; H5N1 Subtype; Hemagglutination Inhibition Tests; Horses; Humans; Influenza A Virus; Influenza Vaccines; Viral
Abstract
Continued outbreaks of highly pathogenic avian influenza over the past decade have spurred global efforts to develop antivirals and vaccines. As part of vaccine development, standard methods are needed for determining serum antibody titers in response to vaccination. Hemagglutination inhibition (HAI) assays are appropriate for assessing the immunogenicity of pandemic influenza vaccines in support of license approval. We demonstrate that a rigorous qualification of the HAI assay for H5N1 influenza virus, evaluating for precision, intermediate precision, linearity, range, specificity, and robustness, satisfies the intent of regulatory guidance for assay validation despite the lack of availability of specific reference standard antigens and antisera.