Statistical evaluation of numbers of animals to be used in vaccine potency testing: a practical approach.

A M Akkermans, C F Hendriksen
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Abstract

Some of the guidelines for potency testing of vaccines issued by regulatory bodies such as the European Pharmacopoeia (EP) and WHO are detailed and stringent (e.g. EP monograph for Newcastle Disease (ND) Vaccine (inactivated)), whereas others only stipulate that the number of animals used should be sufficient to meet the required accuracy (e.g. EP monograph for Hepatitis A vaccine (inactivated)). Simulation studies in our laboratory using historical ND potency test data indicated that the number of animals specified in the monograph is too high; a considerable reduction from 10 to seven animals per group does not substantially influence the precision of the results. Multipoint models (e.g. EP monograph for Tetanus Vaccine (adsorbed)) require at least three dilutions per vaccine for testing for response linearity. However, when historical data clearly show that in the range used the response curves are linear, it is superfluous to verify this in every test. Furthermore, linearity has little priority for a valid parallel line assay calculation. A simulation study using historical Diphtheria potency test data showed that calculations using two dilutions per vaccine in relatively small groups of animals produced results comparable to those obtained from the full assay. This procedure still enables calculation of the relative potency, in contrast to the 1 + 1 method, which gives only a pass or fail result, while the number of animals required is only slightly higher. This method could be applied in cases where the 1 + 1 method fails. In conclusion, by providing guidelines on methods in which proven consistency in production and testing may be taken into account, manufacturers are more stimulated to look for other (cheaper) ways to test the potency of a vaccine using less animals.

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用于疫苗效力测试的动物数量的统计评估:一种实用的方法。
欧洲药典(EP)和世卫组织等监管机构发布的一些疫苗效价测试指南详细而严格(例如,新城疫(ND)疫苗(灭活)的EP专论),而另一些则只规定使用的动物数量应足以满足所需的准确性(例如,甲型肝炎疫苗(灭活)的EP专论)。本实验室利用历史ND效价测试数据进行的模拟研究表明,专著中规定的动物数量过高;每组从10只减少到7只并不会对结果的准确性产生实质性的影响。多点模型(例如破伤风疫苗的EP专论(吸附))要求每种疫苗至少稀释三次以测试响应线性。但是,当历史数据清楚地表明,在所使用的范围内,响应曲线是线性的,那么在每次测试中验证这一点是多余的。此外,线性对于有效的平行线测定计算几乎没有优先权。一项利用历史白喉效力测试数据的模拟研究表明,在相对较小的动物群体中使用每种疫苗两次稀释的计算结果与从完整分析中获得的结果相当。与1 + 1方法相比,该程序仍然可以计算相对效力,而1 + 1方法只能给出合格或不合格的结果,而所需的动物数量仅略高。这个方法可以应用在1 + 1方法失败的情况下。总之,通过提供关于可考虑生产和测试中已证明的一致性的方法的指导方针,更能刺激制造商寻找使用较少动物的其他(更便宜的)方法来测试疫苗效力。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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