RESUMEN
After tier 1 and 2 cut points for anti-drug antibody (ADA) assays are derived during pre-study assay validation in a population, there is a need to verify the continued appropriateness of the previously derived cut points during sample analysis in the same or different populations, per FDA guidance (US HHS, FDA, CDER, CBER, 2019). Proper sample size-dependent criteria with statistical underpinning were derived and presented in this technical note to aid in assessing the appropriateness of tier 1 and tier 2 cut points, respectively.
Asunto(s)
Anticuerpos/análisis , Pruebas Inmunológicas/normas , Proteínas/inmunología , Proyectos de Investigación , Interpretación Estadística de Datos , Reacciones Falso Positivas , Humanos , Valor Predictivo de las Pruebas , Proteínas/uso terapéutico , Reproducibilidad de los Resultados , Tamaño de la MuestraRESUMEN
The human monoclonal antibody CP-870,893 is a CD40 receptor agonist currently being developed for the treatment of cancer. A bioassay to measure neutralizing antibodies (Nab) to CP-870,893 in 5% human serum matrix was developed and validated utilizing the Daudi cell line and flow cytometric detection. Additionally, samples from CP-870,893 treated cynomolgus monkeys were analyzed in the bioassay and compared to results obtained using a competitive receptor-binding (CRB) Nab immunoassay to determine if the CRB assay may be used in place of the bioassay. Treatment of Daudi cells for 2 d with CP-870,893 leads to a concentration-dependent increase in CD54 cell surface expression. The presence of antidrug Nab attenuates CP-870,893 binding to CD40 and the induction of CD54. An anti-idiotype monoclonal antibody (Mab) and a monkey sera pool were identified as positive controls for neutralization of CP-870,893. During development, it was observed that the assay robustness was altered by culture media and FBS substitutions. For validation the following parameters were established: cutpoint factors in the presence (0.779) and absence (1.282) of 50 ng/ml CP-870,893, linear region of the concentration-response (1-100 ng/ml CP-870,893), intra- and inter-assay precision (CV = 25%), specificity and recovery (+/-25%), sensitivity ( approximately 500 ng anti-idiotype Mab per ml serum), technician to technician ruggedness (CV = 25%), and stability (positive control, CD54 labeling, and cell line). A concentration dependent increase in CP-870,893 neutralization was observed in a 3-mo toxicity study in monkeys using both the Bioassay and CRB assay (R(2) = 0.94) suggesting the CRB Nab assay may be a suitable alternative to a bioassay. Based on the precision, specificity, sensitivity, and robustness, the validated bioassay is suitable for quasi-quantitative analysis of neutralizing anti-CP-870,893 antibodies in human serum.