Some Issues in the Identification of Vaccine Responders

Chap T. Le
Distinguished Professor
University of Minnesota
Division of Biostatistics

Wednesday, September 18, 2002
3:30 PM
Moos 5-125
University of Minnesota, Minneapolis East Bank Campus

Abstract:
First vaccines are traditionally licensed after showing favorable results from phase III efficacy trials. Subsequent competing vaccines, however, have been licensed primarily on the basis of immunogenicity data rather than clinical efficacy. Focusing on pneumococcal vaccines where optical densities are measured and serum antibody concentrations are "estimated" (from a statistical model) using an immunoglobulin (IgG) enzyme-linked immunosorbent assay (ELISA), this talk will address on two highly related issues: the determination of an upper limit for quality control used in the assay methodology (the maximum tolerated limit or MTL) and the identification of vaccine responders. The goal is to form the basis for the eventual comparison of immunogenicity results in terms of proportions of responders.