Determining the validity of hospital laboratory reference intervals for healthy young adults participating in early clinical trials of candidate vaccines

Hum Vaccin Immunother. 2013 Aug;9(8):1741-51. doi: 10.4161/hv.24998. Epub 2013 Jun 3.

Abstract

This was a retrospective study to determine the validity of institutional reference intervals for interpreting biochemistry and hematology results in healthy adults in the context of clinical trials of preventive vaccines. An example population of 974 healthy adults participating in clinical trials at the Jenner Institute, Oxford, UK, between 1999 and 2009 was studied. Methods for calculating the central 95% ranges and determining the coefficients of within person variation were demonstrated. Recommendations have been made as to how these data can be usefully applied to the interpretation of blood results in healthy adult subjects for the purposes of clinical trial inclusion decisions and post-vaccination safety monitoring.

Keywords: candidate vaccines; clinical trials; haematological and biochemical reference intervals; healthy young adult subjects; pre-and post-intervention safety analysis.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adolescent
  • Adult
  • Clinical Laboratory Techniques
  • Clinical Trials as Topic*
  • Female
  • Healthy Volunteers*
  • Humans
  • Male
  • Patient Selection*
  • Retrospective Studies
  • United Kingdom
  • Vaccines / administration & dosage
  • Vaccines / adverse effects*
  • Vaccines / immunology*
  • Young Adult

Substances

  • Vaccines