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ORIGINAL RESEARCH article

Front. Immunol.

Sec. Vaccines and Molecular Therapeutics

Volume 16 - 2025 | doi: 10.3389/fimmu.2025.1650083

Comparative Analysis of Neutralization Assays Performed using Live SARS-CoV-2 Virus and Pseudovirus to Assess Immunogenicity of a Bivalent SARS-CoV-2 Protein Vaccine in Humans

Provisionally accepted
Cuige  GaoCuige GaoJiang  YiJiang YiDongfang  LiuDongfang LiuJing  LiJing LiJian  LiJian LiQiang  ZhouQiang ZhouLiangzhi  XieLiangzhi Xie*
  • Beijing Engineering Research Center of Protein and Antibody, Sinocelltech Ltd, Beijing, China

The final, formatted version of the article will be published soon.

Objectives: The rapid emergence of SARS-CoV-2 prompted accelerated vaccine development, with neutralization assays serving as essential tools to evaluate vaccine-induced immune responses. Methods: A post-hoc analysis of a Phase I/II trial evaluated the immunogenicity of a bivalent SARS-CoV-2 protein vaccine. We assessed vaccine immunogenicity using live virus neutralization assays (LVNA) and pseudotyped virus neutralization assays (PVNA) to measure antibody responses against different variants, including Alpha B.1.1.7, Beta B.1.351, and Delta B.1.617.2. Various statistical techniques, including correlation coefficients, regression models, and Bland–Altman plots, were employed to assess the relationship between antibody titers from the two assays. Results: We analyzed 324 samples for Alpha and Beta variants and 505 for Delta. Compared with LVNA, the sensitivity and specificity of PVNA were over 90% across all variants, with accuracy rates of 98.8% for Alpha, 99.1% for Beta, and 94.3% for Delta. The Pearson correlation between PVNA and LVNA was strong for Alpha (CORR = 0.9614), Beta (CORR = 0.9517), and Delta (CORR = 0.9072). Bland-Altman plots and Kernel density plots indicated good agreement between PVNA and LVNA. Conclusions: Our findings demonstrate a strong correlation between PVNA and LVNA results, supporting PVNA as a safe, scalable, and reliable surrogate for LVNA in evaluating vaccine immunogenicity.

Keywords: SARS-CoV-2, Immunogenicity, Neutralization assays, Vaccination, COVID-19

Received: 20 Jun 2025; Accepted: 29 Aug 2025.

Copyright: © 2025 Gao, Yi, Liu, Li, Li, Zhou and Xie. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

* Correspondence: Liangzhi Xie, Beijing Engineering Research Center of Protein and Antibody, Sinocelltech Ltd, Beijing, China

Disclaimer: All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.