Evaluation of the clinical performance of OncoPredict HPV® SCR assay within the VALGENT-2 framework
- PMID: 36541733
- PMCID: PMC10107715
- DOI: 10.1002/jmv.28417
Evaluation of the clinical performance of OncoPredict HPV® SCR assay within the VALGENT-2 framework
Abstract
Human papillomavirus (HPV) assays used in cervical cancer screening should be clinically validated according to international criteria. OncoPredict HPV® Screening (SCR) is a partial genotyping multiplex real-time PCR assay targeting E6/E7 genes of 13 high-risk (hr) HPVs. OncoPredict HPV® SCR (index assay) identifies HPV-16 and HPV-18 separately, 11 other hrHPV in aggregate and includes quality controls for sample adequacy, DNA extraction efficiency and PCR inhibition. 1300 VALGENT-2 study samples (from women aged 20-60 attending the Scottish cervical cancer screening program) were tested with the index assay and the GP5+/6+ PCR enzyme immunoassay (standard comparator assay). Non-inferior accuracy detecting cervical intraepithelial neoplasia of grade 2 or worse (CIN2+) of the index versus comparator was verified. Intra- and interlaboratory reproducibility of the index was evaluated by overall concordance and Cohen's kappa, using a sub-population (n = 526). Relative sensitivity and specificity for CIN2+ of the index versus comparator were 1.01 (95% confidence interval [CI]: 0.99-1.03) and 1.02 (95% CI: 1.0-1.04), respectively. Noninferiority p values were all ≤0.05, except for CIN3+ in patients ≥30 years. Excellent intra- and interlaboratory reproducibility was shown with concordance >98% and kappas >0.95. OncoPredict HPV® SCR fulfills the three international validation criteria for hrHPV DNA tests in cervical cancer screening.
Keywords: HPV genotyping; OncoPredict HPV®; VALGENT; cervical cancer; human papillomavirus; test validation.
© 2022 The Authors. Journal of Medical Virology published by Wiley Periodicals LLC.
Conflict of interest statement
C. E. C. is a minority shareholder of Hiantis Srl and received research grants and/or gratis consumables from Beckton Dickinson, Copan Italia, Seegene, Novosanis and Fujirebio. C. E. C. has received speaker honoraria and/or travel funds from Seegene, Beckton Dickinson, Copan Italia. C. E. C. is a minority shareholder of Hiantis Srl. K. C. and R. B.'s institution has received research funding or gratis consumables to support research from the following commercial entities in the last 3 years: Cepheid, Roche, Abbott, Euroimmun, GeneFirst, SelfScreen, Hiantis, Seegene and Hologic.
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