Development and validation of an enzyme linked immunosorbent assay for palivizumab serum determination

Michela Montagna, L. Visai, A. D I Comite, V. Iommiello, M. A. Avanzini, N. Bloise, M. Stronati, M. Regazzi

Research output: Contribution to journalArticlepeer-review


Palivizumab (Synagis®) is a humanized monoclonal antibody (IgG1 K) composed of 95% human and 5% murine sequences. It is directed to an epitope in the A antigenic site of the F protein of respiratory syncytial virus (RSV). Palivizumab is used for prevention of serious lower respiratory tract disease caused by RSV in pediatric patients who are at increased risk of severe disease and is administered intramuscularly (IM) for a total of 5 monthly doses. Herein, we report on the development and validation of a very sensitive enzyme-linked immunosorbent assay (ELISA) to measure serum concentrations of palivizumab by a rabbit polyclonal antibody specifically produced against the murine sequence. The method was developed and validated according to the guidelines "Guidance for Industry" (1998) and has proved suitable for the determination of palivizumab serum levels in the target infant population. The ELISA assay was successfully applied to test the serum samples in an infant population who received palivizumab intramuscularly; thus, the assay could be used to determine serum levels in palivizumab-treated infants to optimize dosing and scheduling and to study the relationship between dose and clinical response.

Original languageEnglish
Pages (from-to)503-510
Number of pages8
JournalInternational Journal of Immunopathology and Pharmacology
Issue number2
Publication statusPublished - Apr 2013


  • Infant patients
  • Palivizumab
  • Respiratory Syncytial Virus (RSV)

ASJC Scopus subject areas

  • Pharmacology
  • Immunology
  • Immunology and Allergy


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