VALGENT: a protocol for clinical validation of human papillomavirus assays
Abstract
Background Testing for high-risk HPV is more effective in primary cervical cancer screening than the cytological examination of a Pap smear. Separate genotyping may be useful for triage in both HPV-based and cytology-based screening. Only clinically validated tests should be used in clinical practice. Objectives VALGENT is a study framework for test comparison and validation of HPV assays in general and HPV genotyping tests in particular according to clinically relevant outcomes and for clinical applications endorsed by scientific evidence. Study design VALGENT involves the collation of fresh or archived cervical cell specimen from women attending routine screening supplemented with cytologically abnormal samples. Multiple aliquots of residual material are sent from a central laboratory to participating laboratories for testing with novel HPV assays with limited, extended or full genotyping capacity. Outcomes are derived from screening and pathology registries. Each VALGENT panel includes an assay already validated for screening. A series of accuracy and concordance statistics were generated. Results Currently, two VALGENT study rounds, originated from laboratories in Antwerp (Belgium) and Edinburgh (Scotland), were completed. Two new assays (G5+/6+ PCR-LMNX and Xpert HPV) were validated for screening by showing similar accuracy for cervical precancer as the standard comparator test. For two other tests (BD Onclarity, PapilloCheck) validation was confirmed. Inter-test agreeme…
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Clinically validated high-performance molecular tests like hrHPV DNA tests that meet established international performance criteria, such as those defined by Meijer et al and verified through the VALGENT framework, are recommended.
“Key recommendations emphasize the use of clinically validated high-performance molecular tests like hrHPV deoxyribonucleic acid (DNA) tests that meet established international performance criteria, such as those defined by Meijer et al and verified through the VALGENT framework.”
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- Authors
- Arbyn, M., Depuydt, C., Benoy, I., Bogers, J., Cuschieri, K., Schmitt, M., Pawlita, M., Geraets, D., Heard, I., Gheit, T., Tommasino, M., Poljak, M., Bonde, J., & Quint, W.
- Affiliations
- Institut Scientifique de Santé Publique (BE)
- Edinburgh Royal Infirmary (GB)
- German Cancer Research Center (DE)
- DDL Diagnostic Laboratory (NL)
- Institut Pasteur (FR)
- Centre international de recherche sur le cancer (FR)
- University of Ljubljana (SI)
- Hvidovre Hospital (DK)
- Corresponding author
- Arbyn, Marc
- ORCID
- Venue
- Journal of Clinical Virology
- Publisher
- Elsevier BV
- Published
- 2016-03
- Volume
- 76
- Pages
- S14-S21
- ISSN
- 1386-6532 (ISSN-L)
- OpenAlex
- W1931876713
- Cited by
- 157
- References
- 47
- Citations by year
- 2026: 11 · 2025: 12 · 2024: 16 · 2023: 15 · 2022: 23 · 2021: 14 · 2020: 15 · 2019: 20 · 2018: 16 · 2017: 8 · 2016: 5 · 2015: 2
- FWCI
- 1.34
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Clinical Virology (publishedVersion)
- PubMed (publishedVersion)
- Funders
- World Health Organization
- Topics
- Health Sciences › Medicine › Epidemiology › Cervical Cancer and HPV Research
- Health Sciences › Medicine › Physiology › Clinical Laboratory Practices and Quality Control
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Women's cancer prevention and management
- Keywords
- human papillomavirus, HPV genotyping, cervical cancer screening, test comparison, inter-test agreement, cervical precancerous lesions, quality control
- MeSH terms
- Adult, Uterine Cervical Dysplasia, Uterine Cervical Neoplasms, Female, Humans, Mass Screening, Middle Aged, Reagent Kits, Diagnostic, Vaginal Smears, Papillomaviridae, Papillomavirus Infections, Validation Studies as Topic, Early Detection of Cancer, Genotyping Techniques, Human Papillomavirus DNA Tests
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