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Correlates of Protection
Definitions of terms
Correlates of Protection (CoP)
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An immune response statistically correlated with protection
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Mechanistic CoP (mCoP)
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An immune response responsible for protection
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Non-mechanistic CoP (nCoP)
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An immune response surrogating mCoP and easily measured
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Identifying method of CoP (mCoP)
- Theoretically
- To measure immune responses at the time of exposure to the infection and compare them between those who get infection and not
- Practically
- To measure immune responses after the vaccination and compare them between those who get infection and not
- usually done in vaccine clinical trial phase 3
- To measure immune responses at the time of challenging exposure of vaccinated volunteers
- would be ethically approved only for milder and/or treatable infections such as seasonal influenza, cholera, dengue or cytomegalovirus
- To extrapolate vaccinated animal challenge model
- To extrapolate protective level of dosing of passive immunization (antibody treatment)