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UTMB -Shi Lab SOP
TITLE: Manual 96 -well Neutralization Assay for the Detection of Functional Antibodies to 
SARS -CoV-2 in Test Serum using Cytation 7 Image Reader
Doc. Number: SHI -SOP -10011    Version: 2.0
UTMB -Shi Lab CONFIDENTIAL
Page 1
TABLE OF CONTENTS
1.HISTORICAL REVISION SUMMARY ............................................................................... 2
Table 1. Chronological Summary of Previous Versions ........................................................ 2
2.PURPOSE ............................................................................................................................. 2
3.SCOPE ................................................................................................................................... 2
4.GLOSSARY ........................................................................................................................... 2
Table 2. Terms and Definitions .................................................................................................. 2
5.GENERAL ............................................................................................................................. 3
6.RESPONSABILITIES .......................................................................................................... 4
Table 3. Roles and Responsibilities .......................................................................................... 4
7.SAFETY ................................................................................................................................ . 5
8.MATERIALS AND EQUIPMENT ....................................................................................... 5
9.PROCEDURE ....................................................................................................................... 6
9.1.Day 0: Preparation of ROPs ............................................................................................... 6
9.1.1. Seeding Cells ................................................................................................................. 6
9.2.Day 1: Preparation of SAPs ................................................................................................ 8
9.2.1. Sera Dilution/Infection ................................................................................................... 9
9.2.2. Processing of SAPs .................................................................................................... 10
9.2.3. Preparation of Viral Stock Solution ........................................................................... 11
9.2.4. Addition of Viral Stock Solution to SAPs and Neutralization of Virus .................. 11
9.2.5. Transfer Neutralization Reaction onto ROPs and Decontamination of SAPs ....11
9.3.Day 2 : Acquire images ...................................................................................................... 12
9.3.1. Preparation and Addition of Hoechst 33342 Solution to ROPs ............................ 13
9.3.2. Image Acquisition and Counting on the Cytation 7 ................................................ 13
9.4.Analysis of Data and Calculation of SARS -CoV-2_NT Titers ..................................... 13
9.5.SARS -CoV-2_NT Data and Document Review ............................................................ 13
10.REFERENCES ................................................................................................................... 14
Table 6. Form References ........................................................................................................ 14
11.DOCU MENT VERSION MODIFICATIONS ................................................................... 14
Table 7.  Detailed Changes ...................................................................................................... 14
FDA-CBER-2021-5683-0142291
UTMB -Shi Lab SOP
TITLE: Manual 96 -well Neutralization Assay for the Detection of Functional Antibodies to 
SARS -CoV-2 in Test Serum using Cytation 7 Image Reader
Doc. Number: SHI -SOP -10011    Version: 2.0
UTMB -Shi Lab CONFIDENTIAL
Page 2
Document Approval Record ..................................................................................................... 15
1.HISTORICAL REVISION SUMMA RY
Table 1. Chronological Summary  of Previous Versions
Version # Effective Date Originator Summary
2.0 Current Pei-Yong Shi Approved.
1.1 2020 0614 Xuping Xie Revised…
1.0 20200529 Camila Fontes New Document
2.PURPOSE
This document describes the procedure for a manual 96 -well SARS -CoV-2-mNG 
reporter virus neutralization assay (SARS -CoV-2_NT) designed to measure functional, 
neutralizing antibodies specific for SARS -CoV-2 in test serum using Cytation 5 Image 
Reader.
3.SCOPE
The scope applies to all personnel in the Shi Lab at UTMB responsible to support Pfizer 
clinical study.
NOTE: Procedures for other UTMB and Pfizer groups may vary in format, content, 
numberi ng, and approval procedures.
4.GLOSSA RY
Table 2 . Terms and Definitions
TERM DEFINITION
Ab Antibody
Batch    A sample list for an assay.  One batch contains all samples tested in 
a single assay run.
BSC Biological Safety Cabinet
Cytation 7 Cell imaging multi -mode reader manufactured by Biotek
FBS Fetal Bovine Serum
FFU Focus Forming Units
Gen5 Software associated with the Cytation 7
FDA-CBER-2021-5683-0142292
UTMB -Shi Lab SOP
TITLE: Manual 96 -well Neutralization Assay for the Detection of Functional Antibodies to 
SARS -CoV-2 in Test Serum using Cytation 7 Image Reader
Doc. Number: SHI -SOP -10011    Version: 2.0
UTMB -Shi Lab CONFIDENTIAL
Page 3
GMT Geometric Mean Titer
HBSS Hanks' Balanced Salt Solution
Hoechst 33342 Cell-permeant nuclear counterstain that emits blue fluorescence 
when bound to dsDNA
Monolayer Cell culture in which cells are grown in a single homogenous layer
PPE Personal Protective Equipment 
PBS Phosphate Buffered Saline
ROP Read Out Plate
SARS -CoV-
2_NTManual 96 -well neutralization assay for the detection of functional 
antibodies to SARS -CoV-2
SARS -CoV-2 
Critical Reagent 
Reference FormSARS -CoV-2_NT reference document that contains clinical or 
developmental study -specific information, eg, viral bank number, 
viral bank date, viral st ock solution dilution, and staining antibody 
information.  One critical reagent form is created prior to the start of 
each clinical study or assay development activity.
QCS Quality Control Sample
QNS Quantity Not Sufficient
SAP Sample Assay Plate
SARS -CoV-2 Severe acute respiratory syndrome coronavirus 2
SARS -CoV-2-
mNGSARS -CoV-2-mNeonGreen reporter virus
SOP Standard Operating Procedure
Titer The reciprocal of the dilution of a test serum required to neutralize 
virus at a specified percentage of the viral input in a neutralization 
assay
VSS Viral Stock Solution
Vero African green monkey kidney epithelial cells
5.GENERA L
The SARS -CoV-2_NT is a biofunctional assay designed to measure total serum 
antibody levels capable of neutralizing SARS -CoV-2 infection of cells in culture.
The SARS -CoV-2-NT is a three -day assay, performed manually.  On Day 0, African 
green monkey kidney epithelial cells (Vero) are seeded into 96 -well tissue -culture 
treated plates.  On Day 1, serial dilutions of heat -inactivated i mmune sera in sample 
assay plates (SAPs) are incubated with SARS -CoV-2-mNG reporter virus for 60 
minutes to allow antigen specific antibodies to bind to the virus.  The reaction is then 
transferred onto the Vero cell monolayer read -out plates (ROPs) and allowed to 
incubate overnight; only non -neutralized virus is able to infect the cells.  On Day 2, 
productive viral infection is detected in live cells using the mNeonGreen expressed by 
FDA-CBER-2021-5683-0142293
UTMB -Shi Lab SOP
TITLE: Manual 96 -well Neutralization Assay for the Detection of Functional Antibodies to 
SARS -CoV-2 in Test Serum using Cytation 7 Image Reader
Doc. Number: SHI -SOP -10011    Version: 2.0
UTMB -Shi Lab CONFIDENTIAL
Page 4
the reporter virus.  Live cells are stained with Hoechst 33342.  Both vir al foci and live 
cells are enumerated from the ROPs on a Cytation 7 reader.
A sample titer is calculated as the reciprocal serum dilution at which a specific 
percentage of the virus is neutralized (eg, 50% or 90% of the virus).  This value is 
referred to as the titer determining value (TDV).  To calculate this percentage, an 
infection rate must first be determined by dividing the number of viral foci by live cells in 
any given well.  The percent neutralization is then determined by comparing the 
infection rates of the serum containing wells to that of the control wells without serum 
samples.  A titer is calculated for each of the two replicates of a sample and the 
geometric mean titer (GMT) of the two is reported as the final sample titer.
The initial serum dilution for the SARS -CoV-2_NT is 1:20, which, along with a 9 -point 2 -
fold serum dilution series, enables a potential plate titer range of 20 to 5,120.  Samples 
that receive titers greater than 5,120 are retested after pre -dilution in assay buffer.  
Samp les that fail to neutralize at the TDV when tested at the lowest serum dilution of 
1:20 are reported to have a neutralizing titer of 10, one half of the LOD of 20.
A quality control sample (QCS) is run on each assay plate to assess plate and run 
suitabili ty.  Plating of Vero onto the ROPs occurs at least 20 hours prior to the infection 
of the monolayer.  This incubation time allows the cells to adhere to the plate surface 
and grow to a confluent monolayer to allow for consistent measurement of infection.
6.RESPONSA BILITIES
All personnel must betrained and knowledgeable with the process. Personnel can 
have multiple roles within the process but may only sign once with the most 
appropriate approval code.
Table 3 . Roles and Responsibilities
Roles Responsibilities
SARS -CoV-2_NT 
-Analyst
-Coordinator
-Data Analyst
CFRead, understand, and complete training and qualification on 
this test method.
Read, understand, and complete training on applicable 
equipment operating manuals, procedures and test methods 
that are required to execute the procedure described in this 
document.
Execute this test method and complete SHI-TM-10011 -FM01
and SHI-TM-10011-FM02.
Consult with the PI if there are any questions related to the 
procedure itself or serum samples, i f an atypical event is 
FDA-CBER-2021-5683-0142294
UTMB -Shi Lab SOP
TITLE: Manual 96 -well Neutralization Assay for the Detection of Functional Antibodies to 
SARS -CoV-2 in Test Serum using Cytation 7 Image Reader
Doc. Number: SHI -SOP -10011    Version: 2.0
UTMB -Shi Lab CONFIDENTIAL
Page 5
observed or if a protocol deviation occurs.
Provides detailed scheduling of all SARS -CoV-2_NT runs.
Creates assay run batches and corrects run information with 
QNS information from the annotated SHI -TM-10011 -FM01 .
Prepare SARS -CoV-2_NT assay plates
Maintain and grow Vero cells.
Plate the appropriate concentration of Vero cells
Reviewer XP Review SARS -CoV-2_NT documentation to ensure 
completeness of data entry and compliance with Shi Lab
policies.  Direct the SARS -CoV-2_NT Analyst to correct 
documentation errors.
Verify that documentation is complete and compliant.
Supervisor PY Read and understand this test method.
Review and approve this test method.
Ensure that SARS -CoV-2_NT analysts executing this test 
method are trained in the appropriate procedures and test 
methods.
Provide guidance to SARS -CoV-2_NT analysts and reviewers 
and answer any questions that arise during the execution of this 
procedure.
7.SAFETY
Biosafety level 3 (BSL -3) precautions are required for any work with SARS -CoV-2 
virus and has to be handled in accordance with BSL -3 procedures.
oPrior to starting work at BSL3:
oRegister as BSL3 worker and complete the training and access requirements 
for BSL3 facilities:
UTMB BSL3 training course
BSL3 facility specific training and access checklist form
BSL3 check off
BSL3 mentorship
All laboratory work is to be carried out in compliance with UTMB safety policies and 
generally accepted laboratory safety guidelines.
Refer to Laboratory Safety Reference Manual found on UTMB Website at 
https://liveutmb.sharepoint.com/:b:/r/sites/collaboration/webfiles/Shared%20Docume
nts/EHS/ Website_Files/UTMB%20Safety%20Manual%202019_3 -5-
20.pdf?csf=1&web=1&e=lKehru
8.MATERI ALS AND EQUIPMENT
FDA-CBER-2021-5683-0142295
UTMB -Shi Lab SOP
TITLE: Manual 96 -well Neutralization Assay for the Detection of Functional Antibodies to 
SARS -CoV-2 in Test Serum using Cytation 7 Image Reader
Doc. Number: SHI -SOP -10011    Version: 2.0
UTMB -Shi Lab CONFIDENTIAL
Page 6
Cell bank of Vero African green monkey kidney epithelial cells (ATCC CCL81). Each 
vial is used from p1 to p35 .
Viral stock of SARS -CoV-2 mNeonGreen, prepared in individual use aliquots (virus 
construction described in Xie et al 2020). Viral stock is at ~2x107PFU/mL.
Black µCLEAR flat -bottom 96 -well plates (Greiner Bio -one™ 655090)
Corning™ Clear Polystyrene 96 -Well Microplates, round bottom (Corning Cat. No: 
3799) 
DMEM (Gibco Cat. No: 11965 -092)
Fetal Bovine Serum (Hyclone Cat. No.: SH30071.03)
Penicillium -Streptomyc in (P/S) (10,000 U/ml) (Gibco Cat. No: 15140 -122)
Gibco™ Trysin -EDTA (0.25%), phenol red (Gibco Cat. No.: 25200072)
Phosphate Buffered Saline (PBS) solution, pH 7.4 (Gibco Cat. No.: 10010 -023)
Gilson™ Accessory for PIPETMAN Complete Pipetting System 
Reage nt Reservoirs 25 ml (Gilson Cat. No.: F267660) & 50 ml (Gilson Cat. No.: 
F267670)
Cell Counting slides for TC10™/TC20™ Cell Counter, dual -chamber (Bio -Rad Cat. 
No.: 1450011)
Corning™ Cell Culture Treated flasks .2µM Vent Cap T175cm2 (Corning™ Cat. No.: 
431080)
VACUBOY Hand Operator (INTEGRA Biosciences)
Eppendorf Xplorer pipette, electronic 12 channel pipette 15 -300 µL (Eppendorf Cat. 
No.: 4861000031)
TC20™ Automated Cell Counter (Bio -Rad)
Dualfilter 200ul (filtered tips) (Eppendorf Cat. No.:0030077.555)
Hank’s Balanced Salt Solution (HBSS) (1X) (Gibco Cat. No:14025 -092)
Breath -Easy sealing membrane. (Diversified Biotech Cat No.: BEM -1)
Tissue culture CO 2incubator 
Cell Imager or inverted microscope
Microplate Reader (BioTek) (Cytation 7 Cell Imaging Multi -Mode Reader)
Hoechst 33342 (20mM) (Thermo Scientific Prod # 62249)
DMEM (1X) (Phenol Red Free) (Gibco Cat. No: 31053 -028)
GlutaMAXTM -1 (100X) (Gibco Cat. No: 35050 -061)
9.PROCEDURE
9.1. Day 0: Preparation of ROPs
oNote:  Refer to Tables 3 -9 of SHI-TM-10011-FM01.
oEnsure the incubators are reading at 37°C/5% CO 2.  Confirm that water 
reservoir is full.
9.1.1. Seeding Cells
oSeed cells into 96 -well plate Black Microplates.
FDA-CBER-2021-5683-0142296
UTMB -Shi Lab SOP
TITLE: Manual 96 -well Neutralization Assay for the Detection of Functional Antibodies to 
SARS -CoV-2 in Test Serum using Cytation 7 Image Reader
Doc. Number: SHI -SOP -10011    Version: 2.0
UTMB -Shi Lab CONFIDENTIAL
Page 7
oRemove the cotton filter from 2ml serological pipette and assembly on the 
hand operator of the VACUBOY
oRemove the medium from the cells using the VACUBOY. 
oBriefly rinse the cell layer with 25ml PBS (same volume as the growth 
medium) to remove all traces of serum that contains trypsin inhibitor. Remove 
PBS using the VACUBOY.  Repeat, wash twice.
oNote: make sure rinse every corner of the flask to get rid of any trypsin 
inhibitor.
oAdd 3ml Trypsin -EDTA solution.  Observe cells under an inverted microscope 
until cell layer is dispersed (usually within 2 minutes at RT).
oNote: The activity of trypsin decreases when store dat 4°C. Do not store 
trypsin at 4°Cfor > 1 week.
oHit/tap the flask to detach cells, add 10 mL of complete growth medium and 
shake the flask to let the medium cover all the trypsinazed cells in order to 
inhibit the trypsin.  Aspirate the cell susp ension by gently pipetting and 
transfer the cell suspension into 50ml falcon tube.
oCentrifuge, RT, 3min, 1200rpm (300g)
oRemove media carefully don’t get too close to the cells.
oResuspend cells in phenol red free media (DMEM phenol red free, 2% FBS, 
1% P/S, 2% GlutaMAX).  Disperse cells by tapping the tube with finger gently, 
this is critical steps make sure cells are evenly dispersed.  Add 5ml of media, 
keep tapping and swirling to resuspend, add more media (10 -20 ml mix by 
pipetting up/down).  Note: Using phenol red free media reduces the 
background when reading the plate.
oCount using the cell counter (C -Chip DHC -N01-5). Count live cells. Get a 
microcentrifuge tube and mix 50ul of trypan blue with 50ul of cell suspension.  
Add mixture to both sides of count ing slide, count both sides to get the 
average of live cells. 
oDilute to 2.4×105 cells/ml. Add 50 µl of the diluted cell suspension to each 
well in the 96 -well plate (ROP) to reach 1.2×104 cells/well. Note: to make 
sure the cells are evenly distributed in the 96 -well plate. Leave the plate on 
the bench after seeding about 5 -10min, then hit/tap the plate gently to make 
cells evenly distribute in the wells. 
Example: 1 -96W plate 50ul/well, live cell count= 1.0×106     
FDA-CBER-2021-5683-0142297
UTMB -Shi Lab SOP
TITLE: Manual 96 -well Neutralization Assay for the Detection of Functional Antibodies to 
SARS -CoV-2 in Test Serum using Cytation 7 Image Reader
Doc. Number: SHI -SOP -10011    Version: 2.0
UTMB -Shi Lab CONFIDENTIAL
Page 8
oAdd 1 -5 ml of the remaining cell suspension to new culture flask to continue 
to grow cells depending on your needs.
oIncubate cell plates at 37°C. 6. Ensure ROPs have incubated at least 20 
hours prior to execution of Transfer of Neutralization Reaction onto ROPs
9.2. Day 1: Preparation of SA Ps
oNote:  Refer to Tables 3 -9 of SHI -TM-10011-FM01.
oEnsure the incubators are reading at 37°C/5% CO 2.  Confirm that water 
reservoir is full.
oInspect 6 wells at r andom of 2 ROPs per run under the light microscope to 
ensure the monolayer is healthy with no microbial contamination and has 
≥80% confluency.  A healthy Vero monolayer is evenly dispersed squamous 
cells adhered to the bottom of the ROP well.  Record abnormalities in Table 
13 of SHI -TM-10011 -FM01.
oROP . Label and number each plate appropriately (typically 1 -12) in the 
Biosafety hood with marker and store in 37 °C/5% CO 2until transfer.
ROP lid labeling 
FDA-CBER-2021-5683-0142298
UTMB -Shi Lab SOP
TITLE: Manual 96 -well Neutralization Assay for the Detection of Functional Antibodies to 
SARS -CoV-2 in Test Serum using Cytation 7 Image Reader
Doc. Number: SHI -SOP -10011    Version: 2.0
UTMB -Shi Lab CONFIDENTIAL
Page 9
ROP side labeling 
oHeat inactive all the sera at 56C, 30mins (If needed)
9.2.1. Sera Dilution/Infection
oSAP. Take a new 96 -well plate with lid (clear plate, for dilutions). Label and 
number each plate appropriately (typically 1 -12) in the Biosafety hood with 
marker .
SAP lid labeling 
SAP side labeling 
o
oPrepare serial dilutions of serum .  Refer to SHI -SOP- 10002 to process 
samples.
oPrepare 10 serials of 2 -fold dilutions. The highest dilution is 10 folds. Prepare 
duplicates. See step 5
D1 D2 D3 D4 D5 D6 D7 D8 D9 D10
10 20 40 80 160 320 640 1280 25600
D1:6μl+56μl2%FBS medium.
D2-D9:30μldiluted samples +30μlmedium.
oTransfer proper medium (according to cell type, phenol red free 
DMEM+2%FBS+1%P/S) to the 50ml reservoir to facilitate the use of a 
multichannel pipette (each plate needs 3.3ml, a liquot 4ml for each plate)
oSkip the first column. The outer wells are not used.
oColumns #3 -11 add 30 µl DMEM+2%FBS+1%P/S.  
oNotes: Columns 3 -10, add 30 µl DMEM+2%FBS+1%P/S for 2 -fold serial 
dilution from column 3. Column #11 on the 96W  plate is control without any 
antibody.
oColumns #3 -10, add 30 µl DMEM+2%FBS+1%P/S for 2 -fold serial dilution 
from column 3
oColumn #1 and 12, add 60 µl DMEM+2%FBS+1%P/S.
FDA-CBER-2021-5683-0142299
UTMB -Shi Lab SOP
TITLE: Manual 96 -well Neutralization Assay for the Detection of Functional Antibodies to 
SARS -CoV-2 in Test Serum using Cytation 7 Image Reader
Doc. Number: SHI -SOP -10011    Version: 2.0
UTMB -Shi Lab CONFIDENTIAL
Page 10
oColumn #2 add 54 µl DMEM+2%FBS+1%P/S, then mix with 6 µl serum.  Mix 
without creating bubbles.   Note: th e starting dilution is 1:10, then followed 
with 10, 20, 40, 80, 160, 320, 640, 1280, 2560 dilutions (refer to step 4).  
Overall dilution will be 1:20 once virus is added.
oColumn #2, mix using an electronic 12 -channel pipette (settings, P/M, 30/50, 
speed 6/ 4, 5X), discard the tips
oLoad new tips, transfer 30 µl from column #2 to column #3 (settings, P/M, 
30/50, speed 6/4, 5X), discard the tips
oRepeat step 12 for column #4 to #10
oAttention: remember to take 30 µl from column #10 after dilution and discard.  
The total volume of the dilute serum should be 30µl/well
oSera dilution plate set -up(SAP) .  Samples are run in duplicates. The outer 
wells are not used for dilutions, just add media.   Column 11 is reserved for 
viral input (wells B11 -G11).  Column 12 is reserved for cell control to monitor 
cell contamination (wells B12 -G12) .  Row H is reserved for a QCS (wells H2 
H10).  The QCS is used to assess plate and run suitability.
Well 1 2 3 4 5 6 7 8 9 10 11 12
Reciprocal 
Serum 
DilutionN/A 20 40 80 160 320 640 1,280 2,560 5,120 N/A N/A
A
Media + VirusMedia + Virus
B Test Sample 1 (Virus+Serum)
Virus input control
Cell controlC Test Sample 1 replicate (Virus+Serum)
D Test Sample 2 (Virus+Serum)
E Test Sample 2 replicate (Virus+Serum)
F Test Sample 3 (Virus+Serum)
G Test Sample 3 replicate (Virus+Serum)
H Quality Control Sample (Virus+Serum) Media + Virus
9.2.2. Processing of SA Ps
oTransfer SAPs and ROPs to BSL3.
oNote:  Ref er to Tables 3 -9 of SHI -TM-10011-FM01.
oEnsure the incubators are reading at 37°C/5% CO 2.  Confirm that water 
reservoir is full.
oConfirm a correct set of assay plates.  
oInspect plates to confirm that all wells of each SAP contain approximately 30 
µL liquid and that volumes are consistent from well to well.  Use the Atypical 
Event(s) box (Table 13 of SHI-TM-10011 -FM01) to record the location of any 
wells that have no liqui d or appear to have a volume other than 30 µL.  Do not 
use a pipette to measure well volumes; this step is a visual inspection only.
FDA-CBER-2021-5683-0142300
UTMB -Shi Lab SOP
TITLE: Manual 96 -well Neutralization Assay for the Detection of Functional Antibodies to 
SARS -CoV-2 in Test Serum using Cytation 7 Image Reader
Doc. Number: SHI -SOP -10011    Version: 2.0
UTMB -Shi Lab CONFIDENTIAL
Page 11
oNumber each SAP with a marker.  The hand -written number dictates the 
order in which the SAPs will receive a reagent and cor responds to its 
respective ROP.
oPlace ROPs in incubator.
9.2.3. Preparation of Viral Stock Solution
oNote:  Refer to Table 7of SHI- TM-10011 -FM01.
oPerform all manipulations of reagents and active virus in a Level II biosafety 
cabinet within the BSL -3 laboratory using sterile techniques.
oIn BSC add 30 μl diluted SARS -CoV2 -mNG virus. 1µl reporter virus + 29µl 
media/well (phenol red free). Any new batch of virus should be tested before 
use. Use the volume of virus that can cause about 30% infection rate at 24 h 
post- infection. 
oComplete Viral Stock Solution (VSS) Table; verify with another analyst.
oRemove the appropriate number of frozen viral stock vials from -80 °C 
freezer.
oThaw virus in distilled water at room temperature.
oIf multiple vials are needed, pool all vi als into a larger tube and pipette up and 
down 3 times to ensure proper mixing.
oLabel a sterile bottle “VSS”.  Add the appropriate volume of Assay Media.
oAdd the appropriate volume of SARS -CoV-2-mNG into VSS bottle and gently 
swirl to mix.
9.2.4. Addition of Vira l Stock Solution to SA Ps and Neutralization of Virus
oTransfer diluted virus to the 25ml reservoir to facilitate the use of a 
multichannel pipette (each plate needs ~2ml, 60 wellsx30µl=1800µ, always 
make 1ml extra to the total volume to avoid running out)
oAdd 30μl of diluted virus to each well of the plate which containing diluted 
sera (SAP) .  Mix using an electronic 12 -channel pipette (settings, P/M, 30/50, 
speed 6/4, 5X), after each column discard the tips
oIncubate at 37°C /5% CO 2for 1 hour.  
oRecord the start and end times for this incubation in Table 8 in SHI -TM-
10011 -FM01.
9.2.5. Transfer Neutralization Reaction onto ROPs and Decontamination of 
SAPs
oNote:  Refer to Table 9of SHI- TM-10011 -FM01.
oRemove ROPs from incubator.
oTransfer 50μl virus -Ab diluted plate (SAP) to 96 -well plate seeded on day 0
(ROP) (plates containing cells 1.2x104 in 50 μl/well, after adding the diluted 
reporter virus the total volume of each well will be 100µl).  Mix using an 
electronic 12 -channel pipette (settings, P, 50/80, speed 3/3, 3X), after each 
column discard the tips.  Note: do not touch the bottom of the plate, add the 
mixture on the side of the well, make sure the pipette tip is touching the media 
to avoid making bubbles when mixing.  It is very important to avoid bubbles, 
mix well, and do not disturb the cells to get an even infection.
FDA-CBER-2021-5683-0142301
UTMB -Shi Lab SOP
TITLE: Manual 96 -well Neutralization Assay for the Detection of Functional Antibodies to 
SARS -CoV-2 in Test Serum using Cytation 7 Image Reader
Doc. Number: SHI -SOP -10011    Version: 2.0
UTMB -Shi Lab CONFIDENTIAL
Page 12
oROP.  Cells+Ab+reporter plate set up (black plate)
12 3 4 5 6 7 8 9 10 11 12
A
Sample 1 B +V +V +V +V +V +V +V +V +V +V Novirus
Sample 1 C +V +V +V +V +V +V +V +V +V +V Novirus
Sample 2 D +V +V +V +V +V +V +V +V +V +V Novirus
Sample 2 E +V +V +V +V +V +V +V +V +V +V Novirus
Sample 3 F +V +V +V +V +V +V +V +V +V +V Novirus
Sample 3 G +V +V +V +V +V +V +V +V +V +V Novirus
H
oIncubate ROPs at 37°C 5% CO 2for 16 -24HR.
oRecord the time the ROPs were placed in incubator in Table 9 of SHI-TM-
10011 -FM01.
9.3. Day 2: A cquire images
oNote:  Refer to Tables 10 -12 of SHI-TM-10011-FM01.
oAt 16 -24 h post -infection, read the plate using Cytation 7 Cell Imaging Multi -
Mode Reader
oPrior to imaging, carefully examine the instrument CytationTM 7, bioStackTM 
4 robotor and the workplace. Please ensure no used plates or any boxes 
blocking the plate carrier. 
oPower on the instrument, wait about 5 minutes to warm up the instrument. 
Green light will show on the machine if instrument if it is ready. Open the 
Gen5 software from the instrument attached computer and make sure the 
software communicates with the instrument. Choose the right program for 
reading (Since all the reading will be performed with plate lid -on, please make 
sure the lid has been selected in your program). 
oIf the bioStackTM 4 is going to be used for your experiment, place test -plates 
(set of empty plates dedicated for testing only) on the bioStackTM 4 robotor 
FDA-CBER-2021-5683-0142302
UTMB -Shi Lab SOP
TITLE: Manual 96 -well Neutralization Assay for the Detection of Functional Antibodies to 
SARS -CoV-2 in Test Serum using Cytation 7 Image Reader
Doc. Number: SHI -SOP -10011    Version: 2.0
UTMB -Shi Lab CONFIDENTIAL
Page 13
and run a quick test to verify the system and protocol.  Ensure the 
bioStackTM 4 robotor transfers the plates smoothly.  
oIf the instrument is under any abnormal conditions, do not use the instrument. 
Notify the lab manager or PI immediately. 
oWeekly System Checks and Calibration plate instructions are described in 
SHI-SHOP -10006
9.3.1. Preparation and A ddition of Hoechst 33342 Solution to ROPs
oCarefully transfer the plates in a secondary container from the incubator to 
the biosafety cabinet. 
oAdd 25 μl diluted Hoechst 33342 Solution (500 -fold in HBSS) to each well of 
the 96 -well plates.  
oSeal the plates carefully with films. 
oIncubate plate at 37°C for about 20 minutes.  
9.3.2. Image A cquisition and Counting on the Cytation 7
oAfter surface decontamination with calvicide, carefully transfer the plate with a 
secondary container to CytationTM 7 or BioStackTM 4 to acquire images by 
following the operation manual attached to the instrument.
oThe individual who performed scanning and counting completes the “Cytation 
7 Analyst” section of Table 1 of SHI-TM-10011-FM01andenters the date that 
these steps were completed.
oAt the end of the experiment, remove the plate from the carrier and transfer it 
to the biosafety cabinet. Use 70% ethan ol to wipe out the plate carrier. And 
power off the instrument. Disinfect and dispose all the plates and liquid 
properly according to the laboratory waste disposal procedures.
9.4. Analysis of Data and Calculation of SA RS-CoV-2_NT Titers
oThe individual who perf orms data analysis completes the “SAS Operator/Data 
Analyst” section on Table 1 of SHI-TM-10011 -FM01 and enters the date the 
steps were completed.
oSARS -CoV-2_NT serum titers are calculated, and data is interpreted 
according to the instructions outlined in SHI-SOP- 10011
oComplete Table 14 of SHI-TM-10011 -FM01.
9.5. SARS-CoV-2_NT Data and Document Review
oThe individual who performs data and document review completes the 
“Reviewer” section on Table 1 of SHI-TM-10011-FM01 and enters the date 
the steps were completed. 
oAssembly of SARS -CoV-2_NT data packages, review of worksheets to 
confirm that proper documentation practices are followed, and review and 
processing of data are described in SHI -SOP -10012. Checklists and 
comments for the documentation reviews are provided in SHI-TM-10011 -
FM01 Tables 15 and 16.
FDA-CBER-2021-5683-0142303
UTMB -Shi Lab SOP
TITLE: Manual 96 -well Neutralization Assay for the Detection of Functional Antibodies to 
SARS -CoV-2 in Test Serum using Cytation 7 Image Reader
Doc. Number: SHI -SOP -10011    Version: 2.0
UTMB -Shi Lab CONFIDENTIAL
Page 14
10.REFERENCES
Xie X, Muruato M, Lokugamage KG et al, An Infectious cDNA Clone of SARS -CoV -2. Cell 
Host &  Microbe 2020, 27 (5): 841 -848.
Table 6. Form References
Document Title
SHI-SOP- 10011 NT50 and NT90 calculations for SARS -CoV-2 
Neutralization Assay
SHI-SOP -10012 Data transferring between UTMB and Pfizer
SHI-SOP -10006 Equipment Management
SHI-TM-10011 -FM01 Manual 96 -well SARS -CoV-2 Neutralization Assay 
Worksheet
SHI-TM-10011 -FM02 Manua l Sample Preparation for the 96-well SARS -
CoV-2 Neutralization Assay W orksheet
11.DOCUMENT VERSION MODIFICA TIONS
Table 7.  Detailed Changes
List detailed changes for documents List rationale for each change
N/A N/A
FDA-CBER-2021-5683-0142304
UTMB -Shi Lab SOP
TITLE: Manual 96 -well Neutralization Assay for the Detection of Functional Antibodies 
to SARS -CoV-2 in Test Serum using Cytation 7 Image Reader
Doc. Number: SHI -SOP -10011    Version: 2.0
UTMB -Shi Lab CONFIDENTIAL
Page 15
                                           Document A pproval Record
SHI-SOP -10011
Manual 96 -well Neutralization Assay for the Detection of 
Functional Antibodies to SARS -CoV-2 in Test Serum using 
Cytation 7 Image Reader
Signed By: Date Signing Capacity
Fontes, Camila 20200 614 Author Approval
Shi, Pei -Yong Final ApprovalDocument Name: 
Document Title:
FDA-CBER-2021-5683-0142305
UTMB -Shi Lab SOP
TITLE: Manual 96 -well Neutralization Assay for the Detection of Functional Antibodies 
to SARS -CoV-2 in Test Serum using Cytation 7 Image Reader
Doc. Number: SHI -SOP -10011    Version: 2.0
UTMB -Shi Lab CONFIDENTIAL
Page 16
PERSONS TRAINED IN THIS PROTOCOL:
The following persons state that they have read and understood the protocol and the risk 
assessment and have been properly trained in the procedures.
Name: Date: Signature: Name and Signature of
Trainer:
FDA-CBER-2021-5683-0142306