Evidence map›Paper›PMID 42142340›Full record

ArticleBioanalysis2026

Cut point validation vs. real-world performance: the ultra-low cut point dilemma.

Lindsay Denhoff, Cansu Dernek, Liam Heins, Chong Gu, Allie Renfro, Stephanie Pasas-Farmer, Robert Kernstock

Abstract read
In one paragraph

Article in Bioanalysis, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Lindsay DenhoffBioanalytical Laboratories, ICON plc, Whitesboro, NY, USA.
Cansu DernekBioanalysis, Accurant Biotech Inc, Princeton, NJ, USA.
Liam HeinsBioData Solutions, LLC, Lawrence, KS, USA.
Chong GuBioData Solutions, LLC, Lawrence, KS, USA.
Allie RenfroBioData Solutions, LLC, Lawrence, KS, USA.
Stephanie Pasas-FarmerBioData Solutions, LLC, Lawrence, KS, USA.
Robert KernstockClinical BioAnalysis, Astellas Research Institute of America, LLC, Northbrook, IL, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Cut point determination is a critical component in the development and validation of antidrug antibody (ADA) assays, directly influencing the assessment of immunogenic responses. Removal of analytical and biological outliers from employing Tukey's outlier test may lead to reduced variability and consequently low or ultra-low cut points (ULCPs, defined here as signal-to-noise ratios ≤1.10). Such ULCPs raise concerns about assay reliability and the potential for elevated false-positive rates. To evaluate this, we analyzed ADA studies from two contract research organizations employing ULCPs. Given the heightened assay sensitivity from modern platforms and reagents, our findings indicate that ULCPs do not inherently compromise ADA assay performance or reliability. These results support the continued use of ULCPs when appropriately validated and statistically justified.

Indexed as

AntibodiesHumansReproducibility of ResultsSignal-To-Noise RatioAntibodiesantidrug antibody (ADA) assayscut pointsImmunogenicitylow cut points

Identifiers

PMID42142340
PMCPMC13215314

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.