Twenty-nine laboratories in 12 countries participated in a study to assess the performance of various human papillomavirus (HPV) detection assays through the use of a recombinant HPV DNA standard reagent panel. Human papillomavirus (HPV) infection has been established as the major cause of cervical cancer in women (40,46). Among the nearly 100 types of papillomaviruses molecularly identified, about 30 different HPV types are found in cervical carcinomas (18). Epidemiological studies on the global prevalence of HPV types have shown that about 70% of cervical cancer cases are related to infections with two high-risk (HR) HPV types, namely HPV 16 and HPV 18. About 15% are related to HR HPV types 31, 33, 35, 45, 52, and 58, collectively, and approximately 15% are related to other less common types, with some geographical variations (2). Thus, to prevent cervical cancer, several candidate vaccines against HPV have been developed and are currently in clinical testing (5). Prophylactic HPV vaccine candidates are based on recombinant virus capsid proteins, so-called virus-like particles, and are designed to prevent infections by HPV types 16 and 18, the most common oncogenic types, as well as against the common types HPV 6 and HPV 11 that cause genital warts (1,8,16).It was recognized by a group of HPV experts that harmonization of HPV laboratory assays was required at the outset of the development and implementation of new HPV vaccines (41). The World Health Organization (WHO) establishes international biological standard materials and reference reagents for substances of biological origin used in prophylaxis and in therapy or diagnosis of human diseases. Hence, an international collaborative study was conducted to consider candidate reference reagents for type-specific HPV DNA assays (42,43).To assess the relative value of molecular detection methods, international proficiency panels are already widely used for several microorganisms including hepatitis A, B, and C and human immunodeficiency virus (HIV) (23,24,26,36). Unfortunately, there is no natural source of biological material to generate type-specific HPV standard reagents such as naturally infected or spiked serum or plasma pools used for hepatitis and HIV standards. Cervical scrapes or small genital biopsy specimens obtained for diagnosis of HPV-infected individuals often harbor multiple HPV types and provide only low numbers of HPV genomes. In addition, no adequate culture models or human cell lines containing episomal HPV genomes are readily available to generate reproducible epithelial cell-based HPV standards.The present international collaborative study was initiated to assess the performance of various HPV DNA detection assays and to examine the feasibility of generating HPV DNA standard reagents consisting of recombinant HPV DNA plasmids placed into a background of HPV-negative human cervical cells. Cloned HPV DNA standards such as those described here allow assessment of the analytic HPV assay sensitivity and