An anti-Anthrax Vaccine Adsorbed (anti-AVA) standard human reference serum pool, AVR414, has been prepared, and the total and protective antigen (PA)-specific immunoglobulin G (IgG) were quantified. AVR414 was prepared by plasmapheresis of healthy adults who had received a minimum of four subcutaneous injections of AVA. Mass values (in milligrams per milliliter) for total IgG and IgG subclasses 1 to 4 were determined by radial immunodiffusion. Anti-PA-specific IgG assignment (in micrograms per milliliter) was done by consensus of two complementary approaches: homologous enzyme-linked immunosorbent assay (ELISA) with affinity-purified anti-PA IgG as a calibrator and summation of mean PA-specific IgG subclass concentrations determined by IgG subclass-specific ELISA using the United States National Reference Preparation for Human Serum Proteins as a standard. The total IgG concentration assigned to AVR414 reference serum was 8.33 mg/ml. IgG subclass concentrations were the following: for IgG1, 4.48 mg/ml; for IgG2, 3.35 mg/ml; for IgG3, 0.37 mg/ml; and for IgG4, 0.30 mg/ml. The assigned mass value for total anti-PA-specific IgG was 141.2 g/ml. Anti-PA-specific IgG subclass concentrations were the following: for IgG1, 79.6 g/ml; for IgG2, 35.3 g/ml; for IgG3, 3.2 g/ml; and for IgG4, 25.3 g/ml. Human reference serum pool AVR414 will have direct application in the standardization of anthrax serological assays, in reagent qualification, and as a standard for quantification of PA-specific IgG in humans who have been vaccinated with or otherwise exposed to Bacillus anthracis PA.The immune response to anthrax toxin protective antigen (PA) is central to protection against anthrax (19,20). Immunoglobulin G (IgG) is the most abundant immunoglobulin in human serum and provides the dominant immune response to protein antigens after vaccination with multiple injections (16, 16a). Measurement of anti-PA IgG antibody is therefore an appropriate marker of human immune responses to Bacillus anthracis infection and anthrax vaccines. A lack of assay standardization and qualified reagents has been a major obstacle to the comparative analysis of human serological responses to clinical anthrax and anthrax vaccines. Compounding this problem are variations in antigen selection, preparation, and purity; variations in assay methodology and end point determination between laboratories; the diversity of antibodies in polyclonal serum; and the absence of a suitable standard reference serum (32). In 2001, the Centers for Disease Control and Prevention (CDC; Atlanta, Ga.) initiated the Anthrax Vaccine Research Program to determine the feasibility of reducing the number of priming series doses of the licensed Anthrax Vaccine Adsorbed (AVA or BioThrax; BioPort Corp., Lansing, Mich.) (17,26,27) from six to three and changing the route of administration from subcutaneous (s.c.) to intramuscular (28) without reducing the vaccine's immunogenicity. The Anthrax Vaccine Research Program required the development of precise, accurate, specific, and sensiti...