Detection of infliximab levels and anti-infliximab antibodies: a comparison of three different assays

Summary Background Formation of antibodies to infliximab (ATI) inversely correlates with functional drug levels and clinical outcome. Comparison of drug levels and anti‐drug antibody monitoring is hampered by lack of standardisation. Aim To determine the correlation between three different assays fo...

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Veröffentlicht in:Alimentary pharmacology & therapeutics 2012-10, Vol.36 (8), p.765-771
Hauptverfasser: Vande Casteele, N., Buurman, D. J., Sturkenboom, M. G. G., Kleibeuker, J. H., Vermeire, S., Rispens, T., van der Kleij, D., Gils, A., Dijkstra, G.
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container_end_page 771
container_issue 8
container_start_page 765
container_title Alimentary pharmacology & therapeutics
container_volume 36
creator Vande Casteele, N.
Buurman, D. J.
Sturkenboom, M. G. G.
Kleibeuker, J. H.
Vermeire, S.
Rispens, T.
van der Kleij, D.
Gils, A.
Dijkstra, G.
description Summary Background Formation of antibodies to infliximab (ATI) inversely correlates with functional drug levels and clinical outcome. Comparison of drug levels and anti‐drug antibody monitoring is hampered by lack of standardisation. Aim To determine the correlation between three different assays for measuring infliximab and ATI. Methods Serum samples and spiked controls (total 62) were evaluated in a blinded way in infliximab and ATI assays developed by Sanquin Amsterdam, Netherlands (A), Laboratory for Pharmaceutical Biology, KU Leuven, Belgium (B) and a commercially available kit from Biomedical Diagnostics (BMD), Paris, France (C) performed by the University Medical Center Groningen (UMCG), Netherlands. Results All infliximab assays showed a linear quantitative correlation (Pearson r = 0.91 for A vs. B, 0.83 for A vs. C and 0.73 for B vs. C). Assay C detected infliximab in 11 samples (18%) not detected by A and B, including samples containing only ATI. All ATI assays showed a good linear correlation (Pearson r = 0.95 for A vs. B, 0.99 for A vs. C and 0.97 for B vs. C). Assay A detected ATI in five samples with low ATI that were not detected by assays B and C. Assay B did not detect ATI in three patient samples with low ATI according to assays A and C. Conclusions There is a good correlation of infliximab and antibodies to infliximab measurements between these assays. Nevertheless, the Biomedical Diagnostics kit detected false positive infliximab levels in 18% of the samples.
doi_str_mv 10.1111/apt.12030
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J. ; Sturkenboom, M. G. G. ; Kleibeuker, J. H. ; Vermeire, S. ; Rispens, T. ; van der Kleij, D. ; Gils, A. ; Dijkstra, G.</creator><creatorcontrib>Vande Casteele, N. ; Buurman, D. J. ; Sturkenboom, M. G. G. ; Kleibeuker, J. H. ; Vermeire, S. ; Rispens, T. ; van der Kleij, D. ; Gils, A. ; Dijkstra, G.</creatorcontrib><description>Summary Background Formation of antibodies to infliximab (ATI) inversely correlates with functional drug levels and clinical outcome. Comparison of drug levels and anti‐drug antibody monitoring is hampered by lack of standardisation. Aim To determine the correlation between three different assays for measuring infliximab and ATI. Methods Serum samples and spiked controls (total 62) were evaluated in a blinded way in infliximab and ATI assays developed by Sanquin Amsterdam, Netherlands (A), Laboratory for Pharmaceutical Biology, KU Leuven, Belgium (B) and a commercially available kit from Biomedical Diagnostics (BMD), Paris, France (C) performed by the University Medical Center Groningen (UMCG), Netherlands. Results All infliximab assays showed a linear quantitative correlation (Pearson r = 0.91 for A vs. B, 0.83 for A vs. C and 0.73 for B vs. C). Assay C detected infliximab in 11 samples (18%) not detected by A and B, including samples containing only ATI. All ATI assays showed a good linear correlation (Pearson r = 0.95 for A vs. B, 0.99 for A vs. C and 0.97 for B vs. C). Assay A detected ATI in five samples with low ATI that were not detected by assays B and C. Assay B did not detect ATI in three patient samples with low ATI according to assays A and C. Conclusions There is a good correlation of infliximab and antibodies to infliximab measurements between these assays. Nevertheless, the Biomedical Diagnostics kit detected false positive infliximab levels in 18% of the samples.</description><identifier>ISSN: 0269-2813</identifier><identifier>EISSN: 1365-2036</identifier><identifier>DOI: 10.1111/apt.12030</identifier><identifier>PMID: 22928581</identifier><language>eng</language><publisher>Oxford: Blackwell Publishing Ltd</publisher><subject>Anti-Inflammatory Agents, Non-Steroidal - blood ; Anti-Inflammatory Agents, Non-Steroidal - immunology ; Antibodies - blood ; Antibodies, Monoclonal - blood ; Antibodies, Monoclonal - immunology ; Antigen-Antibody Reactions ; Biological and medical sciences ; Biomarkers - blood ; Digestive system ; False Positive Reactions ; Gastroenterology. Liver. Pancreas. Abdomen ; Humans ; Immunoassay - methods ; Infliximab ; Medical sciences ; Pharmacology. 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J.</creatorcontrib><creatorcontrib>Sturkenboom, M. G. G.</creatorcontrib><creatorcontrib>Kleibeuker, J. H.</creatorcontrib><creatorcontrib>Vermeire, S.</creatorcontrib><creatorcontrib>Rispens, T.</creatorcontrib><creatorcontrib>van der Kleij, D.</creatorcontrib><creatorcontrib>Gils, A.</creatorcontrib><creatorcontrib>Dijkstra, G.</creatorcontrib><title>Detection of infliximab levels and anti-infliximab antibodies: a comparison of three different assays</title><title>Alimentary pharmacology &amp; therapeutics</title><addtitle>Aliment Pharmacol Ther</addtitle><description>Summary Background Formation of antibodies to infliximab (ATI) inversely correlates with functional drug levels and clinical outcome. Comparison of drug levels and anti‐drug antibody monitoring is hampered by lack of standardisation. Aim To determine the correlation between three different assays for measuring infliximab and ATI. Methods Serum samples and spiked controls (total 62) were evaluated in a blinded way in infliximab and ATI assays developed by Sanquin Amsterdam, Netherlands (A), Laboratory for Pharmaceutical Biology, KU Leuven, Belgium (B) and a commercially available kit from Biomedical Diagnostics (BMD), Paris, France (C) performed by the University Medical Center Groningen (UMCG), Netherlands. Results All infliximab assays showed a linear quantitative correlation (Pearson r = 0.91 for A vs. B, 0.83 for A vs. C and 0.73 for B vs. C). Assay C detected infliximab in 11 samples (18%) not detected by A and B, including samples containing only ATI. All ATI assays showed a good linear correlation (Pearson r = 0.95 for A vs. B, 0.99 for A vs. C and 0.97 for B vs. C). Assay A detected ATI in five samples with low ATI that were not detected by assays B and C. Assay B did not detect ATI in three patient samples with low ATI according to assays A and C. Conclusions There is a good correlation of infliximab and antibodies to infliximab measurements between these assays. Nevertheless, the Biomedical Diagnostics kit detected false positive infliximab levels in 18% of the samples.</description><subject>Anti-Inflammatory Agents, Non-Steroidal - blood</subject><subject>Anti-Inflammatory Agents, Non-Steroidal - immunology</subject><subject>Antibodies - blood</subject><subject>Antibodies, Monoclonal - blood</subject><subject>Antibodies, Monoclonal - immunology</subject><subject>Antigen-Antibody Reactions</subject><subject>Biological and medical sciences</subject><subject>Biomarkers - blood</subject><subject>Digestive system</subject><subject>False Positive Reactions</subject><subject>Gastroenterology. Liver. Pancreas. Abdomen</subject><subject>Humans</subject><subject>Immunoassay - methods</subject><subject>Infliximab</subject><subject>Medical sciences</subject><subject>Pharmacology. 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H. ; Vermeire, S. ; Rispens, T. ; van der Kleij, D. ; Gils, A. ; Dijkstra, G.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4590-f976e632e2566eb49f7e0ac3c1663f20ec4aa7656150c43dda75d78d306166443</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2012</creationdate><topic>Anti-Inflammatory Agents, Non-Steroidal - blood</topic><topic>Anti-Inflammatory Agents, Non-Steroidal - immunology</topic><topic>Antibodies - blood</topic><topic>Antibodies, Monoclonal - blood</topic><topic>Antibodies, Monoclonal - immunology</topic><topic>Antigen-Antibody Reactions</topic><topic>Biological and medical sciences</topic><topic>Biomarkers - blood</topic><topic>Digestive system</topic><topic>False Positive Reactions</topic><topic>Gastroenterology. Liver. Pancreas. Abdomen</topic><topic>Humans</topic><topic>Immunoassay - methods</topic><topic>Infliximab</topic><topic>Medical sciences</topic><topic>Pharmacology. Drug treatments</topic><topic>Reagent Kits, Diagnostic - standards</topic><topic>Statistics as Topic</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Vande Casteele, N.</creatorcontrib><creatorcontrib>Buurman, D. J.</creatorcontrib><creatorcontrib>Sturkenboom, M. G. G.</creatorcontrib><creatorcontrib>Kleibeuker, J. H.</creatorcontrib><creatorcontrib>Vermeire, S.</creatorcontrib><creatorcontrib>Rispens, T.</creatorcontrib><creatorcontrib>van der Kleij, D.</creatorcontrib><creatorcontrib>Gils, A.</creatorcontrib><creatorcontrib>Dijkstra, G.</creatorcontrib><collection>Istex</collection><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Alimentary pharmacology &amp; therapeutics</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Vande Casteele, N.</au><au>Buurman, D. J.</au><au>Sturkenboom, M. G. G.</au><au>Kleibeuker, J. H.</au><au>Vermeire, S.</au><au>Rispens, T.</au><au>van der Kleij, D.</au><au>Gils, A.</au><au>Dijkstra, G.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Detection of infliximab levels and anti-infliximab antibodies: a comparison of three different assays</atitle><jtitle>Alimentary pharmacology &amp; therapeutics</jtitle><addtitle>Aliment Pharmacol Ther</addtitle><date>2012-10</date><risdate>2012</risdate><volume>36</volume><issue>8</issue><spage>765</spage><epage>771</epage><pages>765-771</pages><issn>0269-2813</issn><eissn>1365-2036</eissn><abstract>Summary Background Formation of antibodies to infliximab (ATI) inversely correlates with functional drug levels and clinical outcome. Comparison of drug levels and anti‐drug antibody monitoring is hampered by lack of standardisation. Aim To determine the correlation between three different assays for measuring infliximab and ATI. Methods Serum samples and spiked controls (total 62) were evaluated in a blinded way in infliximab and ATI assays developed by Sanquin Amsterdam, Netherlands (A), Laboratory for Pharmaceutical Biology, KU Leuven, Belgium (B) and a commercially available kit from Biomedical Diagnostics (BMD), Paris, France (C) performed by the University Medical Center Groningen (UMCG), Netherlands. Results All infliximab assays showed a linear quantitative correlation (Pearson r = 0.91 for A vs. B, 0.83 for A vs. C and 0.73 for B vs. C). Assay C detected infliximab in 11 samples (18%) not detected by A and B, including samples containing only ATI. All ATI assays showed a good linear correlation (Pearson r = 0.95 for A vs. B, 0.99 for A vs. C and 0.97 for B vs. C). Assay A detected ATI in five samples with low ATI that were not detected by assays B and C. Assay B did not detect ATI in three patient samples with low ATI according to assays A and C. Conclusions There is a good correlation of infliximab and antibodies to infliximab measurements between these assays. Nevertheless, the Biomedical Diagnostics kit detected false positive infliximab levels in 18% of the samples.</abstract><cop>Oxford</cop><pub>Blackwell Publishing Ltd</pub><pmid>22928581</pmid><doi>10.1111/apt.12030</doi><tpages>7</tpages></addata></record>
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subjects Anti-Inflammatory Agents, Non-Steroidal - blood
Anti-Inflammatory Agents, Non-Steroidal - immunology
Antibodies - blood
Antibodies, Monoclonal - blood
Antibodies, Monoclonal - immunology
Antigen-Antibody Reactions
Biological and medical sciences
Biomarkers - blood
Digestive system
False Positive Reactions
Gastroenterology. Liver. Pancreas. Abdomen
Humans
Immunoassay - methods
Infliximab
Medical sciences
Pharmacology. Drug treatments
Reagent Kits, Diagnostic - standards
Statistics as Topic
title Detection of infliximab levels and anti-infliximab antibodies: a comparison of three different assays
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