BAY 81-8973, a full-length recombinant factor VIII: results from an International comparative laboratory field study

Introduction BAY 81‐8973 is a full‐length, unmodified, recombinant human factor VIII (FVIII) with the same primary amino acid sequence as sucrose‐formulated recombinant FVIII but produced with certain more advanced manufacturing technologies. Aim This global laboratory study evaluated variability in...

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Veröffentlicht in:Haemophilia : the official journal of the World Federation of Hemophilia 2016-05, Vol.22 (3), p.e192-e199
Hauptverfasser: Kitchen, S., Beckmann, H., Katterle, Y., Bruns, S., Tseneklidou-Stoeter, D., Maas Enriquez, M.
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container_issue 3
container_start_page e192
container_title Haemophilia : the official journal of the World Federation of Hemophilia
container_volume 22
creator Kitchen, S.
Beckmann, H.
Katterle, Y.
Bruns, S.
Tseneklidou-Stoeter, D.
Maas Enriquez, M.
description Introduction BAY 81‐8973 is a full‐length, unmodified, recombinant human factor VIII (FVIII) with the same primary amino acid sequence as sucrose‐formulated recombinant FVIII but produced with certain more advanced manufacturing technologies. Aim This global laboratory study evaluated variability in measurement of BAY 81‐8973 using one‐stage and chromogenic assays compared with antihaemophilic factor (recombinant) plasma/albumin‐free method (rAHF‐PFM; Advate®) under assay conditions routinely used in clinical laboratories. Methods BAY 81‐8973 or rAHF‐PFM was spiked into FVIII‐deficient plasma at 0.043 (low), 0.375 (medium) and 0.865 (normal) IU mL−1. Participating laboratories analysed blinded samples and normal plasma in triplicate using their routine assay, reagents and standards. Results were analysed for intra‐ and interlaboratory variability. Results Forty‐one laboratories in 11 countries participated in the study. One‐stage assay and chromogenic assays were used by 40 and 10 laboratories, respectively; 9 laboratories used both assays. Intralaboratory variability was
doi_str_mv 10.1111/hae.12925
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Aim This global laboratory study evaluated variability in measurement of BAY 81‐8973 using one‐stage and chromogenic assays compared with antihaemophilic factor (recombinant) plasma/albumin‐free method (rAHF‐PFM; Advate®) under assay conditions routinely used in clinical laboratories. Methods BAY 81‐8973 or rAHF‐PFM was spiked into FVIII‐deficient plasma at 0.043 (low), 0.375 (medium) and 0.865 (normal) IU mL−1. Participating laboratories analysed blinded samples and normal plasma in triplicate using their routine assay, reagents and standards. Results were analysed for intra‐ and interlaboratory variability. Results Forty‐one laboratories in 11 countries participated in the study. One‐stage assay and chromogenic assays were used by 40 and 10 laboratories, respectively; 9 laboratories used both assays. Intralaboratory variability was &lt;11% for both assays and both products at all concentrations. Interlaboratory variability was highest at the low concentration in the chromogenic and one‐stage assay for BAY 81‐8973 (60.0% and 33.7%, respectively) and rAHF‐PFM (51.0% and 30.8%) and was lowest at the normal concentration (BAY 81‐8973, 5.4% and 14.0%; rAHF‐PFM, 5.8% and 12.4%), which was similar to the plasma control (6.6% and 10.3%). The chromogenic:one‐stage assay ratio ranged from 0.95 (low concentration) to 1.10 (normal concentration) for BAY 81‐8973 and 0.96–1.18 for rAHF‐PFM. Conclusions BAY 81‐8973 can be accurately measured in plasma using the one‐stage and chromogenic assays routinely used in clinical laboratories without a product‐specific standard.</description><identifier>ISSN: 1351-8216</identifier><identifier>EISSN: 1365-2516</identifier><identifier>DOI: 10.1111/hae.12925</identifier><identifier>PMID: 27030173</identifier><language>eng</language><publisher>England: Blackwell Publishing Ltd</publisher><subject>Advanced manufacturing technologies ; Amino acid sequence ; chromogenic assay ; Coagulation factors ; factor VIII ; Factor VIII - analysis ; Factor VIII - therapeutic use ; field study ; Hemophilia A - drug therapy ; Humans ; International Cooperation ; Laboratories ; Medical laboratories ; Observer Variation ; one-stage assay ; Pharmaceutical Preparations - analysis ; Plasma ; Plasma - chemistry ; postinfusion monitoring ; recombinant factor VIII ; Recombinant Proteins - analysis ; Recombinant Proteins - therapeutic use ; Sucrose</subject><ispartof>Haemophilia : the official journal of the World Federation of Hemophilia, 2016-05, Vol.22 (3), p.e192-e199</ispartof><rights>2016 The Authors. Published by John Wiley &amp; Sons Ltd.</rights><rights>2016 The Authors. Haemophilia Published by John Wiley &amp; Sons Ltd.</rights><rights>2016. This article is published under http://creativecommons.org/licenses/by-nc/4.0/ (the “License”). 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Aim This global laboratory study evaluated variability in measurement of BAY 81‐8973 using one‐stage and chromogenic assays compared with antihaemophilic factor (recombinant) plasma/albumin‐free method (rAHF‐PFM; Advate®) under assay conditions routinely used in clinical laboratories. Methods BAY 81‐8973 or rAHF‐PFM was spiked into FVIII‐deficient plasma at 0.043 (low), 0.375 (medium) and 0.865 (normal) IU mL−1. Participating laboratories analysed blinded samples and normal plasma in triplicate using their routine assay, reagents and standards. Results were analysed for intra‐ and interlaboratory variability. Results Forty‐one laboratories in 11 countries participated in the study. One‐stage assay and chromogenic assays were used by 40 and 10 laboratories, respectively; 9 laboratories used both assays. Intralaboratory variability was &lt;11% for both assays and both products at all concentrations. Interlaboratory variability was highest at the low concentration in the chromogenic and one‐stage assay for BAY 81‐8973 (60.0% and 33.7%, respectively) and rAHF‐PFM (51.0% and 30.8%) and was lowest at the normal concentration (BAY 81‐8973, 5.4% and 14.0%; rAHF‐PFM, 5.8% and 12.4%), which was similar to the plasma control (6.6% and 10.3%). The chromogenic:one‐stage assay ratio ranged from 0.95 (low concentration) to 1.10 (normal concentration) for BAY 81‐8973 and 0.96–1.18 for rAHF‐PFM. Conclusions BAY 81‐8973 can be accurately measured in plasma using the one‐stage and chromogenic assays routinely used in clinical laboratories without a product‐specific standard.</description><subject>Advanced manufacturing technologies</subject><subject>Amino acid sequence</subject><subject>chromogenic assay</subject><subject>Coagulation factors</subject><subject>factor VIII</subject><subject>Factor VIII - analysis</subject><subject>Factor VIII - therapeutic use</subject><subject>field study</subject><subject>Hemophilia A - drug therapy</subject><subject>Humans</subject><subject>International Cooperation</subject><subject>Laboratories</subject><subject>Medical laboratories</subject><subject>Observer Variation</subject><subject>one-stage assay</subject><subject>Pharmaceutical Preparations - analysis</subject><subject>Plasma</subject><subject>Plasma - chemistry</subject><subject>postinfusion monitoring</subject><subject>recombinant factor VIII</subject><subject>Recombinant Proteins - analysis</subject><subject>Recombinant Proteins - therapeutic use</subject><subject>Sucrose</subject><issn>1351-8216</issn><issn>1365-2516</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2016</creationdate><recordtype>article</recordtype><sourceid>24P</sourceid><sourceid>WIN</sourceid><sourceid>EIF</sourceid><recordid>eNqNkUtv1DAUhS0Eog9Y8AeQJTYgkdaP2EnYzYxKJ1IFSLwEG8tOrmmKEw-2U5h_j4dpu0BCwhtfy985ukcHoSeUnNB8Ti81nFDWMHEPHVIuRcEElfd3s6BFzag8QEcxXhFCOSPyITpgFeGEVvwQpeXiC64z1VT8JdbYzs4VDqZv6RIH6PxohklPCVvdJR_wp7ZtX-WPOLsUsQ1-xHrC7ZQgTDoNftIOZ9FGh_y6Buy08Xn0YYvtAK7HMc399hF6YLWL8PjmPkYfX599WK2Li7fn7WpxUXSlaERhGmN7AKolF6y2tekaU2lRSglGWl43tjeE1ZqxHiQtgfQ8rwmMlV3f78Ieo-d7303wP2aISY1D7MA5PYGfo6I1qWXFJf0PtGpIKUoqSEaf_YVe-TnHd1ExQRpWcibqTL3YU13wMQawahOGUYetokTtWlO5NfWntcw-vXGczQj9HXlbUwZO98DPwcH2305qvTi7tSz2iiEm-HWn0OG7yokroT6_OVdLsl4tv75_p9b8NwiursQ</recordid><startdate>201605</startdate><enddate>201605</enddate><creator>Kitchen, S.</creator><creator>Beckmann, H.</creator><creator>Katterle, Y.</creator><creator>Bruns, S.</creator><creator>Tseneklidou-Stoeter, D.</creator><creator>Maas Enriquez, M.</creator><general>Blackwell Publishing Ltd</general><general>Wiley Subscription Services, Inc</general><scope>BSCLL</scope><scope>24P</scope><scope>WIN</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7T5</scope><scope>8FD</scope><scope>FR3</scope><scope>H94</scope><scope>P64</scope><scope>RC3</scope><scope>7X8</scope></search><sort><creationdate>201605</creationdate><title>BAY 81-8973, a full-length recombinant factor VIII: results from an International comparative laboratory field study</title><author>Kitchen, S. ; Beckmann, H. ; Katterle, Y. ; Bruns, S. ; Tseneklidou-Stoeter, D. ; Maas Enriquez, M.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4595-b9bfdee1a63528f8bc9b7a5466eb6f389fdb028a22de614e0d3face224cdd0013</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2016</creationdate><topic>Advanced manufacturing technologies</topic><topic>Amino acid sequence</topic><topic>chromogenic assay</topic><topic>Coagulation factors</topic><topic>factor VIII</topic><topic>Factor VIII - analysis</topic><topic>Factor VIII - therapeutic use</topic><topic>field study</topic><topic>Hemophilia A - drug therapy</topic><topic>Humans</topic><topic>International Cooperation</topic><topic>Laboratories</topic><topic>Medical laboratories</topic><topic>Observer Variation</topic><topic>one-stage assay</topic><topic>Pharmaceutical Preparations - analysis</topic><topic>Plasma</topic><topic>Plasma - chemistry</topic><topic>postinfusion monitoring</topic><topic>recombinant factor VIII</topic><topic>Recombinant Proteins - analysis</topic><topic>Recombinant Proteins - therapeutic use</topic><topic>Sucrose</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Kitchen, S.</creatorcontrib><creatorcontrib>Beckmann, H.</creatorcontrib><creatorcontrib>Katterle, Y.</creatorcontrib><creatorcontrib>Bruns, S.</creatorcontrib><creatorcontrib>Tseneklidou-Stoeter, D.</creatorcontrib><creatorcontrib>Maas Enriquez, M.</creatorcontrib><collection>Istex</collection><collection>Wiley Online Library Open Access</collection><collection>Wiley Free Content</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Immunology Abstracts</collection><collection>Technology Research Database</collection><collection>Engineering Research Database</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>Genetics Abstracts</collection><collection>MEDLINE - Academic</collection><jtitle>Haemophilia : the official journal of the World Federation of Hemophilia</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Kitchen, S.</au><au>Beckmann, H.</au><au>Katterle, Y.</au><au>Bruns, S.</au><au>Tseneklidou-Stoeter, D.</au><au>Maas Enriquez, M.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>BAY 81-8973, a full-length recombinant factor VIII: results from an International comparative laboratory field study</atitle><jtitle>Haemophilia : the official journal of the World Federation of Hemophilia</jtitle><addtitle>Haemophilia</addtitle><date>2016-05</date><risdate>2016</risdate><volume>22</volume><issue>3</issue><spage>e192</spage><epage>e199</epage><pages>e192-e199</pages><issn>1351-8216</issn><eissn>1365-2516</eissn><abstract>Introduction BAY 81‐8973 is a full‐length, unmodified, recombinant human factor VIII (FVIII) with the same primary amino acid sequence as sucrose‐formulated recombinant FVIII but produced with certain more advanced manufacturing technologies. Aim This global laboratory study evaluated variability in measurement of BAY 81‐8973 using one‐stage and chromogenic assays compared with antihaemophilic factor (recombinant) plasma/albumin‐free method (rAHF‐PFM; Advate®) under assay conditions routinely used in clinical laboratories. Methods BAY 81‐8973 or rAHF‐PFM was spiked into FVIII‐deficient plasma at 0.043 (low), 0.375 (medium) and 0.865 (normal) IU mL−1. Participating laboratories analysed blinded samples and normal plasma in triplicate using their routine assay, reagents and standards. Results were analysed for intra‐ and interlaboratory variability. Results Forty‐one laboratories in 11 countries participated in the study. One‐stage assay and chromogenic assays were used by 40 and 10 laboratories, respectively; 9 laboratories used both assays. Intralaboratory variability was &lt;11% for both assays and both products at all concentrations. Interlaboratory variability was highest at the low concentration in the chromogenic and one‐stage assay for BAY 81‐8973 (60.0% and 33.7%, respectively) and rAHF‐PFM (51.0% and 30.8%) and was lowest at the normal concentration (BAY 81‐8973, 5.4% and 14.0%; rAHF‐PFM, 5.8% and 12.4%), which was similar to the plasma control (6.6% and 10.3%). The chromogenic:one‐stage assay ratio ranged from 0.95 (low concentration) to 1.10 (normal concentration) for BAY 81‐8973 and 0.96–1.18 for rAHF‐PFM. Conclusions BAY 81‐8973 can be accurately measured in plasma using the one‐stage and chromogenic assays routinely used in clinical laboratories without a product‐specific standard.</abstract><cop>England</cop><pub>Blackwell Publishing Ltd</pub><pmid>27030173</pmid><doi>10.1111/hae.12925</doi><tpages>8</tpages><oa>free_for_read</oa></addata></record>
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identifier ISSN: 1351-8216
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source MEDLINE; Wiley Online Library Journals Frontfile Complete
subjects Advanced manufacturing technologies
Amino acid sequence
chromogenic assay
Coagulation factors
factor VIII
Factor VIII - analysis
Factor VIII - therapeutic use
field study
Hemophilia A - drug therapy
Humans
International Cooperation
Laboratories
Medical laboratories
Observer Variation
one-stage assay
Pharmaceutical Preparations - analysis
Plasma
Plasma - chemistry
postinfusion monitoring
recombinant factor VIII
Recombinant Proteins - analysis
Recombinant Proteins - therapeutic use
Sucrose
title BAY 81-8973, a full-length recombinant factor VIII: results from an International comparative laboratory field study
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