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Multicenter Analytical Evaluation of the Automated Electrochemiluminescence Immunoassay for Cyclosporine

Identifieur interne : 000231 ( Ncbi/Merge ); précédent : 000230; suivant : 000232

Multicenter Analytical Evaluation of the Automated Electrochemiluminescence Immunoassay for Cyclosporine

Auteurs : Michael Vogeser [Allemagne] ; Maria Shipkova [Allemagne] ; Raül Rigo-Bonnin [Espagne] ; Pierre Wallemacq [Belgique] ; Matthias Orth [Allemagne] ; Monika Widmann [Allemagne] ; Alain G. Verstraete [Belgique]

Source :

RBID : PMC:4218761

Abstract

Supplemental Digital Content is Available in the Text.


Url:
DOI: 10.1097/FTD.0000000000000068
PubMed: 24646730
PubMed Central: 4218761

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PMC:4218761

Le document en format XML

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<article-title>Multicenter Analytical Evaluation of the Automated Electrochemiluminescence Immunoassay for Cyclosporine</article-title>
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<name>
<surname>Vogeser</surname>
<given-names>Michael</given-names>
</name>
<degrees>Dr. med.</degrees>
<xref ref-type="aff" rid="aff1">*</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Shipkova</surname>
<given-names>Maria</given-names>
</name>
<degrees>Dr. med.</degrees>
<xref ref-type="aff" rid="aff2"></xref>
</contrib>
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<name>
<surname>Rigo-Bonnin</surname>
<given-names>Raül</given-names>
</name>
<degrees>PhD</degrees>
<xref ref-type="aff" rid="aff3"></xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Wallemacq</surname>
<given-names>Pierre</given-names>
</name>
<degrees>PhD</degrees>
<xref ref-type="aff" rid="aff4">§</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Orth</surname>
<given-names>Matthias</given-names>
</name>
<degrees>Dr. med.</degrees>
<xref ref-type="aff" rid="aff5"></xref>
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<contrib contrib-type="author">
<name>
<surname>Widmann</surname>
<given-names>Monika</given-names>
</name>
<degrees>ChTech</degrees>
<xref ref-type="aff" rid="aff6"></xref>
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<contrib contrib-type="author" corresp="yes">
<name>
<surname>Verstraete</surname>
<given-names>Alain G.</given-names>
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<degrees>Dr. med., PhD</degrees>
<xref ref-type="aff" rid="aff7">**</xref>
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<aff id="aff1">
<label>*</label>
Hospital of the University of Munich, Institute of Laboratory Medicine;</aff>
<aff id="aff2">
<label></label>
Central Institute of Clinical Chemistry and Laboratory Medicine, Klinikum-Stuttgart, Germany;</aff>
<aff id="aff3">
<label></label>
Laboratori Clínic Department, Hospital Universitari de Bellvitge, Barcelona, Spain;</aff>
<aff id="aff4">
<label>§</label>
Cliniques Universitaires St. Luc, Louvain Toxicology and Applied Pharmacology, Université Catholique de Louvain, Brussels, Belgium;</aff>
<aff id="aff5">
<label></label>
Institue for Laboratory Medicine, Marienhospital, Stuttgart;</aff>
<aff id="aff6">
<label></label>
Roche Diagnostics GmbH, Mannheim, Germany; and</aff>
<aff id="aff7">
<label>**</label>
Department of Laboratory Medicine, Ghent University and Ghent University Hospital, Belgium.</aff>
</contrib-group>
<author-notes>
<corresp>Correspondence: Alain G. Verstraete, Dr. med., PhD, Department of Laboratory Medicine, Ghent University, Ghent University Hospital, De Pintelaan 185, B-9000 Ghent, Belgium (e-mail:
<email>alain.verstraete@ugent.be</email>
).</corresp>
</author-notes>
<pub-date pub-type="ppub">
<month>10</month>
<year>2014</year>
</pub-date>
<pub-date pub-type="epub">
<day>25</day>
<month>9</month>
<year>2014</year>
</pub-date>
<volume>36</volume>
<issue>5</issue>
<fpage>640</fpage>
<lpage>650</lpage>
<history>
<date date-type="received">
<day>28</day>
<month>10</month>
<year>2013</year>
</date>
<date date-type="accepted">
<day>12</day>
<month>3</month>
<year>2014</year>
</date>
</history>
<permissions>
<copyright-statement>Copyright © 2014 by Lippincott Williams & Wilkins</copyright-statement>
<copyright-year>2014</copyright-year>
<license license-type="open-access">
<license-p>This is an open access article distributed under the terms of the Creative Commons Attribution-Noncommercial No Derivative 3.0 License, which permits downloading and sharing the work provided it is properly cited. The work cannot be changed in any way or used commercially.</license-p>
</license>
</permissions>
<self-uri xlink:type="simple" xlink:href="tdm-36-640.pdf"></self-uri>
<abstract abstract-type="toc">
<p>Supplemental Digital Content is Available in the Text.</p>
</abstract>
<abstract>
<sec>
<title>Background:</title>
<p>Cyclosporine A (CsA) is used as a posttransplantation immunosuppressant drug, and careful monitoring of CsA concentration in whole blood is essential. A new automated electrochemiluminescence immunoassay (ECLIA) for CsA measurement has been assessed in a multicenter evaluation.</p>
</sec>
<sec>
<title>Methods:</title>
<p>Residual EDTA whole blood samples from patients undergoing CsA therapy after organ transplant were used in assay evaluation at 5 clinical laboratories in Europe. Experiments included imprecision according to CLSI EP5-A2 (within-run and intermediate), lower limit of quantification, linearity according to CLSI EP6-A, and recovery of commercial external quality control samples. In addition, comparisons to liquid chromatography-tandem mass spectrometry methods in routine use at each investigational site and to commercial chemiluminescent microparticle immunoassay and antibody-conjugated magnetic immunoassay methods were performed.</p>
</sec>
<sec>
<title>Results:</title>
<p>Imprecision testing gave coefficients of variation of less than 9% in the 30–2000 mcg/L range for both within-run and intermediate imprecision. Lower limit of quantification of 6.8 mcg/L at one investigational site and 1.8 mcg/L at a second site at 20% coefficient of variation were observed. Linearity was measured over the concentration range 0–2000 mcg/L, yielding a deviation of less than ±12%. External quality control sample recovery by ECLIA was 93%–114% of LC-MS/MS sample recovery. Deming regression analysis of ECLIA method comparison to combined LC-MS/MS results yielded a slope of 1.04 [95% confidence interval (CI), 1.03–1.06] and intercept of 2.8 mcg/L (95% CI, 1.5–4.1 mcg/L). Comparison to chemiluminescent microparticle immunoassay yielded a slope of 0.87 (95% CI, 0.85–0.89) and intercept of 1.4 mcg/L (95% CI, −0.89 to 3.7 mcg/L); comparison to antibody-conjugated magnetic immunoassay yielded a slope of 0.96 (95% CI, 0.93–0.98) and intercept of −4.2 mcg/L (95% CI, −7.1 to −1.2 mcg/L).</p>
</sec>
<sec>
<title>Conclusions:</title>
<p>The data from this multicenter evaluation indicate that the new ECLIA-based cyclosporine assay is fit for its purpose, the therapeutic monitoring of CsA.</p>
</sec>
</abstract>
<kwd-group>
<title>Key Words:</title>
<kwd>cyclosporine</kwd>
<kwd>immunoassay</kwd>
<kwd>therapeutic drug monitoring</kwd>
</kwd-group>
<custom-meta-group>
<custom-meta>
<meta-name>OPEN-ACCESS</meta-name>
<meta-value>TRUE</meta-value>
</custom-meta>
</custom-meta-group>
</article-meta>
</front>
</pmc>
<affiliations>
<list>
<country>
<li>Allemagne</li>
<li>Belgique</li>
<li>Espagne</li>
</country>
<region>
<li>Bade-Wurtemberg</li>
<li>Bavière</li>
<li>Catalogne</li>
<li>District de Haute-Bavière</li>
<li>District de Karlsruhe</li>
<li>District de Stuttgart</li>
<li>Région de Bruxelles-Capitale</li>
</region>
<settlement>
<li>Barcelone</li>
<li>Bruxelles</li>
<li>Mannheim</li>
<li>Munich</li>
<li>Stuttgart</li>
</settlement>
<orgName>
<li>Université Louis-et-Maximilien de Munich</li>
</orgName>
</list>
<tree>
<country name="Allemagne">
<region name="Bavière">
<name sortKey="Vogeser, Michael" sort="Vogeser, Michael" uniqKey="Vogeser M" first="Michael" last="Vogeser">Michael Vogeser</name>
</region>
<name sortKey="Orth, Matthias" sort="Orth, Matthias" uniqKey="Orth M" first="Matthias" last="Orth">Matthias Orth</name>
<name sortKey="Shipkova, Maria" sort="Shipkova, Maria" uniqKey="Shipkova M" first="Maria" last="Shipkova">Maria Shipkova</name>
<name sortKey="Widmann, Monika" sort="Widmann, Monika" uniqKey="Widmann M" first="Monika" last="Widmann">Monika Widmann</name>
</country>
<country name="Espagne">
<region name="Catalogne">
<name sortKey="Rigo Bonnin, Raul" sort="Rigo Bonnin, Raul" uniqKey="Rigo Bonnin R" first="Raül" last="Rigo-Bonnin">Raül Rigo-Bonnin</name>
</region>
</country>
<country name="Belgique">
<region name="Région de Bruxelles-Capitale">
<name sortKey="Wallemacq, Pierre" sort="Wallemacq, Pierre" uniqKey="Wallemacq P" first="Pierre" last="Wallemacq">Pierre Wallemacq</name>
</region>
<name sortKey="Verstraete, Alain G" sort="Verstraete, Alain G" uniqKey="Verstraete A" first="Alain G." last="Verstraete">Alain G. Verstraete</name>
</country>
</tree>
</affiliations>
</record>

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