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Research Article

Adding value to antiretroviral proficiency testing

    Robin DiFrancesco

    *Author for correspondence:

    E-mail Address: rda@buffalo.edu

    HIV Clinical Pharmacology Research Program, Translational Pharmacology Research Core, New York State Center of Excellence in Bioinformatics & Life Sciences; School of Pharmacy & Pharmaceutical Sciences, University at Buffalo, Buffalo, NY USA

    ,
    Charlene R Taylor

    HIV Clinical Pharmacology Research Program, Translational Pharmacology Research Core, New York State Center of Excellence in Bioinformatics & Life Sciences; School of Pharmacy & Pharmaceutical Sciences, University at Buffalo, Buffalo, NY USA

    ,
    Susan L Rosenkranz

    Frontier Science Technology & Research Foundation, Amherst, NY USA

    ,
    Kelly M Tooley

    HIV Clinical Pharmacology Research Program, Translational Pharmacology Research Core, New York State Center of Excellence in Bioinformatics & Life Sciences; School of Pharmacy & Pharmaceutical Sciences, University at Buffalo, Buffalo, NY USA

    ,
    Poonam G Pande

    RTI International, Research Triangle Park, NC USA

    ,
    Suzanne M Siminski

    Frontier Science Technology & Research Foundation, Amherst, NY USA

    ,
    Richard W Jenny

    New York State Department of Health, Albany, NY USA

    &
    Gene D Morse

    HIV Clinical Pharmacology Research Program, Translational Pharmacology Research Core, New York State Center of Excellence in Bioinformatics & Life Sciences; School of Pharmacy & Pharmaceutical Sciences, University at Buffalo, Buffalo, NY USA

    Published Online:https://doi.org/10.4155/bio.14.139

    Background: Clinical trial specimens tested for antiretroviral (ARV) concentrations often require compliance with Clinical Laboratory Improvement Act and/or the Food and Drug Administration bioanalytical guidance. Experimental: The Clinical Pharmacology Quality Assurance Program (CPQA) designed 8 proficiency testing (PT) rounds over 4 years to assess precision, specificity and stability. Results: Ten laboratories provided blinded proficiency data to support continued acceptable precision of ARV methods. Specificity samples identified little bias for individual methods; hemolyzed (87%) and lipemic (86%) results were ≤10% of their control results. Stability was established for ARVs in plasma at -70°C for 2.5–3.6 years. Conclusion: PT provided by the CPQA assured continued acceptability of individual laboratory assay performances for precision and specificity, and obtained ARV stability during long term storage.

    Papers of special note have been highlighted as: • of interest; •• of considerable interest

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