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Capillary blood microsampling to determine serum biopharmaceutical concentration: Mitra® microsampler vs dried blood spot

    Karien Bloem

    *Author for correspondence: Tel.: +31 20 5123248;

    E-mail Address: k.bloem@sanquin.nl

    Department of Immunopathology, Sanquin Research & Landsteiner Laboratory Academic Medical Centre, 1006 CX Amsterdam, The Netherlands

    Biologics Lab, Sanquin Diagnostic Services, 1006 CX Amsterdam, The Netherlands

    ,
    Tiny Schaap

    Biologics Lab, Sanquin Diagnostic Services, 1006 CX Amsterdam, The Netherlands

    ,
    Ronald Boshuizen

    Biologics Lab, Sanquin Diagnostic Services, 1006 CX Amsterdam, The Netherlands

    ,
    Eva L Kneepkens

    Department of Rheumatology, Amsterdam Rheumatology & Immunology Center, Location Reade, 1056 AB Amsterdam, The Netherlands

    ,
    Gerrit J Wolbink

    Department of Immunopathology, Sanquin Research & Landsteiner Laboratory Academic Medical Centre, 1006 CX Amsterdam, The Netherlands

    Department of Rheumatology, Amsterdam Rheumatology & Immunology Center, Location Reade, 1056 AB Amsterdam, The Netherlands

    ,
    Annick de Vries

    Biologics Lab, Sanquin Diagnostic Services, 1006 CX Amsterdam, The Netherlands

    &
    Theo Rispens

    Department of Immunopathology, Sanquin Research & Landsteiner Laboratory Academic Medical Centre, 1006 CX Amsterdam, The Netherlands

    Published Online:https://doi.org/10.4155/bio-2018-0010

    Aim: For assessment of concentrations of biopharmaceuticals, for example, therapeutic drug monitoring, dried blood sampling of capillary blood is a convenient alternative to traditional venepuncture sampling. We investigated an alternative to dried blood spot collection on filter paper: sampling capillary blood using the Mitra® microsampler. Materials and Methods: Therapeutic monoclonal antibodies were spiked in whole blood, sampled using filter paper and Mitra microsampler and concentrations measured using specific ELISAs. Results: Good recoveries of adalimumab, infliximab, ustekinumab, vedolizumab, tocilizumab, natalizumab and rituximab were found up to 1 month of storage at room temperature, averaging 95.2% for the Mitra microsampler and 92.9% for Whatman® paper. Both hemoglobin and potassium yield satisfactory estimates for the volume of the cellular fraction of blood samples in combination with the Mitra microsampler. Conclusion: We established practical protocols for the estimation of serum/plasma concentrations of therapeutic antibodies via capillary blood microsampling.

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

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