Abstract
Aim: Current blood monitoring methods require sample collection and testing at a central lab, which can take days. Point of care (POC) devices with quick turnaround time can provide an alternative with faster results, allowing for real-time data leading to better treatment decisions for patients. Results/Methodology: An assay to measure monoclonal antibody therapeutic-A was developed on two POC devices. Data generated using 75 serum samples (65 clinical & ten spiked samples) show correlative results to the data generated using Gyrolab technology. Conclusion: This case study uses a monoclonal antibody therapeutic-A concentration assay as an example to demonstrate the potential of POC technologies as a viable alternative to central lab testing with quick results allowing for real-time decision-making.
Papers of special note have been highlighted as: • of interest; •• of considerable interest
References
- 1. Point-of-care technologies for precision cardiovascular care and clinical research: National Heart, Lung, and Blood Institute Working Group. JACC Basic Transl. Sci. 1(1–2), 73–86 (2016). •• Review of the state of the point-of-care (POC) technologies field.
- 2. . Finger-stick glucose monitoring: issues of accuracy and specificity. Diabetes Care 33(4), 948–949 (2010).
- 3. . Cardiac markers: point of care testing. Clin. Chim. Acta 284(2), 223–237 (1999).
- 4. . Therapeutic drug monitoring of biologics for inflammatory bowel disease. Inflamm. Bowel Dis. 18(2), 349–358 (2012).
- 5. . Therapeutic drug monitoring: which drugs, why, when and how to do it. Australian Prescriber 31(2), 42–44 (2008). • Monitoring of therapeutic drugs and its role in individualized dosage.
- 6. . Precision dosing of targeted anticancer drugs – challenges in the real world. Translational Cancer Res. S1500–S1511 (2017).
- 7. Accuracy of the new rapid test for monitoring adalimumab levels. Therap. Adv. Gastroenterol. 12, 1–11 (2019).
- 8. . Individualized dosing of therapeutic monoclonal antibodies – a changingtreatment paradigm? AAPS J. 20(6), 99–108 (2018). •• Review of POC technologies, Drug monitoring and safety issues.
- 9. Abbott Newsroom. Detect COVID-19 in as Little as 5 Minutes (2020). https://www.abbott.com/corpnewsroom/product-and-innovation/detect-covid-19-in-as-little-as-5-minutes.html
- 10. . Point-of-care and utility in clinical trials: making quicker decisions to transform patient care and drug development. Bioanalysis 12(15), 1039–1041 (2020).
- 11. . Development of an IL-6 point-of-care assay: utility for real-time monitoring and management of cytokine release syndrome and sepsis. Bioanalysis 11(19), 1777–1785 (2019). • POC assay for IL-6 for monitoring cytokine release syndrome and sepsis.
- 12. , American Gastroenterological Association Institute Clinical Guidelines C. American Gastroenterological Association Institute Guideline on therapeutic drug monitoring in inflammatory bowel disease. Gastroenterology 153(3), 827–834 (2017).
- 13. . Association of trough serum infliximab to clinical outcome after scheduled maintenance treatment for Crohn's disease. Clin. Gastroenterol. Hepatol. 4(10), 1248–1254 (2006).
- 14. Proactive therapeutic drug monitoring of adalimumab is associated with better long-term outcomes compared with standard of care in patients with inflammatory bowel disease. J. Crohns. Colitis. 13(8), 976–981 (2019). • Validity of drug monitoring using adalimumab in inflammatory bowel disease.
- 15. . Trough serum infliximab: a predictive factor of clinical outcome for infliximab treatment in acute ulcerative colitis. Gut 59(1), 49–54 (2010).
- 16. Therapeutic drug monitoring guides the management of crohn's patients with secondary loss of response to adalimumab. Inflamm. Bowel Dis. 24(7), 1531–1538 (2018).
- 17. . Assessing response and loss of response to biological therapies in IBD. Am. J. Gastroenterol. 106(4), 685–698 (2011).
- 18. . Methods for the preparation of enzyme-antibody conjugates for use in enzyme immunoassay. Methods Enzymol. 73(Pt B), 147–166 (1981).
- 19. . Antibodies: A Laboratory Manual Harlow E (Ed.). Cold Spring Harbor Laboratory Press, NY, USA (1957).
- 20. Elevated levels of IL-6 and CRP predict the need for mechanical ventilation in COVID-19. J. Allergy Clin. Immunol. 146(1), 128–136 e124 (2020).