2016
DOI: 10.1097/ftd.0000000000000229
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Development of an ELISA-Based Competitive Binding Assay for the Analysis of Drug Concentration and Antidrug Antibody Levels in Patients Receiving Adalimumab or Infliximab

Abstract: A modified ELISA protocol can be used to for the detection of both drug concentrations and ADA in patients receiving either adalimumab or infliximab. The ELISA incorporates those features identified in the literature as important for the accurate analysis of these antibodies and uses laboratory facilities and reagents that are widely available. It therefore provides a relatively simple and low cost assay for therapeutic drug monitoring of inpatients receiving adalimumab or infliximab.

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Cited by 28 publications
(16 citation statements)
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“…However, these assays often require specialised laboratories and do not necessarily provide information on ability of detected anti‐drug antibody to modify aspects of the drug–TNF interaction. Therefore, a competitive ligand‐binding assay can be useful not only because it uses simple equipment, but also because it can give an accurate measure of neutralising antibodies . On the other hand, HMSA is a drug‐concentration tolerant assay that allows anti‐drug antibody detection regardless of the drug concentration in the sample.…”
Section: Discussionmentioning
confidence: 99%
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“…However, these assays often require specialised laboratories and do not necessarily provide information on ability of detected anti‐drug antibody to modify aspects of the drug–TNF interaction. Therefore, a competitive ligand‐binding assay can be useful not only because it uses simple equipment, but also because it can give an accurate measure of neutralising antibodies . On the other hand, HMSA is a drug‐concentration tolerant assay that allows anti‐drug antibody detection regardless of the drug concentration in the sample.…”
Section: Discussionmentioning
confidence: 99%
“…Concentrations of adalimumab and infliximab were measured by ELISA. Levels of neutralising anti‐drug antibodies were determined using a competitive ligand‐binding ELISA . The levels of total anti‐drug antibodies were determined using a drug‐tolerant HMSA .…”
Section: Methodsmentioning
confidence: 99%
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“…Most of these are primarily binding-based assays, including solid-phase ELISA methods (8,45,49 ) and liquidphase, HPLC-based homogenous mobility shift assay (HMSA) (50 ); in addition, a functional cell-based reporter gene assay (RGA) has been developed (51 ) and is currently available for clinical use (52 ).…”
Section: Methods For Measuring Serum Drug Concentrations and Adasmentioning
confidence: 99%