Fingerprick blood samples to measure serum natalizumab concentrations.


Journal

Multiple sclerosis (Houndmills, Basingstoke, England)
ISSN: 1477-0970
Titre abrégé: Mult Scler
Pays: England
ID NLM: 9509185

Informations de publication

Date de publication:
Mar 2023
Historique:
pubmed: 1 12 2022
medline: 3 3 2023
entrez: 30 11 2022
Statut: ppublish

Résumé

Natalizumab via subcutaneous administration was recently approved for patients with multiple sclerosis. In light of personalized extended dosing, in which treatment intervals are prolonged to a concentration cut-off, it would be preferable to measure natalizumab drug concentrations in capillary blood. In this cross-sectional study in patients treated with intravenous (IV) natalizumab, capillary blood samples by fingerprick and venous blood samples were collected in 30 participants prior to IV administration of natalizumab. Natalizumab concentrations were similar with a mean bias of -0.36 μg/mL (95% CI: 1.3 to -2 μg/mL). This study shows that physicians can monitor natalizumab drug concentrations by a fingerprick, which could be used for personalized extended dosing.

Sections du résumé

BACKGROUND UNASSIGNED
Natalizumab via subcutaneous administration was recently approved for patients with multiple sclerosis.
OBJECTIVE UNASSIGNED
In light of personalized extended dosing, in which treatment intervals are prolonged to a concentration cut-off, it would be preferable to measure natalizumab drug concentrations in capillary blood.
METHODS UNASSIGNED
In this cross-sectional study in patients treated with intravenous (IV) natalizumab, capillary blood samples by fingerprick and venous blood samples were collected in 30 participants prior to IV administration of natalizumab.
RESULTS UNASSIGNED
Natalizumab concentrations were similar with a mean bias of -0.36 μg/mL (95% CI: 1.3 to -2 μg/mL).
CONCLUSIONS UNASSIGNED
This study shows that physicians can monitor natalizumab drug concentrations by a fingerprick, which could be used for personalized extended dosing.

Identifiants

pubmed: 36448735
doi: 10.1177/13524585221136448
pmc: PMC9972227
doi:

Substances chimiques

Natalizumab 0
Immunologic Factors 0

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

457-460

Références

Neurol Neuroimmunol Neuroinflamm. 2020 Feb 4;7(2):
pubmed: 32019876
Br J Clin Pharmacol. 2019 Jul;85(7):1544-1551
pubmed: 30927375
Lancet Rheumatol. 2022 May;4(5):e338-e350
pubmed: 35317410
Mult Scler. 2021 Dec;27(14):2240-2253
pubmed: 33821693
Neurology. 2020 Aug 11;95(6):e745-e754
pubmed: 32690785
Neurology. 2019 Oct 8;93(15):e1452-e1462
pubmed: 31515290
Br J Clin Pharmacol. 2017 Nov;83(11):2474-2484
pubmed: 28791718
Mult Scler. 2022 Nov;28(13):2001-2009
pubmed: 34949134
Neurodegener Dis Manag. 2022 Jun;12(3):109-116
pubmed: 35446149
Anal Biochem. 2011 Apr 15;411(2):271-6
pubmed: 21216215

Auteurs

Alyssa A Toorop (AA)

Neurology Outpatient Clinic, Amsterdam UMC location Vrije Universiteit Amsterdam, Amsterdam, The Netherlands.

Maurice Steenhuis (M)

Biologics Laboratory, Sanquin Diagnostic Services, Amsterdam, The Netherlands Department of Immunopathology, Sanquin Research, Amsterdam, The Netherlands.

Floris C Loeff (FC)

Biologics Laboratory, Sanquin Diagnostic Services, Amsterdam, The Netherlands.

Suzanne S Weijers (SS)

Central Diagnostic Laboratory, Amsterdam UMC location Vrije Universiteit Amsterdam, Amsterdam, The Netherlands.

Joep Killestein (J)

Neurology Outpatient Clinic, Amsterdam UMC location Vrije Universiteit Amsterdam, Amsterdam, The Netherlands.

Theo Rispens (T)

Biologics Laboratory, Sanquin Diagnostic Services, Amsterdam, The Netherlands Department of Immunopathology, Sanquin Research, Amsterdam, The Netherlands Landsteiner Laboratory, Academic Medical Centre, University of Amsterdam, Amsterdam, The Netherlands.

Zoé LE van Kempen (ZLV)

Neurology Outpatient Clinic, Amsterdam UMC location Vrije Universiteit Amsterdam, Amsterdam, The Netherlands.

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Classifications MeSH