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使用共同样本进行合作研究,以评估不同公司构建的抗药物抗体检测方法的性能。

Collaborative study using common samples to evaluate the performance of anti-drug antibody assays constructed by different companies.

作者信息

Niimi Shingo, Nishimiya Kazuhiro, Nishidate Masanobu, Saito Tetsu, Minoura Kyoko, Kadotsuji Kenta, Shimakura Jin, Shigemizu Hiroko, Hosogi Jun, Adachi Maiko, Hashimoto Tsutomu, Mori Tamiki, Harada Hideki, Yamamoto Ken-Ichi, Nakamura Takahiro, Nomura Tatsuki, Yamaguchi Itadaki, Sonehara Kazuhiko, Ishii-Watabe Akiko, Kawasaki Nana

机构信息

Division of Biological Chemistry and Biologicals, National Institute of Health Sciences, 3-25-26 Tonomachi, Kawasaki-ku Kawasaki-shi, Kanagawa, 210-9501, Japan.

Chugai Pharmaceutical Co., Ltd, 200 Kajiwara, Kamakura City, Kanagawa, 247-8530, Japan.

出版信息

Drug Metab Pharmacokinet. 2018 Apr;33(2):125-132. doi: 10.1016/j.dmpk.2018.03.002. Epub 2018 Mar 8.

Abstract

This study was undertaken to evaluate the performance of anti-drug antibody (ADA) assays constructed by each participating company using common samples including ADA, drug and human serum. The ADA assays constructed by each company showed good sensitivity and precision for evaluation of ADA. Cut points for screening and confirmatory assays and assay selectivity were determined by various calculation methods. In evaluations of blind ADA samples, nearly similar results were obtained by the study companies in determinations of whether samples were positive or negative except at the lowest sample concentration (5 ng/mL). In measurement of drug tolerance, for almost samples containing ADA and drugs, more positive results were obtained in assays using acid dissociation compared to those without acid dissociation. Overall, the performance of ADA assays constructed by the 10 companies participating in this study was acceptable in terms of sensitivity and reproducibility for detection and evaluation of immunogenicity in both patients and healthy subjects. On the other hand, based on results for samples containing ADA and drugs, validity of results for ADA assays conducted without acid dissociation was less meaningful and more difficult to evaluate. Thus, acid dissociation was confirmed to be useful for improving drug tolerance.

摘要

本研究旨在评估各参与公司使用包括抗药物抗体(ADA)、药物和人血清在内的常见样本构建的ADA检测方法的性能。各公司构建的ADA检测方法在评估ADA时显示出良好的灵敏度和精密度。通过各种计算方法确定了筛查和确证检测的截断点以及检测选择性。在对盲法ADA样本的评估中,除最低样本浓度(5 ng/mL)外,各研究公司在判断样本是阳性还是阴性方面获得了几乎相似的结果。在药物耐受性测量中,对于几乎所有含有ADA和药物的样本,与未进行酸解离的检测相比,使用酸解离的检测获得了更多阳性结果。总体而言,参与本研究的10家公司构建的ADA检测方法在检测和评估患者及健康受试者免疫原性的灵敏度和重现性方面表现可接受。另一方面,基于含有ADA和药物的样本的结果,未进行酸解离的ADA检测结果的有效性意义较小且更难评估。因此,证实酸解离有助于提高药物耐受性。

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