Hôpital européen Georges Pompidou (HEGP), Service Pharmacie (AP-HP), 75015 Paris, France.
Hôpital européen Georges Pompidou (HEGP), Service Pharmacie (AP-HP), 75015 Paris, France.
Talanta. 2018 Sep 1;187:279-286. doi: 10.1016/j.talanta.2018.05.042. Epub 2018 May 17.
Compounding of monoclonal antibody (mAbs) constantly increases in hospital. Quality control (QC) of the compounded mAbs based on quantification and identification is required to prevent potential errors and fast method is needed to manage outpatient chemotherapy administration. A simple and ultra-fast (less than 30 s) method using flow injection analysis associated to least square matching method issued from the analyzer software was performed and evaluated for the routine hospital QC of three compounded mAbs: bevacizumab, infliximab and rituximab. The method was evaluated through qualitative and quantitative parameters. Preliminary analysis of the UV absorption and second derivative spectra of the mAbs allowed us to adapt analytical conditions according to the therapeutic range of the mAbs. In terms of quantitative QC, linearity, accuracy and precision were assessed as specified in ICH guidelines. Very satisfactory recovery was achieved and the RSD (%) of the intermediate precision were less than 1.1%. Qualitative analytical parameters were also evaluated in terms of specificity, sensitivity and global precision through a matrix of confusion. Results showed to be concentration and mAbs dependant and excellent (100%) specificity and sensitivity were reached within specific concentration range. Finally, routine application on "real life" samples (n = 209) from different batch of the three mAbs complied with the specifications of the quality control i.e. excellent identification (100%) and ± 15% of targeting concentration belonging to the calibration range. The successful use of the combination of second derivative spectroscopy and partial least square matching method demonstrated the interest of FIA for the ultra-fast QC of mAbs after compounding using matching method.
单克隆抗体(mAbs)的配制在医院中不断增加。需要基于定量和定性对配制的 mAbs 进行质量控制(QC),以防止潜在的错误,并且需要快速的方法来管理门诊化疗管理。使用与来自分析仪软件的最小二乘匹配法相关联的流动注射分析,建立了一种简单且超快(少于 30s)的方法,并对三种配制的 mAbs(贝伐单抗、英夫利昔单抗和利妥昔单抗)进行了常规医院 QC 评估。该方法通过定性和定量参数进行了评估。对 mAbs 的 UV 吸收和二阶导数光谱进行初步分析,使我们能够根据 mAbs 的治疗范围调整分析条件。在定量 QC 方面,根据 ICH 指南评估了线性、准确性和精密度。回收率非常令人满意,中间精密度的 RSD(%)小于 1.1%。通过混淆矩阵还评估了定性分析参数的特异性、灵敏度和整体精密度。结果表明,结果与浓度和 mAbs 有关,在特定浓度范围内达到了 100%的特异性和灵敏度。最后,对来自三种 mAb 不同批次的“真实生活”样本(n=209)进行了常规应用,符合质量控制规范,即识别率为 100%,且目标浓度在 15%以内属于校准范围。二阶导数光谱和偏最小二乘匹配法的组合成功应用证明了 FIA 在使用匹配法对配制后的 mAbs 进行超快速 QC 方面的优势。