Cyloclosporine concentrations helps reduce liver and kidney toxicity and the risk of infection due to high doses of cyclosporine. Before testing on patients, it is necessary to verify the method. Objective: verify the use value of the Cyclosporine quantitative test method in whole blood on the Maglumi 800 automated immunoassay system. Subjects and methods: accuracy and precision were assessed according to CLSI EP 15-A3 guidelines. Two levels of QC material were analyzed five times per day for five days. Results: The laboratory's repeatability CV with QC level 1 and QC level 2 was 1.44% and 0.75%, which was lower than the manufacturer's published repeatability CV of 3.89% and 4.88%; the reproducibility CVs for QC level 1 and QC level 2 of the laboratory were 4.29% and 4.68%, respectively, and were lower than the reproducibility CVs of the manufacturer, which were 4.88% and 4.92%. The mean values measured for both concentration levels were not statistically different from the target concentration. Conclusion: The study showed that the method for testing cloclosporine in whole blood on the Maglumi 800 automated immunoassay system had acceptable accuracy and precision.
VERIFICATION OF CYCLOSPORINE DETERMINATION IN WHOLE BLOOD USING GUIDELINE FROM CLSI
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Keywords
Cyclosporin, method verification, EP15-A3.
References
[1]
1.Bộ Y tế. Tiêu chí đánh giá mức chất lượng phòng xét nghiệm y học; 2017. https://kcb.vn/van-ban/quyet-dinh-so-2429-qd-byt-ngay-12-6-2017-ban-hanh-tieu-chi-danh-gia-muc-chat-luong-phong-xet-nghiem-y-hoc.html
Google Scholar
[2]
2.Becker A, Backman JT, Itkonen O. Comparison of LC-MS/MS and chemiluminescent immunoassays for immunosuppressive drugs reveals organ dependent variation in blood cyclosporine a concentrations. Clin Chim Acta. 2020;508:22–27. https://pubmed.ncbi.nlm.nih.gov/32387638/
Google Scholar
[3]
3.Bjergum MW, Jannetto PJ, Langman LJ. Simultaneous determination of tacrolimus and cyclosporine A in whole blood by ultrafast LC-MS/MS. Methods Mol Biol. 2019;1872:111–118. https://pubmed.ncbi.nlm.nih.gov/30350284/
Google Scholar
[4]
4.Clinical and Laboratory Standards Institute. User Verification of Precision and Estimation of Bias; Approved Guideline- Third Edition. CLSI document EP15-A3. Wayne, PA, USA: CLSI; 2014. https://clsi.org/shop/standards/ep15/
Google Scholar
[5]
5.Kidney Disease. Improving Global Outcomes (KDIGO) CKD-MBD Update Work Group: KDIGO 2017 clinical practice guideline update for the diagnosis, evaluation, prevention, and treatment of chronic kidney disease-mineral and bone disorder (CKD-MBD) Kidney Int Suppl. 2017;7:1–59. https://pubmed.ncbi.nlm.nih.gov/30675420/
Google Scholar
[6]
6.Snibe diagnostic. Hướng dẫn sử dụng Maglumi CSA (CLIA); 2022. https://hoachatxetnghiem.com.vn/downloads/Catalog_Snibe_Maglumi%20800_vn.pdf
Google Scholar
[7]
7.Ying-Shi Yuan, Jia-Min Liao, Chun-Min Kang, et al. A simple and accurate LCMS/MS method for monitoring cyclosporin A that is suitable for high throughput analysis. Experimental and therapeutic medicine; 2023. https://pubmed.ncbi.nlm.nih.gov/37383376/
Google Scholar