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2010
DOI: 10.1016/j.jpba.2009.12.029
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Evaluation of a generic immunoassay with drug tolerance to detect immune complexes in serum samples from cynomolgus monkeys after administration of human antibodies

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Cited by 50 publications
(35 citation statements)
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References 9 publications
(12 reference statements)
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“…It is recommended in cases where drug tolerance is poor resulting in ADA assays with significant drug interference, the sponsor should provide the totality of the data and demonstrate a good faith effort to develop a drugtolerant assay by considering exploring acid dissociation, acid-capture-elution (ACE), solid-phase extraction with acid dissociation (SPEAD), precipitation and acid method (PANDA) [33] or an alternative assay format [34,35]. However, if acid dissociation is used, there is a risk of denaturing ADA due to pH treatment, or the potential to release the soluble target from the therapeutic:target complex [36].…”
Section: Drug Tolerancementioning
confidence: 99%
“…It is recommended in cases where drug tolerance is poor resulting in ADA assays with significant drug interference, the sponsor should provide the totality of the data and demonstrate a good faith effort to develop a drugtolerant assay by considering exploring acid dissociation, acid-capture-elution (ACE), solid-phase extraction with acid dissociation (SPEAD), precipitation and acid method (PANDA) [33] or an alternative assay format [34,35]. However, if acid dissociation is used, there is a risk of denaturing ADA due to pH treatment, or the potential to release the soluble target from the therapeutic:target complex [36].…”
Section: Drug Tolerancementioning
confidence: 99%
“…Most methods rely on the disruption of the immune complex so that the ADA (or in some cases, soluble target) can be "free" to be captured by an assay reagent(s) (3,(13)(14)(15)(16)(17)(18). Alternatively, a generic ADA assay able to detect ADA-drug complexes formed in vivo, has been described by Stubenrauch et al (19).…”
Section: Disruption Methodsmentioning
confidence: 99%
“…With traditional ADA immunoassay, only drug-free or partially drug-free ADA can be detected, and the presence of high drug levels in study samples can interfere with the detection of ADA, especially in bridging assay formats. Drug tolerance which is generally defined as the maximal amount of free drug in the samples that still allows detection of ADA at an acceptable sensitivity, may be improved using various approaches including the use of excess spiked drug to create and detect drug-ADA complexes rather than free ADA [18][19][20][21]. LC/MS has been used to assess ADA in the presence of excess protein therapeutic in support of clinical programs addressing the safety and tolerability of human growth hormone analogues [21].…”
Section: Introductionmentioning
confidence: 99%