USTEKINUMAB ELISA (MAB-BASED)
Enzyme immunoassay for the specific and quantitative determination of free Ustekinumab (Stelara®) in serum and plasma.
The solid phase (MTP) is coated by a highly specific monoclonal antibody directed against Ustekinumab. Therefore any cross reactivity to the other therapeutical monoclonal antibodies is excluded.
| Required Volume (µL) | 10 |
| Incubation Time (min) | 135 |
| Sample | Serum or Plasma |
| Package Size | 96 Tests |
| Standard Range (ng/mL, 10x) | 0-1000 |
| Detection Limit (ng/mL) | 2 |
| Spike Recovery (%) | >95 |
| Shelf Life (years) | 2 |
Intended Use: This kit has been developed for the measurement of drug levels in research and diagnostic uses. It is suitable for Therapeutical Drug Monitoring (TDM) purposes.
Stelara® is a trademark of Janssen Biotech.
ESSAY CHARACTERISTICS
SPECIFICITY
There is no cross reaction with any other proteins present in native human serum. A screening test was performed with 21 different native human sera. All produced OD450/620 nm values less than the mean OD of standard D. In addition, binding of Ustekinumab to the solid phase is inhibited by p40-containing recombinant human interleukin-12 (hIL-12) protein. Therefore, the ImmunoGuide Ustekinumab ELISA (mAb-Based) measures the biologically active free form of Ustekinumab, i.e. not pre-occupied by human IL-12 or IL-23 antigen. No cross reaction was observed with sera spiked with the other therapeutic antibodies including Infliximab, Rituximab, Cetuximab, Vedolizumab, Tocilizumab, Trastuzumab, Nivolumab and Bevacizumab at concentrations tested up to 40 µg/mL. All produced mean OD450/620 nm values less than standard D.
SENSITIVITY
The lowest detectable level that can be clearly distinguished from the zero standard is 2 ng/mL(zero standard +2SD read from the curve) under the above-described conditions. Analytical sensitivity is 2 ng/mL, and corresponding to the detection limit (limit of quantification) of 0.4 µg/mL for undiluted clinical samples because the serum or plasma samples are instructed to be diluted at 1:200 before starting the assay
PRECISION
Intra-assay CV: <10%.
Inter-assay CV: <10%.
RECOVERY
Recovery rate was found to be >95% with native serum and plasma samples when spiked with exogenous Ustekinumab.
AUTOMATION
The ImmunoGuide Ustekinumab ELISA (mAb-based) is suitable also for beingused by an automated ELISA processor.
REFERENCES
1. Feagan BG, Sandborn WJ, Gasink C, Jacobstein D, Lang Y, Friedman JR, Blank MA, Johanns J, Gao LL, Miao Y, Adedokun OJ, Sands BE, Hanauer SB, Vermeire S, Targan S, Ghosh S, de Villiers WJ, Colombel JF, Tulassay Z, Seidler U, Salzberg BA, Desreumaux P, Lee SD, Loftus EV Jr, Dieleman LA, Katz S, Rutgeerts P; UNITI–IM-UNITI Study Group, Ustekinumab as Induction and Maintenance Therapy for Crohn's Disease. N Engl J Med. 2016;375(20):1946-1960.
2. Zhu Y, Wang Q, Frederick B, Bouman-Thio E, Marini JC, Keen M, Petty KJ, Davis HM, Zhou H., Comparison of the pharmacokinetics of subcutaneous ustekinumab between Chinese and non-Chinese healthy male subjects across two Phase 1 studies. Clin Drug Investig. 2013;33(4):291-301.
3. Kavanaugh A, Puig L, Gottlieb AB, Ritchlin C, Li S, Wang Y, Mendelsohn AM, Song M, Zhu Y, Rahman P, McInnes IB; PSUMMIT 1 Study Group., Maintenance of Clinical Efficacy and Radiographic Benefit Through Two Years of Ustekinumab Therapy in Patients With Active Psoriatic Arthritis: Results From a Randomized, Placebo-Controlled Phase III Trial. Arthritis Care Res (Hoboken). 2015;67(12):1739-49.
4. Lamb YN, Duggan ST., Ustekinumab: A Review in Moderate to Severe Crohn's Disease. Drugs. 2017; 77(10):1105-1114.
5. Smolen JS, Agarwal SK, Ilivanova E, Xu XL, Miao Y, Zhuang Y, Nnane I, Radziszewski W, Greenspan A, Beutler A, Baker D., A randomised phase II study evaluating the efficacy and safety of subcutaneously administered ustekinumab and guselkumab in patients with active rheumatoid arthritis despite treatment with methotrexate. Ann Rheum Dis. 2017; 76(5): 831-839.
6. Deepak P, Loftus EV Jr., Ustekinumab in treatment of Crohn's disease: design, development, and potential place in therapy. Drug Des Devel Ther. 2016;10:3685-3698. eCollection 2016.
7. Lebwohl M, Yeilding N, Szapary P, Wang Y, Li S, Zhu Y, Reich K, Langley RG, Papp KA., Impact of weight on the efficacy and safety of ustekinumab in patients with moderate to severe psoriasis: rationale for dosing recommendations. J Am Acad Dermatol. 2010; 63(4): 571-9.
8. Menting SP, van den Reek JM, Baerveldt EM, de Jong EM, Prens EP, Lecluse LL, Wolbink GJ, Van der Kleij D, Spuls PI, Rispens T. The correlation of clinical efficacy, serum trough levels and antidrug antibodies in ustekinumab-treated patients with psoriasis in a clinical-practice setting. Br J Dermatol. 2015; 173(3): 855-7
9. van Bezooijen JS, van Doorn MBA, Schreurs MWJ, Koch BCP, Te Velthuis H, Prens EP, van Gelder T., Prolongation of Biologic Dosing Intervals in Patients With Stable Psoriasis: A Feasibility Study. Ther Drug Monit. 2017; 39(4): 379-386.
10. Chiu HY, Chu TW, Cheng YP, Tsai TF., The Association between Clinical Response to Ustekinumab and Immunogenicity to Ustekinumab and Prior Adalimumab. PLoS One. 2015; 10(11):e0142930. doi: 10.1371/journal.pone.0142930. eCollection 2015.
11. Hu C, Wasfi Y, Zhuang Y, Zhou H., Information contributed by meta-analysis in exposure-response modeling: application to phase 2 dose selection of guselkumab in patients with moderate-to-severe psoriasis. J Pharmacokinet Pharmacodyn. 2014; 41(3): 239-50.
12. Gottlieb A, Narang K., Ustekinumab in the treatment of psoriatic arthritis: latest findings and clinical potential. Ther Adv Musculoskelet Dis. 2013; 5(5): 277-85.
13. Martin PL, Bugelski PJ., Concordance of preclinical and clinical pharmacology and toxicology of monoclonal antibodies and fusion proteins: soluble targets. Br J Pharmacol. 2012; 166(3): 806-22.
14. Zhu Y, Hu C, Lu M, Liao S, Marini JC, Yohrling J, Yeilding N, Davis HM, Zhou H., Population pharmacokinetic modeling of ustekinumab, a human monoclonal antibody targeting IL-12/23p40, in patients with moderate to severe plaque psoriasis. J Clin Pharmacol. 2009; 49(2): 162-75.
INSTRUCTIONS FOR USE
SAFETY DATA SHEET
BATCH/LOT INFORMATION
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