Evidence map›Paper›PMID 27694393›Full record

ArticleClinical chemistry2016

Stable-Isotope Dilution HPLC-Electrospray Ionization Tandem Mass Spectrometry Method for Quantifying Hydroxyurea in Dried Blood Samples.

Anu Marahatta, Vandana Megaraj, Patrick T McGann, Russell E Ware, Kenneth D R Setchell

Registry-linked trialOpen access · bronzeAbstract read
In one paragraph

Article in Clinical chemistry, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07177300 (Effectiveness of Nontraditional Hydroxyurea Algorithms), which is not on this map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
2.6field-weighted citation impact, top 10% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT07177300 phase4recruitingnot on this mapstarted 2024, after this paper: background citation

Effectiveness of Nontraditional Hydroxyurea Algorithms: Novel and Clinical Evaluations (ENHANCE)

TypeinterventionalSponsorChildren's Hospital Medical Center, CincinnatiRan2024 to 2028Enrolled50ConditionsSickle Cell Anemia (HbSS), Sickle-β0-thalassemia (HbSβ0)ArmsPK-optimized oral hydroxyurea at MTD until 15 years of age.
3 · Its place in the literature

Who cites it

14 citing papers in PubMed, 40 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 2 institutions in 1 country.

Anu MarahattaDivision of Hematology, Department of Pediatrics, and.
Vandana MegarajDepartment of Pathology and Laboratory Medicine, Cincinnati Children's Hospital Medical Center, Cincinnati, OH.
Patrick T McGannDivision of Hematology, Department of Pediatrics, and.
Russell E WareDivision of Hematology, Department of Pediatrics, and.
Kenneth D R SetchellDepartment of Pathology and Laboratory Medicine, Cincinnati Children's Hospital Medical Center, Cincinnati, OH. kenneth.setchell@cchmc.org.
Pediatrics and Genetics · USCincinnati Children's Hospital Medical Center · US

Funding

Therapeutic Response Evaluation and Adherence Trial: A Prospective Study of Hydroxyurea for Children with Sickle Cell AnemiaK23HL128885 · NHLBI · CINCINNATI CHILDRENS HOSP MED CTR · PI MCGANN, PATRICK THOMAS · 2015 to 2019
$910k
NHLBI NIH HHS K23 HL128885
6 · The paper itself

Abstract

backgroundSickle cell anemia (SCA) is a life-threatening blood disorder characterized by the presence of sickle-shaped erythrocytes. Hydroxyurea is currently the only US Food and Drug Administration-approved treatment and there is a need for a convenient method to monitor compliance and hydroxyurea concentrations, especially in pediatric SCA patients.

methodsWe describe a novel approach to the determination of hydroxyurea concentrations in dried whole blood collected on DMPK-C cards or volumetric absorptive microsampling (VAMS) devices. Hydroxyurea was quantified by electrospray ionization LC-MS/MS using [

resultsCalibration curves for blood hydroxyurea measured from DMPK-C cards and VAMS devices were linear over the range 0.5-60 μg/mL. Interassay and intraassay CVs were <15% for blood collected by both methods, and the limit of detection was 5 ng/mL. Whole blood hydroxyurea was stable for up to 60 days on DMPK-C cards and VAMS devices when frozen at -20 °C or -80 °C. Whole blood hydroxyurea concentrations in samples collected on DMPK-C cards or VAMS devices from SCA patients were in close agreement.

conclusionsThis tandem mass spectrometry method permits measurement of hydroxyurea concentrations in small volumes of dried blood applied to either DMPK-C cards or VAMS devices with comparable performance. This method for measuring hydroxyurea from dried blood permits the evaluation of therapeutic drug monitoring, individual pharmacokinetics, and medication adherence using heel/finger-prick samples from pediatric patients with SCA treated with hydroxyurea.

Indexed as

Dried Blood Spot TestingDrug MonitoringRadioisotope Dilution TechniqueSpectrometry, Mass, Electrospray IonizationAnemia, Sickle CellCalibrationChromatography, High Pressure LiquidHumansHydroxyureaTandem Mass SpectrometryHydroxyurea

Identifiers

PMID27694393
PMCPMC6598440
OpenAlexW2523970238

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.