Evidence map›Paper›PMID 30927375›Full record

Observational studyBritish journal of clinical pharmacology2019

Dried blood samples can support monitoring of infliximab concentrations in patients with inflammatory bowel disease: A clinical validation.

Sophie E Berends, Geert R A M D'Haens, Tiny Schaap, Annick de Vries, Theo Rispens, Karien Bloem, Ron A A Mathôt

Abstract readObservational StudyValidation Study
In one paragraph

Observational study in British journal of clinical pharmacology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
–field-weighted citation impact
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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

16 citing papers in PubMed.

  1. Trial
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  7. Fingerprick blood samples to measure serum natalizumab concentrations.Multiple sclerosis (Houndmills, Basingstoke, England) · 2023
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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

7 authors.

Sophie E BerendsDepartment Hospital Pharmacy, Amsterdam University Medical Centres, Amsterdam, The Netherlands.ORCID 0000-0002-3236-0698
Geert R A M D'HaensDepartment of Gastroenterology and Hepatology, Amsterdam University Medical Centres, Amsterdam, The Netherlands.
Tiny SchaapBiologics Lab, Bioanalysis, Sanquin Diagnostic Services, Amsterdam, The Netherlands.
Annick de VriesBiologics Lab, Bioanalysis, Sanquin Diagnostic Services, Amsterdam, The Netherlands.
Theo RispensDepartment of Immunopathology, Sanquin Research and Landsteiner Laboratory, Amsterdam, The Netherlands.
Karien BloemBiologics Lab, Bioanalysis, Sanquin Diagnostic Services, Amsterdam, The Netherlands.ORCID 0000-0003-4325-8223
Ron A A MathôtDepartment Hospital Pharmacy, Amsterdam University Medical Centres, Amsterdam, The Netherlands.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimsTherapeutic drug monitoring (TDM) can optimize the efficacy of infliximab (IFX) in patients with inflammatory bowel disease (IBD). Because of the delay between blood samples taken at trough and availability of results, dose adjustments can only be carried out at the next infusion, typically 8 weeks later. Dried blood samples (DBS) performed at home to measure IFX concentrations can reduce the time to adapt dose/dosing interval. Here, we aimed to validate the clinical application of DBS for IFX in IBD patients and to evaluate the feasibility of home sampling.

methodsDBS results from 40 IBD patients on IFX treatment were compared to serum sample results at trough, peak, and 3-5 weeks after IFX infusion. Subsequently, patients performed DBS home sampling one week before the next IFX infusion. These were compared to serum concentrations as predicted by Bayesian analysis.

resultsIFX concentrations from finger prick and venous puncture correlate well. DBS IFX concentrations showed high correlation with serum IFX concentrations (Spearman correlation: ≥0.965), without bias. Passing-Bablok regression for IFX concentrations in DBS from home sampling also showed no bias (intercept: 1.02 mg L

conclusionsTimely adjustment of IFX dose/dosing interval can be facilitated by IFX concentration measurement in home-sampled DBS. DBS is a reliable method to measure IFX and can be used to predict IFX trough concentrations.

Indexed as

AdultDose-Response Relationship, DrugDried Blood Spot TestingDrug MonitoringFeasibility StudiesFemaleGastrointestinal AgentsHumansInflammatory Bowel DiseasesInfliximabMaleMiddle AgedProspective StudiesReproducibility of ResultsGastrointestinal AgentsInfliximabbiologicalsclinical pharmacologygastroenterologyimmunologytherapeutic drug monitoring

Identifiers

PMID30927375
PMCPMC6595298

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Registered trials

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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.