Evidence map›Paper›PMID 34294782›Full record

ArticleScientific reports2021

Surface plasmon resonance unveils important pitfalls of enzyme-linked immunoassay for the detection of anti-infliximab antibodies in patients' sera.

Marten Beeg, Cesare Burti, Eleonora Allocati, Clorinda Ciafardini, Rita Banzi, Alessandro Nobili, Flavio Caprioli, Silvio Garattini, Marco Gobbi

Abstract readComparative Study
In one paragraph

Article in Scientific reports, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing 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

17 citing papers in PubMed.

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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

9 authors.

Marten Beeg *Istituto di Ricerche Farmacologiche Mario Negri IRCCS, Milano, Italy.
Cesare Burti *Gastroenterology and Endoscopy Unit, Ospedale Papa Giovanni XXIII, Bergamo, Italy.
Eleonora AllocatiIstituto di Ricerche Farmacologiche Mario Negri IRCCS, Milano, Italy.
Clorinda CiafardiniUnità Operativa di Gastroenterologia ed Endoscopia, Fondazione IRCCS Ca' Granda Ospedale Maggiore di Milano Policlinico, Milano, Italy.
Rita BanziIstituto di Ricerche Farmacologiche Mario Negri IRCCS, Milano, Italy.
Alessandro NobiliIstituto di Ricerche Farmacologiche Mario Negri IRCCS, Milano, Italy.
Flavio CaprioliUnità Operativa di Gastroenterologia ed Endoscopia, Fondazione IRCCS Ca' Granda Ospedale Maggiore di Milano Policlinico, Milano, Italy.
Silvio GarattiniIstituto di Ricerche Farmacologiche Mario Negri IRCCS, Milano, Italy.
Marco GobbiIstituto di Ricerche Farmacologiche Mario Negri IRCCS, Milano, Italy. marco.gobbi@marionegri.it.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Measurements of serum concentrations of therapeutic antibodies and anti-drug antibodies (ADA) can support clinical decisions for the management of non-responders, optimizing the therapy. In the present study we compared the results obtained by classical ELISA and a recently proposed surface plasmon resonance (SPR)-based immunoassay, in 76 patients receiving infliximab for inflammatory bowel diseases. The two methods indicated very similar serum concentrations of the drug, but there were striking differences as regards ADA. All the sera showing ADA by ELISA (14) also showed ADA by SPR, but the absolute amounts were different, being 7-490 times higher with SPR, with no correlation. Eight patients showed ADA only with SPR, and these ADA had significantly faster dissociation rate constants than those detectable by both SPR and ELISA. The underestimation, or the lack of detection, of ADA by ELISA is likely to reflect the long incubation steps which favor dissociation of the patient's low-affinity ADA, while the commercial, high-affinity anti-infliximab antibodies used for the calibration curve do not dissociate. This problem is less important with SPR, which monitors binding in real time. The possibility offered by SPR to detect ADA in patients otherwise considered ADA-negative by ELISA could have important implications for clinicians.

Indexed as

AntibodiesClinical Decision-MakingEnzyme-Linked Immunosorbent AssayHumansInflammatory Bowel DiseasesInfliximabLimit of DetectionMaintenance ChemotherapySurface Plasmon ResonanceTreatment OutcomeAntibodiesInfliximab

Identifiers

PMID34294782
PMCPMC8298394

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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.