Evidence map›Paper›PMID 37265165›Full record

ArticleInflammatory bowel diseases2024

Clinical Validation of a Capillary Blood Home-Based Self-Sampling Technique for Monitoring of Infliximab, Vedolizumab, and C-Reactive Protein Concentrations in Patients With Inflammatory Bowel Disease.

Antonius T Otten, Hedwig H van der Meulen, Maurice Steenhuis, Floris C Loeff, Daan J Touw, Jos G W Kosterink, Henderik W Frijlink, Theo Rispens, Gerard Dijkstra, Marijn C Visschedijk and 1 more

Open access · hybridAbstract read
In one paragraph

Article in Inflammatory bowel diseases, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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.

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

3 citing papers in PubMed, 16 citations in OpenAlex.

  1. Article
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

11 authors at 3 institutions in 1 country.

Antonius T OttenDepartment of Gastroenterology and Hepatology, University Medical Centre Groningen, Groningen, the Netherlands.ORCID 0000-0001-8168-5694
Hedwig H van der MeulenDepartment of Gastroenterology and Hepatology, University Medical Centre Groningen, Groningen, the Netherlands.
Maurice SteenhuisBiologics Laboratory, Sanquin Diagnostic Services, Amsterdam, the Netherlands.
Floris C LoeffBiologics Laboratory, Sanquin Diagnostic Services, Amsterdam, the Netherlands.
Daan J TouwDepartment of Pharmaceutical Analysis, Groningen Research Institute of Pharmacy, University of Groningen, Groningen, the Netherlands.ORCID 0000-0002-1429-4789
Jos G W KosterinkDepartment of PharmacoTherapy, Epidemiology and Economy, Groningen Research Institute of Pharmacy, University of Groningen, Groningen, the Netherlands.
Henderik W FrijlinkDepartment of Pharmaceutical Technology and Biopharmacy, Groningen Research Institute of Pharmacy, University of Groningen, Groningen, the Netherlands.
Theo RispensDepartment of Immunopathology, Sanquin Research, Amsterdam, the Netherlands.
Gerard DijkstraDepartment of Gastroenterology and Hepatology, University Medical Centre Groningen, Groningen, the Netherlands.
Marijn C VisschedijkDepartment of Gastroenterology and Hepatology, University Medical Centre Groningen, Groningen, the Netherlands.
Arno R BourgonjeDepartment of Gastroenterology and Hepatology, University Medical Centre Groningen, Groningen, the Netherlands.ORCID 0000-0001-5754-3821
University Medical Center Groningen · NLSanquin · NLUniversity of Groningen · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTherapeutic drug monitoring provides important guidance for treatment of patients with inflammatory bowel disease (IBD) and could help to early identify treatment failure. This study aimed to validate a finger prick-based capillary blood sampling technique to measure biological trough levels and C-reactive protein (CRP) and evaluate patient performance and -support.

methodsIn this prospective cohort study, patients with IBD receiving infliximab (IFX) or vedolizumab (VEDO) therapy performed finger prick-based capillary blood sampling at home. Additionally, blood was collected through routinely performed in-hospital venepuncture prior to biological infusion. IFX, VEDO, and CRP concentrations were measured by enzyme-linked immunosorbent assay. The concordance between methods was statistically evaluated and a survey was conducted to assess practicality and patient support.

resultsIn total, 81 patients (46 IFX, 35 VEDO) were enrolled. Mean differences between both methods were 0.42 (95% confidence interval, -1.74 to 2.58) μg/mL for IFX and 0.72 (95% confidence interval, -5.50 to 6.94) μg/mL for VEDO. Passing-Bablok regressions demonstrated no evidence for systematic or proportional biases. Venous and capillary IFX (ρ = 0.96, P < .001) and VEDO (ρ = 0.97, P < .001) levels strongly correlated and showed high intermethod agreement (Cohen's kappa: IFX = 0.82; VEDO = 0.94). Similarly, venous and capillary CRP levels were strongly correlated (ρ = 0.99, P < .001). Most patients (>95%) were able to successfully perform the self-sampling at home without prior instructions.

conclusionsThis study clinically validated a finger prick-based capillary blood self-sampling technique allowing concomitant home monitoring of biological levels and CRP for patients with IBD, who reported substantial support, tolerability, and practicality.

Indexed as

Antibodies, Monoclonal, HumanizedC-Reactive ProteinInflammatory Bowel DiseasesHumansInfliximabProspective StudiesAntibodies, Monoclonal, HumanizedC-Reactive ProteinInfliximabvedolizumabhome samplinginflammatory bowel diseaseinfliximabtherapeutic drug monitoringvedolizumab

Identifiers

PMID37265165
PMCPMC10906358
OpenAlexW4379093924

What OpenQuestion holds

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LicenceCC BY-NC
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Registered trials

None linked

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.