Evidence map›Paper›PMID 42530022›Full record

ArticleAnaesthesia2026

Sugammadex interference with serum progesterone measurement: an in-vitro study.

Tamblyn Devoy, Theresa Larkin, Miles Allan, Kevin Mantik, Monika McShane, Natalie A Smith

Abstract read
In one paragraph

Article in Anaesthesia, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0citing papers in PubMed
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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

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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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

6 authors.

Tamblyn DevoyDepartment of Anaesthesia, Wollongong Hospital, Wollongong, NSW, Australia.
Theresa LarkinFaculty of Science, Medicine and Health, Graduate School of Medicine, University of Wollongong, Wollongong, NSW, Australia.
Miles AllanGraduate School of Medicine, University of Wollongong, Wollongong, NSW, Australia.
Kevin MantikNew South Wales Health Pathology, Prince of Wales Hospital, Sydney, NSW, Australia.
Monika McShaneNew South Wales Health Pathology, Prince of Wales Hospital, Sydney, NSW, Australia.
Natalie A SmithDepartment of Anaesthesia, Wollongong Hospital, Wollongong, NSW, Australia.

Funding

Australian Society of AnaesthetistsDepartment of Anaesthesia, Wollongong Hospital
6 · The paper itself

Abstract

introductionSugammadex may interfere with serum progesterone immunoassays, potentially rendering measured concentrations and resulting recommendations unreliable.

methodsWe investigated the effect of a range of sugammadex concentrations on serum progesterone concentrations in samples from pre-menopausal female volunteers. Samples were spiked with sugammadex concentrations (15-120 μM), corresponding to clinical doses between 2 mg.kg

resultsThirty-five participants provided blood samples. Increasing concentrations of sugammadex were associated with lower measured serum progesterone, with an approximate 10% reduction with each doubling of sugammadex concentration (F(2,30) = 4.86, p = 0.015). Overall, progesterone concentrations decreased by a mean (SD) of 34.6% (12.4%) between control samples and those spiked with sugammadex 120 μM (p = 0.015). In contrast, liquid chromatography-tandem mass spectroscopy showed no statistically significant biochemical change in progesterone concentrations between baseline and sugammadex 120 μM. DISCUSSION: Sugammadex produced a dose-dependent reduction in the progesterone concentrations when measured by immunoassay techniques, but not by liquid chromatography-tandem mass spectroscopy. This suggests that an immunoassay interference occurs across clinically relevant doses. Progesterone results from routine laboratory testing should be interpreted with caution in the presence of sugammadex.

Indexed as

gamma-CyclodextrinsProgesteroneSugammadexAdultDose-Response Relationship, DrugFemaleHumansImmunoassayIn Vitro TechniquesTandem Mass Spectrometrygamma-CyclodextrinsProgesteroneSugammadexanaesthesiahormonal contraceptiveprogesteronesugammadex

Identifiers

PMID42530022
PMCPMC13659793

What OpenQuestion holds

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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.