Article ID | Journal | Published Year | Pages | File Type |
---|---|---|---|---|
8317094 | Clinical Biochemistry | 2018 | 4 Pages |
Abstract
- Daratumumab and other mAb therapeutics can appear as M-proteins on SPEP and IFE.
- mAb interference can be erroneously diagnosed as disease progression, class switching, development of a new clone, or MRD.
- Strategies to identify interference include characterizing mAb elution sites and active communication with clinicians.
- Specialized assays such as DIRA may help resolve cases of co-migrating disease M-protein and mAb.
- New protein MS assays may also be developed to unambiguously identify mAbs.
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Authors
Odise Cenaj, Jayme L. Dahlin, Dulce M. Buencamino, Jacob P. Laubach, Petr Jarolim,