Lab Guide
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Test ID: Infliximab antibodies
Infliximab antibodies
Infliximab antibodies
Useful For

The assessment of non-response or loss of response to infliximab.

Method name and description

An enzyme-linked immunosorbent assay (ELISA) is used for the measurement of infliximab antibodies.

Reporting name
Clinical information

Inflammatory conditions such as ulcerative colitis, Crohn disease, and rheumatoid arthritis can be treated with a variety of immunomodulatory drugs such as infliximab.  Some patients may not respond to infliximab treatment (primary non-responders) whilst others may initially respond but the efficacy diminishes over time (secondary non-responders).  The assessment of infliximab antibodies may indicate the likely cause of non-response and inform whether infliximab treatment should be increased, or stopped in favour of a different drug.

Aliases

Anti-Infliximab antibodies

Anti-IFX Ab

Anti-Remicade antibodies

Anti-Remicade Ab

Specimen type / Specimen volume / Specimen container

Specimen type: Blood (serum)

Specimen Volume: 0.5 mL serum, separate the serum as quickly as possible to avoid hemolysis.

Specimen container: gel tube (yellow top) or red top tube

Collection instructions / Special Precautions / Timing of collection

Therapy phase must be specified on request.

Storage and transport instructions

Blood samples can be transported at ambiant temperature as quickly as possible.

Serum samples are stable for up to 3 - 4 days at 2-8°C. 

Serum samples are stable for up to 1 year when frozen at -20°C.  Frozen samples should be kept frozen during transport.  Avoid freeze-thaw cycles.

 

Specimen Rejection Criteria
  • Samples that are grossly haemolysed.
  • Insufficient sample quantity.
Biological reference intervals and clinical decision values

Interpretation:

Positive

Negative

 
Turnaround time / Days and times test performed / Specimen retention time
  • Turnaround time: 10 working days.
  • Days and times test performed: once every two weeks.
  • Specimen retention time: 4 days.