Inpatient and Outpatient Orderable

Infliximab Concentration and Infliximab Antibody Build info

Synonyms

  • INFLIXIMAB CONCENTRATION & AB
  • REMICADE
  • ANTI-TNF-ALPHA
  • LAB10792

Short Name

INFLIXIMAB CONCENTRATION & AB

Procedure Master Number

LAB10792

Procedure ID

114108

Clinical Info

Provides infliximab drug concentration levels as well as levels of anti-infliximab antibodies.


In the absence of anti-infliximab antibodies, the infliximab drug level typically reflects the total infliximab concentration in serum. In the presence of anti-infliximab antibodies, the infliximab drug level typically reflects the antibody-unbound fraction of infliximab concentration in serum. The presence of infliximab drug, even at concentrations well above target treatment levels (>50 μg/mL), does not interfere with the anti-infliximab antibody detection. This assay may be helpful for any patients on infliximab therapy for diseases such as Crohn's disease, inflammatory bowel disease, ulcerative colitis, rheumatoid arthritis, or other autoimmune conditions.


Limitations
Failure of infliximab therapy may not always be due to the presence of anti-infliximab antibodies. In addition, the absence of anti-infliximab antibodies does not guarantee positive response to treatment.

High serum biotin concentrations in patients taking biotin supplements may cause an interference in this assay. Patients may be advised to stop biotin consumption at least 72 hours prior to sample collection.

Specimen Sources

Blood, Arterial Blood, Capillary Blood, Central Line Blood, Venous

Specimen Types

Blood

Container

Gold Top Tube

Collection Instructions

Container/Tube: Gold top or Red top tube
Specimen: 2 ml serum (1 mL min- does not allow for repeat testing)
Transport Temperature: Refrigerated
Stability: 7 Days Room Temperature
                 7 Days Refrigerated
                 359 Days Frozen
 
Note: Serum must be separated from cells within 45 minutes of venipuncture

Transport Instructions

Refrigerated

Specimen Stability

7 Days Room Temperature
                 7 Days Refrigerated
                 359 Days Frozen
 
Note: Serum must be separated from cells within 45 minutes of venipuncture

Methodology

Electrochemiluminescence immunoassay (ECLIA)

Days Performed

Performing Laboratory

LabCorp of America

CPT

80299
82397

PDM

5963016

Only Orderable at Locations:

Orderable Everywhere

Results

Component Name Base Name Common Name External Name
INFLIXIMAB DRUG LEVEL INFLIXIMAD INFLIXIMAB DRUG LEVEL Infliximab Drug Level
ANTI-INFLIXIMAB ANTIBODY INFLIXAB ANTI INFLIXIMAB ANTIBODY Anti-Infliximab Antibody