Therapeutic Drug Monitoring

Anti-Infliximab (Remsima®)ADA Semi-Quantitative ELISA Kit

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SKU:
HUMB00008
Product Type:
ELISA Kit
ELISA Type:
Biosimilar ELISA
Biosimilar ELISA Type:
Total Semi-quantitative
Applications:
ELISA
Reactivity:
Human
Analytes:
Infliximab (Remsima®)
Research Area:
Anti-TNF Alpha

Description

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Anti-Infliximab ADA Semi-Quantitative ELISA Kit

Enzyme-linked immunosorbent assay for the semi-quantitative determination (screening) of total antibodies to infliximab biosimilar (Remsima®) in serum and plasma. Remsima® is the world's first biosimilar mAb (approved in 2013 by the EMA). The demonstration of anti-infliximab antibodies during treatment with infliximab (Remsima®) is a major concern and monitoring for the presence and/or quantitation of specific antibodies is vital. With the Assay Genie Anti-Infliximab ADA Semi-Quantitative ELISA Kit, infliximab anti-drug antibodies (ADA) that are bound to infliximab in serum, that can't be detected by free antibody detection kits can be determined. This Assay Genie ELISA kit is for research use only.

Anti-Infliximab (Remsima®) ADA Semi-Quantitative ELISA Kit test principle

The Assay Genie Antibody to infliximab (Remsima®) ELISA is a sandwich assay for the determination of total antibodies against infliximab in serum and plasma samples. During the first incubation period, the separation of infliximab specific antibodies is provided by adding dissociation buffer. After transferring dissociation mix to the plate, anti-infliximab antibodies are separated from infliximab in patient serum/ plasma samples. These are captured by the drug infliximab (Remsima®) coated on the wall of the microtiter wells and peroxidase-labelled specific conjugate. After washing away the unbound components from samples, the bound enzymatic activity is detected by the addition of tetramethylbenzidine (TMB) chromogen-substrate. Finally, the reaction is terminated with an acidic stop solution. The intensity of the reaction colour is directly proportional to the concentration of anti-infliximab antibodies in the sample.

Anti-Infliximab (Remsima®) ADA Semi-Quantitative ELISA Product Information

Information Description
Application
Free drug
Required Volume (uL)
10
Total Time (min)
95
Sample Type
Serum, Plasma
Number of Assays
96
Detection Limit (ng/mL)
156 (ng/mL)
Spike Recovery (%)
-
Shelf Life (year)
1

Alternative Names

Tumour Necrosis Factor Alpha

Remsima

Anti-Infliximab ADA Semi-Quantitative - Key Information

Infliximab mode of action

Infliximab (Remsima®) is a chimeric monoclonal antibody and used to treat autoimmune disorders. Infliximab reduces the amount of active human tumour necrosis factor alpha (hTNF alpha) in the body by binding to it and preventing it from signalling the receptors for TNF alpha on the surface of various cell types. TNF alpha is one of the key cytokines that triggers and sustains the inflammatory reactions.

Infliximab uses

Remsima is the world’s first biosimilar mAb (approved in 2013 by the EMA). The Committee for Medicinal Products for Human Use (CHMP) decided that, in accordance with EU requirements, Remsima was shown to have a comparable quality, safety and efficacy profile to Remicade. Remsima is a tumor necrosis factor alpha (TNF-alpha ) antagonist used to treat rheumatoid arthritis, ankylosing spondylitis, ulcerative colitis, adult Crohn's disease, plaque psoriasis, and psoriatic arthritis.

Infliximab immunogenicity

One of the major concern, despite of its wide usage, is potential development of anti-infliximab antibodies which in turn may interfere with infliximab (Remsima®) efficacy as primarily determined by observing the return of signs and symptoms of disease. This could lead to therapeutic dose-escalation or a potential termination of treatment. The demonstration of anti-infliximab antibodies during treatment with infliximab (Remsima®) is a major concern and monitoring for the presence and/or quantitation of specific antibodies during clinical trials is important for follow up of the treatment regimens.

With the Assay Genie Anti-Infliximab (Remsima®) ADA Semi-Quantitative ELISA Kit, infiliximab-specific antibodies that are bound to infiliximab in serum that can’t be detected by free antibody detection kits can be determined in patients receiving Remsima®. This Assay Genie ELISA test can be efficiently used for monitoring infliximab-specific antibodies and is for research use only.

Anti-Infliximab ADA Semi-Quantitative ELISA Kit Contents

Size Kit Contents

1 x 12 x 8

Microtiter Plate

Break apart strips. Microtiter plate with 12 rows each of 8 wells coated with infliximab

1 x 0.25 mL

Reactive Control
Ready-to-use. Contains infliximab-reactive reagent, human serum,
stabilizers and <0.1% NaN3

1 x 0.5 mL

Negative Control
Ready-to-use. Contains human serum, stabilizers and <0.1% NaN3

1 x 0.25 mL

Immune Complex Control
Ready-to-use. Contains anti-infiliximab/infiliximab immune complex,
human serum, stabilizers and <0.1% NaN3

1 x 12 mL

Dissociation Buffer
Ready-to-use. Contains acid.

1 x 6mL

Neutralisation Buffer
Ready-to-use.

1 x 50 mL

Assay Buffer
Blue coloured. Ready to use. Contains proteins and <0.1% NaN3.

1 x 12 mL

Peroxidase-Conjugate.

Red coloured. Ready to use. Contains peroxidase (POD) conjugate, stabilizer and preservatives.

1 x 12 mL

TMB Substrate Solution
Ready to use. Contains TMB

1 x 12 mL

TMB Stop Solution
Ready to use. 1N HCl

1 x 50 mL

Wash Buffer concentrate (20x)
Contains Buffer with Tween 20.

2 x 1

Adhesive Film
For covering of Microtiter Plate during incubation.

1 x 12 x 8

Microtiter plate

Break apart strips. Microtiter plate for dilution


Anti-Infliximab ADA Semi-Quantitative ELISA Protocol

Steps Protocol

1

Pipette 10μL of ready-to use Low Control, Reactive Control, and Samples into the respective wells of dilution plate.

2

Add 90μL dissociation buffer to dilution plate and incubate plate 15 min at room
temperature by shaking gently.

3

After 15 min incubation, pipette 65μl of Peroxidase conjugate and 35μl
Neutralisation Buffer into each of the wells to total antibody plate and transfer 100μl
dissociation mix into each of total antibody plate wells.
A1: Negative Control
B1: Negative Control
C1: Reactive Control
D1: Immune Complex Control (Before Acid Dissociation)
E1 Immune Complex Control (After acid dissociation)
E1 and on: Sample (Serum/Plasma)

4

Cover the plate with adhesive film. Briefly mix contents by gently shaking the plate. Incubate 60 min at room temperature (18-25°C).

5

Remove adhesive film. Discard incubation solution. Wash plate 3 times each with 300μL of diluted Wash Buffer. Remove excess solution by tapping the inverted plate on a paper towel.

6

Pipette 100μL of TMB Substrate Solution into each well and incubate 20 min (without adhesive foil.) at room temperature (18-25°C) in the dark.

7

Stop the substrate reaction by adding 100μL of Stop Solution into each well. Briefly mix contents by gently shaking the plate. Colour changes from blue to yellow

8

Measure optical density with a photometer at 450/650 nm within 30 min after pipetting of the Stop Solution.

Trademarks

REMSIMA is a trademark of CELLTRION, INC.

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