Table 1.
Results from the SPRIA and ImmunoCAP 100 anti-ESA IgG4 assays and a cell-based assay for neutralizing antibodiesa
Sample | SPRIA |
ImmunoCAP 100 |
Patient classification based on NAb assay | |||
---|---|---|---|---|---|---|
Result | Isotype(s) | Anti-ESA Ab (ng/ml) | Result | Anti-ESA IgG4 Ab (ng/ml) | ||
1 | Positive | IgG1, IgG2, IgG3, IgG4 | >10,000 | Positive | 145 | amPRCA |
2 | Negative | Negative | Non-PRCA | |||
3 | Positive | IgG1, IgG2, IgG4 | 6,030 | Positive | 89 | amPRCA |
4 | Positive | IgG1, IgG2, IgG4 | 620 | Positive | 89 | amPRCA |
5 | Positive | IgG1, IgG2, IgG3, IgG4 | >10,000 | Positive | 669 | amPRCA |
6 | Negative | Negative | Non-PRCA | |||
7 | Positive | IgG1 | 600 | Negative | Non-PRCA | |
8 | Positive | IgG1 (IgG4b) | 1,730 | Positive | 95 | amPRCA |
9 | Negative | Negative | Non-PRCA | |||
10 | Negative | Negative | Non-PRCA | |||
11 | Negative | Negative | Non-PRCA | |||
12 | Negative | Negative | Non-PRCA | |||
13 | Positive | Unable to determine | 340 | Negative | Non-PRCA | |
14 | Negative | Negative | Non-PRCA | |||
15 | Negative | Negative | Non-PRCA | |||
16 | Positive | Unable to determine | 520 | Positive | 59 | amPRCA |
17 | Positive | IgG1 | 6,860 | Negative | amPRCA | |
18 | Positive | IgG1 | 840 | Positive | 18 | Non-PRCA |
19 | Positive | IgG1 | 3,690 | Negative | Non-PRCA | |
20 | Positive | IgM | 920 | Negative | Non-PRCA | |
21 | Positive | IgG1 | 1,210 | Negative | Non-PRCA | |
22 | Positive | IgM | 1.94 | Negative | Non-PRCA | |
23 | Positive | IgG3 | 700 | Negative | Non-PRCA | |
24 | Positive | IgG1 | 0.93 | Negative | Non-PRCA | |
25 | Positive | IgG1, IgG2, IgG3, IgG4 | >10,000 | Positive | 4,978 | amPRCA |
All patient samples that had an anti-ESA concentration of greater than 250 ng/ml by SPRIA were further characterized for isotype (IgG1, IgG2, IgG3, IgG4, and IgM) and tested in a cell-based bioassay to determine if neutralizing antibodies were present. All patient samples were tested in the ImmunoCAP anti-ESA IgG4 assay. All samples that that had less than 15 ng/ml of anti-ESA IgG4 were reported as negative.
This patient tested anti-ESA IgG4 antibody positive at a subsequent time point.