Increased serum levels of cartilage oligomeric matrix protein precede the The cost-effectiveness of infliximab in the treatment of ankylosing spondylitis in Spain. and Morality- Is Kokoschka's The Prometheus Triptych a "good" work of art?

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panel, Prometheus® IBD sgi Diagnostic™, combines serologic, genetic and Measurement of Serum Levels and Antibodies to Infliximab and Adalimumab.

The assay also detects the presence of antibodies that neutralize infliximab activity. to vedolizumab (ATV) levels in serum. PROMETHEUS® Anser® UST - #3190 Simultaneously measures ustekinumab (UST) and antibodies to ustekinumab (ATU) levels in serum. PROMETHEUS® Anser® IFX - #3150 Simultaneously measures infliximab (IFX) and antibodies to infliximab (ATI) levels PLEASE PROVIDE ALL REQUIRED BILLING INFORMATION FOR EACH TEST ORDERED. PROMETHEUS Anser IFX—#3150 Simultaneously measures infliximab (IFX) and antibodies-to-infliximab (ATI) levels in serum.

Prometheus serum infliximab

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Importantly, they have been validated with more than 4,000 clinical IBD patient samples and are supported by multiple peer-reviewed publications. The PROMETHEUS Anser IFX test is a new generation and more sensitive quantitative infliximab monitoring assay that allows healthcare providers to measure and monitor serum IFX and ATI levels anytime during therapy. Simultaneously measures infliximab (IFX) and antibodies to infliximab (ATI) levels in serum at any time during therapy. Can also be used with IFX biosimilars.

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This test is set to be discontinued in August 2012 and replaced with an HMSA called the Anser™IFX test. The Anser IFX test is not ELISA-based and can measure antibodies to infliximab in the presence of serum infliximab, improving upon a major limitation of the ELISA method. 301 Moved Permanently.

Each serum sample was assessed for infliximab and antibodies against infliximab in duplicate in a blinded fashion by Prometheus Laboratories; the values reported are the means.

Prometheus serum infliximab

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Each serum sample was assessed for infliximab and antibodies against infliximab in duplicate in a blinded fashion by Prometheus Laboratories; the values reported are the means. Fifty IBD patients completing IFX induction were monitored during maintenance (weeks 14-54). Clinical and laboratory data were collected at each infusion; serum was analyzed for IFX concentrations and anti-drug antibodies (ADA) at weeks 14 and 54 (Prometheus Labs, San Diego). Dosing was blinded to PK data. 08/25/17: Changed name from Measurement of Serum Antibodies to Infliximab and Adalimumab to Measurement of Serum Antibodies to Infliximab, Adalimumab, & Vedolizumab. Added testing for the measurement of antibodies to vedolizumab (e.g., Prometheus® Anser™ VDZ) as non-covered for all product lines.
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Measurement of Serum Antibodies to Infliximab and Adalimumab Policy Number: 2.04.84 Last Review: 12/2013 Origination: 2/1/2013 Next Review: 12/2014 Policy Blue Cross and Blue Shield of Kansas City (Blue KC) will not provide coverage for measurement of serum antibodies to Infliximab. This is considered investigational. At week 14 of treatment, patients were randomly assigned (1:1:1) to 3 infliximab maintenance groups: dose increases (2 maximum) in steps of 2.5 mg/kg based on clinical symptoms and biomarker analysis and/or serum infliximab concentrations (dose intensification strategy [DIS]1 group); dose increase from 5 to 10 mg/kg based on the same criteria (DIS2 group); dose increase to 10 mg/kg based on Samples were analysed first by ELISA (Prometheus) and later with a homogenous mobility shift assay (HMSA; Prometheus). In the proactive monitoring group, serum trough levels of infliximab guided dose change to achieve target drug levels according to the algorithm presented in table 3.

The HACA portion of the test detects human anti-chimeric antibodies (HACA / antibodies to infliximab). Patients that develop HACA may experience infusion reactions and/or a reduced duration of efficacy of infliximab.
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08/25/17: Changed name from Measurement of Serum Antibodies to Infliximab and Adalimumab to Measurement of Serum Antibodies to Infliximab, Adalimumab, & Vedolizumab. Added testing for the measurement of antibodies to vedolizumab (e.g., Prometheus® Anser™ VDZ) as non-covered for all product lines. Policy reviewed and revised

Simultaneously measures infliximab (IFX) and antibodies to infliximab (ATI) levels in serum at any time during therapy. Can also be used with IFX biosimilars.


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PROMETHEUS Anser IFX and PROMETHEUS Anser ADA Zitomersky N, Chi L, Liu E, et al. Low infliximab levels and anti-infliximab antibodies increase the risk of loss of response to infliximab in pediatric IBD, a prospective pediatric study. Gastroenterology. 2018;154 (6 suppl 1):S-60. Papamichael K, Vajravelu RK, Vaughn BP, Osterman MT, Cheifetz AS.

Serum ADA concentrations of ≤ 5 mcg/ml were associated with an elevated CRP (p=0.001).

- Data provide further evidence for standardized, combined, antibody-to-infliximab and serum infliximab level monitoring among IBD patients on infliximab - - Oral presentation one of 13 Prometheus abstracts at Digestive Disease Week 2012 - San Diego, May 22, 2012 – Prometheus Laboratories Inc., a specialty pharmaceutical and diagnostic

The Prometheus Anser ® tests are quantitative monitoring assays that allow healthcare providers to measure and monitor both the levels of drug and anti-drug antibodies at anytime during therapy. Incorporating drug monitoring may clarify what factors are contributing to a patient’s loss of response and help guide treatment decisions by providing information to help determine an appropriate Association of serum infliximab and antibodies to infliximab to long-term clinical outcomes and mucosal healing in Crohn's disease (TU1150), May 21 Comparison of early measurement of infliximab and antibodies-to-infliximab serum levels with standard trough analysis (TU1164), May 21 2016-01-22 · Infliximab Assays Performed.

San Diego, CA April 7, 2016 – Prometheus Laboratories Inc. announced today that the PROMETHEUS Anser IFX test has been validated for use in patients treated with Inflectra (biosimilar infliximab) in the management of inflammatory bowel disease (IBD). Validation was demonstrated using specimens from Inflectra-treated patients with IBD. a PROMETHEUS@ Thiopurine Metabolites - #3200 Thiopurine metabolite (6-TGN, 6-MMPN) levels Optimize ongoing dosing of thiopurines to reach and maintain therapeutic goal Current therapeutic: D 6-MP mg/day C] AZA mg/day a Other mg/day C] PROMETHEUSS FIBROSpece Il - #4000 PROMETHEUS@ Serum Infliximab/HACA Measurement - #3130 2019-10-03 · Serum infliximab (IFX) concentration: 1.0 μg/mL complete, and submit the Pre-Authorization Form and the Prometheus Test Requisition from Prometheus Lab. PROMETHEUS Anser™ IFX designed to help identify potential causes for loss of treatment response among IBD patients using infliximab. San Diego, July 31, 2012 – Prometheus Laboratories Inc., a specialty pharmaceutical and diagnostic company, announced today the market launch of its proprietary new generation monitoring test, PROMETHEUS Anser IFX. - Data provide further evidence for standardized, combined, antibody-to-infliximab and serum infliximab level monitoring among IBD patients on infliximab - - Oral presentation one of 13 Prometheus abstracts at Digestive Disease Week 2012 - San Diego, May 22, 2012 – Prometheus Laboratories Inc., a specialty pharmaceutical and diagnostic A serum infliximab concentration ≥3 ug/ml at trough is associated with a mean CRP level that is 52% less than in samples having an infliximab concentration <3 ug/ml.³ Measuring both serum infliximab level and ATI concentration can provide clinically useful information to aid in the management of patients on infliximab therapy.⁴ PROMETHEUS Anser™ IFX designed to help identify potential causes for loss of treatment response among IBD patients using infliximab San Diego, May 22, 2012 – Prometheus Laboratories Inc., a specialty pharmaceutical and diagnostic company, announced today the thirteen abstracts relating to its proprietary diagnostic platform presented at Digestive Disease Week (DDW) 2012. 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. Infliximab Level and Anti-drug Antibody for IBD - When treatment of inflammatory bowel disease with infliximab or its biosimilar fails, a physician may need to consider treatment options, such as adjusting dose or dosing intervals, switching to a different TNF blocker, or switching to a non-TNF blocker. Each serum sample was assessed for infliximab and antibodies against infliximab in duplicate in a blinded fashion by Prometheus Laboratories; the values reported are the means.