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Infliximab/Anti-TNF alpha drug and anti-drug antibody Directory Icon  - Kings Pathology Printer Icon - Kings Pathology

Biochemistry Overview / Directory

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Purpose of the test

Anti-TNF therapy is one of a new class of drugs (biologic agents) that target specific proteins in the immune system known to increase arthritis and other inflammatory diseases such as inflammatory bowel disease, vasculitis, juvenile dermatomyositis. By blocking these proteins these drugs reduce inflammation but without causing side effects by blocking other important processes. Monitoring levels is useful to assess correct dosage and guide infusion intervals. Measurement of anti-drug antibodies identifies patients which may experience infusion reactions and/or a reduced duration of efficacy, due to drug immunogenicity.

Test panel includes both drug and anti drug antibody measurment. Interpretation will be provided. Other anti-TNF alpha drug measurements available (Infliximab, etanercept).

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Reference Range

We recommend trough levels. For request form, please contact Gillian.Richards@gsts.com or Zehra.Arkir@gsts.com.

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Sample Requirements

300 uL Serum - Frozen in Plain Glass or Plastic container

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Storage and Transport

Frozen on dry ice. It is not necessary to inform the laboratory in advance. Please send to:

GSTS Central Specimen Reception

5th Floor, North Wing

St Thomas' Hospital

Westminster Bridge Road

SE1 7EH

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Turnaround Time

On application, please contact Gillian.Richards@gsts.com or Zehra.Arkir@gsts.com.

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Price

Price available on application - please contact John.Roberts@gstt.nhs.uk. Discounts could be available for significant workloads.

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Contacts

Gillian.Richards@gsts.com

Zehra.Arkir@gsts.com.

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File Icon  - Kings Pathology Adrenocorticotrophic hormone (ACTH)

File Icon  - Kings Pathology Aldosterone/Renin

File Icon  - Kings Pathology Alkaline Phosphatase Isoenzymes

File Icon  - Kings Pathology Alpha-1-antitrypsin Phenotyping & Genotyping

File Icon  - Kings Pathology AMH (Anti Mullerian Hormone)

File Icon  - Kings Pathology Amylase Isoenzymes/Lipase

File Icon  - Kings Pathology Bone Marker - NTX

File Icon  - Kings Pathology C-Peptide

File Icon  - Kings Pathology Calcitonin

File Icon  - Kings Pathology Cancer antigen 125 (CA125, CA-125)

File Icon  - Kings Pathology Carbohydrate Deficient Transferrin (CDT)

File Icon  - Kings Pathology Catecholamines: Adrenaline/Noradrenaline/Dopamine

File Icon  - Kings Pathology CSF Xanthochromia

File Icon  - Kings Pathology Cystatin C

File Icon  - Kings Pathology Cystic Fibrosis Genotyping

File Icon  - Kings Pathology Erythropoietin Service (SAS)

File Icon  - Kings Pathology GI Function Test: Faecal Calprotectin

File Icon  - Kings Pathology GI Function Test: Faecal Elastase

File Icon  - Kings Pathology GI Function Test: Intestinal Disaccharidase

File Icon  - Kings Pathology GI Function Test: Intestinal permeability

File Icon  - Kings Pathology Haemochromatosis Genotyping

File Icon  - Kings Pathology Infliximab/Anti-TNF alpha drug and anti-drug antibody

File Icon  - Kings Pathology Insulin

File Icon  - Kings Pathology Insulin-like growth factor 1 (IGF-1)

File Icon  - Kings Pathology Insulin-like growth factor binding protein-3 (IGFBP-3)

File Icon  - Kings Pathology Lewis blood group antigen (CA19-9)

File Icon  - Kings Pathology Parathyroid hormone (PTH)

File Icon  - Kings Pathology Porphyria Service (SAAS)

File Icon  - Kings Pathology Procollagen-3 N-Terminal Peptide (P3NP)

File Icon  - Kings Pathology Salivary Cortisol

File Icon  - Kings Pathology Soluble Transferrin Receptor (sTfR)

File Icon  - Kings Pathology Total Bile Acids

File Icon  - Kings Pathology Trace Element: Aluminium (Al) (SAAS)

File Icon  - Kings Pathology Trace Element: Antimony (Sb) (SAAS)

File Icon  - Kings Pathology Trace Element: Chromium (Cr) (SAAS)

File Icon  - Kings Pathology Trace Element: Cobalt & Chromium re. Metal-on-Metal Hip Repl

File Icon  - Kings Pathology Trace Element: Cobalt (Co) (SAAS)

File Icon  - Kings Pathology Trace Element: Copper (Cu) (SAAS)

File Icon  - Kings Pathology Trace Element: Fluoride (F) (SAAS)

File Icon  - Kings Pathology Trace Element: Iodine (I) (SAAS)

File Icon  - Kings Pathology Trace Element: Iron (Fe) (SAAS)

File Icon  - Kings Pathology Trace Element: Lead (Pb) (SAAS)

File Icon  - Kings Pathology Trace Element: Mercury (Hg) (SAAS)

File Icon  - Kings Pathology Trace Element: Nickel (Ni) (SAAS)

File Icon  - Kings Pathology Trace Element: Selenium (Se) (SAAS)

File Icon  - Kings Pathology Trace Element: Strontium (Sr) (SAAS)

File Icon  - Kings Pathology Trace Element: Thallium (Tl) (SAAS)

File Icon  - Kings Pathology Trace Element: Zinc (Zn) (SAAS)

File Icon  - Kings Pathology Tumour Marker: Fluid CEA and CA19-9

File Icon  - Kings Pathology Tumour Marker: HER2/neu

File Icon  - Kings Pathology Tumour Marker: Neurone Specific Enolase

File Icon  - Kings Pathology Tumour Marker: Protein S100B

File Icon  - Kings Pathology Urinary Steroid Profiling (SAAS)

File Icon  - Kings Pathology Urine cortisol

File Icon  - Kings Pathology Urine Metanephrines

File Icon  - Kings Pathology Vitamin D

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