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Measurement of Factor V Activity in Human Plasma Using a Microplate Coagulation Assay
Published on: September 9, 2012
Collaborative study for the establishment of replacement batches for human coagulation factor IX concentrate
E Gray1, W Pickering, J Hockley
1National Institute for Biological Standards & Control, Potters Bar, Herts, UK.
New international standards for human blood coagulation Factor IX concentrate were established due to dwindling supplies. A collaborative study involving thirty laboratories successfully assigned potency values to replacement batches, ensuring continued availability of these critical biological reference preparations.
Area of Science:
- Biotechnology and Pharmaceutical Sciences
- Hematology and Coagulation
- Regulatory Affairs and Standardization
Background:
- Existing European Pharmacopoeia (Ph. Eur.), World Health Organisation (WHO), and FDA reference standards for human blood coagulation Factor IX concentrate (established 1996) were nearing depletion.
- A collaborative study was initiated by WHO, European Directorate for the Quality of Medicines & HealthCare (EDQM), and FDA to establish new, replacement reference batches.
Purpose of the Study:
- To establish new biological reference preparations (BRP) and international standards (IS) for human blood coagulation Factor IX concentrate.
- To assign accurate potency values to candidate Factor IX concentrate preparations using collaborative laboratory testing.
- To evaluate the performance of clotting versus chromogenic assays and the impact of pre-diluents on potency estimations.
Main Methods:
- Thirty laboratories from fourteen countries participated in a collaborative study.
- Candidate preparations (recombinant and plasma-derived Factor IX) were assayed against existing 3rd IS for Factor IX concentrate (96/854) and plasma (99/826).
- Both clotting and chromogenic assay methods were employed, with analysis of intra- and inter-laboratory variability (geometric coefficient of variation, GCV).
Main Results:
- Significant differences in potency estimates were observed between clotting and chromogenic assays for the recombinant candidate and plasma IS.
- Plasma-derived Factor IX products showed similar potency values across both assay methods.
- Clotting assays demonstrated good intra- and inter-laboratory agreement, with most GCVs below 10%. Pre-diluent choice (plasma vs. buffer) did not significantly alter results.
Conclusions:
- Sample C (07/182), a plasma-derived Factor IX concentrate, was established as the Human coagulation Factor IX concentrate BRP batch 2 with a potency of 7.9 IU/ampoule.
- The same sample (07/182) was adopted as the 4th International Standard for Blood Coagulation Factor IX, Concentrate, Human by WHO and as a replacement FDA standard.
- The study successfully ensured the continued availability of essential reference standards for human Factor IX concentrate.
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