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Capillary Electrophoresis Separation of Monoclonal Antibody Isoforms Using a Neutral Capillary
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Electrophoretic patterns post daratumumab.

Joanna Sheldon1, Rachel D Wheeler1, Ray Powles2

  • 11 Protein Reference Unit, 443664 South West London Pathology, St. George's Hospital , London, UK.

Annals of Clinical Biochemistry
|May 12, 2017
PubMed
Summary
This summary is machine-generated.

Daratumumab (Darzalex), a CD38 monoclonal antibody for multiple myeloma, appears as a small band on serum protein electrophoresis. This finding requires careful interpretation to avoid misdiagnosis of new monoclonal protein development.

Keywords:
Cancerelectrophoresisproteins

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Area of Science:

  • Clinical Chemistry
  • Hematology
  • Immunology

Background:

  • Daratumumab (Darzalex) is an IgG1 kappa monoclonal antibody targeting CD38.
  • It is approved for treating refractory multiple myeloma.
  • As a monoclonal protein, it is detectable via serum protein electrophoresis (SPEP) and immunofixation (SIF).

Purpose of the Study:

  • To investigate the detectability of daratumumab on routine serum protein electrophoresis.
  • To inform diagnostic laboratories about potential misinterpretations of daratumumab as a new monoclonal protein.

Main Methods:

  • Serum samples from four multiple myeloma patients were analyzed.
  • Electrophoresis was performed immediately before and after daratumumab treatment.

Main Results:

  • Daratumumab was consistently visible on SPEP as a distinct, small band.
  • The band appeared in the slow gamma region, approximately 1 g/L.

Conclusions:

  • Daratumumab is detectable on routine serum protein electrophoresis in multiple myeloma patients.
  • Diagnostic laboratories must be aware of this finding to prevent misdiagnosis.
  • Close collaboration between laboratories and clinicians is crucial for accurate interpretation.