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Evaluation of the analytical performances of the Cobas c513 analyser for HbA1c assay
Stéphane Jaisson1, Nathalie Leroy1, Michel Soulard2
1Biochemistry Department, University Hospital of Reims, Reims, France.
Insights
The Cobas c513 analyser demonstrates high precision and accuracy for Haemoglobin A1c (HbA1c) testing. This evaluation confirms its suitability for routine clinical chemistry laboratory use in monitoring diabetes.
Area of Science:
- Clinical Chemistry
- Laboratory Diagnostics
- Diabetes Mellitus Management
Background:
- Haemoglobin A1c (HbA1c) is the gold standard for monitoring diabetes control and diagnosis.
- Accurate HbA1c quantification requires reliable and efficient measurement methods.
- The Cobas c513 analyser with Tina-quant® HbA1c Third Generation immunoassay offers high throughput (400 samples/hour).
Purpose of the Study:
- To evaluate the analytical performance of the Cobas c513 analyser for HbA1c measurement.
- To assess the suitability of the Cobas c513 for routine clinical laboratory use.
Main Methods:
- Evaluated precision using coefficients of variation.
- Compared results with two ion-exchange high-performance liquid chromatography (HPLC) methods (BioRad Variant II and D-100).
- Assessed accuracy using Passing Bablok and Bland-Altman analyses with IFCC-assigned values and tested for interference from common Hb variants, bilirubin, and triglycerides.
Main Results:
- Achieved high precision with coefficients of variation <1.1% (NGSP units) and <1.7% (IFCC units).
- Demonstrated excellent agreement with both HPLC methods.
- Showed high methodological accuracy and no significant interference from common Hb variants or common analytes.
Conclusions:
- The Cobas c513 analyser exhibits excellent analytical performance for HbA1c assays.
- The system is well-suited for routine use in clinical chemistry laboratories for diabetes monitoring.
Introduction:
Haemoglobin A1c (HbA1c) is considered to be the gold standard for the follow-up of glycaemic control in patients with diabetes mellitus and is also a diagnostic tool. Accordingly, reliable and efficient methods must be used for its quantification. Roche Diagnostics have recently adapted the Tina-quant® HbA1c Third Generation immunoassay on a fully dedicated analyser, the Cobas c513, which allows a high throughput of up to 400 samples per hour. The present article deals with the evaluation of the analytical performances of this system which has been recently introduced to the market.
Materials And Methods:
Precision, comparison with two ion-exchange high-performance liquid chromatography (HPLC) methods (Variant II and D-100 systems, BioRad Laboratories) using Passing Bablok and Bland-Altman analyses, accuracy and interference of the most frequent haemoglobin (Hb) variants on HbA1c measurement were evaluated.
Results:
Precision was high, with coefficients of variation lower than 1.1% (HbA1c values expressed in National Glycohemoglobin Standardization Program units, 1.7% for values expressed in International Federation of Clinical Chemistry and Laboratory Medicine [IFCC] units). The comparison study showed similar results with the two HPLC systems. The analysis of samples with IFCC-assigned values showed high methodological accuracy. Finally, no interference of bilirubin, triglycerides and common Hb variants (Hb AC, AD, AE, AS) was observed.
Conclusions:
This evaluation showed that the analytical performance of the Cobas c513 analyser for HbA1c assay makes it suitable for a routine use in clinical chemistry laboratories.
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